Skip to main content
Log in

Self-compassion and cognitive flexibility in trauma-exposed individuals with and without PTSD

  • Published:
Current Psychology Aims and scope Submit manuscript

Abstract

Considering the importance of cognitive processes in controlling behavior and emotion, and also individuals’ different reactions toward traumatic events; the current study was carried out to compare self-compassion and cognitive flexibility in trauma-exposed individuals with and without post-traumatic stress disorder. In this cross-sectional study, subjects were recruited among individuals exposed to at least one traumatic event in Gilan-Gharb city (Iran). Through the available sampling method, the numbers of 400 people were selected, and after exerting inclusion and exclusion criterions, 252 individuals concluded the final sample of the study. Subjects were divided into two groups of with and without post-traumatic stress disorder based on clinical interview and the cut-off scores higher than 103 in the Civilian Mississippi Post-Traumatic Stress Disorder scale; Then responded to the demographic questionnaire, Self-Compassion Scale and Cognitive Abilities Questionnaire individually. Collected data were analyzed using descriptive statistics and the Multivariate Analysis of Variance test. Results revealed that the mean scores of the group with post-traumatic stress disorder were significantly lower than the group without post-traumatic stress disorder in variables of Cognitive Flexibility, Self-Compassion, and components of self-compassion including Self-Kindness, Common Humanity, and Mindfulness; the mean scores of the group with post-traumatic stress disorder were significantly higher than the group without post-traumatic stress disorder in components of self-compassion including Self-judgment, Isolation, and Over-Identification. Findings of the present study suggest that self-compassionate attitude toward shortcomings and failures of self, and cognitive flexibility is lower in people suffering from post-traumatic stress disorder than those trauma-exposed individuals without post-traumatic stress disorder.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Allen, A. B., & Leary, M. R. (2010). Self-compassion, stress, and coping. Social and Personality Psychology Compass, 4(2), 107–118.

    Article  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. BMC Medicine, 17, 133–137.

    Google Scholar 

  • Basharpoor, S. (2013). Psychometric properties of the Persian version of the scale sympathetic to the students. Journal of Research in mental health, 2(7), 66–75.

    Google Scholar 

  • Beckham, J. C., Roodman, A. A., Barefoot, J. C., Haney, T. L., Helms, M. J., Fairbank, J. A., Hertzberg, M. A., & Kudler, H. S. (1996). Interpersonal and self-reported hostility among combat veterans with and without posttraumatic stress disorder. Journal of Traumatic Stress, 9(2), 335–342.

    Article  Google Scholar 

  • Ben-Zion, Z., Fine, N. B., Keynan, N. J., Admon, R., Green, N., Halevi, M., et al. (2018). Cognitive flexibility predicts PTSD symptoms: Observational and interventional studies. Frontiers in Psychiatry, 9, 477. https://doi.org/10.3389/fpsyt.2018.00477.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bowman, K. (2005). Commentary on “loving-kindness meditation for chronic low back pain”. Journal of Holistic Nursing, 23(3), 305–309.

    Article  Google Scholar 

  • Breslau, N., Davis, G. C., & Schultz, L. R. (2003). Posttraumatic stress disorder and the incidence of nicotine, alcohol, and other drug disorders in persons who have experienced trauma. Archives of General Psychiatry, 60(3), 289–294.

    Article  Google Scholar 

  • Caldwell, J. G., Krug, M. K., Carter, C. S., & Minzenberg, M. J. (2014). Cognitive control in the face of fear: Reduced cognitive-emotional flexibility in women with a history of child abuse. Journal of Aggression, Maltreatment & Trauma, 23(5), 454–472.

    Article  Google Scholar 

  • Carson, J. W., Keefe, F. J., Lynch, T. R., Carson, K. M., Goli, V., Fras, A. M., & Thorp, S. R. (2005). Loving-kindness meditation for chronic low back pain: Results from a pilot trial. Journal of Holistic Nursing, 23(3), 287–304.

    Article  Google Scholar 

  • Davis, C. G., Lehman, D. R., Silver, R. C., Wortman, C. B., & Ellard, J. H. (1996). Self-blame following a traumatic event: The role of perceived avoidability. Personality and Social Psychology Bulletin, 22, 557–567.

    Article  Google Scholar 

  • Dennis, J. P., & Vander Wal, J. S. (2010). The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive Therapy and Research, 34(3), 241–253.

    Article  Google Scholar 

  • Dick, A. M., Niles, B. L., Street, A. E., DiMartino, D. M., & Mitchell, K. S. (2014). Examining mechanisms of change in a yoga intervention for women: The influence of mindfulness, psychological flexibility, and emotion regulation on PTSD symptoms. Journal of Clinical Psychology, 70(12), 1170–1182.

    Article  Google Scholar 

  • Eustace, K. L. (1994). Cyclone bola: A study of the psychological after-effects. Unpublished master’s thesis, Massey University, Palmerston North, New Zealand.

  • First, M. B. (2015). Structures clinical interview for the DSM (SCID). In R. L. Cautin & S. O. Lilienfeld (Eds.), The encyclopedia of clinical psychology, First edition. JohnWiley & Sons, Inc. Published 2015 by JohnWiley & Sons, Inc.

  • First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured clinical interview for DSM-5-research version (SCID-5-RV). Arlington: American Psychiatric Association.

    Google Scholar 

  • Fledderus, M., Bohlmeijer, E. T., & Pieterse, M. E. (2010). Does experiential avoidance mediate the effects of maladaptive coping styles on psychopathology and mental health? Behavior Modification, 34(6), 503–519.

    Article  Google Scholar 

  • Forsyth, J. P., & Eifert, G. H. (2016). The mindfulness and acceptance workbook for anxiety: A guide to breaking free from anxiety, phobias, and worry using acceptance and commitment therapy. New Harbinger Publications.

  • Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856–867.

    Article  Google 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. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 13(6), 353–379.

    Article  Google Scholar 

  • Goodarzi, M. A. (2003). Evaluating the reliability and validity of the Mississippi scale for post-traumatic stress disorder in shiraz. Journal of Psychology, 26, 152–178.

    Google Scholar 

  • Hayes, S. C. (2008). The roots of compassion. Chicago: Keynote address presented at the fourth acceptance and commitment therapy Summer Institute. Chicago, IL. http://www.globalpres.com/mediasite/Viewer/?peid=017fe6ef4b1544279d8cf27 adbe92a51.

  • Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54(4), 553–578.

    Article  Google Scholar 

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes, and outcomes. Behavior Research and Therapy, 44(1), 1–25.

    Article  Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2009). Acceptance and commitment therapy. American Psychological Association.

  • Johnson, D. C., Polusny, M. A., Erbes, C. R., King, D., King, L., Litz, B. T., Schnurr, P. P., Friedman, M., Pietrzak, R. H., & Southwick, S. M. (2011). Development and initial validation of the response to stressful experiences scale. Military Medicine, 176(2), 161–169.

    Article  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: Dell.

    Google Scholar 

  • Keane, T. M., Caddell, J. M., & Taylor, K. L. (1988). Mississippi scale for combat-related posttraumatic stress disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56(1), 85–90.

    Article  Google Scholar 

  • Kearney, D. J., Malte, C. A., McManus, C., Martinez, M. E., Felleman, B., & Simpson, T. L. (2013). Loving-kindness meditation for posttraumatic stress disorder: A pilot study. Journal of Traumatic Stress, 26(4), 426–434.

    Article  Google Scholar 

  • Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52(12), 1048–1060.

    Article  Google Scholar 

  • Leary, M. R., Tate, E. B., Adams, C. E., Batts Allen, A., & 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Maheux, A., & Price, M. (2015). Investigation of the relation between PTSD symptoms and self-compassion: Comparison across DSM IV and DSM 5 PTSD symptom clusters. Self and Identity. https://doi.org/10.1080/15298868.2015.1037791.

  • Marx, B. P., & Sloan, D. M. (2005). Peritraumatic dissociation and experiential avoidance as predictors of posttraumatic stress symptomatology. Behavior Research and Therapy, 43(5), 569–583.

    Article  Google Scholar 

  • Neff, K. (2003a). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101.

    Article  Google Scholar 

  • Neff, K. D. (2003b). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250.

    Article  Google Scholar 

  • Neff, K. D., Hsieh, Y. P., & Dejitterat, K. (2005). Self-compassion, achievement goals, and coping with academic failure. Self and Identity, 4(3), 263–287.

    Article  Google Scholar 

  • Neff, K. D., Kirkpatrick, K. L., & Rude, S. S. (2007a). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41(1), 139–154.

    Article  Google Scholar 

  • Neff, K. D., Kirkpatrick, K., & Rude, S. S. (2007b). Self-compassion and its link to adaptive psychological functioning. Journal of Research in Personality, 41, 139–154.

    Article  Google Scholar 

  • Nejati, V. (2013). Cognitive abilities questionnaire design and psychometric characteristics. New Journal of Cognitive Science, 15(2), 11–19.

    Google Scholar 

  • Palm, K. M., & Follette, V. M. (2011). The roles of cognitive flexibility and experiential avoidance in explaining psychological distress in survivors of interpersonal victimization. Journal of Psychopathology and Behavioral Assessment, 33(1), 79–86.

    Article  Google Scholar 

  • Sepahvand, H., Hashtjini, M. M., Salesi, M., Sahraei, H., & Jahromi, G. P. (2019). Prevalence of post-traumatic stress disorder (PTSD) in Iranian population following disasters and wars: A systematic review and meta-analysis. Iranian Journal of Psychiatry and Behavioral Sciences (In Press).

  • Shankman, S. A., Funkhouser, C. J., Klein, D. N., Davila, J., Lerner, D., & Hee, D. (2017). Reliability and validity of severity dimensions of psychopathology assessed using the structured clinical interview for DSM-5 (SCID). International Journal of Methods in Psychiatric Research. https://doi.org/10.1002/mpr.1590.

  • Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. International Journal of Stress Management, 12(2), 164.

    Article  Google Scholar 

  • Terry, M. L., & Leary, M. R. (2011). Self-compassion, self-regulation, and health. Self and Identity, 10(3), 352–362.

    Article  Google Scholar 

  • Thompson, B. L., & Waltz, J. (2008). Self-compassion and PTSD symptom severity. Journal of Traumatic Stress 21(6), 556–558. https://doi.org/10.1002/jts.20374.

  • Vreven, D. L., Gudanowski, D. M., King, L. A., & King, D. W. (1995). The civilian version of the Mississippi PTSD scale: A psychometric evaluation. Journal of Traumatic Stress, 8, 91–109.

    Article  Google Scholar 

  • Williams, T. (1993). Trauma in the workplace. In J. P. Wilson & B. Raphael (Eds.), International handbook of traumatic stress syndromes. New York: Plenum Press.

    Google Scholar 

  • Yehuda, R. (1999). Risk factors for posttraumatic stress disorder (Vol. 17). American Psychiatric Pub.

  • Yehuda, R., McFarlane, A. C., & Psychother, D. (1995). The conflict between current knowledge about posttraumatic stress disorder and its original conceptual basis. American Journal of Psychiatry, 152, 1705–1713.

    Article  Google Scholar 

  • Zeller, M., Yuval, K., Nitzan-Assayag, Y., & Bernstein, A. (2015). Self-compassion in recovery following potentially traumatic stress: Longitudinal study of at-risk youth. Journal of Abnormal Child Psychology, 43(4), 645–653.

    Article  Google Scholar 

Download references

Acknowledgements

All authors thank the authorities of Gilan-Gharb city Committee on Relief and Martyr Foundation and all subjects for their sincere cooperation in performing this research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Somayeh Daneshvar.

Ethics declarations

Informed Consent

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

Ethical Approval

All procedures performed in this study 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.

Conflict of Interest

None.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Daneshvar, S., Basharpoor, S. & Shafiei, M. Self-compassion and cognitive flexibility in trauma-exposed individuals with and without PTSD. Curr Psychol 41, 2045–2052 (2022). https://doi.org/10.1007/s12144-020-00732-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12144-020-00732-1

Keywords

Navigation