To evaluate the acceptability and potential utility of a small package of online resources designed to improve self-compassion for mothers of infants. A within-groups repeated-measures study design was used. A community sample of 262 mothers who were ≤ 24 months post-partum were given access to a set of online resources (two videos plus a tip sheet) that outlined simple techniques for increasing self-compassion drawn from compassion-focused therapy (CFT). Participants completed pre-intervention assessment, followed by post-intervention assessment 1 month later. Assessment included self-report measures of self-compassion, psychological flexibility and shame in the mothering role; symptoms of post-traumatic stress (PTS) following childbirth; subjective breastfeeding experience; and satisfaction with infant feeding. Overall, 49.8% of participants accessed some or all of the resources, with lack of time the most common barrier to use. The vast majority (96%) agreed that self-compassion is helpful for women experiencing birth or breastfeeding difficulties. t tests examined change in scores from pre- to post-intervention, indicating increases in self-compassion, decreases in PTS symptoms (intrusion, hyperarousal and total PTS score) and improved subjective breastfeeding experience as well as overall satisfaction with breastfeeding. There were no changes in scores for psychological flexibility, shame, or satisfaction with general infant feeding. This pilot study supports the acceptability and potential utility of self-compassion resources, drawn from CFT, to support mothers’ well-being in the first years of their baby’s life. This novel approach to maternal health intervention warrants further exploration, development and testing in future research.
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We gratefully acknowledge all the mothers who were involved in this trial. We also acknowledge the support of organisations including the Australian Breastfeeding Association who allowed us to post research study information for parents on their online forums.
Compliance with ethical standards
Ethics clearance was granted by The University of Queensland Ethics Review Committee.
Conflict of interest
The Parenting and Family Support Centre is partly funded by royalties stemming from published resources of the Triple P–Positive Parenting Program, which is developed and owned by The University of Queensland (UQ). Royalties are also distributed to the Faculty of Health and Behavioural Sciences at UQ and contributory authors of published Triple P resources. Triple P International (TPI) Pty Ltd is a private company licenced by Uniquest Pty Ltd on behalf of UQ, to publish and disseminate Triple P worldwide. The authors of this report have no share or ownership of TPI. Dr Kirby may in future receive royalties from TPI. TPI had no involvement in the study design, collection, analysis or interpretation of data, or writing of this report. Drs Mitchell, Whittingham, and Kirby are employees at UQ.
Informed consent was obtained from all individual participants included in the study.
All procedures performed in this study involving human participants were in accordance with the ethical standards of The University of Queensland Human Research Ethics Committee and with the 1964 Helsinki declaration and its later amendments.
Alcorn KL, O'Donovan A, Patrick JC, Creedy D, Devilly GJ (2010) A prospective longitudinal study of the prevalence of post-traumatic stress disorder resulting from childbirth events. Psychol Med 40:1849–1859CrossRefPubMedGoogle Scholar
Athan AM (2011) Postpartum flourishing: motherhood as opportunity for positive growth and self-development. Colombia University, New YorkGoogle Scholar
Beck JG, Grant DM, Read JP, Clapp JD, Coffey SF, Miller LM, Palyo SA (2008) The impact of event scale - revised: psychometric properties in a sample of motor vehicle accident survivors. J Anxiety Disord 22:187–198CrossRefPubMedGoogle Scholar
Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, Waltz T (2011) Preliminary psychometric properties of the acceptance and action questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther 42:676–688CrossRefPubMedGoogle Scholar
Desai FG (2012) Transpersonal experiences and the emergence of transpersonal motherhood. Sofia University, SofiaGoogle Scholar
Felder JN, Lemon ES, K, Kripke K, Dimidjian S (2016) Role of self-compassion in psychological well-being among perinatal women. Arch Women Ment Health 19:687–690Google Scholar
Ferreira C, Matos M, Duarte C, Pinto-Gouveia J (2014) Shame memories and eating psychopathology: the buffering effect of self-compassion. Eur Eat Disord Rev 22:487–494CrossRefPubMedGoogle Scholar
Gilbert P (2000) The relationship of shame, social anxiety and depression: the role of the evaluation of social rank. Clin Psychol Psychother 7:174–189CrossRefGoogle Scholar
Gilbert P, Catarino F, Duarte C, Matos M, Kolts R, Stubbs J, Ceresatto L, Duarte J, Pinto-Gouveia J, Basran J (2017) The development of compassionate engagement and action scales for self and others. J Compassionate Health Care 4. https://doi.org/10.1186/s40639-017-0033-3
Gilbert P, McEwan K, Matos M, Rivis A (2011) Fears of compassion: development of three self-report measures. Psychol Psychother Theory Res Pract 4:239–255CrossRefGoogle Scholar
Gilbert P, Procter S (2006) Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clin Psychol Psychother 13:353–379CrossRefGoogle Scholar
Goss K, Gilbert P, Allan S (1994) An exploration of shame measures - I: the other as Shamer scale. Personal Individ Differ 17:713–717CrossRefGoogle Scholar
Gouveia MJ, Carona C, Canavarro MC, Moreira H (2016) Self-compassion and dispositional mindfulness are associated with parenting styles and parenting stress: the mediating role of mindful parenting. Mindfulness 7:700–712CrossRefGoogle Scholar
Hall H, McLelland G, Gilmour C, Cant R (2014) ‘It’s those first few weeks’: Women’s views about breastfeeding support in an Australian outer metropolitan region. Women Birth 27:259–265CrossRefPubMedGoogle Scholar
Hayes S, Luoma J, Bond F, Masuda A, Lillis J (2006) Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther 44:1–25CrossRefPubMedGoogle Scholar
IBM Corp (2013) IBM SPSS statistics for windows, version 22.0. IBM Corp, ArmonkGoogle Scholar
Kirby JN, Gilbert P (2017) The emergence of compassion focused therapies. In: Gilbert P (ed) Compassion: concepts, research and applications. Routledge Ltd, Abingdon, pp 258–285Google Scholar
Kirby JN, Tellegen CL, Steindl SR (2017) A meta-analysis of compassion-based intervention: current state of knowledge and future directions. Behav Ther 48:778–792CrossRefPubMedGoogle Scholar
Leaviss J, Uttley L (2015) Psychotherapeutic benefits of compassion-focused therapy: an early systematic review. Psychol Med 45:927–945CrossRefPubMedGoogle Scholar
Leff EW, Jefferis SC, Gagne MP (1994) The development of the maternal breastfeeding evaluation scale. J Hum Lact 10:105–111CrossRefPubMedGoogle Scholar
MacBeth A, Gumley A (2012) Exploring compassion: a meta-analysis of the association between self-compassion & psychopathology. Clin Psychol Rev 32:545–552CrossRefPubMedGoogle Scholar
Mitchell AE, Whittingham K (2016) The childbirth and feeding history questionnaire. The University of Queensland, BrisbaneGoogle Scholar
Neff K (2003) The development and validation of a scale to measure self-compassion. Self Identity 2:223–250CrossRefGoogle Scholar
Raes F, Pommier E, Neff KD, Van Gucht D (2011) Construction and factorial validation of a short form of the self-compassion scale. Clin Psychol Psychother 18:250–255CrossRefPubMedGoogle Scholar
Sanders MR, Morawska A (2010) Family background questionnaire. Parenting and Family Support Centre, BrisbaneGoogle Scholar
Sockol LE, Battle CL (2015) Maternal attitudes, depression, and anxiety in pregnant and postpartum multiparous women. Arch Women Ment Health 18:585–593CrossRefGoogle Scholar
Soet JE, Brack GA, DiIorio C (2003) Prevalence and predictors of women's experience of psychological trauma during childbirth. Birth 30:36–46CrossRefPubMedGoogle Scholar
Strauss C, Lever Taylor B, 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. Clin Psychol Rev 47:15–27CrossRefPubMedGoogle Scholar
Thomson G, Ebisch-Burton K, Flacking R (2015) Shame if you do - shame if you don't: women's experiences of infant feeding. Matern Child Nutr 11:33–46CrossRefPubMedGoogle Scholar
Tirch D, Schoendorff B, Silberstein L (2014) ACT practitioner's guide to the science of compassion, 1st edn. New Harbinger Publications, Inc, OaklandGoogle Scholar
Valdez CE, Lilly MM (2015) Self-compassion and trauma processing outcomes among victims of violence. Mindfulness 7:329–339CrossRefGoogle Scholar
Weiss DS (2007) The impact of event scale-revised. In: Wilson JP, Keane TM (eds) Assessing psychological trauma and PTSD: a practitioner's handbook, 2nd edn. Guilford Press, New YorkGoogle Scholar
Whittingham K, Mitchell AE (2016) The distress and flourishing questionnaire. The University of Queensland, BrisbaneGoogle Scholar
Yadavaia JE (2014) Using acceptance and commitment therapy to decrease high-prevalence psychopathology by targeting self-compassion: a randomized controlled trial. J Context Behav Sci 3:248–257CrossRefGoogle Scholar
1.Parenting and Family Support Centre, School of PsychologyThe University of QueenslandSt LuciaAustralia
2.Queensland Cerebral Palsy and Rehabilitation Research Centre (QCPRRC), The University of Queensland Child Health Research Centre (UQ-CHRC), The University of Queensland, Level 6–Centre for Children’s Health Research (CCHR)South BrisbaneAustralia
3.Compassionate Mind Research Group, School of PsychologyThe University of QueenslandSt LuciaAustralia