Examining the Psychological Resilience Levels of the Caregiver Mothers of Children Undergoing Cancer Treatment in the Context of Perceived Social Support and Self-Compassion

Yıl 2025, Cilt: 8 Sayı: 1, 1 - 20, 18.11.2025

Elif Özüm Kuş Işık , Fatma Kayım

https://doi.org/10.53804/izlek.1696191

https://izlik.org/JA44UG22ZP

Öz

This study aims to examine the psychological resilience of caregiver mothers of children aged 0–15 undergoing cancer treatment, in the context of perceived social support and self-compassion. The study was conducted with 40 caregiver mothers who completed the psychological resilience, perceived social support, and self-compassion scales. Correlation and regression analyses revealed that both perceived social support and self-compassion were moderately and positively associated with resilience. Together, these variables explained approximately 45% of the variance in psychological resilience (R² = 0.452, p < 0.001), while self-compassion alone accounted for 26%. Regarding sub-dimensions of social support, only support from family significantly predicted resilience (R² = 0.299, p < 0.05). The findings demonstrate that social support and self-compassion are significant predictors of psychological resilience in caregiver mothers. These results are discussed in relation to the existing literature, and suggestions for future research are provided.

Anahtar Kelimeler

Psychological resilience , perceived social support , self-compassion , psycho-oncology , cancer , caregiver

Kanser Tedavisi Gören Çocukların Refakatçi Annelerinin Psikolojik Dayanıklılık Düzeylerinin Algılanan Sosyal Destek ve Öz-Şefkat Bağlamında İncelenmesi

https://izlik.org/JA44UG22ZP

Öz

Bu araştırma, 0–15 yaş arası kanser tedavisi gören çocukların refakatçi annelerinin psikolojik dayanıklılık düzeylerini, algılanan sosyal destek ve öz-şefkat bağlamında incelemeyi amaçlamaktadır. Çalışma, 40 refakatçi anne ile yürütülmüş; katılımcılara psikolojik dayanıklılık, algılanan sosyal destek ve öz-şefkat ölçekleri uygulanmıştır. Korelasyon ve regresyon analizleri sonucunda, algılanan sosyal destek ve öz-şefkatin psikolojik dayanıklılıkla orta düzeyde pozitif ilişkili olduğu ve bu iki değişkenin birlikte psikolojik dayanıklılıktaki varyansın %45’ini açıkladığı bulunmuştur (R² = 0.452, p < 0.001). Öz-şefkat tek başına %26’lık bir açıklayıcılığa sahiptir. Sosyal desteğin alt boyutları incelendiğinde, yalnızca aile desteği anlamlı bir yordayıcı olarak bulunmuştur (R² = 0.299, p < 0.05). Bulgular, refakatçi annelerin psikolojik dayanıklılığında sosyal destek ve öz-şefkatin önemli belirleyiciler olduğunu göstermektedir. Bu sonuçlar literatür doğrultusunda değerlendirilerek gelecekteki çalışmalara yönelik öneriler sunulmuştur.

Anahtar Kelimeler

Psikolojik dayanıklılık , algılanan sosyal destek , öz-şefkat , psiko-onkoloji , kanser , refakatçi

Kaynakça

• ABBEY, A., ABRAMIS, D. J., & CAPLAN, R. D. (1985). Effects of different sources of social support and social conflict on emotional well-being. Basic and Applied Social Psychology, 6(2), 111-129. https://doi.org/10.1207/s15324834basp0602_2
• AHERN, N. R. (2006). Adolescent resilience: An evolutionary concept analysis. Journal of Pediatric Nursing, 21(3), 175-185. https://doi.org/10.1016/j.pedn.2005.07.009
• ALIZADEH, S., KHANAHMADI, S., VEDADHIR, A., & BARJASTEH, S. (2018). The relationship between resilience with self-compassion, social support, and sense of belonging in women with breast cancer. Asian Pacific Journal of Cancer Prevention, 19(9), 2469–2474. https://doi.org/10.22034/APJCP.2018.19.9.2469
• ALLEN, K., BLASCOVICH, J., & MENDES, W. B. (2002). Cardiovascular reactivity and the presence of pets, friends, and spouses: The truth about cats and dogs. Psychosomatic Medicine, 64(5), 727–739. https://doi.org/10.1097/01.psy.0000024236.11538.41
• AMERICAN CANCER SOCIETY. (2019). Cancer in children. American Cancer Society. Retrieved from https://www.cancer.org/cancer/cancer-in-children.html
• ARDIÇ, S. (2020). Palyatif dönemdeki onkoloji hastalarının yakınlarının öz-anlayış düzeylerinin psikolojik dayanıklılık ve yaşam kalitesi açısından incelenmesi (Yüksek lisans tezi, Sağlık Bilimleri Enstitüsü).
• BAKER, D. A., CASWELL, H. L., & ECCLES, F. J. R. (2019). Self-compassion and depression, anxiety, and resilience in adults with epilepsy. Epilepsy & Behavior, 90, 154–161. https://doi.org/10.1016/j.yebeh.2018.11.025
• BASIM, H. N., & ÇETİN, F. (2011). Yetişkinler için psikolojik dayanıklılık ölçeği‟nin güvenilirlik ve geçerlilik çalışması. Türk Psikiyatri Dergisi, 22(2), 104-114.
• BLUTH, K., MULLARKEY, M., & LATHREN, C. (2018). Self-compassion: A potential path to adolescent resilience and positive exploration. Journal of Child and Family Studies, 27(9), 3037–3047. https://doi.org/10.1007/s10826-018-1125-1
• BOLGER, N., & AMAREL, D. (2007). Effects of social support visibility on adjustment to stress: Experimental evidence. Journal of Personality and Social Psychology, 92(3), 458–475. https://doi.org/10.1037/0022-3514.92.3.458
• BOLGER, N., ZUCKERMAN, A., & KESSLER, R. C. (2000). Invisible support and adjustment to stress. Journal of Personality and Social Psychology, 79(6), 953–961. https://doi.org/10.1037//0022-3514.79.6.953
• BONANNO, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? The American Psychologist, 59(1), 20–28. https://doi.org/10.1037/0003-066X.59.1.20
• BOYDEN, J., & MANN, G. (2005). Children's risk, resilience, and coping in extreme situations. Handbook for Working with Children and Youth: Pathways to Resilience Across Cultures and Contexts, 3, 26.
• CASSIDY, T., & MCLAUGHLIN, M. (2021). Caring for a child with cancer: The role of attachment, self-compassion, and social support. Child Care in Practice. https://doi.org/10.1080/13575279.2021.1920369
• COBB, S. (1976). Social Support as a Moderator of Life Stress. Psychosomatic Medicine, 38(5): 300-314. https://doi.org/10.1097/00006842-197609000-00003
• COHEN, S., & WILLS, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310. https://doi.org/10.1037/0033-2909.98.2.310
• CONNOR, K. M., & DAVIDSON, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18, 76-82. http://dx.doi.org/10.1002/da.10113
• DEDELİ, Ö., FADILOĞLU, Ç., & USLU, R. (2008). Kanserli bireylerin fonksiyonel durumları ve algıladıkları sosyal desteğin incelenmesi. Türk Onkoloji Dergisi, 23, 132-139.
• DENİZ, M. E., KESİCİ, Ş., & SÜMER, A. S. (2008). The validity and reliability of the Turkish version of the Self-Compassion Scale. Social Behavior and Personality: An International Journal, 36(9), 1151–1160. https://doi.org/10.2224/sbp.2008.36.9.1151
• DİLMAÇ, B., DENİZ, M., & DENİZ, M. E. (2009). Üniversite öğrencilerinin öz-anlayışları ile değer tercihlerinin incelenmesi. Değerler Eğitimi Dergisi, 7(18), 9–24.
• EKER, D., & ARKAR, H. (1995). Çok boyutlu algılanan sosyal destek ölçeğinin faktör yapısı, geçerlik ve güvenirliği. Türk Psikoloji Dergisi, 10(34), 45-55.
• EKER, D., ARKAR, H., & YALDIZ, H. (2001). Çok Boyutlu Algılanan Sosyal Destek Ölçeğinin gözden geçirilmiş formunun faktör yapısı, geçerlik ve güvenirliği. Türk Psikiyatri Dergisi, 12(1), 17-25.
• FELDMAN, C., & KUYKEN, W. (2011). Compassion in the landscape of suffering. Contemporary Buddhism, 12(1), 143–155. https://doi.org/10.1080/14639947.2011.564831
• FERGUS, S., & ZIMMERMAN, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26, 399–419. https://doi.org/10.1146/annurev.publhealth.26.021304.144357
• FLETCHER, D., & SARKAR, M. (2013). Psychological resilience: A review and critique of definitions, concepts, and theory. European Psychologist, 18(1), 12–23. https://doi.org/10.1027/1016-9040/a000124
• FRIBORG, O., BARLAUG, D., MARTINUSSEN, M., ROSENVINGE, J. H., & HJEMDAL, O. (2005). Resilience in relation to personality and intelligence. International Journal of Methods in Psychiatric Research, 14(1), 29–42. https://doi.org/10.1002/mpr.15
• GARCIA, A. C. M., FERREIRA, A. C. G., SILVA, L. S. R., DA CONCEIÇÃO, V. M., NOGUEIRA, D. A., & MILLS, J. (2022). Mindful self-care, self-compassion, and resilience among palliative care providers during the COVID-19 pandemic. Journal of Pain and Symptom Management, 64(1), 49–57. https://doi.org/10.1016/j.jpainsymman.2022.03.003
• GARMEZY, N., MASTEN, A. S., & TELLEGEN, A. (1984). The study of stress and competence in children: a building block for developmental psychopathology. Child Development, 55(1), 97–111. https://doi.org/10.1002/mpr.143
• GERMER, C. K., & NEFF, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856–867. https://doi.org/10.1002/jclp.22021
• GILBERT, P. (2019). Explorations into the nature and function of compassion. Current Opinion in Psychology, 28, 108–114. https://doi.org/10.1016/j.copsyc.2018.12.002
• GILBERT, P. (2009). The compassionate mind. London: Constable.
• GOETZ, J. L., KELTNER, D., & SIMON-THOMAS, E. (2010). Compassion: an evolutionary analysis and empirical review. Psychological Bulletin, 136(3), 351–374. https://doi.org/10.1037/a0018807
• GÖTZE, H., BRÄHLER, E., GANSERA, L., POLZE, N., & KÖHLER, N. (2014). Psychological distress and quality of life of palliative cancer patients and their caring relatives during home care. Supportive Care in Cancer, 22(10), 2775–2782. https://doi.org/10.1007/s00520-014-2257-5
• GRABER, R., PICHON, F., & CARABINE, E. (2015). Psychological resilience: State of knowledge and future research agendas. ODI Working Papers, 425.
• HAJDU, S. I. (2011). A note from history: Landmarks in history of cancer, part 1. Cancer, 117(5), 1097–1102. https://doi.org/10.1002/cncr.25553
• HERRMAN, H., STEWART, D. E., DIAZ-GRANADOS, N., BERGER, E. L., JACKSON, B., & YUEN, T. (2011). What is resilience? The Canadian Journal of Psychiatry, 56(5), 258–265. https://doi.org/10.1177/070674371105600504
• HOFSTEDE, G. (2011). Dimensionalizing cultures: The Hofstede model in context. Online Readings in Psychology and Culture, 2(1). https://doi.org/10.9707/2307-0919.1014
• HOROWITZ, L. M., KRASNOPEROVA, E. N., TATAR, D. G., HANSEN, M. B., PERSON, E. A., GALVIN, K. L., & NELSON, K. L. (2001). The way to console may depend on the goal: Experimental studies of social support. Journal of Experimental Social Psychology, 37(1), 49-61. https://doi.org/10.1006/jesp.2000.1435
• HSIEH, C. C., YU, C. J., CHEN, H. J., CHEN, Y. W., CHANG, N. T., & HSIAO, F. H. (2019). Dispositional mindfulness, self-compassion, and compassion from others as moderators between stress and depression in caregivers of patients with lung cancer. Psychooncology, 28(7), 1498–1505. https://doi.org/10.1002/pon.5106
• HWANG, I. C., KIM, Y. S., LEE, Y. J., CHOI, Y. S., HWANG, S. W., KIM, H. M., & KOH, S. J. (2017). Factors associated with caregivers' resilience in a terminal cancer care setting. The American Journal of Hospice & Palliative Care, 35(4), 677–683. https://doi.org/10.1177/1049909117741110
• JIANG L., ZHANG, A., WANG, M., YANG, L., & MA, L. (2022). Perceived social support and distress in carers of people with lung cancer: The serial mediation of resilience and positive aspects of caregiving. European Journal of Oncology Nursing, 56, 102084. https://doi.org/10.1016/j.ejon.2021.102084
• KAÇUV. (2020). Çocukluk Çağı Kanserleri. https://kacuv.org/cocukluk-cagi-kanserleri/
• KANOV, J. M., MAITLIS, S., WORLINE, M. C., DUTTON, J. E., FROST, P. J., & LILIUS, J. M. (2004). Compassion in organizational life. American Behavioral Scientist, 47(6), 808-827. https://www.doi.org/10.1177/0002764203260211
• KETCHER, D., TRETTEVIK, R., VADAPARAMPIL, S. T., HEYMAN, R. E., ELLINGTON, L., & REBLIN, M. (2020). Caring for a spouse with advanced cancer: similarities and differences for male and female caregivers. Journal of behavioral medicine, 43(5), 817–828. https://doi.org/10.1007/s10865-019-00128-y
• KHOSROBEIGI, M., HAFEZI, F., NADERI, F., & EHTESHAMZADEH, P. (2022). Effectiveness of self-compassion training on hopelessness and resilience in parents of children with cancer. Explore (New York, N.Y.), 18(3), 357–361. https://doi.org/10.1016/j.explore.2021.04.003
• KIM, H. S., SHERMAN, D. K., & TAYLOR, S. E. (2008). Culture and social support. American Psychologist, 63(6), 518–526. https://doi.org/10.1037/0003-066X
• KIM, Y., BAKER, F., & SPILLERS, R. L. (2007). Cancer caregivers' quality of life: Effects of gender, relationship, and appraisal. Journal of Pain and Symptom Management, 34(3), 294–304. https://doi.org/10.1016/j.jpainsymman.2006.11.012
• KIM, Y., CARVER, C. S., ROCHA-LIMA, C., & SHAFFER, K. M. (2013). Depressive symptoms among caregivers of colorectal cancer patients during the first year since diagnosis: A longitudinal investigation. Psycho-oncology, 22(2), 362–367. https://doi.org/10.1002/pon.2100
• KUSCU, M. K., DURAL, U., ONEN, P., YAŞA, Y., YAYLA, M., BASARAN, G., TURHAL, S., & BEKİROĞLU, N. (2009). The association between individual attachment patterns, the perceived social support, and the psychological well-being of Turkish informal caregivers. Psychooncology, 18(9), 927–935. https://doi.org/10.1002/pon.1441 LEHMAN, D. R., ELLARD, J. H., & WORTMAN, C. B. (1986). Social support for the bereaved: Recipients‟ and providers‟ perspectives on what is helpful. Journal of Consulting and Clinical Psychology, 54, 438–446. https://doi.org/10.1037/0022-006X.54.4.438
• LÖSEV. (t.y.). Çocukluk Çağı Kanseri Farkındalık Ayı. LÖSEV Lösemili Çocuklar Vakfı. https://www.losev.org.tr/v6/duyuru/cocukluk-cagi-kanseri-farkindalik-ayi--62#:~:text=L%C3%B6semi%20en%20%C3%A7ok%20g%C3%B6r%C3%BClen%20%C3%A7ocukluk%20%C3%A7a%C4%9F%C4%B1%20kanseridir&text=D%C3%BCnyada%20her%20y%C4%B1l%200%2D19,kanserlerinin%20%30'unu%20olu%C5%9Fturuyor.
• LUO, Y. H., LI, W. H. C., CHEUNG, A. T., HO, L. L. K., XIA, W., HE, X. L., & CHUNG, J. O. K. (2022). Relationships between resilience and quality of life in parents of children with cancer. Journal of Health Psychology, 27(5), 1048–1056. https://doi.org/10.1177/1359105321990806
• LUTHAR, S. S. (1991). Vulnerability and resilience: A study of high-risk adolescents. Child Development, 62(3), 600–616. https://doi.org/10.2307/1131134
• LUTHAR, S. S., & CICCHETTI, D. (2000). The construct of resilience: implications for interventions and social policies. Development and Psychopathology, 12(4), 857–885. https://doi.org/10.1017/s0954579400004156
• LUTHAR, S. S., CICCHETTI, D., & BECKER, B. (2000). The construct of resilience: a critical evaluation and guidelines for future work. Child Development, 71(3), 543–562. https://doi.org/10.1111/1467-8624.00164
• LUTHAR, S. S., LYMAN, E. L., & CROSSMAN, E. J. (2014). Resilience and positive psychology. In M. Lewis & K. D. Rudolph (Eds.), Handbook of Developmental Psychopathology (pp. 125–140). Springer Science + Business Media. https://doi.org/10.1007/978-1-4614- 9608-3_7
• MARTIN, A. J., & MARSH, H. W. (2008). Academic buoyancy: Towards an understanding of students' everyday academic resilience. Journal of School Psychology, 46(1), 53–83. https://doi.org/10.1016/j.jsp.2007.01.002
• MASTEN, A. S. (2001). Ordinary magic. Resilience processes in development. The American Psychologist, 56(3), 227–238. https://doi.org/10.1037//0003-066x.56.3.227
• MASTEN, A. S., BEST, K. M., & GARMEZY, N. (1990). Resilience and development: Contributions from the study of children who overcome adversity. Development and Psychopathology, 2(4), 425–444. https://doi.org/10.1017/S0954579400005812
• MASTEN, A. S., & TELLEGEN, A. (2012). Resilience in developmental psychopathology: contributions of the Project Competence Longitudinal Study. Development and Psychopathology, 24(2), 345–361. https://doi.org/10.1017/S095457941200003X
• MEEHAN, M., MASSAVELLI, B., & PACHANA, N. (2017). Using attachment theory and social support theory to examine and measure pets as sources of social support and attachment figures. Anthrozoös, 30(2), 273–289. https://doi.org/10.1080/08927936.2017.1311050
• MIN, J. A., YOON, S., LEE, C. U., CHAE, J. H., LEE, C., SONG, K. Y., & KIM, T. S. (2013). Psychological resilience contributes to low emotional distress in cancer patients. Supportive Care in Cancer, 21(9), 2469–2476. https://doi.org/10.1007/s00520-013-1807-6
• MOHAMMADSALEHI, N., ASGARIAN, A., GHASEMI, M., & MOHAMMADBEIGI, A. (2022). Cancer resilience in parents of children with cancer; the role of general health and self-efficacy on resiliency. Journal of Cancer Research and Therapeutics, 18(4), 1119-1123. https://doi.org/10.4103/jcrt.JCRT_464_19
• MOR, V., ALLEN, S., & MALIN, M. (1994). The psychosocial impact of cancer on older versus younger patients and their families. Cancer, 74(S7), 2118-2127. https://doi.org/10.1002/1097-0142(19941001)74:7+<2118::AID-CNCR2820741720>3.0.CO;2-N
• NEFF, K. D. (2003a). Self-Compassion: An Alternative Conceptualization of a Healthy Attitude Toward Oneself. Self and Identity, 2(2), 85–101. https://doi.org/10.1080/15298860309032
• NEFF, K. D. (2003b). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027
• NERY-HURWIT, M., YUN, J., & EBBECK, V. (2018). Examining the roles of self-compassion and resilience on health-related quality of life for individuals with Multiple Sclerosis. Disability and Health Journal, 11(2), 256–261. https://doi.org/10.1016/j.dhjo.2017.10.010
• NORRIS, F. H., & KANIASTY, K. (1996). Received and perceived social support in times of stress: A test of the social support deterioration deterrence model. Journal of Personality and Social Psychology, 71(3), 498–511. https://doi.org/10.1037//0022-3514.71.3.498
• ÖZDOĞAN, M. (2020). Kanser Hastalarına Bakım Verenler unutulmamalı – refakatçilere destek sağlamanın 4 yolu. Prof. Dr. Mustafa Özdoğan. https://www.drozdogan.com/kanser-hastalarina-bakim-verenler-unutulmamali-refakatcilere-destek-saglamanin-4-yolu/
• PASEK, M., GOŹDZIALSKA, A., JOCHYMEK, M., & CARUSO, R. (2023). Social support in a cancer patient–informal caregiver dyad: A scoping review. Cancers, 15(6), 1754. https://doi.org/10.3390/cancers15061754
• RISTEVSKA-DIMITROVSKA, G., FILOV, I., RAJCHANOVSKA, D., STEFANOVSKI, P., & DEJANOVA, B. (2015). Resilience and quality of life in breast cancer patients. Open Access Macedonian Journal of Medical Sciences, 3(4), 727–731. http://dx.doi.org/10.3889/oamjms.2015.128
• RODRIGUEZ, M. S., & COHEN, S. (1998). Social support. Encyclopedia of Mental Health, 3(2), 535-544.
• ROSE-REGO, S. K.; STRAUSS, M. E. & SMYTH, K. A. (1998). Differences in the perceived well-being of wives and husbands caring for persons with Alzheimer's disease. The Gerontologist, 38(2), 224–230. https://doi.org/10.1093/geront/38.2.224
• RUTTER, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57, 316-331. http://dx.doi.org/10.1111/j.1939-0025.1987.tb03541.x
• RUTTER, M. (2006). Implications of Resilience Concepts for Scientific Understanding. Annuals of the New York Academy of Sciences, 1094, 1-12. https://doi.org/10.1196/annals.1376.002
• SANTOS, W. M. S., SANTOS, J. S., MARQUES, J. S., HILÁRIO, M. A. C. M., ANDRADE, R. D., & HALBOTH, N. V. (2019). Social support perceived by family and caregivers of children with cancer. International Journal of Pediatrics, 7, 29. https://doi.org/10.12974/2311-8687.2019.07.4
• SIMINOFF, L. A., WILSON-GENDERSON, M., & BAKER, S., Jr. (2010). Depressive symptoms in lung cancer patients and their family caregivers and the influence of family environment. Psycho-oncology, 19(12), 1285–1293. https://doi.org/10.1002/pon.1696
• SKLENAROVA, H., KRÜMPELMANN, A., HAUN, M. W., FRIEDERICH, H. C., HUBER, J., THOMAS, M., WINKLER, E. C., HERZOG, W., & HARTMANN, M. (2015). When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer, 121(9), 1513–1519. https://doi.org/10.1002/cncr.29223
• STAINTON, A., CHISHOLM, K., KAISER, N., ROSEN, M., UPTHEGROVE, R., RUHRMANN, S., & WOOD, S. J. (2019). Resilience as a multimodal dynamic process. Early Intervention in Psychiatry, 13(4), 725–732. https://doi.org/10.1111/eip.12726
• STRAUSS, C., TAYLOR, B. L., GU, J., KUYKEN, W., BAER, R., JONES, F., & CAVANAGH, K. (2016). What is compassion and how can we measure it? A review of definitions and measures. Clinical Psychology Review, 47, 15-27. https://doi.org/10.1016/j.cpr.2016.05.004
• SUDHAKAR, A. (2009). History of Cancer, Ancient and Modern Treatment Methods. Journal of Cancer Science & Therapy, 1(2), 1–4. https://doi.org/10.4172/1948-5956.100000e2
• TAYLOR, S. E. (2011). Social support: A review. In H. S. Friedman (Ed.), The Oxford handbook of health psychology (pp. 189–214). Oxford University Press.
• TOLEDANO-TOLEDANO, F., LUNA, D., MORAL DE LA RUBIA, J., MARTÍNEZ VALVERDE, S., BERMÚDEZ MORÓN, C. A., SALAZAR GARCÍA, M., & VASQUEZ PAUCA, M. J. (2021). Psychosocial factors predicting resilience in family caregivers of children with cancer: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(2), 748. https://doi.org/10.3390/ijerph18020748
• TRANMER, M., & ELLIOT, M. (2008). Multiple linear regression. The Cathie Marsh Centre for Census and Survey Research (CCSR), 5(5), 1-5.
• TROBST, K.K. (2000). An interpersonal conceptualization and quanti- fication of social support transactions. Personality and Social Psychology Bulletin, 26, 971–986. https://doi.org/10.1177/01461672002610007
• TROMPETTER, H. R., DE KLEINE, E., & BOHLMEIJER, E. T. (2017). Why does positive mental health buffer against psychopathology? An exploratory study on self-compassion as a resilience mechanism and adaptive emotion regulation strategy. Cognitive Therapy and Research, 41(3), 459–468. https://doi.org/10.1007/s10608-016-9774-0
• TYLER, C. M., HENRY, R. S., PERRIN, P. B., WATSON, J., VILLASEÑOR, T., LAGEMAN, S. K., SMITH, E. R., CURIEL, G. R., AVILA, J., JIMENEZ MALDONADO, M. E., & SOTO-ESCAGEDA, J. A. (2020). Structural equation modeling of Parkinson's caregiver social support, resilience, and mental health: A strength-based perspective. Neurology Research International, 7906547. https://doi.org/10.1155/2020/7906547
• UCHINO, B. N. (2009). Understanding the links between social support and physical health: A life-span perspective with emphasis on the separability of perceived and received support. Perspectives on Psychological Science, 4(3), 236–255. https://doi.org/10.1111/j.1745-6924.2009.01122.x
• UNGAR, M. (2008). Resilience across cultures. British Journal of Social Work, 38, 218–235. https://doi.org/10.1093/bjsw/bcl343
• VELLA, S. L., & PAI, N. (2019). A theoretical review of psychological resilience: Defining resilience and resilience research over the decades. Archives of Medicine and Health Sciences, 7(2), 233. https://doi.org/10.4103/amhs.amhs_119_19
• VOON, S. P., LAU, P. L., LEONG, K. E., & JAAFAR, J. L. S. (2022). Self-compassion and psychological well-being among Malaysian counselors: The mediating role of resilience. The Asia-Pacific Education Researcher, 31(4), 475–488. https://doi.org/10.1007/s40299-021-00590-w
• WAI WA CHAN, E., LIANG, L., HUINAN LIU, N., & HOU, W.-K. (2021). The moderated associations of self-compassion with physiological and psychological stress responses: Comparisons between cancer caregivers and non-caregivers. Journal of Health Psychology, 27(10), 2318–2329. https://doi.org/10.1177/13591053211030994
• WANG, H., & LOU, X. (2022). A meta-analysis on the social relationship outcome of being compassionate towards oneself: The moderating role of individualism-collectivism. Personality and Individual Differences, 184, 111162. https://doi.org/10.1016/j.paid.2021.111162
• WILKS, S. E., & CROOM, B. (2008). Perceived stress and resilience in Alzheimer's disease caregivers: Testing moderation and mediation models of social support. Aging & Mental Health, 12 (3), 357-65. https://doi.org/10.1080/13607860801933323
• WILSON, J. M., WEISS, A., & SHOOK, N. J. (2020). Mindfulness, self-compassion, and savoring: Factors that explain the relation between perceived social support and well-being. Personality and Individual Differences, 152, 109568. https://doi.org/10.1016/j.paid.2019.109568
• WINDLE, G. (2011). What is resilience? A review and concept analysis. Reviews in Clinical Gerontology, 21(2), 152-169. doi:10.1017/S0959259810000420
• WRIGHT, M.O., MASTEN, A.S., & NARAYAN, A.J. (2013). Resilience Processes in Development: Four Waves of Research on Positive Adaptation in the Context of Adversity. In: Goldstein, S., Brooks, R. (eds) Handbook of Resilience in Children. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-3661-4_2
• XU, S., ZHANG, H., & WANG, J. (2020). Caregiver burden and depression among Chinese family caregivers: The role of self-compassion. Mindfulness 11, 1647–1654. https://doi.org/10.1007/s12671-020-01378-7
• YEE, J. L., & SCHULZ, R. (2000). Gender differences in psychiatric morbidity among family caregivers: A review and analysis. The Gerontologist, 40(2), https://doi.org/10.1093/geront/40.2.147
• ZIMET, G. D., DAHLEM, N. W., ZIMET, S. G., & FARLEY, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30–41. https://doi.org/10.1207/s15327752jpa5201_2