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Compassion-Based Meditation Quality Practice and Its Impact on the Positive Attitudes Toward Others

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Abstract

Objectives

The authors report on the initial development and validation of the Compassion Practice Quality Scale (CPQS), a measure to assess the quality of compassion-based meditation (CBM). It is conceptualized and operationalized via two factors measuring mental imagery and somatic perception/response.

Methods

The total sample was composed of 205 university students who underwent a CBM and completed pre-test/post-test assessment of compassion and related constructs. Results from a series of preliminary psychometric analyses of the CPQS were examined, including factor analysis, internal consistency, and convergent/discriminant validity.

Results

The data supported a 12-item and 10-item (without reference to gestures and self-instructions) CPQS of which imagery and somatic perception emerged as two significant reliable subscales, with Cronbach’s alpha values of .90 and .88 respectively. Practice quality factors assessed by the CPQS correlated in expected ways with fear of compassion, imagery variables, and self-criticism, as well as predicted compassion outcome (i.e., feeling positive attitudes toward others).

Conclusions

Our findings contribute to identifying two key components of high-quality meditation in CBM (i.e., mental imagery and somatic perception/response) for use in pedagogical development and further research and to offer a reliable self-report measure to assess them for the first time.

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Data Availability

The data that support the findings of this study are available on request from the corresponding author.

References

  • Albertson, E. R., Neff, K. D., & Dill-Shackleford, K. E. (2015). Self-compassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation intervention. Mindfulness, 6(3), 444–454.

    Article  Google Scholar 

  • Arimitsu, K., & Hofmann, S. G. (2015). Cognitions as mediators in the relationship between self-compassion and affect. Personality and Individual Differences, 74, 41–48.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ascone, L., Sundag, J., Schlier, B., & Lincoln, T. M. (2017). Feasibility and effects of a brief compassion-focused imagery intervention in psychotic patients with paranoid ideation: A randomized experimental pilot study. Clinical Psychology & Psychotherapy, 24(2), 348–358.

    Article  Google Scholar 

  • Bartlett, M. (1954). A Note on the Multiplying Factors for Various χ2 Approximations. Journal of the Royal Statistical Society. Series B (Methodological), 16(2), 296–298.

  • Brito-Pons, G., Campos, D., & Cebolla, A. (2018). Implicit or explicit compassion? Effects of Compassion Cultivation Training and Comparison with Mindfulness-based Stress Reduction. Mindfulness, 9(5), 1494–1508.

    Article  Google Scholar 

  • Campos, A., & Pérez-Fabello, M. J. (2005). The Spanish version of Betts’ Questionnaire upon mental imagery. Psychological Reports, 96(1), 51–56.

    Article  PubMed  Google Scholar 

  • Campos, D., Cebolla, A., Quero, S., Bretón-López, J., Botella, C., Soler, J., Garcia-Campayo, J., Demarzo, M., & Baños, R. M. (2016). Meditation and happiness: Mindfulness and self-compassion may mediate the meditation–happiness relationship. Personality and Individual Differences, 93, 80–85.

  • Cattell, R. B. (1966). The scree test for the number of factors. Multivariate Behavioral Research, 1(2), 245–276.

    Article  PubMed  Google Scholar 

  • Cebolla, A., Campos, D., Galiana, L., Oliver, A., Tomás, J. M., Feliu-Soler, A., Soler, J., García-Campayo, J., Demarzo, M., & Baños, R. M. (2017). Exploring relations among mindfulness facets and various meditation practices: Do they work in different ways? Consciousness and Cognition, 49, 172–180.

    Article  PubMed  Google Scholar 

  • Cohen, J. W. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.

  • Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3), 297–334.

    Article  Google Scholar 

  • Dahl, C. J., Lutz, A., & Davidson, R. J. (2015). Reconstructing and deconstructing the self: Cognitive mechanisms in meditation practice. Trends in Cognitive Sciences, 19(9), 515–523.

    Article  PubMed  PubMed Central  Google Scholar 

  • Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. Catalog of Selected Documents in Psychology, 10(85), 1–17.

    Google Scholar 

  • Del Re, A. C., Flückiger, C., Goldberg, S. B., & Hoyt, W. T. (2013). Monitoring mindfulness practice quality: An important consideration in mindfulness practice. Psychotherapy Research, 23(1), 54–66.

    Article  PubMed  Google Scholar 

  • Duarte, J., McEwan, K., Barnes, C., Gilbert, P., & Maratos, F. A. (2015). Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics? Psychology and Psychotherapy: Theory, Research and Practice, 88(3), 270–284.

    Article  Google Scholar 

  • Feliu-Soler, A., Pascual, J. C., Elices, M., Martín-Blanco, A., Carmona, C., Cebolla, A., Simón, V., & Soler, J. (2017). Fostering self-compassion and loving-kindness in patients with borderline personality disorder: A randomized pilot study. Clinical Psychology & Psychotherapy, 24(1), 278–286.

    Article  Google Scholar 

  • Ferrari, M., Hunt, C., Harrysunker, A., Abbott, M. J., Beath, A. P., & Einstein, D. A. (2019). Self-compassion interventions and psychosocial outcomes: A meta-analysis of RCTs. Mindfulness, 10(8), 1455–1473.

    Article  Google Scholar 

  • Garland, E. L., Hanley, A., Farb, N. A., & Froeliger, B. (2015). State mindfulness during meditation predicts enhanced cognitive reappraisal. Mindfulness, 6(2), 234–242.

    Article  PubMed  Google Scholar 

  • Gilbert, P. (2009a). The Compassionate Mind. New Harbinger Publications.

  • Gilbert, P. (2009b). Evolved minds and compassion-focused imagery in depression. In L. Stopa (Ed.), Imagery and the threatened self: Perspectives on mental imagery and the self in cognitive therapy (pp. 206–231). Routledge.

  • Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6–41.

    Article  Google Scholar 

  • Gilbert, P., Baldwin, M. W., Irons, C., Baccus, J. R., & Palmer, M. (2006). Self-criticism and self-warmth: An imagery study exploring their relation to depression. Journal of Cognitive Psychotherapy, 20(2), 183–200.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Goldberg, S. B., Knoeppel, C., Davidson, R. J., & Flook, L. (2020). Does practice quality mediate the relationship between practice time and outcome in mindfulness-based stress reduction? Journal of Counseling Psychology, 67(1), 115–122.

    Article  PubMed  Google Scholar 

  • González-Hernández, E. (2018). Efficacy of the Cognitively-Based Compassion Training (CBCT®) Program for the improvement of Quality of Life and Fear of Cancer Recurrence in a sample of Breast Cancer Survivors (Doctoral dissertation, University of Valencia, Valencia, Spain). Retrieved from: http://roderic.uv.es/handle/10550/66761

  • Gu, J., Baer, R., Cavanagh, K., Kuyken, W., & Strauss, C. (2020). Development and psychometric properties of the Sussex-Oxford compassion scales (SOCS). Assessment, 27(1), 3–20.

    Article  PubMed  Google Scholar 

  • Holmes, E. A., Blackwell, S. E., Heyes, S. B., Renner, F., & Raes, F. (2016). Mental imagery in depression: Phenomenology, potential mechanisms, and treatment implications. Annual Review of Clinical Psychology, 12, 249–280.

  • Holmes, E. A., Coughtrey, A. E., & Connor, A. (2008). Looking at or through rose-tinted glasses? Imagery Perspective and Positive Mood. Emotion, 8(6), 875–879.

    Article  PubMed  Google Scholar 

  • Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30(2), 179–185.

    Article  PubMed  Google Scholar 

  • Jakubiak, B. K., & Feeney, B. C. (2016). Keep in touch: The effects of imagined touch support on stress and exploration. Journal of Experimental Social Psychology, 65, 59–67.

    Article  Google Scholar 

  • Kaiser, H. (1974). An index of factorial simplicity. Psychometrika, 39, 31–36.

    Article  Google Scholar 

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

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Kirschner, H., Kuyken, W., Wright, K., Roberts, H., Brejcha, C., & Karl, A. (2019). Soothing your heart and feeling connected: A new experimental paradigm to study the benefits of self-compassion. Clinical Psychological Science, 7(3), 545–565.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.).  Guilford Publications.

  • Kosslyn, S. M. (1980). Image and mind. Harvard University Press.

  • Kosslyn, S. M. (1994). Image and brain: The resolution of the imagery debate. MIT Press.

  • Kosslyn, S. M., Ganis, G., & Thompson, W. L. (2001). Neural foundations of imagery. Nature Reviews Neuroscience, 2(9), 635–642.

    Article  PubMed  Google Scholar 

  • Kozhevnikov, M., Louchakova, O., Josipovic, Z., & Motes, M. A. (2009). The enhancement of visuospatial processing efficiency through Buddhist Deity meditation. Psychological Science, 20(5), 645–653.

    Article  PubMed  Google Scholar 

  • Kraus, S., & Sears, S. (2009). Measuring the immeasurables: Development and initial validation of the Self-Other Four Immeasurables (SOFI) scale based on Buddhist teachings on loving kindness, compassion, joy, and equanimity. Social Indicators Research, 92(1), 169-181.

  • Libby, L. K., & Eibach, R. P. (2011). Self-enhancement or self-coherence? Why people shift visual perspective in mental images of the personal past and future. Personality & Social Psychology Bulletin, 37(5), 714–726.

    Article  Google Scholar 

  • Lloyd, A., White, R., Eames, C., & Crane, R. (2018). The utility of home-practice in mindfulness-based group interventions: A systematic review. Mindfulness, 9(3), 673–692.

    Article  PubMed  Google Scholar 

  • Luo, X., Liu, J., & Che, X. (2020). Investigating the influence and a potential mechanism of self-compassion on experimental pain: Evidence from a compassionate self-talk protocol and heart rate variability. The Journal of Pain, 21(7–8), 790–797.

    Article  PubMed  Google Scholar 

  • McDonald, R. P. (1999). Test theory: A unified treatment. Erlbaum.

  • McEwan, K., & Gilbert, P. (2016). A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population. Psychology and Psychotherapy: Theory, Research and Practice, 89(2), 239–243.

    Article  Google Scholar 

  • McRae, K., Misra, S., Prasad, A. K., Pereira, S. C., & Gross, J. J. (2012). Bottom-up and top-down emotion generation: Implications for emotion regulation. Social Cognitive and Affective Neuroscience, 7(3), 253–262.

    Article  PubMed  Google Scholar 

  • Mok, M. C., Schwannauer, M., & Chan, S. W. (2020). Soothe ourselves in times of need: A qualitative exploration of how the feeling of ‘soothe’is understood and experienced in everyday life. Psychology and Psychotherapy: Theory, Research and Practice, 93(3), 587–620.

  • Montero-Marín, J., Navarro-Gil, M., Puebla-Guedea, M., Luciano, J. V., Van Gordon, W., Shonin, E., & García-Campayo, J. (2017). Efficacy of «Attachment-Based Compassion Therapy» in the treatment of fibromyalgia: a randomized controlled trial. Frontiers in Psychiatry, 8, 307.

    Article  PubMed  Google Scholar 

  • Naismith, I., Ferro, C. D., Ingram, G., & Leal, W. J. (2019b). Compassion-focused imagery reduces shame and is moderated by shame, self-reassurance and multisensory imagery vividness. Research in Psychotherapy: Psychopathology, Process, and Outcome22(1), 329.

  • Naismith, I., Kerr, S., Mwale, A., & Feigenbaum, J. (2019). A thematic analysis of compassion-focused imagery for people with personality disorder: Inhibitors, facilitators and clinical recommendations. Clinical Psychologist, 23(3), 213–224.

    Article  Google Scholar 

  • Naismith, I., Mwale, A., & Feigenbaum, J. (2018). Inhibitors and facilitators of compassion-focused imagery in personality disorder. Clinical Psychology & Psychotherapy, 25(2), 283–291.

    Article  Google Scholar 

  • Pearson, D. G., & Logie, R. H. (2004). Effects of stimulus modality and working memory load on mental synthesis performance. Imagination, Cognition, and Personality, 23(2 & 3), 183–191.

    Google Scholar 

  • Pearson, D. G., Deeprose, C., Wallace-Hadrill, S. M., Heyes, S. B., & Holmes, E. A. (2013). Assessing mental imagery in clinical psychology: A review of imagery measures and a guiding framework. Clinical Psychology Review, 33(1), 1–23.

    Article  PubMed  PubMed Central  Google Scholar 

  • Price, C. J., & Thompson, E. A. (2007). Measuring dimensions of body connection: Body awareness and bodily dissociation. Journal of Alternative and Complementary Medicine, 13(9), 945–953.

    Article  PubMed  Google Scholar 

  • Przyrembel, M., & Singer, T. (2018). Experiencing meditation – Evidence for differential effects of three contemplative mental practices in micro-phenomenological interviews. Consciousness and Cognition, 62, 82–101.

    Article  PubMed  Google Scholar 

  • Saulsman, L. M., Ji, J. L., & McEvoy, P. M. (2019). The essential role of mental imagery in cognitive behaviour therapy: What is old is new again. Australian Psychologist, 54(4), 237–244.

    Article  Google Scholar 

  • Singer, T., & Klimecki, O. M. (2014). Empathy and compassion. Current Biology, 24(18), 875–878.

    Article  Google Scholar 

  • Soler, J., Franquesa, A., Feliu-Soler, A., Cebolla, A., García-Campayo, J., Tejedor, R.,  Demarzo, M., Banos, R., Pascual, J. C., & Portella, M. J. (2014). Assessing decentering: Validation, psychometric properties, and clinical usefulness of the experiences questionnaire in a Spanish sample. Behavior Therapy, 45(6), 863–871.

  • Sommers-Spijkerman, M., Trompetter, H., ten Klooster, P., Schreurs, K., Gilbert, P., & Bohlmeijer, E. (2018). Development and validation of the forms of Self-Criticizing/Attacking and Self-Reassuring Scale—Short Form. Psychological Assessment, 30(6), 729.

    Article  PubMed  Google Scholar 

  • Stöber, J. (2000). Prospective cognitions in anxiety and depression: Replication and methodological extension. Cognition & Emotion, 14(5), 725–729.

    Article  Google Scholar 

  • Strauss, C., Lever Taylor, B., 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.

    Article  PubMed  Google Scholar 

  • Tanay, G., & Bernstein, A. (2013). State Mindfulness Scale (SMS): Development and initial validation. Psychological Assessment, 25(4), 1286.

    Article  PubMed  Google Scholar 

  • Thompson, E. R. (2007). Development and validation of an internationally reliable short-form of the Positive and Negative Affect Schedule (PANAS). Journal of Cross-Cultural Psychology, 38(2), 227–242.

    Article  Google Scholar 

  • Wilson, A. C., Mackintosh, K., Power, K., & Chan, S. W. Y. (2019). Effectiveness of self-compassion related therapies: A systematic review and meta-analysis. Mindfulness, 10(6), 979–995.

    Article  Google Scholar 

  • World Medical Association. (2013). World medical association declaration of Helsinki ethical principles for medical research involving human subjects. JAMA: Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053

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Acknowledgements

The authors are grateful to CIBEROBN, an initiative of the ISCIII (ISC III CB06 03/0052) and Ministerio de Economía y Competitividad (Spain) under AMABLE-VR (RTI2018-097835-A-I00).

Funding

This work was supported by Ministerio de Economía y Competitividad (Spain) under AMABLE-VR (RTI2018-097835-A-I00).

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Authors and Affiliations

Authors

Contributions

A.C. and D.C. developed the Compassion Practice Quality Scale and designed the study. A.C. and D.C. developed the compassion-based meditation which was recorded by A.C. E.G-H. and R.D-P. performed the recruitment. J.N. conducted the formal analyses and wrote the results section. A.C., J.N., and D.C. wrote the original draft. E.G-H., R.D-P., R.H., and R.B. collaborated in the writing and editing of the final manuscript.

Corresponding author

Correspondence to Ausiàs Cebolla.

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Ethics Statement

The current study has been approved by the Ethics Committee of the University of Valencia (Spain).

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Freely given, informed consent to participate in the study was obtained from participants.

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The authors declare no competing interests.

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Navarrete, J., Campos, D., Diego-Pedro, R. et al. Compassion-Based Meditation Quality Practice and Its Impact on the Positive Attitudes Toward Others. Mindfulness 12, 1940–1953 (2021). https://doi.org/10.1007/s12671-021-01652-2

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