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Self-compassion is a psychological construct that involves being open to experiencing one's pain and suffering and directing feelings of kindness inwards during moments of distress. Research has found that high levels of self-compassion are negatively associated with depression, anxiety, rumination, and avoidance, and positively associated with overall quality of life. The present study looked at self-compassion as a predictor of psychopathology and functional outcomes in a sample of trauma-exposed OEF/OIF veterans. Baseline data was used from Project PREDICT from of the Department of Veteran Affairs VISN 17 Center of Excellence for Research with Returning War Veterans. The relations among self-compassion, mindfulness, and experiential avoidance were analyzed. Structural equation modeling was used and results found that higher levels of self-compassion and mindfulness predicted lower levels of psychopathology and higher overall functioning. In addition, experiential avoidance partially or fully mediated the association between mindfulness and self-compassion and PTSD symptoms, psychological distress, and functionality. Supplemental regression analyses were also conducted examining the relationship between mindfulness and self-compassion with several outcome variables. Results found that self-compassion significantly contributed to the model predicting acceptance of chronic pain. In addition, mindfulness significantly contributed to the model predicting problematic alcohol use. These findings suggest that inclusion of acceptance-based interventions, specifically self-compassion and mindfulness, may improve emotional distress as well as overall functioning in trauma-exposed combat veterans. / text

Self-compassion has emerged as a relatively new construct in the psychological sciences, and brought with it potential as an additional psychological dimension of health and well-being (Neff, 2003a; Zessin, Dickhaüser, & Garbade, 2015). Neff's Self-Compassion Scale (SCS; Neff, 2003b) is the most widely-used questionnaire to assess this construct, though has been challenged on the basis of its psychometric properties (Castilho, Pinto-Gouveia, & Duarte, 2015). Ongoing research continues to refute these concerns with the scale's psychometrics (Neff, 2016). To potentially grow the empirical support of the SCS as a meaningful aspect of psychological functioning, exploration of construct validity via multimethod approaches and predictive utility is indicated. The current study investigated self-compassion of recently-separated adults (N = 137) at study entry as assessed using the SCS, which were rated from multiple sources (self and observer) and obtained from multiple sources (in-laboratory and naturalistic environment). The study followed participants over an average of five months, collecting psychological distress measures at five visits, each one month apart. I found preliminary evidence that initial levels of observer-rated self-compassion predict later self-reported psychological functioning, replicating a prior finding in the literature (Sbarra, Smith, & Mehl, 2012), and may do so over and above one's own self-rated self-compassion. Predictive models indicated meaningful effects of particular psychological covariates, such as depression, attachment style, and self-esteem, which may play a role in the relationship between self-compassion and psychological functioning. This research expands current knowledge on self-compassion as a psychological construct and its potential as a protective factor against psychological maladjustment following a major life stressor.

Ethnic identity development is a process that occurs for all individuals, and weakness in ethnic identity is associated with numerous psychosocial difficulties. Security in ethnic identity can be difficult for those exposed to varying attitudes and behaviors in a multicultural society. As such, the current study examined the influence of mindfulness and self-compassion on ethnic identity development. a sample of 479 undergraduate students completed online self-report questionnaires measuring demographic information, mindfulness, self-compassion, ethnic identity status, and self-esteem. Results suggested that mindfulness and self-compassion are significant negative predictors of ethnic identity, and that self-compassion was a better predictor of ethnic identity status than was mindfulness. Self-compassion did not moderate the relationship between mindfulness and ethnic identity status, as was hypothesized. the sample included primarily Caucasian (n = 278) individuals born in the United States, which likely limited generalizability of findings. Implications of the current findings and suggestions for future research are discussed.

Literature Review: Background: Compassion-facilitating interventions (CFIs) seek to increase feelings of reassurance, safeness and well-being, and are suggested as a new psychotherapeutic approach to treat post-traumatic stress. Objectives: This review summarises and synthesises the literature investigating CFIs for post-traumatic stress disorder (PTSD) in clinical adult populations. Method: A systematic review of the experimental and intervention literature to date was completed using PubMed, PsycINFO, and Web of Knowledge databases. Results: CFIs show large to medium effect sizes in reducing PTSD in traumatised populations. However, many studies did not compare these interventions to active control conditions, and for the few studies that did, compassion-facilitating interventions were not better at reducing PTSD than the active control conditions. There was also not enough evidence in these studies to indicate a mechanism of change in these interventions. Conclusions: CFIs may be an effective intervention in PTSD, but more high quality research is needed to establish their efficacy over and above well established PTSD treatments. More research is also needed to identify the psychological mechanisms at work in decreasing PTSD symptoms Empirical Paper: Objective: Compassion-facilitating interventions are thought to be promising for treating post-traumatic stress disorder (PTSD). It is theorised that inducing self compassion through a compassion-facilitating meditation task would interrupt the psychological processes that cause emotional distress and trauma-related intrusions that form post-trauma. Methods: A student sample (n = 72) was exposed to a trauma-film and then either listened to a neutral-emotion audio mediation or a compassion-facilitating meditation (CFM). Self-reported distress, self-compassion and self-criticism were measured at baseline, post-film, post-audio meditation and for seven days following the experiment. Measures of sympathetic arousal and parasympathetic activation were measured at baseline and during the trauma film and audio meditation. Trauma-related intrusions were measured for seven days following the experiment. Results: Lower self-reported distress and higher self-compassion were reported over the seven day follow-up, but not directly after the meditation. No statistical differences between conditions over time were found for any of the physiological measures but skin conductance was higher in the CFM group, contrary to predictions. There were also no statistical differences found between the two conditions in terms of sum daily intrusions following trauma-exposure. Conclusions: This research supports the hypothesis that facilitating self compassion can disrupt some of the observed processes post-trauma, namely felt distress, although only after a delay. These findings are relevant to the theoretical models of PTSD and future clinical interventions.

Background: Negative forms of self-relating such as self-criticism and self-judgement are known to contribute to poor mental health across diagnoses including eating disorders. Negative self-relating can lead to avoidance or suppression of emotions, and poor attachment relationships can lead to deficits in self-reassuring abilities. Self-compassion is a construct which is gaining attention in clinical research as a potentially important and healthy way of relating to the self in the face of painful or difficult experiences. Systematic review: A systematic review of the literature eating disorders and self-compassion suggested that lower levels of self-compassion are related to worse eating disorder pathology, particularly emotional eating, and body image dissatisfaction. Findings suggest that self-compassion training may have a role in multimodal prevention and treatment approaches for eating disorders, disordered eating and body image problems, particularly bulimia or binge eating disorders. The role in restrictive eating behaviour is less clear and warrants further research. Aims: This study was a cross-sectional study design with a purpose of conducting Confirmatory factor analysis on the Self-Compassion Scale – Short Form, and correlational analysis of the relationship between self-compassion, (as measured on SCS-SF) with emotion regulation difficulties, alexithymia and distress. Participants and procedure: 297 people referred to an adult clinical psychology service in Scotland completed the SCS-SF and measures of emotion regulation, alexithymia and distress. Results: CFAs did not support six factor or hierarchical models for SCS-SF. Instead a two-factor model was supported. Correlation analysis indicated that self-compassion is inversely associated with difficulties in emotion regulation, alexithymia and distress. Hierarchical regression analyses indicated that self-compassion was a unique predictor of distress. Implications: Further clarification of the construct of self-compassion, its role in psychopathology and how it should be measured is required. It is important that as research involving self-compassion and its role in mental health services progresses, that psychometrically valid measures are employed. Furthermore, correlation and regression analyses suggest convergent validity for the construct of self-compassion, and support theoretical links with emotion regulation. Conclusions: Self-compassion appears to be an important variable in eating disorders pathology and appears to be linked with adaptive emotion regulation in clinical populations. However results suggest longitudinal research and a more robust measure is required for use in clinical populations, especially if information about facets of the construct are to be understood.

<p>Self-compassion has been shown to predict well-being, possibly by buffering people against the unpleasant emotional and cognitive reactions that accompany negative life events. Although most previous research has been conducted with young adults, preliminary studies show that self-compassion may be beneficial for older adults. Three studies tested self-compassion's impact on thoughts, emotions, and behaviors associated with aging using samples of individuals between the ages of 62 and 104. Study 1 examined self-compassion as it relates to health promotion behaviors, specifically use of assistance and trying new activities. Although some findings supported the hypotheses, results showed that high and low self-compassionate individuals did not differ in their use of assistance or willingness to try new activities. Study 2 implemented a brief self-compassion manipulation to test its effects on thoughts and emotions. Unfortunately, random assignment failed to equate the experimental conditions, rendering the results difficult to interpret. After controlling for baseline self-compassion, the manipulation did not have the predicted effects on well-being. In fact, participants seemed to benefit more when merely writing about negative events than when writing about them in a self-compassionate fashion. Finally, Study 3 examined self-compassionate cognitions, specifically whether or not self-compassionate thoughts mediate the relationship between trait self-compassion and emotional well-being. Self-compassionate participants did think differently than their low self-compassion counterparts, and these cognitions mediated the relationship between self-compassion and positivity of their responses. However, cognitions did not mediate the relationship between trait self-compassion and emotion outcomes. Two possible explanations for the unexpected results of the three studies include the relatively healthy nature of the sample and the strength of the self-compassion manipulation. Suggestions for future research include examining how self-compassion relates to the motivations behind engaging in health promotion, allowing participants to write more freely in the self-compassion manipulations, and bringing self-compassion research with older adults into controlled laboratory settings.</p> / Dissertation

In considering current college students’ general well-being, their diverse cultural and ethnic backgrounds need to be considered as an important contributor. Previous research revealed that certain ethnic grouops had more difficulty adjusting to college life. This study examined the contributors to general well-being by introducing self-compassion as an important contributor for college students from three different ethnic backgrounds as determined by their self-identified choices. Data came from the online survey responses of 95 college students attending a southwestern university. Correlations between self-compassion and the nine subscales of general well-being yielded a positive relationship as in previous studies, with six of them meeting the previous criterion ( r = .60). Results showed that etnic groups and degree of ethnic identification did not, for these students, moderate the relationship between self-compassion and general well-being.. / text

Background: Compassion Focused Therapy aims to reduce shame through the development of compassion towards the self (Gilbert & Proctor, 2006). In a recent meta-analysis, MacBeth & Gumley (2012), identified self-compassion as a good predictor of mental wellbeing in adult populations. In addition, Werner et al (2012) provided preliminary evidence that difficulties with self-compassion may contribute to the development and maintenance of social anxiety. Despite wide recognition that social anxiety arises in adolescence and can be a pre-cursor to the development of other psychological disorders, the relationship between self-compassion and social anxiety is yet to be explored in younger populations. Objective: The following portfolio aims to add to the current literature by firstly, completing a systematic review to examine whether the association between shame and social anxiety is supported by empirical research and secondly, examining the relationship between self-compassion and social anxiety in an adolescent community sample. The role of recognised cognitive factors of social anxiety i.e. fear of negative evaluation, self-focused attention and cognitive avoidance in mediating the relationship between self-compassion and social anxiety and the role of possible confounders i.e. depression and generalised anxiety were also examined. Method: A systematic review of studies that assess the association between shame and social anxiety symptomology was undertaken. The empirical study comprised a cross-sectional design in which 414 community based adolescents, aged 14-18, were recruited from 4 local schools to complete 7 validated psychometric questionnaires: Self-compassion Scale (Neff, 2003), The Social Phobia Inventory (Connor et al, 2000), the Social Anxiety Scale for Adolescents (LaGreca, 1998), The Cognitive Avoidance Questionnaire (Gosselin et al, 2002), the Self Consciousness Scales (Fenigstein et al, 1975), Screen for Child Anxiety Related Emotional Disorders (Birmaher et al, 1995) and the Short Mood and Feeling Questionnaire (Angold et al, 1995). Systematic Review Results: Twenty one studies met the inclusion criteria of the systematic review and demonstrated a positive association between shame and social anxiety symptomology. Methodological factors, depression and gender were found to impact on the power of this association. Empirical Project Results: Self-compassion was found to be inversely related to social anxiety, r=-.551, p < .0001, 95%CI[-.62, .48], with both fear of negative evaluation and cognitive avoidance, but not self-focused attention, partially mediating this relationship. Self-compassion was found to be a unique predict of social anxiety, explaining additional variance when depression and generalised anxiety were controlled for. Conclusions: The above studies extend existing literature on the relationship between shame, social anxiety and self-compassion. In particular the use of an adolescent sample provides evidence of the usability and applicability of self-compassion concepts with younger populations. Similarly, the above studies expand our understanding of the concepts underlying social anxiety, specifically in adolescents, for whom social anxiety is extremely prevalent. It is hoped that the above research may highlight associations in need of further investigation, in particular with clinical samples, and inform the development of compassion focused adaptations or interventions for this population.

Background: Post-traumatic stress and exposure to early traumatic events are often characterised by negative self-cognitions and experiences of shame, guilt or blame. These symptoms are theoretically linked to the concept of self-compassion which is an important factor in affect regulation, and is predictive of mental wellbeing and psychological distress. Interventions aimed at increasing acceptance, non-judgement and self-compassion such as mindfulness may be useful in the treatment of post-traumatic stress symptoms. Methods: The first part of this portfolio presents a systematic review which aimed to collate and evaluate the existing research for the use of mindfulness based interventions to treat post-traumatic stress symptoms. The search process involved a systematic search of relevant research databases, hand search of relevant journals, and relevant authors were contacted. The second part of this portfolio presents a quantitative research study which explored the relationship between the experience of childhood trauma and self-compassion; and whether self-compassion was predictive of post-traumatic stress and growth in an adult clinical sample. Data were collected through postal survey and analysed using correlation and hierarchical regression analysis. Systematic Review Results: The systematic review resulted in 12 studies which met eligibility criteria, the majority of studies indicated positive outcomes with improvements in post-traumatic stress symptoms, particularly in reducing avoidance. Many of these studies lacked methodological rigour and further studies with more robust research design are required. Research Study Results: The quantitative study showed that greater experience of childhood emotional abuse, neglect, punishment and sexual abuse were significantly correlated with lower self-compassion in adulthood. Hierarchical regression showed that self-compassion was predictive of total post-traumatic stress symptoms, post-traumatic avoidance and intrusion when age, gender, exposure to traumatic events and childhood trauma were controlled. The experience of post-traumatic growth showed no significant relationship with self-compassion. Conclusions: Studies indicate that mindfulness interventions show promise for the treatment of PTSD symptoms, although further research with more robust methodology is needed. Greater experience of childhood abuse is related to lower self-compassion in adulthood and lower self-compassion is predictive of higher PTSD avoidance and intrusion symptoms. This suggests that future research investigating self-compassion interventions may be beneficial in treating PTSD.