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Mindfulness

pp 1–19 | Cite as

Self-Compassion Interventions and Psychosocial Outcomes: a Meta-Analysis of RCTs

  • Madeleine FerrariEmail author
  • Caroline Hunt
  • Ashish Harrysunker
  • Maree J. Abbott
  • Alissa P. Beath
  • Danielle A. Einstein
ORIGINAL PAPER

Abstract

Objectives

Self-compassion is a healthy way of relating to one’s self motivated by a desire to help rather than harm. Novel self-compassion-based interventions have targeted diverse populations and outcomes. This meta-analysis identified randomized controlled trials of self-compassion interventions and measured their effects on psychosocial outcomes.

Methods

This meta-analysis included a systematic search of six databases and hand-searches of the included study’s reference lists. Twenty-seven randomized controlled trials that examined validated psychosocial measures for self-compassion-based interventions met inclusion criteria. Baseline, post and follow-up data was extracted for the intervention and control groups, and study quality was assessed using the PRISMA checklist.

Results

Self-compassion interventions led to a significant improvement across 11 diverse psychosocial outcomes compared with controls. Notably, the aggregate effect size Hedge’s g was large for measures of eating behavior (g = 1.76) and rumination (g = 1.37). Effects were moderate for self-compassion (g = 0.75), stress (g = 0.67), depression (g = 0.66), mindfulness (g = 0.62), self-criticism (g = 0.56), and anxiety (g = 0.57) outcomes. Further moderation analyses found that the improvements in depression symptoms continued to increase at follow-up, and self-compassion gains were maintained. Results differed across population type and were stronger for the group over individual delivery methods. Intervention type was too diverse to analyze specific categories, and publication bias may be present.

Conclusions

This review supports the efficacy of self-compassion-based interventions across a range of outcomes and diverse populations. Future research should consider the mechanisms of change.

Keywords

Self-compassion Meta-analysis Intervention Treatment Randomized controlled trials Adults 

Notes

Author Contributions

MF designed and executed the study, conducted the analyses and interpretation and wrote the manuscript. CH collaborated with the design and proof editing of the paper. AH contributed to literature searches and data extraction and management. MA contributed to proof editing of the paper. AB contributed to statistical analyses interpretation and proof editing the paper. DE collaborated with the design and proof editing of the paper.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethics

The research reported here was conducted in an ethical and responsible manner. As a meta-analysis, approval from a human research ethics committee was not required.

Data Availability Statement

The data file is made available in the supplementary materials for this article.

Supplementary material

12671_2019_1134_MOESM1_ESM.xlsx (25 kb)
ESM 1 (XLSX 24 kb)
12671_2019_1134_MOESM2_ESM.docx (34 kb)
ESM 2 (DOCX 34 kb)

References

  1. Albertson, E. R., Neff, K. D., & Dill-Shackleford, K. E. (2015). Self-compassion and body dissatisfaction in women: a randomized controlled trial of a brief meditation intervention. Mindfulness, 6(3), 444–454.  https://doi.org/10.1007/s12671-014-0277-3.Google Scholar
  2. Arch, J. J., Landy, L. N., & Brown, K. W. (2016). Predictors and moderators of biopsychological social stress responses following brief self-compassion meditation training. Psychoneuroendocrinology, 69, 35–40.  https://doi.org/10.1016/j.psyneuen.2016.03.009.Google Scholar
  3. Arimitsu, K. (2016). The effects of a program to enhance self-compassion in Japanese individuals: a randomized controlled pilot study. Journal of Positive Psychology, 11(6), 559–571.  https://doi.org/10.1080/17439760.2016.1152593.Google Scholar
  4. Armstrong, L., & Rimes, K. A. (2016). Mindfulness-based cognitive therapy for neuroticism (stress vulnerability): a pilot randomized study. Behavior Therapy, 47(3), 287–298.  https://doi.org/10.1016/j.beth.2015.12.005.Google Scholar
  5. Ascone, L., Sundag, J., Schlier, B., & Lincoln, T. M. (2017). Feasibility and effects of a brief compassion-focused imagery intervention in psychotic patients with paranoid ideation: a randomized experimental pilot study. Clinical Psychology & Psychotherapy, 24(2), 348–358.  https://doi.org/10.1002/cpp.2003.Google Scholar
  6. Beaumont, E., & Hollins, M. C. (2015). A narrative review exploring the effectiveness of compassion-focused therapy. Counselling Psychology Review, 30(1), 21–32.Google Scholar
  7. Beaumont, E., Galpin, A., & Jenkins, P. (2012). ‘Being kinder to myself’: a prospective comparative study, exploring post-trauma therapy outcome measures, for two groups of clients, receiving either cognitive behavior therapy or cognitive behavior therapy and compassionate mind training. Counselling Psychology Review, 27(1), 31–43 Retrieved from: http://usir.salford.ac.uk/id/eprint/39206.Google Scholar
  8. Bluth, K., & Blanton, P. W. (2014). Mindfulness and self-compassion: exploring pathways to adolescent emotional well-being. Journal of Child and Family Studies, 23(7), 1298–1309.  https://doi.org/10.1007/s10826-013-9830-2.Google Scholar
  9. Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2009). Introduction to meta-analysis (vol. 10). Chichester: John Wiley & Sons, Ltd..Google Scholar
  10. Brach, T. (2003). Radical acceptance: Awakening the love that heals fear and shame within us. Random House.Google Scholar
  11. Campbell, I. N., Gallagher, M., McLeod, H. J., O'Neill, B., & McMillan, T. M. (2017). Brief compassion focused imagery for treatment of severe head injury. Neuropsychological Rehabilitation, 1–11.  https://doi.org/10.1080/09602011.2017.1342663.
  12. Cohen, J. (1977). Statistical power analysis for the behavioral sciences (rev. ed.). Hillsdale: Lawrence Erlbaum Associates, Inc..Google Scholar
  13. Cornish, M. A., & Wade, N. G. (2015). Working through past wrongdoing: examination of a self-forgiveness counseling intervention. Journal of Counseling Psychology, 62(3), 521–528.  https://doi.org/10.1037/cou0000080.supp.Google Scholar
  14. Cunha, M., Galhardo, A., & Pinto-Gouveia, J. (2016). Experiential avoidance, self-compassion, self-judgment and coping styles in infertility. Sexual & Reproductive Healthcare, 10, 41–47.  https://doi.org/10.1016/j.srhc.2016.04.001.Google Scholar
  15. Duarte, C., Pinto-Gouveia, J., & Stubbs, R. J. (2017). Compassionate attention and regulation of eating behavior: a pilot study of a brief low-intensity intervention for binge eating. Clinical Psychological Psychotherapy., 14(6).  https://doi.org/10.1002/cpp.2094.
  16. Dundas, I., Binder, P.-E., Hansen, T. G. B., & Stige, S. H. (2017). Does a short self-compassion intervention for students increase healthy self-regulation? A randomized control trial. Scandinavian Journal of Psychology, 58(5), 443–450.  https://doi.org/10.1111/sjop.12385.Google Scholar
  17. Feliu-Soler, A., Pascual, J. C., Elices, M., Martin-Blanco, A., Carmona, C., Cebolla, A., et al. (2017). Fostering self-compassion and loving-kindness in patients with borderline personality disorder: a randomized pilot study. Clinical Psychological Psychotherapy, 24(1), 278–286.  https://doi.org/10.1002/cpp.2000.Google Scholar
  18. Ferrari, M., Dal Cin, M., & Steele, M. (2017a). Self-compassion is associated with optimum self-care behavior, medical outcomes and psychological well-being in a cross-sectional sample of adults with diabetes. Diabetic Medicine, 34(11), 1546–1553.  https://doi.org/10.1111/dme.13451.Google Scholar
  19. Ferrari, M., Harrysunker, A., Hunt, C., Abbott, M., & Einstein, D. (2017b). The skill of self-kindness: a metaanalysis of randomized controlled trials investigating self-compassion-based interventions [Protocol]. PROSPERO 2017 CRD42017069182. Retrieved from: http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42017069182. Accessed 5 Apr 2019.
  20. Ferrari, M., Yap, K., Scott, N., Einstein, D. A., & Ciarrochi, J. (2018). Self-compassion moderates the perfectionism and depression link in both adolescence and adulthood. PLoS One, 13(2), e0192022.Google Scholar
  21. Finlay-Jones, A. L. (2017). The relevance of self-compassion as an intervention target in mood and anxiety disorders: a narrative review based on an emotion regulation framework. Clinical Psychologist, 21(2), 90–103.  https://doi.org/10.1111/cp.12131.Google Scholar
  22. Finlay-Jones, A. L., Rees, C. S., & Kane, R. T. (2015). Self-compassion, emotion regulation and stress among Australian psychologists: testing an emotion regulation model of self-compassion using structural equation modeling. PLoS One, 10(7).  https://doi.org/10.1371/journal.pone.0133481.
  23. Friis, A. M., Johnson, M. H., Cutfield, R. G., & Consedine, N. S. (2016). Kindness matters: a randomized controlled trial of a mindful self-compassion intervention improves depression, distress, and HbA1c among patients with diabetes. Diabetes Care, 39(11), 1963–1971.  https://doi.org/10.2337/dc16-0416.Google Scholar
  24. Galante, J., Galante, I., Bekkers, M.-J., & Gallacher, J. (2014). Effect of kindness-based meditation on health and well-being: a systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 82(6), 1101.  https://doi.org/10.1037/a0037249.Google Scholar
  25. Galla, B. M. (2016). Within-person changes in mindfulness and self-compassion predict enhanced emotional well-being in healthy, but stressed adolescents. Journal of Adolescence, 49, 204–217.  https://doi.org/10.1016/j.adolescence.2016.03.016.Google Scholar
  26. 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.Google Scholar
  27. Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and selfcriticism: overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 13(6), 353–379.Google Scholar
  28. Harris, E. J. (1997). Detachment and compassion in early Buddhism. Buddhist Publication Society.Google Scholar
  29. Harvey, B., Milyavskaya, M., Hope, N., Powers, T. A., Saffran, M., & Koestner, R. (2015). Affect variation across days of the week: influences of perfectionism and academic motivation. Motivation and Emotion, 39(4), 521–530.Google Scholar
  30. Hedges, L. V., & Olkin, I. (2014). Statistical method for meta-analysis. Academic press.Google Scholar
  31. Held, P., & Owens, G. P. (2015). Effects of self-compassion workbook training on trauma-related guilt in a sample of homeless veterans: a pilot study. Journal of Clinical Psychology, 71(6), 513–526.  https://doi.org/10.1002/jclp.22170.Google Scholar
  32. Higgins, J. P., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., et al. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. British Medical Journal, 343, d5928.  https://doi.org/10.1136/bmj.d5928.Google Scholar
  33. Hutton, B., Salanti, G., Caldwell, D. M., Chaimani, A., Schmid, C. H., Cameron, C., et al. (2015). The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations. Annals of Internal Medicine, 162(11), 777–784.  https://doi.org/10.7326/M14-2385.Google Scholar
  34. Ivtzan, I., Young, T., Martman, J., Jeffrey, A., Lomas, T., Hart, R., & Eiroa-Orosa, F. J. (2016). Integrating mindfulness into positive psychology: a randomised controlled trial of an online positive mindfulness program. Mindfulness, 7, 1396–1407.  https://doi.org/10.1007/s12671-016-0581-1.Google Scholar
  35. Jazaieri, H., Jinpa, G. T., McGonigal, K., Rosenberg, E. L., 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(4), 1113–1126.  https://doi.org/10.1007/s10902-012-9373-z.
  36. Johnson, E. A., & O'Brien, K. A. (2013). Self-compassion soothes the savage EGO-threat system: effects on negative affect, shame, rumination, and depressive symptoms. Journal of Social and Clinical Psychology, 32(9), 939–963.  https://doi.org/10.1521/jscp2013329939.Google Scholar
  37. Kabat-Zinn, J. (2009). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delta.Google Scholar
  38. Kelly, A. C., & Carter, J. C. (2015). Self-compassion training for binge eating disorder: a pilot randomized controlled trial. Psychology and Psychotherapy: Theory, Research and Practice, 88(3), 285–303.  https://doi.org/10.1111/papt.12044.Google Scholar
  39. Kelly, A. C., Zuroff, D., Foa, C., & Gilbert, P. (2010). Who benefits from training in self-compassionate self-regulation? A study of smoking reduction. Journal of Social and Clinical Psychology, 29(7), 727–755.  https://doi.org/10.1002/cpp.2018.Google Scholar
  40. Kelly, A. C., Wisniewski, L., Martin-Wagar, C., & Hoffman, E. (2017). Group-based compassion-focused therapy as an adjunct to outpatient treatment for eating disorders: a pilot randomized controlled trial. Clinical Psychological Psychotherapy, 24(2), 475–487.  https://doi.org/10.1002/cpp.2018.Google Scholar
  41. Kirby, J. N., Doty, J. R., Petrocchi, N., & Gilbert, P. (2017a). The current and future role of heart rate variability for assessing and training compassion. Frontiers in Public Health, 5.  https://doi.org/10.3389/fpubh.2017.00040.
  42. Kirby, J. N., Tellegen, C. L., & Steindl, S. R. (2017b). 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.Google Scholar
  43. Kok, B. E., Coffey, K. A., Cohn, M. A., Catalino, L. I., Vacharkulksemsuk, T., Algoe, S. B., … & Fredrickson, B. L. (2013). How positive emotions build physical health: perceived positive social connections account for the upward spiral between positive emotions and vagal tone. Psychological Science, 24(7), 1123–1132.  https://doi.org/10.1177/0956797612470827.
  44. Koszycki, D., Thake, J., Mavounza, C., Daoust, J. P., Taljaard, M., & Bradwejn, J. (2016). Preliminary investigation of a mindfulness-based intervention for social anxiety disorder that integrates compassion meditation and mindful exposure. Journal of Alternative and Complementary Medicine, 22(5), 363–374.  https://doi.org/10.1089/acm.2015.0108.Google Scholar
  45. Krieger, T., Berger, T., & Grosse, M. H. (2016). The relationship of self-compassion and depression: cross-lagged panel analyses in depressed patients after outpatient therapy. Journal of Affective Disorders, 202, 39–45.  https://doi.org/10.1016/j.jad.2016.05.032.Google Scholar
  46. Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 159–174.  https://doi.org/10.2307/2529310.
  47. Leaviss, J., & Uttley, L. (2015). Psychotherapeutic benefits of compassion-focused therapy: an early systematic review. Psychological Medicine, 45(5), 927–945.  https://doi.org/10.1017/S0033291714002141.Google Scholar
  48. Lee, W. K., & Bang, H. J. (2010). The effects of mindfulness-based group intervention on the mental health of middle-aged Korean women in community. Stress and Health, 26(4), 341–348.  https://doi.org/10.1002/smi.1303.Google Scholar
  49. MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552.  https://doi.org/10.1016/j.cpr.2012.06.003.Google Scholar
  50. Mantzios, M., & Egan, H. H. (2017). On the role of self-compassion and self-kindness in weight regulation and health behavior change. Frontiers in Psychology, 8, 229.  https://doi.org/10.3389/fpsyg.2017.00229.Google Scholar
  51. Mantzios, M., & Giannou, K. (2014). Group vs. single mindfulness meditation: exploring avoidance, impulsivity, and weight management in two separate mindfulness meditation settings. Applied Psychology: Health and Well‐Being, 6(2), 173–191.Google Scholar
  52. Mantzios, M., & Wilson, J. C. (2014). Making concrete construals mindful: a novel approach for developing mindfulness and self-compassion to assist weight loss. Psychology & Health, 29(4), 422–441.  https://doi.org/10.1080/08870446.2013.863883.Google Scholar
  53. Marshall, S. L., Parker, P. D., Ciarrochi, J., Sahdra, B., Jackson, C. J., & Heaven, P. C. (2015). Self-compassion protects against the negative effects of low self-esteem: a longitudinal study in a large adolescent sample. Personality and Individual Differences, 74, 116–121.  https://doi.org/10.1016/j.paid.2014.09.013.Google Scholar
  54. Matos, M., Duarte, C., Duarte, J., Pinto-Gouveia, J., Petrocchi, N., Basran, J., & Gilbert, P. (2017). Psychological and physiological effects of compassionate mind training: a pilot randomised controlled study. Mindfulness, 1–14.  https://doi.org/10.1007/s12671-017-0745-7.
  55. Mehr, K. E., & Adams, A. C. (2016). Self-compassion as a mediator of maladaptive perfectionism and depressive symptoms in college students. Journal of College Student Psychotherapy, 30(2), 132–145.  https://doi.org/10.1080/87568225.2016.1140991.Google Scholar
  56. Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Group, P. (2010). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. International Journal of Surgery, 8(5), 336–341.  https://doi.org/10.1016/j.ijsu.2010.02.007.Google Scholar
  57. Mosewich, A. D., Crocker, P. R., Kowalski, K. C., & DeLongis, A. (2013). Applying self-compassion in sport: an intervention with women athletes. Journal of Sport and Exercise Psychology, 35(5), 514–524.  https://doi.org/10.1123/jsep.35.5.514.Google Scholar
  58. Muris, P., & Petrocchi, N. (2017). Protection or vulnerability? A meta-analysis of the relations between the positive and negative components of self-compassion and psychopathology. Clinical Psychology Psychotherapy, 24(2), 373–383.  https://doi.org/10.1002/cpp.2005.Google Scholar
  59. Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250.  https://doi.org/10.1080/15298860309027.Google Scholar
  60. Neff, K. D. (2003b). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101.  https://doi.org/10.1080/15298860309032.Google Scholar
  61. 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.Google Scholar
  62. Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9(3), 225–240.  https://doi.org/10.1080/15298860902979307.Google Scholar
  63. Neff, K. D., Tóth-Király, I., & Colosimo, K. (2018a). Self-compassion is best measured as a global construct and is overlapping with but distinct from neuroticism: a response to Pfattheicher, Geiger, Hartung, Weiss, and Schindler (2017). European Journal of Personality, 32(4), 371–392.  https://doi.org/10.1002/per.2148.Google Scholar
  64. Neff, K. D., Tóth-Király, I., Yarnell, L., Arimitsu, K., Castilho, P., Ghorbani, N., & Mantios, M. (2018b). Examining the factor structure of the self-compassion scale using exploratory SEM bifactor analysis in 20 diverse samples: support for use of a total score and six subscale scores. Psychological Assessment, 99, 596–607.  https://doi.org/10.1080/00223891.2016.1269334.Google Scholar
  65. Palmeira, L., Cunha, M., & Pinto-Gouveia, J. (2017). Processes of change in quality of life, weight self-stigma, body mass index and emotional eating after an acceptance-, mindfulness- and compassion-based group intervention (kg-free) for women with overweight and obesity. Journal of Health Psychology, 1–14.  https://doi.org/10.1177/1359105316686668.
  66. Park, S. H. (2006). Development of the mindfulness scale. Doctoral dissertation, Catholic University, Korea.Google Scholar
  67. Perez-Blasco, J., Viguer, P., & Rodrigo, M. (2013). Effects of a mindfulness-based intervention on psychological distress, well-being, and maternal self-efficacy in breast-feeding mothers: results of a pilot study. Archives of Women's Mental Health, 16(3), 227–236.  https://doi.org/10.1007/s00737-013-0337-z.Google Scholar
  68. Perez-Blasco, J., Sales, A., Meléndez, J. C., & Mayordomo, T. (2016). The effects of mindfulness and self-compassion on improving the capacity to adapt to stress situations in elderly people living in the community. Clinical Gerontologist, 39(2), 90–103.  https://doi.org/10.1080/07317115.2015.1120253.Google Scholar
  69. Pfattheicher, S., Geiger, M., Hartung, J., Weiss, S., & Schindler, S. (2017). Old wine in new bottles? The case of self-compassion and neuroticism. European Journal of Personality, 31(2), 160–169.  https://doi.org/10.1002/per.2097.Google Scholar
  70. Przezdziecki, A., & Sherman, K. A. (2016). Modifying affective and cognitive responses regarding body image difficulties in breast cancer survivors using a self-compassion-based writing intervention. Mindfulness, 7(5), 1142–1155.  https://doi.org/10.1007/s12671-016-0557-1.Google Scholar
  71. Puterman, E., DeLongis, A., & Pomaki, G. (2010). Protecting us from ourselves: social support as a buffer of trait and state rumination. Journal of Social and Clinical Psychology, 29(7), 797–820.Google Scholar
  72. Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology and Psychotherapy, 18(3), 250–255.  https://doi.org/10.1002/cpp.702.Google Scholar
  73. Richardson, D. A., Jaber, S., Chan, S., Jesse, M. T., Kaur, H., & Sangha, R. (2016). Self-compassion and empathy: impact on burnout and secondary traumatic stress in medical training. Open Journal of Epidemiology, 6(03), 167.  https://doi.org/10.4236/ojepi.2016.63017.Google Scholar
  74. Ritzert, T. R., Forsyth, J. P., Sheppard, S. C., Boswell, J. F., Berghoff, C. R., & Eifert, G. H. (2016). Evaluating the effectiveness of ACT for anxiety disorders in a self-help context: outcomes from a randomized wait-list controlled trial. Behavior Therapy, 47(4), 444–459.  https://doi.org/10.1016/j.beth.2016.03.001.Google Scholar
  75. Rosenthal, R. (1995). Writing meta-analytic reviews. Psychological Bulletin, 118(2), 183.  https://doi.org/10.1037/0033-2909.118.2.183.Google Scholar
  76. Smeets, E., Neff, K., Alberts, H., & Peters, M. (2014). Meeting suffering with kindness: effects of a brief self-compassion intervention for female college students. Journal of Clinical Psychology, 70(9), 794–807.  https://doi.org/10.1002/jclp.22076.Google Scholar
  77. Svendsen, J. L., Kvernenes, K. V., Wiker, A. S., & Dundas, I. (2017). Mechanisms of mindfulness: rumination and self-compassion. Nordic Psychology, 69(2), 71–82.  https://doi.org/10.1080/19012276.2016.1171730.Google Scholar
  78. Wong, C. C., & Mak, W. W. (2016). Writing can heal: effects of self-compassion writing among Hong Kong Chinese college students. Asian American Journal of Psychology, 7(1), 74–82.  https://doi.org/10.1037/aap0000041.Google Scholar
  79. Wren, A. A., Somers, T. J., Wright, M. A., Goetz, M. C., Leary, M. R., Fras, A. M., et al. (2012). Self-compassion in patients with persistent musculoskeletal pain: relationship of self-compassion to adjustment to persistent pain. Journal of Pain and Symptom Management, 43(4), 759–770.  https://doi.org/10.1016/j.jpainsymman.2011.04.014.Google Scholar
  80. 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.Google Scholar
  81. Yang, X., & Mak, W. W. (2017). The differential moderating roles of self-compassion and mindfulness in self-stigma and well-being among people living with mental illness or HIV. Mindfulness, 8(3), 595–602.  https://doi.org/10.1007/s12671-016-0635-4.Google Scholar
  82. Zeng, X., Chiu, C. P., Wang, R., Oei, T. P., & Leung, F. Y. (2015). The effect of loving-kindness meditation on positive emotions: a meta-analytic review. Frontiers in Psychology, 6.  https://doi.org/10.3389/fpsyg.2015.01693.
  83. 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.Google Scholar

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Authors and Affiliations

  1. 1.School of PsychologyAustralian Catholic UniversityStrathfieldAustralia
  2. 2.School of PsychologyThe University of SydneyCamperdownAustralia
  3. 3.Department of PsychologyMacquarie UniversityRydeAustralia

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