Self-Compassion Interventions and Psychosocial Outcomes: a Meta-Analysis of RCTs

Madeleine Ferrari; Caroline Hunt; Ashish Harrysunker; Maree J. Abbott; Alissa P. Beath; Danielle A. Einstein

doi:10.1007/s12671-019-01134-6

journal article Apr 08, 2019

Self-Compassion Interventions and Psychosocial Outcomes: a Meta-Analysis of RCTs

Madeleine Ferrari

Caroline Hunt Ashish Harrysunker Maree J. Abbott Alissa P. Beath Danielle A. Einstein

Mindfulness Vol. 10 No. 8 pp. 1455-1473 · Springer Science and Business Media LLC

View at Publisher Save 10.1007/s12671-019-01134-6

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References

83

[1]

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. https://doi.org/10.1007/s12671-014-0277-3 . 10.1007/s12671-014-0277-3

[2]

Arch, J. J., Landy, L. N., & Brown, K. W. (2016). Predictors and moderators of biopsychological social stress responses following brief self-compassion meditation training. Psychoneuroendocrinology, 69, 35–40. https://doi.org/10.1016/j.psyneuen.2016.03.009 . 10.1016/j.psyneuen.2016.03.009

[3]

Arimitsu, K. (2016). The effects of a program to enhance self-compassion in Japanese individuals: a randomized controlled pilot study. Journal of Positive Psychology, 11(6), 559–571. https://doi.org/10.1080/17439760.2016.1152593 . 10.1080/17439760.2016.1152593

[4]

Armstrong, L., & Rimes, K. A. (2016). Mindfulness-based cognitive therapy for neuroticism (stress vulnerability): a pilot randomized study. Behavior Therapy, 47(3), 287–298. https://doi.org/10.1016/j.beth.2015.12.005 . 10.1016/j.beth.2015.12.005

[5]

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. https://doi.org/10.1002/cpp.2003 . 10.1002/cpp.2003

[6]

Beaumont, E., & Hollins, M. C. (2015). A narrative review exploring the effectiveness of compassion-focused therapy. Counselling Psychology Review, 30(1), 21–32. 10.53841/bpscpr.2015.30.1.21

[7]

Beaumont, E., Galpin, A., & Jenkins, P. (2012). ‘Being kinder to myself’: a prospective comparative study, exploring post-trauma therapy outcome measures, for two groups of clients, receiving either cognitive behavior therapy or cognitive behavior therapy and compassionate mind training. Counselling Psychology Review, 27(1), 31–43 Retrieved from: http://usir.salford.ac.uk/id/eprint/39206 .

[8]

Bluth, K., & Blanton, P. W. (2014). Mindfulness and self-compassion: exploring pathways to adolescent emotional well-being. Journal of Child and Family Studies, 23(7), 1298–1309. https://doi.org/10.1007/s10826-013-9830-2 . 10.1007/s10826-013-9830-2

[9]

Borenstein, M., Hedges, L. V., Higgins, J. P., & Rothstein, H. R. (2009). Introduction to meta-analysis (vol. 10). Chichester: John Wiley & Sons, Ltd.. 10.1002/9780470743386

[10]

Brach, T. (2003). Radical acceptance: Awakening the love that heals fear and shame within us. Random House.

[11]

Campbell, I. N., Gallagher, M., McLeod, H. J., O'Neill, B., & McMillan, T. M. (2017). Brief compassion focused imagery for treatment of severe head injury. Neuropsychological Rehabilitation, 1–11. https://doi.org/10.1080/09602011.2017.1342663 . 10.1080/09602011.2017.1342663

[12]

Cohen, J. (1977). Statistical power analysis for the behavioral sciences (rev. ed.). Hillsdale: Lawrence Erlbaum Associates, Inc..

[13]

Cornish, M. A., & Wade, N. G. (2015). Working through past wrongdoing: examination of a self-forgiveness counseling intervention. Journal of Counseling Psychology, 62(3), 521–528. https://doi.org/10.1037/cou0000080.supp . 10.1037/cou0000080.supp

[14]

Cunha, M., Galhardo, A., & Pinto-Gouveia, J. (2016). Experiential avoidance, self-compassion, self-judgment and coping styles in infertility. Sexual & Reproductive Healthcare, 10, 41–47. https://doi.org/10.1016/j.srhc.2016.04.001 . 10.1016/j.srhc.2016.04.001

[15]

Duarte, C., Pinto-Gouveia, J., & Stubbs, R. J. (2017). Compassionate attention and regulation of eating behavior: a pilot study of a brief low-intensity intervention for binge eating. Clinical Psychological Psychotherapy., 14(6). https://doi.org/10.1002/cpp.2094 . 10.1002/cpp.2094

[16]

Dundas, I., Binder, P.-E., Hansen, T. G. B., & Stige, S. H. (2017). Does a short self-compassion intervention for students increase healthy self-regulation? A randomized control trial. Scandinavian Journal of Psychology, 58(5), 443–450. https://doi.org/10.1111/sjop.12385 . 10.1111/sjop.12385

[17]

Feliu-Soler, A., Pascual, J. C., Elices, M., Martin-Blanco, A., Carmona, C., Cebolla, A., et al. (2017). Fostering self-compassion and loving-kindness in patients with borderline personality disorder: a randomized pilot study. Clinical Psychological Psychotherapy, 24(1), 278–286. https://doi.org/10.1002/cpp.2000 . 10.1002/cpp.2000

[18]

Ferrari, M., Dal Cin, M., & Steele, M. (2017a). Self-compassion is associated with optimum self-care behavior, medical outcomes and psychological well-being in a cross-sectional sample of adults with diabetes. Diabetic Medicine, 34(11), 1546–1553. https://doi.org/10.1111/dme.13451 . 10.1111/dme.13451

[19]

Ferrari, M., Harrysunker, A., Hunt, C., Abbott, M., & Einstein, D. (2017b). The skill of self-kindness: a metaanalysis of randomized controlled trials investigating self-compassion-based interventions [Protocol]. PROSPERO 2017 CRD42017069182. Retrieved from: http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42017069182 . Accessed 5 Apr 2019.

[20]

Self-compassion moderates the perfectionism and depression link in both adolescence and adulthood

Madeleine Ferrari, Keong Yap, Nicole Scott et al.

PLoS ONE 2018 10.1371/journal.pone.0192022

[21]

Finlay-Jones, A. L. (2017). The relevance of self-compassion as an intervention target in mood and anxiety disorders: a narrative review based on an emotion regulation framework. Clinical Psychologist, 21(2), 90–103. https://doi.org/10.1111/cp.12131 . 10.1111/cp.12131

[22]

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). https://doi.org/10.1371/journal.pone.0133481 . 10.1371/journal.pone.0133481

[23]

Friis, A. M., Johnson, M. H., Cutfield, R. G., & Consedine, N. S. (2016). Kindness matters: a randomized controlled trial of a mindful self-compassion intervention improves depression, distress, and HbA1c among patients with diabetes. Diabetes Care, 39(11), 1963–1971. https://doi.org/10.2337/dc16-0416 . 10.2337/dc16-0416

[24]

Galante, J., Galante, I., Bekkers, M.-J., & Gallacher, J. (2014). Effect of kindness-based meditation on health and well-being: a systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 82(6), 1101. https://doi.org/10.1037/a0037249 . 10.1037/a0037249

[25]

Galla, B. M. (2016). Within-person changes in mindfulness and self-compassion predict enhanced emotional well-being in healthy, but stressed adolescents. Journal of Adolescence, 49, 204–217. https://doi.org/10.1016/j.adolescence.2016.03.016 . 10.1016/j.adolescence.2016.03.016

[26]

Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6–41. https://doi.org/10.1111/bjc.12043 . 10.1111/bjc.12043

[27]

Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and selfcriticism: overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 13(6), 353–379. 10.1002/cpp.507

[28]

Harris, E. J. (1997). Detachment and compassion in early Buddhism. Buddhist Publication Society.

[29]

Harvey, B., Milyavskaya, M., Hope, N., Powers, T. A., Saffran, M., & Koestner, R. (2015). Affect variation across days of the week: influences of perfectionism and academic motivation. Motivation and Emotion, 39(4), 521–530. 10.1007/s11031-015-9480-3

[30]

Hedges, L. V., & Olkin, I. (2014). Statistical method for meta-analysis. Academic press.

[31]

Held, P., & Owens, G. P. (2015). Effects of self-compassion workbook training on trauma-related guilt in a sample of homeless veterans: a pilot study. Journal of Clinical Psychology, 71(6), 513–526. https://doi.org/10.1002/jclp.22170 . 10.1002/jclp.22170

[32]

Higgins, J. P., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., et al. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. British Medical Journal, 343, d5928. https://doi.org/10.1136/bmj.d5928 . 10.1136/bmj.d5928

[33]

The PRISMA Extension Statement for Reporting of Systematic Reviews Incorporating Network Meta-analyses of Health Care Interventions: Checklist and Explanations

Brian Hutton, Georgia Salanti, Deborah M. Caldwell et al.

Annals of Internal Medicine 2015 10.7326/m14-2385

[34]

Ivtzan, I., Young, T., Martman, J., Jeffrey, A., Lomas, T., Hart, R., & Eiroa-Orosa, F. J. (2016). Integrating mindfulness into positive psychology: a randomised controlled trial of an online positive mindfulness program. Mindfulness, 7, 1396–1407. https://doi.org/10.1007/s12671-016-0581-1 . 10.1007/s12671-016-0581-1

[35]

Jazaieri, H., Jinpa, G. T., McGonigal, K., Rosenberg, E. L., Finkelstein, J., Simon-Thomas, E., … & Goldin, P. R. (2013). Enhancing compassion: a randomized controlled trial of a compassion cultivation training program. Journal of Happiness Studies, 14(4), 1113–1126. https://doi.org/10.1007/s10902-012-9373-z . 10.1007/s10902-012-9373-z

[36]

Johnson, E. A., & O'Brien, K. A. (2013). Self-compassion soothes the savage EGO-threat system: effects on negative affect, shame, rumination, and depressive symptoms. Journal of Social and Clinical Psychology, 32(9), 939–963. https://doi.org/10.1521/jscp2013329939 . 10.1521/jscp2013329939

[37]

Kabat-Zinn, J. (2009). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delta.

[38]

Kelly, A. C., & Carter, J. C. (2015). Self-compassion training for binge eating disorder: a pilot randomized controlled trial. Psychology and Psychotherapy: Theory, Research and Practice, 88(3), 285–303. https://doi.org/10.1111/papt.12044 . 10.1111/papt.12044

[39]

Kelly, A. C., Zuroff, D., Foa, C., & 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. https://doi.org/10.1002/cpp.2018 . 10.1002/cpp.2018

[40]

Kelly, A. C., Wisniewski, L., Martin-Wagar, C., & Hoffman, E. (2017). Group-based compassion-focused therapy as an adjunct to outpatient treatment for eating disorders: a pilot randomized controlled trial. Clinical Psychological Psychotherapy, 24(2), 475–487. https://doi.org/10.1002/cpp.2018 . 10.1002/cpp.2018

[41]

Kirby, J. N., Doty, J. R., Petrocchi, N., & Gilbert, P. (2017a). The current and future role of heart rate variability for assessing and training compassion. Frontiers in Public Health, 5. https://doi.org/10.3389/fpubh.2017.00040 . 10.3389/fpubh.2017.00040

[42]

A Meta-Analysis of Compassion-Based Interventions: Current State of Knowledge and Future Directions

James N. Kirby, Cassandra L. Tellegen, Stanley R. Steindl

Behavior Therapy 2017 10.1016/j.beth.2017.06.003

[43]

Kok, B. E., Coffey, K. A., Cohn, M. A., Catalino, L. I., Vacharkulksemsuk, T., Algoe, S. B., … & Fredrickson, B. L. (2013). How positive emotions build physical health: perceived positive social connections account for the upward spiral between positive emotions and vagal tone. Psychological Science, 24(7), 1123–1132. https://doi.org/10.1177/0956797612470827 . 10.1177/0956797612470827

[44]

Koszycki, D., Thake, J., Mavounza, C., Daoust, J. P., Taljaard, M., & Bradwejn, J. (2016). Preliminary investigation of a mindfulness-based intervention for social anxiety disorder that integrates compassion meditation and mindful exposure. Journal of Alternative and Complementary Medicine, 22(5), 363–374. https://doi.org/10.1089/acm.2015.0108 . 10.1089/acm.2015.0108

[45]

Krieger, T., Berger, T., & Grosse, M. H. (2016). The relationship of self-compassion and depression: cross-lagged panel analyses in depressed patients after outpatient therapy. Journal of Affective Disorders, 202, 39–45. https://doi.org/10.1016/j.jad.2016.05.032 . 10.1016/j.jad.2016.05.032

[46]

Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 159–174. https://doi.org/10.2307/2529310 . 10.2307/2529310

[47]

Leaviss, J., & Uttley, L. (2015). Psychotherapeutic benefits of compassion-focused therapy: an early systematic review. Psychological Medicine, 45(5), 927–945. https://doi.org/10.1017/S0033291714002141 . 10.1017/s0033291714002141

[48]

Lee, W. K., & Bang, H. J. (2010). The effects of mindfulness-based group intervention on the mental health of middle-aged Korean women in community. Stress and Health, 26(4), 341–348. https://doi.org/10.1002/smi.1303 . 10.1002/smi.1303

[49]

MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552. https://doi.org/10.1016/j.cpr.2012.06.003 . 10.1016/j.cpr.2012.06.003

[50]

Mantzios, M., & Egan, H. H. (2017). On the role of self-compassion and self-kindness in weight regulation and health behavior change. Frontiers in Psychology, 8, 229. https://doi.org/10.3389/fpsyg.2017.00229 . 10.3389/fpsyg.2017.00229

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Published: Apr 08, 2019
Vol/Issue: 10(8)
Pages: 1455-1473
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Cite This Article

Madeleine Ferrari, Caroline Hunt, Ashish Harrysunker, et al. (2019). Self-Compassion Interventions and Psychosocial Outcomes: a Meta-Analysis of RCTs. Mindfulness, 10(8), 1455-1473. https://doi.org/10.1007/s12671-019-01134-6

Self-Compassion Interventions and Psychosocial Outcomes: a Meta-Analysis of RCTs

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