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Mindfulness

, Volume 8, Issue 6, pp 1699–1712 | Cite as

Psychological and Physiological Effects of Compassionate Mind Training: a Pilot Randomised Controlled Study

  • Marcela Matos
  • Cristiana Duarte
  • Joana Duarte
  • José Pinto-Gouveia
  • Nicola Petrocchi
  • Jaskaran Basran
  • Paul Gilbert
ORIGINAL PAPER

Abstract

The development of the compassionate self, associated with practices such as slow and deeper breathing, compassionate voice tones and facial expressions and compassionate focusing, is central to Compassion-Focused Therapy. This study explores the impact of a 2-week compassionate mind training (CMT) program on emotional, self-evaluative and psychopathology measures and on heart rate variability (HRV). Participants (general population and college students) were randomly assigned to one of two conditions: CMT (n = 56) and wait-list control (n = 37). Participants in the CMT condition were instructed to practice CMT exercises during 2 weeks. Self-report measures of compassion, positive affect, fears of compassion, self-criticism, shame, depression, anxiety and stress and HRV were collected at pre- and post-interventions in both conditions. Compared to the control group, the experimental group showed significant increases in positive emotions, associated with feeling relaxed and also safe and content, but not activated, and in self-compassion, compassion for others and compassion from others. There were significant reductions in shame, self-criticism, fears of compassion and stress. Only the experimental group reported significant improvement in HRV. Developing awareness of the evolved nature and inherent difficulties of our minds allied with practicing CMT exercises has beneficial effects on participants’ psychological and physiological well-being.

Keywords

Compassion Intervention Imagery Psychopathology Self-criticism Heart rate variability 

Notes

Acknowledgements

This research was supported by the first author’s (Marcela Matos) post-doctoral grant number SFRH/BPD/84185/2012, sponsored by the Portuguese Foundation for Science and Technology (FCT). This work was also partly funded by the Compassionate Mind Foundation charity (www.compassionatemind.co.uk).

Author Contributions

MM designed and executed the study, performed the data analyses and wrote the paper. CD assisted with the design and implementation of the study, data analyses and writing of the paper. JD assisted with the design and implementation of the study, data analyses and writing of the paper. JPG collaborated with the design of the study and discussion of results. NP analysed the HRV data and wrote part of the results. JB collaborated in the writing and editing of the final manuscript. PG designed the study, collaborated in the data analyses and discussion of results and wrote the paper.

Compliance with Ethical Standards

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. Ald Alderson-Day, B., & Fernyhough, C. (2015). Inner speech: development, cognitive functions, phenomenology, and neurobiology. Psychological Bulletin, 141, 931–965.CrossRefGoogle Scholar
  2. Allan, S., Gilbert, P., & Goss, K. (1994). An exploration of shame measures—II: psychopathology. Personality and Individual Differences, 17(5), 719–722.CrossRefGoogle Scholar
  3. Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176–181.CrossRefGoogle Scholar
  4. Baião, R., Gilbert, P., McEwan, K., & Carvalho, S. (2014). Forms of self-criticising/attacking & self-reassuring scale: psychometric properties and normative study. Psychology and Psychotherapy: Theory, Research and Practice, 88, 438–452.CrossRefGoogle Scholar
  5. Baumeister, R. F., Bratslavsky, E., Finkenauer, C., & Vohs, K. D. (2001). Bad is stronger than good. Review of General Psychology, 5, 323–370.CrossRefGoogle Scholar
  6. Brown, S. L., & Brown, R. M. (2015). Connecting prosocial behavior to improved physical health: contributions from the neurobiology of parenting. Neuroscience and Biobehavioral Reviews, 55, 1–17. doi: 10.1016/j.neubiorev.2015.04.004.CrossRefPubMedGoogle Scholar
  7. Castilho, P., Pinto‐Gouveia, J., & Duarte, J. (2015). Exploring self‐criticism: confirmatory factor analysis of the FSCRS in clinical and nonclinical samples. Clinical Psychology & Psychotherapy, 22(2),153-164. doi: 10.1002/cpp.1881.
  8. Chubbuck, I. (2005). The power of the actor: the Chubbuck technique. New York: Gotham Books.Google Scholar
  9. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum.Google Scholar
  10. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.CrossRefPubMedGoogle Scholar
  11. Cozolino, L. (2007). The neuroscience of human relationships: attachment and the developing brain. New York: Norton.Google Scholar
  12. Crocker, J., & Canevello, A. (2012). Consequences of self-image and compassionate goals. In P. G. Devine & A. Plant (Eds.), Advances in experimental social psychology (pp. 229–277). New York: Elsevier.Google Scholar
  13. Depue, R. A., & Morrone-Strupinsky, J. V. (2005). A neurobehavioral model of affiliative bonding: implications for conceptualizing a human trait of affiliation. Behavioral and Brain Sciences, 28, 313–395. doi: 10.1017/s0140525x05000063.PubMedGoogle Scholar
  14. Falconer, C. J., Slater, M., Rovira, A., King, J. A., Gilbert, P., Antley, A., et al. (2014). Embodying compassion: a virtual reality paradigm for overcoming excessive self-criticism. PloS One, 9, e111933.CrossRefPubMedPubMedCentralGoogle Scholar
  15. Falconer, C. J., Rovira, A., King, J. A., Gilbert, P., Antley, A., Fearon, P., Ralph, N., Slater, M., & Brewin, C. R. (2016). Embodying self-compassion within virtual reality and its effects on patients with depression. British Journal of Psychiatry, 2(1), 74–80. doi: 10.1192/bjpo.bp.115.002147.Google Scholar
  16. Fredrickson, B. L., Cohn, M. A., Coffey, K. A., Pek, J., & Finkel, S. M. (2008). Open hearts build lives: positive emotions, induced through loving-kindness meditation, build consequential personal resources. Journal of Personality and Social Psychology, 95(5), 1045–1062.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Germer, C. K., & Siegel, R. D. (2012). Wisdom and compassion in psychotherapy. New York: Guilford.Google Scholar
  18. Gilbert, P. (1989/2016). Human nature and suffering. London: Routledge.Google Scholar
  19. Gilbert, P. (2000). Social mentalities: internal ‘social’ conflicts and the role of inner warmth and compassion in cognitive therapy. In P. Gilbert & K. G. Bailey (Eds.), Genes on the couch: explorations in evolutionary psychotherapy (pp. 118–150). Hove: Brenner-Routledge.Google Scholar
  20. Gilbert, P. (2009). The compassionate mind: a new approach to life’s challenges. London: Constable & Robinson.Google Scholar
  21. Gilbert, P. (2010). Compassion focused therapy: the CBT distinctive features series. London: Routledge.Google Scholar
  22. Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53, 6–41. doi: 10.1111/bjc.12043.CrossRefPubMedGoogle Scholar
  23. Gilbert, P. (2015). The evolution and social dynamics of compassion. Journal of Social & Personality Psychology Compass, 9, 239–254. doi: 10.1111/spc3.12176.CrossRefGoogle Scholar
  24. Gilbert, P., & Choden. (2013). Mindful compassion: using the power of mindfulness and compassion to transform our lives. UK: Hachette.Google Scholar
  25. Gilbert, P., Clarke, M., Kempel, S., Miles, J. N. V., & Irons, C. (2004). Criticizing and reassuring oneself: an exploration of forms style and reasons in female students. British Journal of Clinical Psychology, 43, 31–50. doi: 10.1348/014466504772812959.CrossRefPubMedGoogle Scholar
  26. Gilbert, P., McEwan, K., Mitra, R., Franks, L., Richter, A., & Rockliff, H. (2008). Feeling safe and content: a specific affect regulation system? Relationship to depression, anxiety, stress, and self-criticism. The Journal of Positive Psychology, 3, 182–191.CrossRefGoogle Scholar
  27. 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. doi: 10.1348/147608310X526511.CrossRefGoogle Scholar
  28. Gilbert, P., Catarino, F., Duarte, C., Matos, M., Kolts, R., Stubbs, J., Ceresatto, L., Duarte, J., & Pinto-Gouveia, J. (2017a). Three orientations of compassion and the development of their self-report measures. Journal of Compassionate Health Care. (In press).Google Scholar
  29. Gilbert, P., Catarino, F., Duarte, C., Matos, M., Kolts, R., Stubbs, J., & Basran, J. (2017b). The development of compassionate engagement and action scales for self and others. Journal of Compassionate Health Care, 4(1), 4. doi: 10.1186/s40639-017-0033-3.
  30. Goss, K., Gilbert, P., & Allan, S. (1994). An exploration of shame measures—I: the Other as Shamer Scale. Personality and Individual Differences, 17(5), 713–717.CrossRefGoogle Scholar
  31. Hermanto, N., Zuroff, D. C., Kopala-Sibley, D. C., Kelly, A. C., Matos, M., Gilbert, P., & Koestner, R. (2016). Ability to receive compassion from others buffers the depressogenic effect of self-criticism: A crosscultural multi-study analysis. Personality and Individual Differences, 98, 324–332. doi: 10.1016/j.paid.2016.04.055.
  32. Hofmann, S. G., Grossman, P., & Hinton, D. E. (2011). Loving-kindness and compassion meditation: potential for psychological intervention. Clinical Psychology Review, 13, 1126–1132. doi: 10.1016/j.cpr.2011.07.003.CrossRefGoogle Scholar
  33. Jazaieri, H., Jinpa, G. T., McGonigal, K., Rosenberg, E., Finkelstein, J., Simon-Thomas, E., & Goldin, P. R. (2013). Enhancing compassion: a randomized controlled trial of a compassion cultivation training program. Journal of Happiness Studies, 14, 1113–1126. doi: 10.1007/s10902-012-9373-z.CrossRefGoogle Scholar
  34. Keltner, D., Kogan, A., Piff, P. K., & Saturn, S. R. (2014). The sociocultural appraisals, values, and emotions (SAVE) framework of prosociality: core processes from gene to meme. The Annual Review of Psychology, 65, 425–460. doi: 10.1146/annurev-psych-010213-115054.CrossRefPubMedGoogle Scholar
  35. Kirby, J. N. (2016). Compassion interventions: the programs, the evidence, and implications for research and practice. Psychology and Psychotherapy: Theory, Research, and Practice. doi: 10.1111/papt.12104.
  36. Kirby, J., & Gilbert, P. (2017). The emergence of the compassion focused therapies. In P. Gilbert (Ed.), Compassion: concepts, research and applications (pp. 258–285). London: Routledge.Google Scholar
  37. Kirby, J., Doty, J., Petrocchi, N., & Gilbert, P. (2017). The current and future role of heart rate variability for assessing and training compassion. Frontiers Public Health, 5, 40. doi: 10.3389/fpubh.2017.00040.CrossRefGoogle Scholar
  38. Klimecki, O.M., Leiberg, S., Lamm, C & Singer, T. (2012). Functional neural plasticity and associated changes in positive affect after compassion training. Cerebral Cortex, Advance publication (June 1st) doi: 10.1093/cercor/bhs142.
  39. Kline, R. (2005). Principles and practice of structural equation modelling (2nd ed.). New York: The Guilford Press.Google Scholar
  40. Kogan, A., Oveis, C., Carr, E. W., Gruber, J., Mauss, I. B., Shallcross, A., et al. (2014). Vagal activity is quadratically related to prosocial traits, prosocial emotions, and observer perceptions of prosociality. Journal of Personality and Social Psychology, 107, 1051–1063.CrossRefPubMedGoogle Scholar
  41. Kolts, R. L. (2016). CFT made simple: a clinician’s guide to practicing compassion-focused therapy. New Harbinger Publications.Google Scholar
  42. Krygier, J., Heathers, J., Shahrestani, S., Abbott, M., Gross, J., & Kemp, A. (2013). Mindfulness meditation, well-being, and heart rate variability: a preliminary investigation into the impact of intensive Vipassana meditation. International Journal of Psychophysiology, 89(3), 305–313. doi: 10.1016/j.ijpsycho.2013.06.017.CrossRefPubMedGoogle Scholar
  43. Kupeli, N., Chilcot, J., Schmidt, U. H., Campbell, I. C., & Troop, N. A. (2013). A confirmatory factor analysis and validation of the forms of self-criticism/self-reassurance scale. British Journal of Clinical Psychology, 52(1), 12–25.CrossRefPubMedGoogle Scholar
  44. Leaviss, J., & Uttley, L. (2014). Psychotherapeutic benefits of compassion focused therapy: an early systematic review. Psychological Medicine, 45, 927–945. doi: 10.1017/S0033291714002141.CrossRefPubMedPubMedCentralGoogle Scholar
  45. Lin, M., Tai, L. Y., & Fan, S. Y. (2014). Breathing at a rate of 5.5 breaths per minute with equal inhalation-to-exhalation ratio increases heart rate variability. International Journal of Psychophysiology, 91, 206–211 http://www.ncbi.nlm.nih.gov/pubmed/24380741#.CrossRefPubMedGoogle Scholar
  46. Lovibond, P., & Lovibond, H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with Beck Depressive and Anxiety Inventories. Behaviour Research and Therapy, 3, 335–343.CrossRefGoogle Scholar
  47. McEwan, K., & Gilbert, P. (2015). A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population. Psychology and Psychotherapy: Theory, Research and Practice, 89, 239–243. doi: 10.1111/papt.12078.CrossRefGoogle Scholar
  48. Meevissen, Y. M. C., Peters, M. L., & Alberts, H. J. E. M. (2011). Become more optimistic by imagining a best possible self: effects of a two week intervention. Journal of Behavior Therapy and Experimental Psychiatry, 42, 371–378.CrossRefPubMedGoogle Scholar
  49. Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250.CrossRefGoogle Scholar
  50. 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, 28–44. doi: 10.1002/jclp.21923.CrossRefPubMedGoogle Scholar
  51. Niskanen, J., Tarvainen, M. P., Ranta-Aho, P. O., & Karjalainen, P. A. (2004). Software for advanced HRV analysis. Computer Methods and Programs in Biomedicine, 76, 73–81.CrossRefPubMedGoogle Scholar
  52. Nyklíček, I., Mommersteeg, P., Van Beugen, S., Ramakers, C., & Van Boxtel, G. (2013). Mindfulness-based stress reduction and physiological activity during acute stress: a randomized controlled trial. Health Psychology, 32(10), 1110–1113. doi: 10.1037/a0032200.CrossRefPubMedGoogle Scholar
  53. O’Craven, K., & Kanwisher, N. (2000). Mental imagery of faces and places activates corresponding stimulus-specific brain regions. Journal of Cognitive Neuroscience, 12, 1013–1023.CrossRefPubMedGoogle Scholar
  54. Osimo, S. A., Pizarro, R., Spanlang, B., & Slater, M. (2015). Conversations between self and self as Sigmund Freud—a virtual body ownership paradigm for self counselling. Nature Scientific Reports, 5, 13899. doi: 10.1038/srep13899.CrossRefGoogle Scholar
  55. Pace, T. W. 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.CrossRefPubMedGoogle Scholar
  56. Park, G., & Thayer, J. (2014). From the heart to the mind: cardiac vagal tone modulates top-down and bottom-up visual perception and attention to emotional stimuli. Frontiers in Psychology, 5. doi: 10.3389/fpsyg.2014.00278.
  57. Peters, M. L., Flink, I. K., Boersma, K., & Linton, S. J. (2010). Manipulating optimism: can imagining a best possible self be used to increase positive future expectancies? The Journal of Positive Psychology, 5, 204–211.CrossRefGoogle Scholar
  58. Petrocchi, N., Ottaviani, C., & Couyoumdjian, A. (2016). Compassion at the mirror: exposure to a mirror increases the efficacy of a self-compassion manipulation in enhancing soothing positive affect and heart rate variability. The Journal of Positive Psychology, 1–12.  10.1080/17439760.2016.1209544.
  59. Porges, S. W. (2007). The polyvagal perspective. Biological Psychology, 74, 116–143.CrossRefPubMedGoogle Scholar
  60. Ricard, M. (2015). Altruism: The power of compassion to change yourself and the world. Atlantic Books Ltd.Google Scholar
  61. Rockliff, H., Gilbert, P., McEwan, K., Lightman, S., & Glover, D. (2008). A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery. Journal of Clinical Neuropsychiatry, 5, 132–139.Google Scholar
  62. Rockliff, H., Karl, A., McEwan, K., Gilbert, J., Matos, M., & Gilbert, P. (2011). Effects of intranasal oxytocin on compassion focused imagery. Emotion, 11, 1388–1396. doi: 10.1037/a0023861.CrossRefPubMedGoogle Scholar
  63. Schanche, E., Stiles, T. C., McCullough, L., Svartberg, M., & Nielsen, G. H. (2011). The relationship between activating affects, inhibitory affects, and self-compassion in patients with cluster C personality disorders. Psychotherapy: Theory, Research, Practice, Training, 48, 293–303. doi: 10.1037/a0022012.CrossRefGoogle Scholar
  64. Selcuk, E., Zayas, V., Gunaydin, G., Hazan, C., & Kross, E. (2012). Mental representations of attachment figures facilitate recovery following upsetting autobiographical memory recall. Journal of Personality and Social Psychology, 103(2), 362–378. doi: 10.1037/a0028125.CrossRefPubMedGoogle Scholar
  65. Singer, T., & Bolz, M. (Eds.) (2012). Compassion: bridging practice and science. http://www.compassion-training.org/
  66. Stellar, J. E., Cohen, A., Oveis, C., & Keltner, D. (2015). Affective and physiological responses to the suffering of others: compassion and vagal activity. Journal of Personality and Social Psychology, 108, 572–585.CrossRefPubMedGoogle Scholar
  67. Streeter, C. C., Gerbarg, P. L., Saper, R. B., Ciraulo, D. A., & Brown, R. P. (2012). Effects of yoga on the autonomic nervous system, gamma-aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Medical Hypotheses, 78, 571–579.CrossRefPubMedGoogle Scholar
  68. Tabachnick, B., & Fidell, L. (2013). Using multivariate statistics (6th ed.). Boston: Pearson.Google Scholar
  69. Tang, Y. Y., Ma, Y., Wang, J., Fan, Y., Feng, H., Wang, J., Feng, A., Lu, Q., Hu, B., Lin, Y., Li, J., Zhang, Y., Wang, Y., Zhou, L., & Fan, M. (2009). Central and autonomic nervous system interaction is altered by short-term meditation. Proceedings of the National Academy of Sciences of the United States of America, 106, 8865–8870.CrossRefPubMedPubMedCentralGoogle Scholar
  70. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. (1996). Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation, 93, 1043–1065.CrossRefGoogle Scholar
  71. Thayer, J. F., Åhs, F., Fredrikson, M., Sollers, J. J., & Wager, T. D. (2012). A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health. Neuroscience & Biobehavioral Reviews, 36(2), 747–756. doi: 10.1016/j.neubiorev.2011.11.009.CrossRefGoogle Scholar
  72. Tirch, D., Schoendorff, B., & Silberstein, L. R. (2014). The ACT practitioner’s guide to the science of compassion: tools for fostering psychological flexibility. New Harbinger Publications.Google Scholar
  73. Wheeler, A., Denson, L., Neil, C., Tucker, G., Kenny, M., Beltrame, J. F., et al. (2014). Investigating the effect of mindfulness training on heart rate variability in mental health outpatients: a pilot study. Behaviour Change, 31(3), 175–188. doi: 10.1017/bec.2014.14.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Cognitive and Behavioural Centre for Research and Intervention, CINEICC, Faculty of Psychology and Educational SciencesUniversity of CoimbraCoimbraPortugal
  2. 2.John Cabot UniversityRomeItaly
  3. 3.Centre for Compassion Research and TrainingUniversity of Derby, College of Health and Social Care Research CentreDerbyUK

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