A randomized controlled trial of compassion cultivation training: Effects on mindfulness, affect, and emotion regulation
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Compassion is a positive orientation towards suffering that may be enhanced through compassion training and is thought to influence psychological functioning. However, the effects of compassion training on mindfulness, affect, and emotion regulation are not known. We conducted a randomized controlled trial in which 100 adults from the community were randomly assigned to either a 9-week compassion cultivation training (CCT) or a waitlist (WL) control condition. Participants completed self-report inventories that measured mindfulness, positive and negative affect, and emotion regulation. Compared to WL, CCT resulted in increased mindfulness and happiness, as well as decreased worry and emotional suppression. Within CCT, the amount of formal meditation practiced was related to reductions in worry and emotional suppression. These findings suggest that compassion cultivation training effects cognitive and emotion factors that support psychological flexible and adaptive functioning.
KeywordsCompassion Mindfulness Affect Emotion Emotion regulation Meditation
This research was supported by a Fetzer grant awarded to Philippe Goldin and James Gross, and funding from the Stanford University Center for Compassion and Altruism Research and Education (CCARE).
Conflict of interest
The authors of this manuscript do not have any direct or indirect conflicts of interest, financial or personal relationships or affiliations to disclose.
- Cacioppo, J. T., Hawkley, L. C., Kalil, A., Hughes, M. E., Waite, L., & Thisted, R. A. (2008). Happiness and the invisible threads of social connection. In M. Eid & R. Larsen (Eds.), The science of subjective well-being (pp. 195–219). New York: Guilford Press.Google Scholar
- Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. Journal of Alternative and Complementary Medicine, 15. doi: 10.1089/acm.2008.0495.
- English, T., & John, O. P. (2012). Understanding the social effects of emotion regulation: The mediating role of authenticity for individual differences in suppression. Emotion. [Epub ahead of print]. doi: 10.1037/a0029847.
- Fredrickson, B. L., Cohn, M., Coffey, K. A., Pek, J., & Finkel, S. A. (2008). Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Journal of Personality and Social Psychology, 95, 1045–1062. doi: 10.1037/a0013262.PubMedCentralPubMedCrossRefGoogle Scholar
- Fresco, D. M., Moore, M. T., van Dulmen, M., Segal, Z. V., Teasdale, J. D., Ma, H., et al. (2007). Initial psychometric properties of the Experiences Questionnaire: Validation of a self-report measure of decentering. Behavior Therapy, 38, 234–246. doi: 10.1016/j.beth.2006.08.003.PubMedCrossRefGoogle Scholar
- Gilbert, P. (2010). Compassion focused therapy: Distinctive features. London: Routledge.Google Scholar
- Goldin, P. R., Ziv, M., Jazaieri, H., Werner, K., Kraemer, H., Heimberg, R. G., & Gross, J. J. (2012). Cognitive reappraisal self-efficacy mediates the effects of individual cognitive-behavioral therapy for social anxiety disorder. Journal of Consulting and Clinical Psychology. [Epub ahead of print]. doi: 10.1037/a0028555.
- Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3–24). New York: Guilford Press.Google Scholar
- Jazaieri, H., Jinpa, T. G., McGonigal, K., Rosenberg, E., Finkelstein, J., Simon-Thomas, E., & Goldin, P. R. (2012). Enhancing compassion: A randomized controlled trial of a compassion cultivation training program. Journal of Happiness Studies. [Epub ahead of print]. doi: 10.1007/s10902-012-9373-z.
- Jinpa, G. T. (2010). Compassion cultivation training (CCT): Instructor’s manual (unpublished).Google Scholar
- Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.Google Scholar
- Klimecki, O. M., Leiberg, S., Lamm, C., & Singer, T. (2012). Functional neural plasticity and associated changes in positive affect after compassion training. Cerebral Cortex. [Epub ahead of print]. doi: 10.1093/cercor/bhs142.
- Kring, A. M., & Werner, K. H. (2004). Emotion regulation and psychopathology. In P. Philippot & R. S. Feldman (Eds.), The regulation of emotion (pp. 359–385). Hove: Psychology Press.Google Scholar
- Levitt, J. T., Brown, T. A., Orsillo, S. M., & Barlow, D. H. (2004). The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder. Behavior Therapy, 35, 747–766. doi: 10.1016/S0005-7894(04)80018-2.CrossRefGoogle Scholar
- Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28. doi: 10.1016/0005-7967(90)90135-6.
- Neff, K. D., & Germer, C. K. (2012). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology. [Epub ahead of print]. doi: 10.1002/jclp.21923.
- Pace, T. W., Negi, L. T., Adame, D. D., Cole, S. P., Sivilli, T. I., Brown, T. D., et al. (2009). Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocrinology, 34, 87–98. doi: 10.1016/j.psyneuen.2008.08.011.PubMedCentralPubMedCrossRefGoogle Scholar
- Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: Preliminary evidence for independent and overlapping contributions. Behavior Therapy, 40, 142–154. doi: 10.1016/j.beth.2008.04.001.PubMedCentralPubMedCrossRefGoogle Scholar
- Salzberg, S. (1995). Lovingkindness: The revolutionary art of happiness. Boston, MA: Shambhala.Google Scholar
- Shapiro, S. L., Bootzin, R. R., Figueredo, A. J., Lopez, A. M., & Schwartz, G. E. (2003). The efficacy of mindfulness-based stress reduction in the treatment of sleep disturbance in women with breast cancer. An exploratory study. Journal of Psychosomatic Research, 54, 85–91. doi: 10.1016/s0022-3999(02)00546-9.PubMedCrossRefGoogle Scholar
- Shapiro, S. L., Jazaieri, H., & Goldin, P. R. (2012). Mindfulness-based stress reduction effects on moral reasoning and decision making. Journal of Positive Psychology. [Epub ahead of print]. doi: 10.1080/17439760.2012.723732.
- Wirtz, P. H., von Kanel, R., Mohiyeddini, C., Emini, L., Ruedisueli, K., Groessbauer, S., et al. (2006). Low social support and poor emotional regulation are associated with increased stress hormone reactivity to mental stress in systemic hypertension. Journal of Clinical Endocrinology and Metabolism, 91, 3857–3865. doi: 10.1210/jc.2005-2586.PubMedCrossRefGoogle Scholar