BACKGROUND It is common for Chinese American breast cancer survivors to believe that having cancer is a stigmatizing condition. Little research exists on how this might affect their quality of life (QoL) and through which psychological processes. OBJECTIVE In the present study, we examined the association between self-stigma and QoL in a sample of Chinese American breast cancer survivors and tested the potential mediating roles of intrusive thoughts and posttraumatic growth in this relationship. METHODS One hundred and thirty-six Chinese American breast cancer survivors completed a questionnaire packet assessing their levels of self-stigma, intrusive thoughts, posttraumatic growth, and QoL. RESULTS As hypothesized, findings indicated a significant negative correlation between self-stigma and QoL. Findings from a path analysis indicated significant indirect effects of self-stigma on QoL through intrusive thoughts and posttraumatic growth-the negative correlation between self-stigma and QoL was completely mediated by more intrusive thoughts and less posttraumatic growth. CONCLUSIONS Our findings suggest that self-stigma may harm QoL among Chinese American breast cancer survivors by leading to more intrusive thoughts and not focusing on posttraumatic growth. To attenuate the negative impact of self-stigma on QoL among Chinese American breast cancer survivors, cognition-focused interventions should be utilized to reduce intrusive thoughts and foster posttraumatic growth.

中文翻译：

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自我污名预测了华裔美国乳腺癌幸存者的生活质量降低：探索侵入性思想和创伤后生长的中介作用。

背景技术华裔美国乳腺癌幸存者普遍认为患有癌症是一种污名化的状况。关于这可能如何影响他们的生活质量（QoL）以及通过哪些心理过程进行的研究很少。目的在本研究中，我们检查了美国华裔乳腺癌幸存者样本中自我柱头与生活质量之间的关联，并检验了这种关系中侵入性思维和创伤后生长的潜在中介作用。方法136位华裔美国乳腺癌幸存者完成了一份问卷调查表，评估了他们的自尊，侵入性思想，创伤后成长和生活质量水平。结果如所假设的，发现表明自尊与生活质量之间存在显着的负相关。路径分析的结果表明，自我污名通过侵入性思想和创伤后增长对QoL产生了间接的显着影响-自我污名和QoL之间的负相关关系完全由更具侵入性的思想和较少创伤后增长所介导。结论我们的研究结果表明，自我耻辱感可能导致更具侵略性的想法，而不是专注于创伤后生长，从而损害华裔美国乳腺癌幸存者的生活质量。为了减轻华裔乳腺癌幸存者中自我耻辱感对生活质量的负面影响，应采用以认知为重点的干预措施，以减少侵入性思维并促进创伤后生长。