Abstract
Objectives
The objectives of this study were to explore whether avoidance and activation mediate the relationship between self-compassion and depressive symptoms. Research investigating these mechanisms may help identify potential intervention targets for preventing depression.
Methods
A cross-sectional survey design was employed involving 242 non-clinical Australian adults (188 females, 54 males) ranging from 18 to 76 years (M = 24.99, SD = 9.07). Participants completed online Self-Compassion Scale, Behavioral Activation for Depression Scale, Reward Probability Index, and Depression, Anxiety, and Stress Scales.
Results
Avoidance and activation were found to be significant mediators of the relationship between self-compassion and depressive symptoms. This indicates that self-compassion may influence depressive symptoms through the mechanisms suggested to operate in a behavioral model of depression, specifically avoidance and activation.
Conclusions
These findings linking self-compassion to activation and avoidance with depressive symptoms are promising. Further research with larger, representative, non-clinical and clinical populations, as well as the collection of prospective data, could help establish the causality of these links.
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References
Allen, A. B., & Leary, M. R. (2010). Self-compassion, stress, and coping. Social and Personality Psychology Compass, 4(2), 107–118. https://doi.org/10.1111/j.1751-9004.2009.00246.x
Allen, P., & Bennett, K. (2012). SPSS statistics. Cengage Learning.
Barcaccia, B., Baiocco, R., Pozza, A., Pallini, S., Mancini, F., & Salvati, M. (2019). The more you judge the worse you feel. A judgemental attitude towards one’s inner experience predicts depression and anxiety. Personality and Individual Differences, 138, 33–39. https://doi.org/10.1016/j.paid.2018.09.012
Bollen, K. A., & Stine, R. A. (1992). Bootstrapping goodness-of-fit measures in structural equation models. Sociological Methods & Research, 21(2), 205–229. https://doi.org/10.1177/0049124192021002004
Breines, J. G., & Chen, S. (2012). Self-compassion increases self-improvement motivation. Personality and Social Psychology Bulletin, 38(9), 1133–1143. https://doi.org/10.1177/0146167212445599
Carvalho, J. P., Gawrysiak, M. J., Hellmuth, J. C., McNulty, J. K., Magidson, J. F., Lejuez, C. W., & Hopko, D. R. (2011). The Reward Probability Index: Design and validation of a scale measuring access to environmental reward. Behavior Therapy, 42(2), 249–262. https://doi.org/10.1016/j.beth.2010.05.004
Dimidjian, S., Barrera, M., Jr., Martell, C., Munoz, R. F., & Lewinsohn, P. M. (2011). The origins and current status of behavioral activation treatments for depression. Annual Review of Clinical Psychology, 7, 1–38. https://doi.org/10.1146/annurev-clinpsy-032210-104535
Efron, B., & Tibshirani, R. J. (1993). An introduction to the bootstrap. Chapman & Hall.
Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. L. (2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. American Journal of Orthopsychiatry, 77(4), 534–542. https://doi.org/10.1037/0002-9432.77.4.534
Ekers, D., Webster, L., Van Straten, A., Cuijpers, P., Richards, D., & Gilbody, S. (2014). Behavioural activation for depression; an update of meta-analysis of effectiveness and sub group analysis. PLoS ONE, 9(6), 1–11. https://doi.org/10.1371/journal.pone.0100100
Enders, C. K. (2002). Applying the Bollen-Stine bootstrap for goodness-of-fit measures to structural equation models with missing data. Multivariate Behavioral Research, 37(3), 359–377. https://doi.org/10.1207/S15327906MBR3703_3
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/BF03193146
Fuhr, K., Hautzinger, M., Krisch, K., Berking, M., & Ebert, D. D. (2016). Validation of the Behavioral Activation for Depression Scale (BADS)—Psychometric properties of the long and short form. Comprehensive Psychiatry, 66, 209–218. https://doi.org/10.1016/j.comppsych.2016.02.004
Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6–41. https://doi.org/10.1111/bjc.12043
Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011). Fears of compassion: Development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice, 84, 239–255. https://doi.org/10.1348/147608308X379806
Goodwin, R., & Hernandez Plaza, S. (2000). Perceived and received social support in two cultures: Collectivism and support among British and Spanish students. Journal of Social and Personal Relationships, 17(2), 282–291. https://doi.org/10.1177/0265407500172007
Hair, J., Black, W., Babin, B., & Anderson, R. (2014). Multivariate data analysis. (7th ed.). Pearson Education.
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–61. https://doi.org/10.1136/jnnp.23.1.56
Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227–239. https://doi.org/10.1348/014466505X29657
Kanter, J., Mulick, P., Busch, A., Berlin, K., & Martell, C. (2007). The behavioral activation for depression scale (BADS): Psychometric properties and factor structure. Journal of Psychopathology and Behavioural Assessment, 29, 191–202. https://doi.org/10.1007/s10862-006-9038-5
Kirby, J. N., Tellegen, C. L., & Steindl, S. R. (2017). A meta-analysis of compassion-based interventions: Current state of knowledge and future directions. Behavior Therapy, 48(6), 778–792. https://doi.org/10.1016/j.beth.2017.06.003
Kline, R. B. (2005). Principles and practice of structural equation modeling. (2nd ed.). Guilford Press.
Krieger, T., Altenstein, D., Baettig, I., Doerig, N., & Holtforth, M. (2013). Self-compassion in depression: Associations with depressive symptoms, rumination, and avoidance in depressed outpatients. Behaviour Therapy, 44, 501–513. https://doi.org/10.1016/j.beth.2013.04.004
Kuehner, C. (2017). Why is depression more common among women than among men? The Lancet Psychiatry, 4(2), 146–158. https://doi.org/10.1016/S2215-0366(16)30263-2
Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., Evans, A., Radford, S., Teasdale, J. D., & Dalgleish, T. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48(11), 1105–1112. https://doi.org/10.1016/j.brat.2010.08.003
Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92(5), 887–904. https://doi.org/10.1037/0022-3514.92.5.887
Lewinsohn, P. M. (1974). A behavioral approach to depression. In R. J. Friedman & M. M. Katz (Eds.), The Psychology of Depression: Contemporary theory and research (pp. 157–185). Winston-Wiley.
Lovibond, P., & Lovibond, S. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the Beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–343. https://doi.org/10.1016/0005-7967(94)00075-u
MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552. https://doi.org/10.1016/j.cpr.2012.06.003
Mazzucchelli, T., Kane, R., & Rees, C. (2009). Behavioral activation treatments for depression in adults: A meta-analysis and review. Clinical Psychology: Science and Practice, 16(4), 383–411. https://doi.org/10.1111/j.1468-2850.2009.01178.x
Mazzucchelli, T. G., Kanter, J. W., & Martell, C. R. (2016). A clinician’s quick guide of evidence-based approaches: Behavioural activation. Clinical Psychologist, 20(1), 54–55. https://doi.org/10.1111/cp.12086
Muthén, L. and Muthén, B. (2015). Mplus user’s guide. Muthén & Muthén
Neff, K. D. (2003a). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–102. 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
Neff, K. (2011). Self-compassion: Stop beating yourself up and leave insecurity behind. William Morrow.
Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923
Podsakoff, P. M., MacKenzie, S. B., Lee, J.-Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879
Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48(6), 757–761. https://doi.org/10.1016/j.paid.2010.01.023
Schumacker, R., & Lomax, R. (2012). A beginner’s guide to structural equation modelling. Routledge.
Shahar, B., Carlin, E. R., Engle, D. E., Hegde, J., Szepsenwol, O., & Arkowitz, H. (2012). A pilot investigation of emotion-focused two-chair dialogue intervention for self-criticism. Clinical Psychology & Psychotherapy, 19(6), 496–507. https://doi.org/10.1002/cpp.762
Wang, J. & Wang, X. (2012). Structural equation modelling with Mplus: Methods and applications. Wiley Publishing.
Yadavaia, J. E., Hayes, S. C., & Vilardaga, R. (2014). Using acceptance and commitment therapy to increase self-compassion: A randomized controlled trial. Journal of Contextual Behavioral Science, 3(4), 248–257. https://doi.org/10.1016/j.jcbs.2014.09.002
Ying, Y.-W. (2009). Contribution of self-compassion to competence and mental health in social work students. Journal of Social Work Education, 45(2), 309–323. https://doi.org/10.5175/JSWE.2009.200700072
Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self-compassion and well-being: A meta-analysis. Applied Psychology: Health and Well-Being, 7(3), 340–364. https://doi.org/10.1111/aphw.12051
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TA: collaborated with the design, executed the study, assisted with the data analyses, and wrote the paper. SRS: collaborated with the design and writing of the study. JNK: collaborated with the design and writing of the study. RTK: analyzed the data and wrote part of the method and results. TGM: collaborated with the design, and assisted with the data analyses and writing of the study.
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Ethical approval to conduct the study was obtained from the Curtin University Human Research Ethics Committee (HRE2017-0117–01).
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Adie, T., Steindl, S.R., Kirby, J.N. et al. The Relationship Between Self-Compassion and Depressive Symptoms: Avoidance and Activation as Mediators. Mindfulness 12, 1748–1756 (2021). https://doi.org/10.1007/s12671-021-01637-1
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DOI: https://doi.org/10.1007/s12671-021-01637-1