Self-Compassion and Physical Activity in Relation to Women’s Experiences with Breast Cancer
Authors
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Kim A. Rogers
School of Exercise, Sport, and Health Sciences, Oregon State University, Corvallis, OR 97330, USA
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Erin Mitchell
School of Exercise, Sport, and Health Sciences, Oregon State University, Corvallis, OR 97330, USA
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Bradley J. Cardinal
School of Exercise, Sport, and Health Sciences, Oregon State University, Corvallis, OR 97330, USA
DOI:
https://doi.org/10.55121/abhp.v2i1.1094Abstract
An understudied phenomenon in behavioral health is the role of self-compassion in relation to physical activity among women with breast cancer. Therefore, this study aimed: (a) to understand sources of suffering in the context of managing breast cancer, including issues associated with, and opportunities afforded by, physical activity; and (b) to document the interplay between the personal meaning attributed to self-compassion and physical activity involvement. Guided by a relativist ontology perspective, semi-structured interviews were conducted with 18 women (37–75 years of age). The severity of cancer ranged from Stage 0 to Stage 3. Thematic analysis of the data generated three themes reflecting the experiences that contribute to suffering for women with breast cancer—challenges related to self, challenges related to others, and challenges related to physical activity. In addition, three themes represented women’s relationship with self-compassion and physical activity involvement—strained, developing, and part of one’s life. In general, women who experienced self-compassion as more integral to their lives tended to engage in physical activity as a means of self-care, adjust their activity levels to align with their abilities, embrace where they were physically, and view their activity from a new perspective. The findings from this study support the role of self-compassion as a healthy coping strategy for women who have been diagnosed with breast cancer. Healthcare providers, public health officials, and physical activity professionals can reinforce and support self-compassion through appropriate policies, programs, and services, particularly those that foster understanding and build accommodating physical activity environments.
Keywords
Coping, Exercise, Malignancy, Public Health, Qualitative Research, Resilience, Self-CareReferences
[1] National Cancer Institute, 2025. Cancer Stat Facts: Common Cancer Sites. Available from: National Institutes of Health. Available from: https://seer.cancer.gov/statfacts/html/common.html (cited 9 November 2025).
[2] Loprinzi, P.D., Cardinal, B.J., Smit, E., et al., 2012. Physical Activity and Breast Cancer Risk. Journal of Exercise Science and Fitness. 10(1), 1–7. DOI: https://doi.org/10.1016/j.jesf.2012.04.004
[3] Timmins, I.R., Jones, M.E., O’Brien, K.M., et al., 2024. International Pooled Analysis of Leisure-Time Physical Activity and Premenopausal Breast Cancer in Women from 19 Cohorts. Journal of Clinical Oncology. 42(8), 927–939. DOI: https://ascopubs.org/doi/10.1200/JCO.23.01101
[4] Loprinzi, P.D., Cardinal, B.J., 2012. Effects of Physical Activity on Common Side Effects of Breast Cancer Treatment. Breast Cancer. 19(1), 4–10. DOI: https://doi.org/10.1007/s12282-011-0292-3
[5] Agussalim, N.Q., Ahmad, M., Prihantono, P., et al., 2024. Physical Activity and Quality of Life in Breast Cancer Survivors. Breast Disease. 43(1), 161–171. DOI: https://pubmed.ncbi.nlm.nih.gov/38875025/
[6] Liu, M., Kibreath, S., Yee, J., et al., 2025. Motivations and Perceptions for Physical Activity in Women Living with Metastatic Breast Cancer: A Qualitative Interview Study. BMC Cancer. 25(1), 80. DOI: https://doi.org/10.1186/s12885-023-11335-x
[7] Szymlek-Gay, E.A., Richards, R., Egan, R., 2011. Physical Activity Among Cancer Survivors: A Literature Review. The New Zealand Medical Journal. 124(1337), 77–89. Available from: https://pubmed.ncbi.nlm.nih.gov/21946880/
[8] Howard-Anderson, J., Ganz, P.A., Bower, J.E., et al., 2012. Quality of Life, Fertility Concerns, and Behavioral Health Outcomes in Younger Breast Cancer Survivors: A Systematic Review. Journal of the National Cancer Institute. 104(5), 386–405. DOI: https://doi.org/10.1093/jnci/djr541
[9] Blanchard, C.M., Courneya, K.S., Stein, K., 2008. Cancer Survivors’ Adherence to Lifestyle Behavior Recommendations and Associations with Health-Related Quality of Life: Results from the American Cancer Society’s SCS-II. Journal of Clinical Oncology. 26(13), 2198–2204. DOI: https://doi.org/10.1200/jco.2007.14.6217
[10] Castonguay, A.L., Wrosch, C., Pila, E., et al., 2017. Body-Related Shame and Guilt Predict Physical Activity in Cancer Survivors Over Time. Oncology Nursing Forum. 44(4), 465–475. DOI: https://doi.org/10.1188/17.onf.465-475
[11] Zhang, Y., Li, G., Zhang, S., et al., 2025. Effects of Exercise on Depression and Anxiety in Breast Cancer Survivors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Cancer Medicine. 14(5), e70671. DOI: https://doi.org/10.1002/cam4.70671
[12] Seligman, M.E.P., Csikszentmihalyi, M., 2000. Positive Psychology: An Introduction. American Psychologist. 55(1), 5–14. DOI: http://dx.doi.org/10.1037/0003-066X.55.1.5
[13] Neff, K., 2003. Self-Compassion: An Alternative Conceptualization of a Healthy Attitude toward Oneself. Self and Identity. 2(2), 85–101. DOI: https://doi.org/10.1080/15298860309032
[14] Campos, R.C., Besser, A., Ferreira, R., et al., 2012. Self-Criticism, Neediness, and Distress among Women Undergoing Treatment for Breast Cancer: A Preliminary Test of the Moderation Role of Adjustment to Illness. International Journal of Stress Management. 19(2), 151–174. DOI: https://psycnet.apa.org/doi/10.1037/a0027996
[15] Chen, Y., Liu, R., Xiao, J., et al., 2024. Effects of Online Mindfulness Self-Compassion Intervention on Negative Body Image in Breast Cancer Patients: A Randomized Controlled Trial. European Journal of Oncology Nursing. 72, 102664. DOI: https://doi.org/10.1016/j.ejon.2024.102664
[16] de Castro Coelho, E.M.R.T., Mendes, H.I.A., Varajidas, C.F., et al., 2024. Impact of Physical Exercise on Quality of Life, Self-Esteem, and Depression in Breast Cancer Survivors: A Pilot Study. Onco. 4(3), 207–216. DOI: https://doi.org/10.3390/onco4030015
[17] Garcia, A.C.M., Camargos, J.B., Sarto, K.K., et al., 2021. Quality of Life, Self-Compassion, and Mindfulness in Cancer Patients Undergoing Chemotherapy: A Cross-Sectional Study. European Journal of Oncology Nursing. 51, 101924. DOI: https://doi.org/10.1016/j.ejon.2021.101924
[18] Hoffman, C., Baker, B., 2023. Effects of Mindful Self-Compassion Program on Psychological Well-Being and Levels of Compassion in People Affected by Breast Cancer. Alternative Therapies in Health and Medicine. 29(6), 36–41. Available from: https://self-compassion.org/wp-content/uploads/2024/06/Hoffman2023.pdf
[19] Reyes, D., 2012. Self-Compassion: A Concept Analysis. Journal of Holistic Nursing. 30(2), 81–89. DOI: https://doi.org/10.1177/0898010111423421
[20] Zhang, S., Roscoe, C., Pringle, A., 2023. Self-Compassion and Physical Activity: The Underpinning Role of Psychological Distress and Barrier Self-Efficacy. International Journal of Environmental Research and Public Health. 20, 1480. DOI: https://doi.org/10.3390/ijerph20021480
[21] Wong, M.Y.C., Chung, P.-K., Leung, K.-M., 2021. The Relationship Between Physical Activity and Self-Compassion: A Systematic Review and Meta-Analysis. Mindfulness. 12(3), 547–563. DOI: https://psycnet.apa.org/doi/10.1007/s12671-020-01513-4
[22] Sparkes, A.C., Smith, B., 2014. Qualitative Research Methods in Sport, Exercise, and Health: From Process to Product. Routledge: London, UK. DOI: https://doi.org/10.4324/9780203852187
[23] van Manen, M., 2016. Researching Lived Experience: Human Science for Action Sensitive Pedagogy, 2nd ed. Routledge: New York, NY, USA. Available from: https://www.routledge.com/Researching-Lived-Experience-Human-Science-for-an-Action-Sensitive-Pedagogy/vanManen/p/book/9781629584164
[24] Creswell, J.W., 2007. Qualitative Inquiry & Research Design: Choosing among Five Approaches, 2nd ed. Sage Publications: Thousand Oaks, CA, USA.
[25] Patton, M., 1990. Qualitative Evaluation and Research Methods, 2nd ed. Sage Publications: London, UK. Available from: https://psycnet.apa.org/record/1990-97369-000
[26] Sparkes, A.C., Smith, B., 2009. Judging the Quality of Qualitative Inquiry: Criteriology and Relativism in Action. Psychology of Sport and Exercise. 10(5), 491–497. DOI: https://psycnet.apa.org/doi/10.1016/j.psychsport.2009.02.006
[27] Smith, B., Caddick, N., 2012. Qualitative Methods in Sport: A Concise Overview for Guiding Social Scientific Sport Research. Asia Pacific Journal of Sport and Social Science. 1(1), 60–73. DOI: http://dx.doi.org/10.1080/21640599.2012.701373
[28] Proudfoot, K., 2022. Inductive/Deductive Hybrid Thematic Analysis in Mixed Methods Research. Journal of Mixed Methods Research. 17(3), 308–326. DOI: https://doi.org/10.1177/15586898221126816
[29] Ahmed, S.K., Mohammed, R.A., Nashwan, A.J., et al., 2025. Using Thematic Analysis in Qualitative Research. Journal of Medicine, Surgery, and Public Health. 6, 100198. DOI: https://doi.org/10.1016/j.glmedi.2025.100198
[30] Tracy, S.J., 2010. Qualitative Quality: Eight “Big-Tent” Criteria for Excellent Qualitative Research. Qualitative Inquiry. 16(10), 837–851. DOI: https://doi.org/10.1177/1077800410383121
[31] Maddocks, M., 2020. Physical Activity and Exercise Training in Cancer Patients. Clinical Nutrition ESPEN. 40, 1–6. DOI: https://doi.org/10.1016/j.clnesp.2020.09.027
[32] Charlier, C., Van Hoof, E., Pauwels, E., et al., 2012. Treatment-Related and Psychosocial Variables in Explaining Physical Activity in Women Three Week to Six Months Post-Treatment of Breast Cancer. Patient Education and Counseling. 89(1), 171–177. DOI: https://doi.org/10.1016/j.pec.2012.06.029
[33] Agedini, A., Joibari, A.Y., 2022. The Relationship Between Resilience and Mindfulness with Mental Toughness by the Mediating Role of Self-Compassion in Cancer Patients. Basic Clinical Cancer Research. 14(1), 59–69. DOI: https://doi.org/10.18502/bccr.v14i1.14390
[34] Ben-Artzi, T.J., Bazilansky, S., Cohen, M., 2024. The Associations of Emotion Regulation, Self-Compassion, and Perceived Lifestyle Discrepancy with Breast Cancer Survivors’ Healthy Lifestyle Management. Journal of Cancer Survivorship. 20, 369–378. DOI: https://doi.org/10.1007/s11764-024-01656-6
[35] Sirois, F.M., Molnar, D.S., Hirsch, J.K., 2015. Self-Compassion, Stress, and Coping in the Context of Chronic Illness. Self and Identity. 14(3), 334–347. DOI: http://dx.doi.org/10.1080/15298868.2014.996249
[36] Kyrchan, N., Skulphan, S., Thapinta, D., et al., 2024. Factors Predicting Self-compassion among Patients with Breast Cancer Undergoing Chemotherapy in Thailand: A Cross-Sectional Study. Belitung Nursing Journal. 10(3), 341–350. DOI: https://doi.org/10.33546/bnj.3359
[37] Stutts, L.A., Blomquist, K.K., 2018. The Moderating Role of Self-Compassion on Weight and Shape Concerns and Eating Pathology: A Longitudinal Study. International Journal of Eating Disorders. 511(8), 878–889. DOI: https://doi.org/10.1002/eat.22880
[38] Berry, K.-A., Kowalski, K.C., Ferguson, L.J., et al., 2010. An Empirical Phenomenology of Young Adult Women Exercisers’ Body Self-Compassion. Qualitative Research in Sport and Exercise. 2(3), 293–312. DOI: https://doi.org/10.1080/19398441.2010.517035
[39] Pinto-Gouveia, J., Duarte, C., Matos, M., et al., 2014. The Protective Role of Self-Compassion in Relation to Psychopathology Symptoms and Quality of Life in Chronic and in Cancer Patients. Clinical Psychology and Psychotherapy. 21(4), 311–323. DOI: https://doi.org/10.1002/cpp.1838
[40] Przezdziecki, A., Alcorsco, J., Sherman, K.A., 2016. My Changed Body: Background, Development and Acceptability of Self-Compassion Based Writing Activity for Female Survivors of Breast Cancer. Patient Education and Counseling. 99(5), 870–874. DOI: https://doi.org/10.1016/j.pec.2015.12.011
[41] Przezdziecki, A., Sherman, K.A., Baillie, A., et al., 2013. My Changed Body: Breast Cancer, Body Image, Distress, and Self-Compassion. Psycho-Oncology. 22, 1872–1879. DOI: https://doi.org/10.1002/pon.3230
[42] Chan, N.C., Chow, K.M., 2022. A Critical Review: Effects of Exercise and Psychosocial Interventions on the Body Image of Breast Cancer Survivors. Nursing Open. 10(4), 1954–1965. DOI: https://doi.org/10.1002/nop2.1507
[43] Falconer, C.J., Slater, M., Rovira, A., et al., 2014. Embodying Compassion: A Virtual Reality Paradigm for Overcoming Excessive Self-Criticism. PLoS ONE. 9(11), e111933. DOI: https://doi.org/10.1371/journal.pone.0111933
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Copyright (c) 2026 Kim A. Rogers, Erin Mitchell, Bradley J. Cardinal
This work is licensed under a Creative Commons Attribution 4.0 International License.