There is a well-established relationship between self-criticism and depression. This cross-sectional study investigated the roles that rumination, worry, and fears of compassion for self and from others play in this relationship. Undergraduate students and community participants (N = 417; 68% female; mean age 21.42 years [SD = 6.45]) completed online self-report questionnaires measuring self-criticism, depression, rumination, worry, and fears of self-compassion and receiving compassion from others. It was hypothesized that self-criticism would predict depression, partially mediated by rumination and worry, and moderated by fears of compassion for self and from others. The indirect effects of self-criticism on depression through rumination and worry were found to be conditional on levels of fears of compassion for self and from others. Fears of compassion for self and from others magnified the impact of self-criticism on rumination and rumination on depression; and fears of compassion from others magnified the impact of self-criticism on worry. These findings suggest that having high fears of compassion for self and from others potentiates the effect of self-criticism and repetitive negative thinking on depression. Fears of compassion from others and for oneself should be assessed and addressed alongside phenomena such as self-criticism and rumination when working with depression.
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Allen, N. B., & Knight, W. E. J. (2005). Mindfulness, compassion for self, and compassion for others. Implications for understanding the psychopathology and treatment of depression. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 239–262). London: Routledge.
Antony, M. M., Bieling, P. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and the 21-item version of the DASS in clinical groups and a community sample. Psychological Assessment, 10(2), 176–181. https://doi.org/10.1037/1040-35220.127.116.11.
Baião, R., Gilbert, P., McEwan, K., & Carvalho, S. (2015). Forms of self-Criticising/Attacking & Self-Reassuring Scale: Psychometric properties and normative study. Psychology and Psychotherapy: Theory, Research and Practice, 88(4), 438–452. https://doi.org/10.1111/papt.12049.
Blatt, S. J. (1995). The destructiveness of perfectionism: Implications for the treatment of depression. American Psychologist, 50(12), 1003–1020. https://doi.org/10.1037/0003-066X.50.12.1003.
Blatt, S. J. (2004). Experiences of depression: Theoretical, clinical, and research perspectives. Washington, D.C.: American Psychological Association.
Blatt, S. J. (2008). Polarities of experience: Relatedness and self-definition in personality development, psychopathology, and the therapeutic process. Washington, DC: American Psychological Association.
Blatt, S. J., D’Afflitti, J. P., & Quinlan, D. M. (1976). Experiences of depression in normal young adults. Journal of Abnormal Psychology, 85(4), 383–389. https://doi.org/10.1037/0021-843x.85.4.383.
Borkovec, T. D., Robinson, E., Pruzinsky, T., & DePree, J. A. (1983). Preliminary exploration of worry: Some characteristics and processes. Behaviour Research and Therapy, 21, 9–16. https://doi.org/10.1016/0005-7967(83)90121-3.
Brown, T. A., Antony, M. M., & Barlow, D. H. (1992). Psychometric properties of the Penn state worry questionnaire in a clinical anxiety disorders sample. Behaviour Research and Therapy, 30(1), 33–37. https://doi.org/10.1016/0005-7967(92)90093-V.
Calmes, C. A., & Roberts, J. E. (2007). Repetitive thought and emotional distress: Rumination and worry as prospective predictors of depressive and anxious symptomatology. Cognitive Therapy and Research, 31(3), 343–356. https://doi.org/10.1007/s10608-006-9026-9.
Cox, B. J., Fleet, C., & Stein, M. B. (2004). Self-criticism and social phobia in the US national comorbidity survey. Journal of Affective Disorders, 82(2), 227–234. https://doi.org/10.1016/j.jad.2003.12.012.
Cox, B. J., MacPherson, P. S. R., Enns, M. W., & McWilliams, L. A. (2004). Neuroticism and self-criticism associated with posttraumatic stress disorder in a nationally representative sample. Behaviour Research and Therapy, 42(1), 105–114. https://doi.org/10.1016/s0005-7967(03)00105-0.
Cox, B. J., Rector, N. A., Bagby, R. M., Swinson, R. P., Levitt, A. J., & Joffe, R. T. (2000). Is self- criticism unique for depression? A comparison with social phobia. Journal of Affective Disorder, 57(1–3), 223–228. https://doi.org/10.1016/S0165-0327(99)00043-9.
Crawford, J. R., Garthwaite, P. H., Lawrie, C. J., Henry, J. D., MacDonald, M. A., Sutherland, J., & Sinha, P. (2009). A convenient method of obtaining percentile norms and accompanying interval estimates for self-report mood scales (DASS, DASS-21, HADS, PANA, and SAD). British Journal of Clinical Psychology, 48, 163–180. https://doi.org/10.1348/014466508X377757.
Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115–134. https://doi.org/10.1037/0022-018.104.22.168.
Fresco, D. M., Frankel, A. N., Mennin, D. S., Turk, C. L., & Heimberg, R. G. (2002). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective states. Cognitive Therapy and Research, 26(2), 179–188. https://doi.org/10.1023/A:1014517718949.
Gilbert, P. (2007). The evolution of shame as a marker for relationship security. In J. L. Tracy, R. W. Robins, & J. P. Tangney (Eds.), The self-conscious emotions: Theory and research (pp. 283–309). New York: Guilford Press.
Gilbert, P. (2009). The compassionate mind: A new approach to the challenges of life. London: Constable & Robinson.
Gilbert, P. (2010). Compassion focused therapy: The CBT distinctive features series. London: Routledge.
Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53, 6–41. https://doi.org/10.1111/bjc.12043.
Gilbert, P., Clarke, M., Hempel, S., Miles, J. N. V., & Irons, C. (2004). Criticizing and reassuring oneself: An exploration of forms, styles and reasons in female students. The British Journal of Clinical Psychology, 43, 31–50. https://doi.org/10.1348/014466504772812959.
Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 263–325). London: Routledge.
Gilbert, P., McEwan, K., Catarino, F., & Baião, R. (2014). Fears of compassion in a depressed population implication for psychotherapy. Journal of Depression and Anxiety, S2, 003. https://doi.org/10.4172/2167-1044.S2-003.
Gilbert, P., McEwan, K., Gibbons, L., Chotai, S., Duarte, J., & Matos, M. (2012). Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism. Psychology and Psychotherapy: Theory, Research and Practice, 85(4), 374–390. https://doi.org/10.1111/j.2044-8341.2011.02046.x.
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(3), 239–255. https://doi.org/10.1348/147608310X526511.
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, 13, 353–379. https://doi.org/10.1002/cpp.507.
Gustavson, D. E., Du Pont, A., Whisman, M. A., & Miyake, A. (2018). Evidence for transdiagnostic repetitive negative thinking and its association with rumination, worry, and depression and anxiety symptoms: A commonality analysis. Collabra: Psychology, 4(1), 13. https://doi.org/10.1525/collabra.128.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. New York: Guilford Press.
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 cross-cultural multi-study analysis. Personality and Individual Differences, 98, 324–332. https://doi.org/10.1016/j.paid.2016.04.055.
Hong, R. Y. (2007). Worry and rumination: Differential associations with anxious and depressive symptoms and coping behavior. Behaviour Research and Therapy, 45(2), 277–290. https://doi.org/10.1016/j.brat.2006.03.006.
Joeng, J. R., & Turner, S. L. (2015). Mediators between self-criticism and depression: Fear of compassion, self-compassion, and importance to others. Journal of Counseling Psychology, 62(3), 453–463. https://doi.org/10.1037/cou0000071.
Kaiser, R. H., Snyder, H. R., Goer, F., Clegg, R., Ironside, M., & Pizzagalli, D. A. (2018). Attention Bias in rumination and depression: Cognitive mechanisms and brain networks. Clinical Psychological Science, 6(6), 765–782. https://doi.org/10.1177/2167702618797935.
Kirby, J. N., Day, J., & Sagar, V. (2019). The ‘flow’ of compassion: A meta-analysis of the fears of compassion scales and psychological functioning. Clinical Psychology Review, 70, 26–39. https://doi.org/10.1016/j.cpr.2019.03.001.
Kirby, J. N., Tellegen, C. L., & Steindl, S. R. (2017). 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.
Kircanski, K., Thompson, R. J., Sorenson, J., Sherdell, L., & Gotlib, I. H. (2018). The everyday dynamics of rumination and worry: Precipitant events and affective consequences. Cognition and Emotion, 32(7), 1424–1436. https://doi.org/10.1080/02699931.2017.1278679.
Kolubinski, D. C., Nikčević, A. V., Lawrence, J. A., & Spada, M. M. (2015). The role of meta-cognition in self-critical rumination: An investigation in individuals presenting with low self-esteem. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 34, 73–85. https://doi.org/10.1007/s10942-015-0230-y.
Krieger, T., Altenstein, D., Baettig, I., Doerig, N., & Holtforth, M. G. (2013). Self-compassion in depression: Associations with depressive symptoms, rumination, and avoidance in depressed outpatients. Behavior Therapy, 44(3), 501–513. https://doi.org/10.1016/j.beth.2013.04.004.
Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & 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. https://doi.org/10.1037/0022-3522.214.171.1247.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck depression and anxiety inventories. Behaviour Research and Therapy, 33(4), 335–343. https://doi.org/10.1007/BF02511245.
Löw, C. A., Schauenburg, H., & Dinger, U. (2020). Self-criticism and psychotherapy outcome: A systematic review and meta-analysis. Clinical Psychology Review, 75, 101808. https://doi.org/10.1016/j.cpr.2019.101808.
Mantzios, M. (2014). Exploring the relationship between worry and impulsivity in military recruits: The role of mindfulness and self-compassion as potential mediators. Stress and Health, 30(5), 397–404. https://doi.org/10.1002/smi.2617.
Matos, M., Duarte, J., Duarte, C., Gilbert, P., & Pinto-Gouveia, J. (2018). How one experiences and embodies compassionate mind training influences its effectiveness. Mindfulness, 9(4), 1224–1235. https://doi.org/10.1007/s12671-017-0864-1.
Matos, M., Duarte, J., & Pinto-Gouveia, J. (2017a). The origins of fears of compassion: Shame and lack of safeness memories, fears of compassion and psychopathology. The Journal of Psychology: Interdisciplinary and Applied, 151, 804–819. https://doi.org/10.1080/00223980.2017.1393380.
Matos, M., Duarte, J., & Pinto-Gouveia, J. (2017b). Being afraid of compassion: Fears of compassion as mediators between early emotional memories and psychopathological symptoms in adulthood. European Psychiatry, 41, S101. https://doi.org/10.1016/J.EURPSY.2017.01.312.
McKibben, W. B., & Silvia, P. J. (2015). Inattentive and socially desirable responding: Addressing subtle threats to validity in quantitative counseling research. Counseling Outcome Research and Evaluation, 7(1), 53–64. https://doi.org/10.1177/2150137815613135.
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(6), 487–495. https://doi.org/10.1016/0005-7967(90)90135-6.
Muris, P., Roelofs, J., Meesters, C., & Boomsma, P. (2004). Rumination and worry in nonclinical adolescents. Cognitive Therapy and Research, 28, 539–554. https://doi.org/10.1023/B:COTR.0000045563.66060.3e.
Muris, P., Roelofs, J., Rassin, E., Franken, I., & Mayer, B. (2005). Mediating effects of rumination and worry on the links between neuroticism, anxiety and depression. Personality and Individual Differences, 39, 1105–1111. https://doi.org/10.1016/j.paid.2005.04.005.
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569–582. https://doi.org/10.1037/0021-843X.100.4.569.
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61(1), 115–121. https://doi.org/10.1037/0022-35126.96.36.199.
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424. https://doi.org/10.1111/j.1745-6924.2008.00088.x.
O’Connor, R. C., & Noyce, R. (2008). Personality and cognitive processes: Self-criticism and different types of rumination as predictors of suicidal ideation. Behaviour Research and Therapy, 46(3), 392–401. https://doi.org/10.1016/j.brat.2008.01.007.
Papageorgiou, C. (2006). Worry and rumination: Styles of persistent negative thinking in anxiety and depression. In G. C. L. Davey & A. Wells (Eds.), Worry and Its Psychological Disorders: Theory, Assessment and Treatment (pp. 21–40). Wiley Publishing. https://doi.org/10.1002/9780470713143.ch2.
Paulhus, D. L., & Vazire, S. (2007). The self-report method. In R. W. Robins, R. C. Fraley, & R. F. Krueger (Eds.), Handbook of research methods in personality psychology (pp. 224–239). New York: Guilford Press.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behaviour Research Methods, 40, 879–891. https://doi.org/10.3758/BRM40.3.879.
Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48(6), 757–761. https://doi.org/10.1016/j.paid.2010.01.023.
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. https://doi.org/10.1037/t10178-000.
Schlomer, G. L., Bauman, S., & Card, N. A. (2010). Best practices for missing data management in counselling psychology. Journal of Counselling Psychology, 57, 1–10. https://doi.org/10.1037/a0018082.
Schulte-van Maaren, Y. W., Carlier, I. V., Zitman, F. G., van Hemert, A. M., de Waal, M. W., Willem van der Does, A. J., van Noorden, M. S., & Giltay, E. J. (2013). Reference values for major depression questionnaires: The Leiden Routine Outcome Monitoring Study. Journal of Affective Disorders, 149, 342–349. https://doi.org/10.1016/j.jad.2013.02.009.
Shahar, G. (2015). Erosion: The psychopathology of self-criticism. New York: Oxford University Press.
Smart, L. M., Peters, J. R., & Baer, R. A. (2015). Development and validation of a measure of self-critical rumination. Assessment, 23(3), 321–332. https://doi.org/10.1177/1073191115573300.
Spasojević, J., & Alloy, L. B. (2001). Rumination as a common mechanism relating depressive risk factors to depression. Emotion, 1(1), 25–37. https://doi.org/10.1037/1528-35188.8.131.52.
Steindl, S. R., Kirby, J. N., & Tellegan, C. (2018) Motivational interviewing in compassion‐based interventions: Theory and practical applications. Clinical Psychologist, 22(3), 265-279. https://doi.org/10.1111/cp.12146.
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259. https://doi.org/10.1023/A:1023910315561.
Wadsworth, L. P., Forgeard, M., Hsu, K. J., Kertz, S., Treadway, M., & Björgvinsson, T. (2018). Examining the role of repetitive negative thinking in relations between positive and negative aspects of self-compassion and symptom improvement during intensive treatment. Cognitive Therapy and Research, 42(3), 236–249. https://doi.org/10.1007/s10608-017-9887-0.
Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134(2), 163–206. https://doi.org/10.1037/0033-2909.134.2.163.
Watkins, E. R., & Roberts, H. (2020). Reflecting on rumination: Consequences, causes, mechanisms and treatment of rumination. Behaviour Research and Therapy, 127, 103573. https://doi.org/10.1016/j.brat.2020.103573.
Werner, A. M., Tibubos, A. N., Rohrmann, S., & Reiss, N. (2019). The clinical trait self-criticism and its relation to psychopathology: A systematic review - update. Journal of Affective Disorders, 246, 530–547. https://doi.org/10.1016/j.jad.2018.12.069.
Zuroff, D. C., Santor, D., & Mongrain, M. (2005). Dependency, self-criticism, and maladjustment. In J. S. Auerbach, K. N. Levy, & C. E. Schaffer (Eds.), Relatedness, self-definition and mental representation (pp. 75–90). New York: Routledge/Taylor & Francis Group. https://doi.org/10.4324/9780203337318_chapter_5.
Ethics Statement and Informed Consent
All procedures received approval by the Griffith University Human Research Ethics Committee, Ref No: 2018/371. Students were asked to complete questionnaires online via Griffith University Online Research Survey Tool, based on the LimeSurvey online platform, which produced a SPSS data output file downloaded by the researcher upon the completion of data collection. An information sheet was included at the beginning of the online survey, with an option to consent or not to participate in the study. All subjects gave written informed consent in accordance with the Declaration of Helsinki. The participants’ confidentiality and anonymity was assured. There was also a reminder that participation was completely voluntary, and participants had the right to withdraw at any time. A debrief page at the conclusion of the study was used as a strategy to reduce possible risks. This directed participants to relevant support services in the event that they felt any discomfort as a result of their participation.
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Cavalcanti, L.G., Steindl, S.R., Matos, M. et al. Fears of compassion magnify the effects of rumination and worry on the relationship between self-criticism and depression. Curr Psychol (2021). https://doi.org/10.1007/s12144-021-01510-3
- Fears of compassion