Abstract
The aim of this uncontrolled pilot study was to explore the potential of the Mindful Self-Compassion (MSC) program for reducing psychological distress and increasing compassion in a Chinese community sample. Self-report data on measures of compassion and psychological distress were collected at pre-test (N = 49), post-test (N = 44), and 3-month follow-up (N = 35) among a convenience sample of Chinese women (mean age = 36.6 years). Data were analyzed using generalized linear mixed models (GLMMs), and maladaptive perfectionism was investigated as a potential moderator of the effects of time on outcomes. Significant main effects of time were observed for mean scores on self-compassion, compassion for others, fears of self-compassion, rumination, depression, anxiety, and stress, and these changes were maintained at follow-up. These relationships were not moderated by perfectionism. Effect size calculations indicated large effect sizes for all outcomes, indicating that the MSC program holds promise for increasing compassion and reducing psychological distress among Chinese females. Further research is required to demonstrate the efficacy of this program relative to control conditions, using more representative samples.
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References
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: a meta-analystic review. Clinical Psychology Review, 30, 217–237. https://doi.org/10.1016/j.cpr.2009.11.004.
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 (DASS) in clinical groups and a community sample. Psychological Assessment, 10, 176–181. https://doi.org/10.1037/1040-3590.10.2.176.
Arch, J. J., Brown, K. W., Dean, D. J., Landy, L. N., Brown, K. D., & Laudenslager, M. L. (2014). Self-compassion training modulates alpha-amylase, heart rate variability, and subjective responses to social evaluative threat in women. Psychoneuroendocrinology, 42, 49–58. https://doi.org/10.1016/j.psyneuen.2013.12.018.
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.
Ashby, J. S., & Rice, K. G. (2002). Perfectionism, dysfunctional attitudes, and self-esteem: a structural equations analysis. Journal of Counseling & Development, 80, 197–203. https://doi.org/10.1002/j.1556-6678.2002.tb00183.x.
Barnett, M. D., & Sharp, K. J. (2016). Maladaptive perfectionism, body image satisfaction, and disorder eating behaviors among U.S. college women: the mediating role of self-compassion. Personality and Individual Differences, 99, 225–234. https://doi.org/10.1016/j.paid.2016.05.004.
Bedford, O. A. (2004). The individual experience of guilt and shame in Chinese culture. Culture & Psychology, 10(1), 29–52. https://doi.org/10.1177/1354067X04040929.
Chan, D. W. (2011). Perfectionism among Chinese gifted and nongifted students in Hong Kong: The use of the Revised Almost Perfect Scale. Journal for the Education of the Gifted, 34, 68–98. https://doi.org/10.1177/016235321003400104.
Costa, J., Marôco, J., Pinto-Gouveia, J., Ferriera, C., & Castilho, P. (2015). Validation of the psychometric properties of the self-compassion scale. Testing the factorial validity and factorial invariance of the measure among borderline personality disorder, anxiety disorder, eating disorder and general populations. Clinical Psychology & Psychotherapy, 23, 460–468. https://doi.org/10.1002/cpp.1974.
de Souza, L. K., & Hutz, C. S. (2016). Adaptation of the self-compassion scale for use in Brazil: Evidence of construct validity. Temas em Psicologia, 24, 159–172. https://doi.org/10.9788/TP2016.1-11.
Elobeid, M. A., Padilla, M. A., McVie, T., Thomas, O., Brock, D. W., Musser, B., et al. (2009). Missing data in randomized clinical trials for weight loss: scope of the problem, state of the field, and performance of statistical methods. PLoS One, 4, e6624. https://doi.org/10.1371/journal.pone.0006624.
Finlay-Jones, A. L. (2017). The relevance of self-compassion as an intervention target in mood and anxiety disorder: a narrative review based on an emotion regulation framework. Clinical Psychologist, 21(2), 90–103. https://doi.org/10.1111/cp.12131.
Finlay-Jones, A. L., Rees, C. S., & Kane, R. T. (2015). Self-compassion, emotion regulation, and stress among Australian psychologists: testing an emotion regulation mode of self-compassion using structural equation modeling. PLoS One, 10, e0133481. https://doi.org/10.1371/journal.pone.0133481.
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, 1963–1971. https://doi.org/10.2337/dc16-0416.
Galante, J., Galante, I., Bekkers, M.-J., & Gallacher, J. (2014). Effect of a kindness-based meditation on health and well-being: a systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 82(6), 1101–1114. https://doi.org/10.1037/a0037249.
Gilbert, P., McEwan, K., Catarino, F., Baião, R., & Palmeira, L. (2014). Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology, 53, 228–244. https://doi.org/10.1111/bjc.12037.
Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011). Fears of compassion: development of three self-report measures. Psychology and Psychotherapy: Theory, Research & 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.
Hong, W., Abela, J. R. Z., Cohen, J. R., Sheshko, D. M., Shi, X. T., Van Hamel, A., & Starrs, C. (2010). Rumination as a vulnerability factor to depression in adolescents in mainland China: lifetime history of clinically significant depressive episodes. Journal of Clinical Child & Adolescent Psychology, 39, 849–857. https://doi.org/10.1080/15374416.2010.517159.
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, 939–963.
Kelly, A. C., Carter, J. C., Zuroff, D. C., & Borairi, S. (2013). Self-compassion and fear of self-compassion interact to predict response to eating disorders treatment: a preliminary investigation. Psychotherapy Research, 23, 252–264. https://doi.org/10.1080/10503307.2012.717310.
Kemppainen, J., Johnson, M. O., Phillips, J. C., Sullivan, K. M., Corless, I. B., Chaiphibalsarisdi, P., et al. (2013). A multinational study of self-compassion and human immunodeficiency virus-related anxiety. International Nursing Review, 60, 477–486. https://doi.org/10.1111/inr.12056.
Keng, S. L., Smoski, M. J., Robins, C. J., Ekblad, A. G., & Brantley, J. G. (2012). Mechanisms of change in mindfulness-based stress reduction: self-compassion and mindfulness as mediators of intervention outcomes. Journal of Cognitive Psychotherapy: An international quarterly, 26(3), 270–280. https://doi.org/10.1891/0889-8391.26.3.270.
Klockars, A. J., Hancock, G. R., & McAweeney, M. J. (1995). Power of unweighted and weighted versions of simultaneous and sequential multiple-comparison procedures. Psychological Bulletin, 118(2), 300–307. https://doi.org/10.1037/0033-2909.118.2.300.
Kotsou, I., & Leys, C. (2016). Self-Compassion Scale (SCS): Psychometric properties of the French translation and its relations with psychological well-being, affect and depression. PLoS One, 11, e0152880. https://doi.org/10.1371/journal.pone.0152880.
Krieger, T., Berger, T., & Grosse Holtforth, M. (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.
Kwok, O.-M., Underhill, A. T., Berry, J. W., Luo, W., Elliott, T. R., & Yoon, M. (2008). Analyzing longitudinal data with multilevel models: an example with individuals living with lower extremity intra-articular fractures. Rehabilitation Psychology, 53(3), 370–386. https://doi.org/10.1037/a0012765.
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/10.1037/0022-3514.92.5.887.
Leaviss, J., & Uttley, L. (2015). Psychotherapeutic benefits of compassion-focused therapy: an early systematic review. Psychological Medicine, 45, 927–945. https://doi.org/10.1017/S0033291714002141.
López, A., Sanderman, R., Smink, A., Zhang, Y., van Sonderen, E., Ranchor, A., & Schroevers, M. J. (2015). A reconsideration of the Self-Compassion Scale’s total score: Self-compassion versus self-criticism. PLoS One, 10, e0132940. https://doi.org/10.1371/journal.pone.0132940.
Luo, R., Tamis-LeMonda, C. S., & Song, L. (2013). Chinese parents’ goals and practices in early childhood. Early Childhood Research Quarterly, 28, 843–857. https://doi.org/10.1016/j.ecresq.2013.08.001.
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.
McClintock, C. H., Lau, E., & Miller, L. (2016). Phenotypic dimensions of spirituality: Implications for mental health in China, India, and the United States. Frontiers in Psychology, 7, 1600. https://doi.org/10.3389/fpsyg.2016.01600.
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, 132–145. https://doi.org/10.1080/87568225.2016.1140991.
Michalak, J., Holz, A., & Teismann, T. (2011). Rumination as a predictor of relapse in mindfulness-based cognitive therapy for depression. Psychology and Psychotherapy: Theory, Research & Practice, 84, 230–236. https://doi.org/10.1348/147608310X520166.
Miron, L. R., Seligowski, A. V., Boykin, D. M., & Orcutt, H. K. (2016). The potential indirect effect of childhood abuse on posttrauma pathology through self-compassion and fear of self-compassion. Mindfulness, 7(3), 596–605. https://doi.org/10.1007/s1267-016-0493-0.
Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. https://doi.org/10.1080/15298860390209035.
Neff, K. D. (2003b). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self & Identity, 2, 85–101. https://doi.org/10.1080/15298860390129863.
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.
Neff, K. D., Whittaker, T. A., & Karl, A. (2017). Examining the factor structure of the self-compassion scale in four distinct populations: is the use of a total scale score justified? Journal of Personality Assessment, 99, 596–607. https://doi.org/10.1080/00223891.2016.1269334.
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, 115–121. https://doi.org/10.1037/0022-3514.61.1.115.
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (1998). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424. https://doi.org/10.1111/j.1745-6924.2008.00088.x.
Nyklíček, I., van Son, J., Pop, V. J., Denollet, J., & Pouwer, F. (2016). Does Mindfulness-Based Cognitive Therapy benefit all people with diabetes and comorbid emotional complaints equally? Moderators in the DiaMind trial. Journal of Psychosomatic Research, 91, 40. https://doi.org/10.1016/j.jpsychores.2016.10.009.
Olatunji, B. O., Naradon-Gainey, K., & Wolitzky-Taylor, K. B. (2013). Specificity of rumination in anxiety and depression: a multimodal meta-analysis. Clinical Psychology: Science and Practice, 20(3), 225–257. https://doi.org/10.1111/cpsp.12037.
Olino, T. M., & Klein, D. N. (2015). Psychometric comparison of self- and informant-reports of personality. Assessment, 22, 655–664. https://doi.org/10.1177/1073191114567942.
Pommier, E. A. (2001). The compassion scale. Dissertation Abstracts International Section A: Humanities and Social Sciences, 72, 1174.
Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48, 757–761. https://doi.org/10.1016/j.paid.2010.01.023.
Raes, F. (2011). The effect of self-compassion on the development of depression symptoms in a non-clinical sample. Mindfulness, 2, 33–36. https://doi.org/10.1007/s12671-011-0040-y.
Raque-Bogdan, T. L., Ericson, S. K., Jackson, J., Martin, H. M., & Bryan, N. A. (2011). Attachment and mental and physical health: self-compassion and mattering as mediators. Journal of Counseling Psychology, 58, 272–278. https://doi.org/10.1037/a0023041.
Shonin, E., Van Gordon, W., Compare, A., Zangeneh, M., & Griffiths, M. D. (2015). Buddhist-derived loving-kindness and compassion meditation for the treatment of psychopathology: a systematic review. Mindfulness, 6, 1161. https://doi.org/10.1007/s12671-014-0368-1.
Slaney, R. B., Rice, K. G., Mobley, M., Trippi, J., & Ashby, J. S. (2001). The revised almost perfect scale. Measurement and Evaluation in Counselling and Development, 34, 130–145.
Tóth-Király, I., Bőthe, B., & Orosz, G. (2017). Exploratory structural equation modeling analysis of the Self-Compassion Scale. Mindfulness, 8, 881. https://doi.org/10.1007/s12671-016-0662-1.
Trompetter, H. R., de Kleine, E., & Bohlmeijer, E. T. (2017). Why does positive mental health buffer against psychopathology? An exploratory study on self-compassion as a resilience mechanism and adaptive emotion regulation strategy. Cognitive Therapy and Research, 41(3), 451–468. https://doi.org/10.1007/s10608-016-9774-0.
Van Dam, N. T., Sheppard, S. C., Forsyth, J. P., & Earleywine, M. (2011). Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. Journal of Anxiety Disorders, 25, 123–130. https://doi.org/10.1016/j.janxdis.2010.08.011.
Wang, K., Shi, H. S., Geng, F. L., Zou, L. Q., Tan, S. P., Wang, Y., et al. (2016). Cross-cultural validation of the depression anxiety stress scale-21 in China. Psychological Assessment, 28(5), e88–e100. https://doi.org/10.1037/pas0000207.
Wong, C. C. Y., & Mak, W. W. S. (2013). Differentiating the role of three self-compassion components in buffering cognitive-personality vulnerability to depression among Chinese in Hong Kong. Journal of Counseling Psychology, 60, 162–169. https://doi.org/10.1037/a0030451.
Wong, C. C. Y., & Mak, W. W. S. (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.
Yarnell, L. M., Stafford, R. E., Neff, K. D., Reilly, E. D., Knox, M. C., & Mullarkey, M. (2015). Meta-analysis of gender differences in self-compassion. Self and Identity, 14(5), 499–520. https://doi.org/10.1080/15298868.2015.1029966.
Zessin, U., Dickhauser, O., & Garbade, S. (2015). The relationship between self-compassion and well-being: a meta-analysis. Applied psychology: Health and Well-Being, 7, 340–364. https://doi.org/10.1111/aphw.1205.
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AFJ collaborated with the design of the study, analyzed the data, and wrote the paper; QX collaborated with the design of the study and helped analyze the data; XH collaborated with the design and execution of the study; XM collaborated with the design of the study; and XG designed and executed the study.
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Authors B and C are employees of the Beijing Hailan Peer Education and Consultation Company which provided the Mindful Self-Compassion training described in the current study. Author E is the founder of the Beijing Hailan Peer Education and Consultation Company. Authors A and D declare no potential conflicts of interest.
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Ethical approval for this study was granted by Renmin University, Beijing, China. 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.
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Informed consent was obtained from all individual participants included in the study.
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Finlay-Jones, A., Xie, Q., Huang, X. et al. A Pilot Study of the 8-Week Mindful Self-Compassion Training Program in a Chinese Community Sample. Mindfulness 9, 993–1002 (2018). https://doi.org/10.1007/s12671-017-0838-3
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DOI: https://doi.org/10.1007/s12671-017-0838-3
Keywords
- Self-compassion
- Intervention
- Cross-cultural
- Mindfulness, mindful self-compassion