Fibromyalgia, a chronic illness characterized by widespread muscle pain, tenderness, joint stiffness, and fatigue, affects 3-6% of the world’s population. Symptoms of fibromyalgia impact the ability to complete daily activities, such as cooking, cleaning or employment, possibly leading to greater perceived stress and, in turn, to engagement in suicidal behavior. For persons with fibromyalgia, pressure to complete previous routines, and emergence of frustration at the inability to do so, may result in the experience of being overwhelmed by stressors. Further, persons with fibromyalgia are at greater risk for both mental health difficulties and suicidal behavior than persons in the general population; for example, depressive symptoms, including self-blame, are three times more common. However, not all individuals with fibromyalgia experience overwhelming distress or engage in suicidal behaviors, perhaps due to the presence of individual-level protective factors. One such factor is self-compassion, which is composed of self-kindness, common humanity, and mindfulness. Positive emotions directed toward the self may buffer against illness-related stressors and feelings of inadequacy and loss associated with impact of disease and functional impairment, thereby decreasing suicide risk. At the bivariate level, we hypothesized that fibromyalgia impact would be positively related to stress and suicidal behaviors, and that self-compassion would be negatively related to all of these variables. At the multivariate level, we hypothesized that stress would mediate the relation between fibromyalgia impact and suicidal behaviors, and that self-compassion would moderate this mediation effect such that greater self-compassion would weaken the linkages between impairment and stress, impairment and suicidal behavior, and stress and suicidal behavior. Our sample of individuals with fibromyalgia (N=508) were primarily White (91.8%; n=383) and female (95.7%; n=401), and completed self-report measures including: Fibromyalgia Impact Questionnaire-Revised, Depression Anxiety Stress Scales, Self-Compassion Scale-Short Form, and Suicide Behaviors Questionnaire-Revised. Bivariate correlations and multivariate analyses, per Hayes (2013), were conducted covarying age, sex, and ethnicity. In bivariate correlations, fibromyalgia impact was positively related to stress and suicidal behaviors and negatively related to self-compassion (p Supporting hypotheses, our results suggest that self-compassion may protect against the development of stress related to fibromyalgia impact and subsequent risk for suicidal behaviors, and may have clinical implications. Therapeutic interventions focused on alleviating stress (e.g., meditation, stress inoculation therapy) and promoting self-compassion (e.g. mindful self-compassion training, positive self-talk) could ameliorate the perceived impact of fibromyalgia-related stressors and, thus, risk for engagement in suicidal behaviors.

Objective: College students may be at heightened risk for suicide and suicidal behavior due to maladaptive cognitive-emotional factors and failure to practice basic health behaviors. However, self-compassion and wellness behaviors may protect against risk. The relation between self-compassion and suicidal behavior and the contributing roles of depressive symptoms and wellness behaviors was examined. Participants: Participants were 365 undergraduate students. Data were collected in April 2015. Methods: A cross-sectional, survey design was employed. Participants completed measures assessing self-compassion, depressive symptoms, wellness behaviors, and suicidal behavior. Serial mediation analyses were conducted covarying age, sex, and ethnicity. Results: Self-compassion was inversely related to suicidal behavior, and this relationship was serially mediated by depressive symptoms and wellness behaviors. Conclusions: Self-compassion may protect against suicidal behavior, in part, due to reduced depressive symptoms and heightened engagement in wellness behaviors. Individual and campus-wide strategies promoting self-compassion and wellness behaviors may reduce suicide risk on college campuses.

Adults of college age are at particular risk for psychopathology, non-suicidal self-injury (NSSI), and suicidal behavior, but protective factors (e.g., self-compassion) may buffer risk. We examined the mediating effect of NSSI on the relation between anxiety/depressive symptoms and suicide risk, and the moderating role of self-compassion. Students (N = 338) with greater psychopathology reported more engagement in NSSI and, consequently, more suicide risk; self-compassion weakened the psychopathology-NSSI linkage. Therapeutically addressing psychopathology and NSSI, perhaps via Cognitive Behavioral Therapy, and promoting self-compassion via compassion-focused and mindful self-compassion therapy, may halt progression from symptomology to self-harm, ultimately reducing suicide risk in college students.

Emerging evidence indicates self-compassion can be beneficial for medical populations and for medical adherence; yet, research to date has not fully examined the reasons for this association. This study examined the association of dispositional self-compassion to adherence across five medical samples and tested the extent to which perceived stress accounted for this association. Five medical samples (total N = 709), including fibromyalgia, chronic fatigue syndrome, and cancer patients, recruited from various sources, completed online surveys. Self-compassion was positively associated with adherence in all five samples. A meta-analysis of the associations revealed a small average effect size (average r = .22, [0.15, 0.29]) of self-compassion and adherence and non-significant heterogeneity among the effects (Q (4) = 3.15, p = .532). A meta-analysis of the kappa2 values from the indirect effects of self-compassion on adherence revealed that, on average, 11% of the variance in medical adherence that was explained by self-compassion could be attributed to lower perceived stress. Overall, findings demonstrate that dispositional self-compassion is associated with better medical adherence among people with fibromyalgia, chronic fatigue syndrome, and cancer, due in part to lower stress. This research contributes to a growing evidence base indicating the value of self-compassion for health-related behaviours in a variety of medical populations.

While there is considerable research linking trauma to psychological distress, such as posttraumatic stress disorder (PTSD), among military populations, some service members may develop other variants of psychological difficulties following exposure to traumatic life events. For example, moral injury, a more recently studied outcome within the field of trauma, is conceptualized to occur when a person perceives their response to a morally challenging situation as a transgression that may lead to an incongruence with their morals producing moral emotions (i.e., shame, guilt, and anxiety; Litz et al., 2009). The current study investigated the role of self-compassion in the relationship between moral injury and psychological distress (i.e., PTSD and depression) among a sample of 216 military veterans recruited from TurkPrime online panels. Among these military veterans, a conditional process analysis of our moderated mediation model suggests an indirect effect of moral injury predicting depression symptoms through guilt, Index = 1.469, SE = .460, 95% CI [.602, 2.409] and shame, Index = -.803, SE = .346, 95% CI [-1.552, -.161] was conditioned on different levels of self-compassion. Findings are expected to have important implications for treatment conceptualization for military populations.

Athletic environments subject athletes to evaluation not only on performance, but also on appearance (Krane et al., 2001). This likely facilitates self-conscious emotions, which have a self-evaluative focus (Leary, 2004; Tracy & Robins, 2004). However, self-compassion might serve as a buffer against the self-conscious emotions by countering self-evaluative processes. The purpose of this study was to explore the relations between self-conscious emotions (i.e., shame, guilt, authentic pride, and hubristic pride) and self-evaluative thoughts and behaviours (i.e., social physique anxiety, obligatory exercise, objectified body consciousness, fear of failure, and fear of negative evaluation) for young women aged 13 -18 involved in high school sport (N = 151). The role of self-compassion as a moderator variable between self-conscious emotions and self-evaluative thoughts and behaviours was also explored. Consistent with the contention that shame and hubristic pride may be less adaptive than guilt and authentic pride, shame and hubristic pride showed positive relations with fear of failure (r = .26 and .20, respectively) and fear of negative evaluation (r = .21 and .21, respectively). Hubristic pride was also positively related to objectified body consciousness (r = .32). Conversely, guilt and authentic pride showed negative relations with objectified body consciousness (r = -.20 and -.34, respectively). Authentic pride also showed negative relations to fear of failure (r = -.38) and fear of negative evaluation (r = -.37). Self-compassion was negatively related to shame (r = -.32) and positively related to authentic pride (r = .42), but had no relation with guilt and hubristic pride. Self-compassion was also negatively related with social physique anxiety (r = -.39), objectified body consciousness (r = -.34), fear of failure (r = -.38), and fear of negative evaluation (r = -.37). Additionally, self-compassion was found to explain variance beyond self-esteem on objectified body consciousness (∆R2 = .07), fear of failure (∆R2 = .11), and fear of negative evaluation (∆R2 = .06). A significant interaction effect was found with self-compassion on the relation between shame and obligatory exercise, suggesting that even moderate levels of self-compassion may help to buffer some negative effects of shame. Taken together, these results suggest that self-compassion might be an important resource for young women involved in sport in managing self-conscious emotions.

Athletic environments subject athletes to evaluation not only on performance, but also on appearance (Krane et al., 2001). This likely facilitates self-conscious emotions, which have a self-evaluative focus (Leary, 2004; Tracy & Robins, 2004). However, self-compassion might serve as a buffer against the self-conscious emotions by countering self-evaluative processes. The purpose of this study was to explore the relations between self-conscious emotions (i.e., shame, guilt, authentic pride, and hubristic pride) and self-evaluative thoughts and behaviours (i.e., social physique anxiety, obligatory exercise, objectified body consciousness, fear of failure, and fear of negative evaluation) for young women aged 13 -18 involved in high school sport (N = 151). The role of self-compassion as a moderator variable between self-conscious emotions and self-evaluative thoughts and behaviours was also explored. Consistent with the contention that shame and hubristic pride may be less adaptive than guilt and authentic pride, shame and hubristic pride showed positive relations with fear of failure (r = .26 and .20, respectively) and fear of negative evaluation (r = .21 and .21, respectively). Hubristic pride was also positively related to objectified body consciousness (r = .32). Conversely, guilt and authentic pride showed negative relations with objectified body consciousness (r = -.20 and -.34, respectively). Authentic pride also showed negative relations to fear of failure (r = -.38) and fear of negative evaluation (r = -.37). Self-compassion was negatively related to shame (r = -.32) and positively related to authentic pride (r = .42), but had no relation with guilt and hubristic pride. Self-compassion was also negatively related with social physique anxiety (r = -.39), objectified body consciousness (r = -.34), fear of failure (r = -.38), and fear of negative evaluation (r = -.37). Additionally, self-compassion was found to explain variance beyond self-esteem on objectified body consciousness (∆R2 = .07), fear of failure (∆R2 = .11), and fear of negative evaluation (∆R2 = .06). A significant interaction effect was found with self-compassion on the relation between shame and obligatory exercise, suggesting that even moderate levels of self-compassion may help to buffer some negative effects of shame. Taken together, these results suggest that self-compassion might be an important resource for young women involved in sport in managing self-conscious emotions.

The aim of this thesis was to examine the concept of self-compassion in relation to psychopathology with mediating effects of experiential avoidance and metacognition in a Turkish university student sample. Self-Compassion which is a recently formulated promising concept in western psychology consists of three components: self-kindness, common humanity and mindfulness. In addition to self-compassion, recent psychological concepts of cognitive (metacognition) and behavioral (experiential avoidance) perspectives were investigated through models. In this thesis, the negative relationship between self-compassion and psychopathology (depression and anxiety) with mediating effects of experiential avoidance and metacognition was tested. Prior to main analyses, psychometric properties of the scales measuring self-compassion and experiential avoidance were tested. Then, three different models were tested with structural equation modeling (SEM). In these analyses, the proposed full mediation models were compared to empirically alternative models. Self-compassion was found to be significantly and negatively related to both depression, and anxiety. In the first model experiential avoidance fully mediated the relationship between self-compassion and psychopathology. Moreover, metacognitive factors and metacognition as a whole concept mediated the relation between self-compassion and psychopathology. However, they were not as powerful as experiential avoidance. Results of this thesis supported the literature about empowering effect of self-compassion against psychopathology. Furthermore, relationships were mediated by concepts of both modern cognitive and behavior therapies. However, self-compassion, as a fundamental element of psychotherapy, was the focus of this thesis. Findings of the study were discussed in the context of the relevant literature.

Due to the subjective nature of pain and the profound debilitating effects of pain for a growing number of people, there are many challenges to approaching and fully addressing its problems. The traditional biomedical model of health limits its treatment focus to the physical components of pain. Biomedicine provides useful and effective short-term relief of bodily symptoms, but usually cannot cure pain that persists in both mind and body over time. Because chronic pain is often accompanied with discomfort, depression, and other significant life impairments, health researchers have recently conceptualized more comprehensive models to address pain. In the bio-psycho-social-spiritual health model, chronic pain is assessed and treated in the context of a person’s overall quality of life, considering biological, psychological, social, and spiritual health conditions. This movement towards adopting integrative health care models can also provide patient guidance needed for developing inner resources to adapt to pain, as well as recover from and prevent disease. Self-compassion comes from a fertile field of inquiry emerging out of a wider conception of health that includes spirituality. The construct is based on three related components that can assist a person living with pain: (a) being kind to oneself while in pain or suffering, (b) perceiving difficult times as shared human experiences, and (c) holding painful thoughts and feelings with mindfulness, instead of over-identification. Measured using the Self-Compassion Scale, it demonstrates positive associations with a variety of health indicators. However, a direct relationship with chronic pain has not yet been examined. In applying recent research in quality of life (QoL) and self-compassion to a chronic pain patient population, the purpose of this study is twofold: (a) to produce a comprehensive assessment of bio-psycho-social-spiritual QoL conditions (b) to examine differences in QoL with the presence of self-compassion and determine its potential moderating effect on life impairments due to pain. From this project, the QoL conditions that are affected by chronic pain and the moderation effect of self-compassion will be understood better so that more effective treatment and prevention procedures can be developed for people living with pain from long-term disease conditions. / text

Self-compassion, typically operationalized as the total score of the Self-Compassion Scale (SCS; Neff, 2003b), has been shown to be related to increased psychological well-being and lower depression in students of the social sciences, users of psychology websites and psychotherapy patients. The current study builds on the existing literature by examining the link between self-compassion and depressive symptomatology in a sample representative of the German general population (n = 2,404). The SCS subscales of self-judgment, isolation, and over-identification, and the “self-coldness”, composite score, which encompass these three negative subscales, consistently differed between subsamples of individuals without any depressive symptoms, with any depressive syndromes, and with major depressive disorder. The contribution of the positive SCS subscales of self-kindness, common humanity, and mindfulness to the variance in depressive symptomatology was almost negligible. However, when combined to a “self-compassion composite”, the positive SCS subscales significantly moderated the relationship between “self-coldness” and depressive symptoms in the general population. This speaks for self-compassion having the potential to buffer self-coldness related to depression—providing an argument for interventions that foster self-caring, kind, and forgiving attitudes towards oneself.