Prior research has found that self-compassion is associated with a range of health and well-being outcomes, but the specific association between self-compassion and sleep quality remains poorly understood. The purpose of this study is to respond to this issue through conducting a meta-analysis to quantify the relationship between self-compassion and sleep quality.
Systematic literature searches were conducted using the PsychInfo, Embase and Medline electronic databases to identify studies reporting on the relationship between self-compassion and sleep quality. Random effects meta-analysis was used to synthesise results.
Seventeen independent studies from 15 publications met criteria for inclusion in this review. All studies included self-reported sleep quality measures. No study reported objective measurements of sleep quality. Meta-analysis revealed evidence of a significant association whereby those with higher self-compassion reported fewer sleep problems r = − 0.32, 95%CI [− .36, − .28]. In a subgroup (n = 6) of studies that delineated the positively and negatively worded items of the self-compassion scale (termed positive self-compassion and self-coldness, respectively), self-coldness was more strongly associated with poor sleep quality r = 0.36, 95%CI [.18, .52] than positive self-compassion r = − 0.15, 95%CI [− .24, − .05].
Our meta-analysis found that self-compassion is associated with self-reported sleep quality. Future research is needed to investigate directions of causality and to consider if self-compassion-based interventions might be effective in improving sleep quality.
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Baker, F. C., de Zambotti, M., Colrain, I. M., & Bei, B. (2018). Sleep problems during the menopausal transition: prevalence, impact, and management challenges. Nature and Science of Sleep, 10, 73–95. https://doi.org/10.2147/NSS.S125807.
Banks, S., & Dinges, D. F. (2007). Behavioral and physiological consequences of sleep restriction. Journal of Clinical Sleep Medicine, 3(5), 519–528. https://doi.org/10.5664/jcsm.26918.
Bei, B., Coo, S., Baker, F. C., & Trinder, J. (2015). Sleep in women: a review. Australian Psychologist, 50(1), 14–24. https://doi.org/10.1111/ap.1209.
Benca, R. M., Obermeyer, W. H., Thisted, R. A., & Gillin, J. C. (1992). Sleep and psychiatric disorders: a meta-analysis. Archives of General Psychiatry, 49(8), 651–668. https://doi.org/10.1001/archpsyc.1992.01820080059010.
Brenner, R. E., Heath, P. J., Vogel, D. L., & Credé, M. (2017). Two is more valid than one: examining the factor structure of the self-compassion scale (SCS). Journal of Counseling Psychology, 64(6), 696–707. https://doi.org/10.1037/cou0000211.
Bricklin-Small, D. (2017). The relationship between self-compassion and sleep in the college population (Publication No. 10268331) [Doctoral dissertation, William James College]. ProQuest Dissertations and Theses.
Brown, L., Bryant, C., Brown, V., Bei, B., & Judd, F. (2016). Self-compassion, attitudes to ageing and indicators of health and well-being among midlife women. Aging & Mental Health, 20(10), 1035–1043. https://doi.org/10.1080/13607863.2015.1060946.
Butz, S., & Stahlberg, D. (2018). Can self-compassion improve sleep quality via reduced rumination? Self and Identity, 17(6), 666–686. https://doi.org/10.1080/15298868.2018.1456482.
Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4.
Calkins, A. W., Hearon, B. A., Capozzoli, M. C., & Otto, M. W. (2013). Psychosocial predictors of sleep dysfunction: the role of anxiety sensitivity, dysfunctional beliefs, and neuroticism. Behavioral Sleep Medicine, 11(2), 133–143. https://doi.org/10.1080/15402002.2011.643968.
Cappuccio, F. P., Taggart, F. M., Kandala, N.-B., Currie, A., Peile, E., Stranges, S., & Miller, M. A. (2008). Meta-analysis of short sleep duration and obesity in children and adults. Sleep, 31(5), 619–626. https://doi.org/10.1093/sleep/31.5.619.
Carpenter, J. S., & Andrykowski, M. A. (1998). Psychometric evaluation of the Pittsburgh sleep quality index. Journal of Psychosomatic Research, 45(1), 5–13. https://doi.org/10.1016/S0022-3999(97)00298-5.
Christopher, M. S., Hunsinger, M., Goerling, L., Bowen, S., Rogers, B. S., Gross, C. R., Dapolonia, E., & Pruessner, J. C. (2018). Mindfulness-based resilience training to reduce health risk, stress reactivity, and aggression among law enforcement officers: a feasibility and preliminary efficacy trial. Psychiatry Research, 264, 104–115. https://doi.org/10.1016/j.psychres.2018.03.059.
Diedrich, A., Hofmann, S. G., Cuijpers, P., & Berking, M. (2016). Self-compassion enhances the efficacy of explicit cognitive reappraisal as an emotion regulation strategy in individuals with major depressive disorder. Behaviour Research and Therapy, 82, 1–10. https://doi.org/10.1016/j.brat.2016.04.003.
Dvorakova, K., Kishida, M., Li, J., Elavsky, S., Broderick, P. C., Agrusti, M. R., & Greenberg, M. T. (2017). Promoting healthy transition to college through mindfulness training with first-year college students: pilot randomized controlled trial. Journal of American College Health, 65(4), 259–267. https://doi.org/10.1080/07448481.2017.1278605.
Field, A. P., & Gillett, R. (2010). How to do a meta-analysis. British Journal of Mathematical and Statistical Psychology, 63(3), 665–694. https://doi.org/10.1348/000711010X502733.
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), e0133481. https://doi.org/10.1371/journal.pone.0133481.
Frank, J. L., Reibel, D., Broderick, P., Cantrell, T., & Metz, S. (2015). The effectiveness of mindfulness-based stress reduction on educator stress and well-being: results from a pilot study. Mindfulness, 6(2), 208–216. https://doi.org/10.1007/s12671-013-0246-2.
Gross, J. J. (1998). Antecedent-and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74(1), 224–237. https://doi.org/10.1037/0022-35126.96.36.199.
Hertenstein, E., Feige, B., Gmeiner, T., Kienzler, C., Spiegelhalder, K., Johann, A., Jansson-Fröjmark, M., Palagini, L., Rücker, G., Riemann, D., & Baglioni, C. (2019). Insomnia as a predictor of mental disorders: a systematic review and meta-analysis. Sleep Medicine Reviews, 43, 96–105. https://doi.org/10.1016/j.smrv.2018.10.006.
Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557.
Hu, Y., Wang, Y., Sun, Y., Arteta-Garcia, J., & Purol, S. (2018). Diary study: the protective role of self-compassion on stress-related poor sleep quality. Mindfulness, 9(6), 1931–1940. https://doi.org/10.1007/s12671-018-0939-7.
Hwang, Y.-S., Goldstein, H., Medvedev, O. N., Singh, N. N., Noh, J.-E., & Hand, K. (2019). Mindfulness-based intervention for educators: effects of a school-based cluster randomized controlled study. Mindfulness, 10(7), 1417–1436. https://doi.org/10.1007/s12671-019-01147-1.
Irwin, M. R., Olmstead, R., & Carroll, J. E. (2016). Sleep disturbance, sleep duration, and inflammation: a systematic review and meta-analysis of cohort studies and experimental sleep deprivation. Biological Psychiatry, 80(1), 40–52. https://doi.org/10.1016/j.biopsych.2015.05.014.
Jenkins, C. D., Stanton, B.-A., Niemcryk, S. J., & Rose, R. M. (1988). A scale for the estimation of sleep problems in clinical research. Journal of Clinical Epidemiology, 41(4), 313–321. https://doi.org/10.1016/0895-4356(88)90138-2.
Jeste, D. V., Glorioso, D., Lee, E. E., Daly, R., Graham, S., Liu, J., Paredes, A. M., Nebeker, C., Tu, X. M., Twamley, E. W., Van Patten, R., Yamada, Y., Depp, C., & Kim, H.-C. (2019). Study of independent living residents of a continuing care senior housing community: sociodemographic and clinical associations of cognitive, physical, and mental health. American Journal of Geriatric Psychiatry, 27(9), 895–907. https://doi.org/10.1016/j.jagp.2019.04.002.
Kemper, K. J., Mo, X., & Khayat, R. (2015). Are mindfulness and self-compassion associated with sleep and resilience in health professionals? The Journal of Alternative and Complementary Medicine, 21(8), 496–503. https://doi.org/10.1089/acm.2014.0281.
Kim, C., & Ko, H. (2018). The impact of self-compassion on mental health, sleep, quality of life and life satisfaction among older adults. Geriatric Nursing, 39(6), 623–628. https://doi.org/10.1016/j.gerinurse.2018.06.005.
Körner, A., Coroiu, A., Copeland, L., Gomez-Garibello, C., Albani, C., Zenger, M., & Brähler, E. (2015). The role of self-compassion in buffering symptoms of depression in the general population. PLoS One, 10(10), e0142027. https://doi.org/10.1371/journal.pone.0136598.
LeBlanc, M., Beaulieu-Bonneau, S., Mérette, C., Savard, J., Ivers, H., & Morin, C. M. (2007). Psychological and health-related quality of life factors associated with insomnia in a population-based sample. Journal of Psychosomatic Research, 63(2), 157–166. https://doi.org/10.1016/j.jpsychores.2007.03.004.
Losilla, J.-M., Oliveras, I., Marin-Garcia, J. A., & Vives, J. (2018). Three risk of bias tools lead to opposite conclusions in observational research synthesis. Journal of Clinical Epidemiology, 101, 61–72. https://doi.org/10.1016/j.jclinepi.2018.05.021.
Morin, C. M., & Benca, R. (2012). Chronic insomnia. The Lancet, 379(9821), 1129–1141. https://doi.org/10.1016/S0140-6736(11)60750-2.
Muris, P., van den Broek, M., Otgaar, H., Oudenhoven, I., & Lennartz, J. (2018). Good and bad sides of self-compassion: a face validity check of the self-compassion scale and an investigation of its relations to coping and emotional symptoms in non-clinical adolescents. Journal of Child and Family Studies, 27(8), 2411–2421. https://doi.org/10.1007/s10826-018-1099-z.
Neff, K. D. (2003a). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101. https://doi.org/10.1080/15298860309032.
Neff, K. D. (2003b). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027.
Neff, K. D., & Dahm, K. A. (2015). Self-compassion: what it is, what it does, and how it relates to mindfulness. In B. Ostafin, M. Robinson, & B. Meier (Eds.), Handbook of mindfulness and self-regulation (pp. 121–137). Springer. https://doi.org/10.1007/978-1-4939-2263-5_10.
O’Connor, S. R., Tully, M. A., Ryan, B., Bradley, J. M., Baxter, G. D., & McDonough, S. M. (2015). Failure of a numerical quality assessment scale to identify potential risk of bias in a systematic review: a comparison study. BMC Research Notes, 8(1), 224. https://doi.org/10.1186/s13104-015-1181-1.
O'Leary, K., Bylsma, L. M., & Rottenberg, J. (2017). Why might poor sleep quality lead to depression? A role for emotion regulation. Cognition and Emotion, 31(8), 1698–1706. https://doi.org/10.1080/02699931.2016.1247035.
Parthasarathy, S., Vasquez, M. M., Halonen, M., Bootzin, R., Quan, S. F., Martinez, F. D., & Guerra, S. (2015). Persistent insomnia is associated with mortality risk. The American Journal of Medicine, 128(3), 268–275. https://doi.org/10.1016/j.amjmed.2014.10.015.
Phillips, W. J., & Ferguson, S. J. (2013). Self-compassion: a resource for positive aging. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(4), 529–539. https://doi.org/10.1093/geronb/gbs091.
Qaseem, A., Kansagara, D., Forciea, M. A., Cooke, M., & Denberg, T. D. (2016). Management of chronic insomnia disorder in adults: a clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 165(2), 125–133. https://doi.org/10.7326/M15-2175.
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 & Psychotherapy, 18(3), 250–255. https://doi.org/10.1002/cpp.702.
Rosch, E. (2007). More than mindfulness: when you have a tiger by the tail, let it eat you. Psychological Inquiry, 18(4), 258–264. https://doi.org/10.1080/10478400701598371.
Rosenthal, R., & DiMatteo, M. (2001). Meta-analysis: recent developments in quantitative methods for literature reviews. Annual Review of Psychology, 52, 59–82. https://doi.org/10.1146/annurev.psych.52.1.59.
Rusch, H. L., Rosario, M., Levison, L. M., Olivera, A., Livingston, W. S., Wu, T., & Gill, J. M. (2019). The effect of mindfulness meditation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. Annals of the New York Academy of Sciences, 1445(1), 5–16. https://doi.org/10.1111/nyas.13996.
Sirois, F. M., & Hirsch, J. K. (2019). Self-compassion and adherence in five medical samples: the role of stress. Mindfulness, 10(1), 46–54. https://doi.org/10.1007/s12671-018-0945-9.
Sirois, F. M., Kitner, R., & Hirsch, J. K. (2015). Self-compassion, affect, and health-promoting behaviors. Health Psychology, 34(6), 661–669. https://doi.org/10.1037/hea0000158.
Sirois, F. M., Nauts, S., & Molnar, D. S. (2019). Self-compassion and bedtime procrastination: an emotion regulation perspective. Mindfulness, 10(3), 434–445. https://doi.org/10.1007/s12671-018-0983-3.
Strauss, C., Taylor, B. L., Gu, J., Kuyken, W., Baer, R., Jones, F., & Cavanagh, K. (2016). What is compassion and how can we measure it? A review of definitions and measures. Clinical Psychology Review, 47, 15–27. https://doi.org/10.1016/j.cpr.2016.05.004.
Terry, M. L., & Leary, M. R. (2011). Self-compassion, self-regulation, and health. Self and Identity, 10(3), 352–362. https://doi.org/10.1080/15298868.2011.558404.
Trent, N. L., Borden, S., Miraglia, M., Pasalis, E., Dusek, J. A., & Khalsa, S. B. S. (2019a). Improvements in psychological and occupational well-being following a brief yoga-based program for education professionals. Global Advances in Health and Medicine, 8, 1–11. https://doi.org/10.1177/2164956119856856.
Trent, N. L., Borden, S., Miraglia, M., Pasalis, E., Dusek, J. A., & Khalsa, S. B. S. (2019b). Improvements in psychological and occupational well-being in a pragmatic controlled trial of a yoga-based program for professionals. The Journal of Alternative and Complementary Medicine., 25(6), 593–605. https://doi.org/10.1089/acm.2018.0526.
Trent, N. L., Miraglia, M., Dusek, J. A., Pasalis, E., & Khalsa, S. B. S. (2018). Improvements in psychological health following a residential yoga-based program for frontline professionals. Journal of Occupational and Environmental Medicine, 60(4), 357–367. https://doi.org/10.1097/JOM.0000000000001216.
Vaillancourt, E. S., & Wasylkiw, L. (2019). The intermediary role of burnout in the relationship between self-compassion and job satisfaction among nurses. Canadian Journal of Nursing Research. https://doi.org/10.1177/0844562119846274.
Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1–48. https://doi.org/10.18637/jss.v036.i03.
Walsh, J. K., & Üstün, T. B. (1999). Prevalence and health consequences of insomnia. Sleep., 22, S427–S436.
Zeng, X., Zhang, Y., Kwong, J. S. W., Zhang, C., Li, S., Sun, F., Niu, Y., & Du, L. (2015). The methodological quality assessment tools for preclinical and clinical studies, systematic review and meta-analysis, and clinical practice guideline: a systematic review. Journal of Evidence-Based Medicine, 8(1), 2–10. https://doi.org/10.1111/jebm.12141.
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Brown, L., Houston, E.E., Amonoo, H.L. et al. Is Self-compassion Associated with Sleep Quality? A Meta-analysis. Mindfulness 12, 82–91 (2021). https://doi.org/10.1007/s12671-020-01498-0