Skip to main content

Advertisement

Log in

Self-Compassion Amongst Clients with Problematic Alcohol Use

  • Original Paper
  • Published:
Mindfulness Aims and scope Submit manuscript

Abstract

Self-compassion is a topic of growing research interest and is represented by six facets including self-kindness, self-judgement, mindfulness, over-identification, common humanity and isolation. Recent research interest has begun to examine the use of self-focused compassion and mindfulness as a way of alleviating the distress associated with psychological disorders. Little research exists to examine the relationship between self-compassion, depression, anxiety and stress among individuals who are alcohol-dependent. The present study aimed to address this gap by examining whether high levels of self-compassion will be associated with lower levels of depression, anxiety and alcohol use at entry to treatment. We also examined whether clients whose self-compassion improved over time also reported improvement in depression, anxiety and alcohol use at follow-up. Participants in this study were clients of a publicly funded Drug and Alcohol Service, who completed a baseline and 15-week independent clinical assessment that corresponded with their entry into and exit from treatment with the Service. At baseline, study participants were significantly higher in depression, anxiety, stress, alcohol use, and lower in self-compassion than the general population. At 15 weeks follow-up, participants reported a significant increase in self-compassion, mindfulness, common humanity and self-kindness, and significant decreases in self-judgement, isolation and over-identification. This study provides important preliminary data on self-compassion among a group of people with alcohol dependence.

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

  • ABS. (2006). National health survey: summary of results (No. Cat. No. 4364.0). Canberra, Australia: Australian Bureau of Statistics.

  • AIHW. (2005). 2004 National Drug Strategy Household Survey: first results. Canberra, Australia: AIHW.

    Google Scholar 

  • Almeida-Filho, N., Lessa, I., Magalhaes, L., Araujo, M. J., Aquino, E., & Mari, J. (2007). Co-occurrence patterns of anxiety, depression and alcohol use disorders. European Archive of Psychiatry and Clinical Neuroscience, 257(7), 423–431.

    Article  Google Scholar 

  • Baumeister, R. F. (1993). Self-esteem: the puzzle of low self-regard. New York, US: Plenum Press.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive theory of depression. New York: Guilford.

    Google Scholar 

  • Bolton, J., Cox, B., Clara, I., & Sareen, J. (2006). Use of alcohol and drugs to self-medicate anxiety disorders in a nationally representative sample. The Journal of Nervous and Mental Disease, 194(11), 818–825.

    Article  PubMed  Google Scholar 

  • Bushman, B. J., & Baumeister, R. F. (1998). Threatened egotism, narcissism, self-esteem, and direct and displaced aggression: does self-love or self-hate lead to violence? Journal of Personality and Social Psychology, 75, 219–229.

    Article  PubMed  Google Scholar 

  • Chaudhury, S., Prakash, J., Walia, T. S., Seby, K., Sukumaran, S., & Kumari, D. (2010). Psychological distress in alcohol dependence syndrome. Journal of Projective Psychology & Mental Health, 17(1), 38–44.

    Google Scholar 

  • Corbin, W. R., McNair, L. D., & Carter, J. (1996). Self-esteem and problem drinking among male and female college students. Journal of Alcohol and Drug Education, 42(1), 1–14.

    Google Scholar 

  • Crocker, J., & Park, L. E. (2004). The costly pursuit of self-esteem. Psychological Bulletin, 130, 392–414.

    Article  PubMed  Google Scholar 

  • Darke, S., Ward, J., Hall, W., Heather, N. & Wodak, A (1991). The opiate treatment index (OTI) manual, National Drug and Alcohol Reseach Centre, 1–66.

  • Dawson, D. A., Grant, B. F., & Ruan, W. J. (2005). The association between stress and drinking: modifying effects of gender and vulnerability. Alcohol and Alcoholism, 40(5), 453–460.

    Article  PubMed  Google Scholar 

  • DeSimone, A., Murray, P., & Lester, D. (1994). Alcohol use, self-esteem, depression, and suicidality in high school students. Adolescence, 29(116), 939–942.

    PubMed  Google Scholar 

  • Forsyth, J. P., & Eifert, G. H. (2008). The mindfulness and acceptance workbook for anxiety: a guide to breaking free from anxiety, phobias, and worry with acceptance and commitment therapy. Oakland, CA: New Harbinger.

    Google Scholar 

  • George, D. T., Nutt, D. J., Dwyer, B. A., & Linnoila, M. (2007). Alcoholism and panic disorder: is the comorbidity more than coincidence? Acta Psychiatrica Scandinavica, 81(2), 97–107.

    Article  Google Scholar 

  • Germer, C. K. (2009). The mindful path to self-compassion: freeing yourself from destructive thoughts and emotions. Routledge: Hove.

    Google Scholar 

  • Gilbert, P. (2005). Compassion and cruelty. In P. Gilbert (Ed.), Compassion: conceptualizations, research and use in psychotherapy. New York: Routledge.

    Google Scholar 

  • Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15, 199–208.

    Article  Google Scholar 

  • Hammerbacher, M. & Lyvers, M. (2005). Factors associated with relapse among clients in Australian substance disorder treatment facilities. Human and Social Sciences Papers, http://epublications.bond.edu.au/hss_pubs/4

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: an experiential approach to behaviour change. New York: Guilford.

    Google Scholar 

  • Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(2), 227–239.

    Article  PubMed  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: the program of the stress-reduction clinic at the University of Massachusetts Medical Centre. New York: Delta.

    Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.

    Google Scholar 

  • Kelly, A. C., Zuroff, D. C., & Foa, C. L. (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.

    Article  Google Scholar 

  • Kernis, M. H., Cornell, D. P., Sun, C. R., Berry, A., & Harlow, T. (1993). There’s more to self-esteem than whether it is high or low: the importance of stability of self-esteem. Journal of Personality and Social Psychology, 65(6), 1190–20.

    Article  PubMed  Google Scholar 

  • Khantzian, E. J. (2003). The self-medication hypothesis revisited: the dually diagnosed patient. Primary Psychiatry, 10(9), 47–54.

    Google Scholar 

  • Kushner, M. G., Abrams, K., & Borchardt, C. (2000). The relationship between anxiety disorders and alcohol use disorders: a review of major perspectives and findings. Clinical Psychology Review, 20(2), 149–171.

    Article  PubMed  Google Scholar 

  • Lloyd, D. A., & Turner, R. J. (2008). Cumulative lifetime adversities and alcohol dependence in adolescence and young adulthood. Drug and Alcohol Dependence, 93(3), 217–226.

    Article  PubMed  Google Scholar 

  • Lovibond, S.H. & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales. (2nd. Ed.) Sydney: Psychology Foundation, (2nd. Ed.) Sydney: Psychology Foundation.

  • Moeller, S. J., & Crocker, J. (2009). Drinking and desired self-images: path of self-image goals, coping motives, heavy episodic drinking, and alcohol problem. Psychology of Addictive Behaviour, 23(2), 334–340.

    Article  Google Scholar 

  • Munford, M. B. (1994). Relationship of gender, self-esteem, social class, and racial identity to depression in blacks. Journal of Black Psychology, 20(2), 157–174.

    Article  Google Scholar 

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

    Article  Google Scholar 

  • Neff, K. D. (2003b). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–102.

    Article  Google Scholar 

  • Neff, K. D. (2004). Self-compassion and psychological well-being. Constructivism in the Human Sciences, 9(2), 27–37.

    Google Scholar 

  • Neff, K. D. (2011). Self-compassion, self-esteem, and well-being. Social and Personality Psychology Compass, 5(1), 1–12.

    Article  Google Scholar 

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

    Article  Google Scholar 

  • Neff, K. D., Rude, S. S., & Kirkpatrick, K. (2007). An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality, 41, 139–154.

    Article  Google Scholar 

  • NSCCH (2008). Northern Sydney Central Coast Health Clinical Services Strategic Plan: Shaping the Future of Acute Hospital Services, July 2008. NSW Health. Available at: http://www.nscchealth.nsw.gov.au/clinicalservicesplan/ServicesPlan/

  • Raes, F. (2011). The effect of self-compassion on the development of depression symptoms in a non-clinical sample. Mindfulness, 2, 33–36.

    Article  Google Scholar 

  • Rendon, K.P. (2007). Understanding alcohol use in college students: A study of mindfulness, self-compassion and psychological symptoms. Unpublished doctoral dissertation, University of Texas at Austin, TX, USA.

  • Robinson, J., Sareen, J., Cox, B. J., & Bolton, J. (2009a). Self-medication of anxiety disorders with alcohol and drugs: results from a nationally representative sample. Journal of Anxiety Disorders, 23(1), 38–45.

    Article  PubMed  Google Scholar 

  • Robinson, J. A., Sareen, J., Cox, B. J., & Bolton, J. M. (2009b). Correlated of self-medication for anxiety disorders: results from the national epidemiologic survey on alcohol and related conditions. The Journal of Nervous and Mental Disease, 197(12), 873–878.

    Article  PubMed  Google Scholar 

  • Samokhvalov, A. V., Popova, S., Room, R., Ramonas, M., & Rehm, J. (2010). Disability associated with alcohol abuse and dependence. Alcoholism, Clinical and Experimental Research, 34(11), 1871–1878.

    Article  PubMed  Google Scholar 

  • Sartor, C. E., Lynskey, M. T., Heath, A. C., Jacob, T., & True, W. (2006). The role of childhood risk factors in initiation of alcohol use and progression to alcohol dependence. Addiction, 102(2), 216–225.

    Article  Google Scholar 

  • Suh, J. J., Ruffins, S., Robins, C. E., Albanese, M. J., & Khantzian, E. J. (2008). Self-medication hypothesis: counting affective experience and drug choice. Psychoanalytic Psychology, 25(3), 518–532.

    Article  Google Scholar 

  • Sullivan, L., Fiellin, D., & O’Connor, P. (2005). The prevalence and impact of alcohol problems in major depression: a systematic review. American Journal of Medicine, 118, 330–341.

    Article  PubMed  Google Scholar 

  • Van Dam, N. T., Sheppard, S. C., Forsyth, J. P., & Earlywire, 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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Frances Kay-Lambkin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brooks, M., Kay-Lambkin, F., Bowman, J. et al. Self-Compassion Amongst Clients with Problematic Alcohol Use. Mindfulness 3, 308–317 (2012). https://doi.org/10.1007/s12671-012-0106-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12671-012-0106-5

Keywords

Navigation