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06-01-2021 | ORIGINAL PAPER

A Preliminary Investigation on the Effectiveness of Compassionate Mind Training for Students with Major Depressive Disorder: a Randomized Controlled Trial

Auteurs: Yasaman Savari, Hossein Mohagheghi, Nicola Petrocchi

Gepubliceerd in: Mindfulness | Uitgave 5/2021

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Abstract

Objectives

High self-criticism and a low self-reassurance and self-compassion have found to play a key role in the development of college students’ depressive symptoms. The current pilot study was conducted in Iran with the aim to evaluate the effectiveness of an 8-session outpatient compassionate mind training (CMT) on symptoms of depression, anger rumination, self-criticism, self-compassion, and fear of compassion in students diagnosed with major depressive disorder.

Methods

All participants (30 women, age range: 21–29 years) fulfilled criteria for major depression and were randomly assigned to CMT (n = 15), or a no-treatment control group (n = 15). The treatment group underwent 8 CMT sessions, twice a week. Scores at the Beck Depression Inventory (BDI-II), Anger Rumination Scale (ARS), Forms of Self-Criticizing/Attacking & Self-Reassuring Scale (FSCRS), Fears of Compassion Scale (FOCS), and Self-Compassion Scale (SCS) were used as outcome measures. Assessments were administered pre- and post-intervention.

Results

Effectiveness of CMT was supported by significantly lower post-intervention rates of depression (F (1, 28) = 9.02, p = 0.006, η2 = 0.24), thoughts of revenge, self-hate, and fear of compassion for others in those who received CMT as compared to those in the control group. The CMT group showed also significant increases in self-reassurance and the positive parcel of self-compassion (comprised of self-kindness, common humanity, and mindfulness items).

Conclusions

Results suggest that even a brief (4-week) compassionate mind training could be implemented as an effective intervention for students with major depressive disorder. Further research including a bigger and gender-balanced sample is warranted.
Literatuur
go back to reference Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory–II. San Antonio: Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory–II. San Antonio: Psychological Corporation.
go back to reference Fata, L., Birashk, B., Atef-Vahid, M. K., & Dabson, K. S. (2005). Meaning assignment structures/schema, emotional states and cognitive processing of emotional information: Comparing two conceptual frameworks. Iranian Journal of Psychiatry and Clinical Psychology, 11, 312–326. Fata, L., Birashk, B., Atef-Vahid, M. K., & Dabson, K. S. (2005). Meaning assignment structures/schema, emotional states and cognitive processing of emotional information: Comparing two conceptual frameworks. Iranian Journal of Psychiatry and Clinical Psychology, 11, 312–326.
go back to reference First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2016). User’s guide for the SCID-5-CV Structured Clinical Interview for DSM-5® disorders: Clinical version. American Psychiatric Publishing, Inc. First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2016). User’s guide for the SCID-5-CV Structured Clinical Interview for DSM-5® disorders: Clinical version. American Psychiatric Publishing, Inc.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference Garlow, S. J., Rosenberg, J., Moore, J. D., Haas, A. P., Koestner, B., Hendin, H., & Nemeroff, C. B. (2008). Depression, desperation, and suicidal ideation in college students: Results from the American Foundation for Suicide Prevention College Screening Project at Emory University. Depression and Anxiety, 25(6), 482–488. https://doi.org/10.1002/da.20321.CrossRefPubMed Garlow, S. J., Rosenberg, J., Moore, J. D., Haas, A. P., Koestner, B., Hendin, H., & Nemeroff, C. B. (2008). Depression, desperation, and suicidal ideation in college students: Results from the American Foundation for Suicide Prevention College Screening Project at Emory University. Depression and Anxiety, 25(6), 482–488. https://​doi.​org/​10.​1002/​da.​20321.CrossRefPubMed
go back to reference Gilbert, P., & Choden. (2013). Mindful compassion: Using the power of mindfulness and compassion to transform our lives. UK: Hachette. Gilbert, P., & Choden. (2013). Mindful compassion: Using the power of mindfulness and compassion to transform our lives. UK: Hachette.
go back to reference Gilbert, P., McEwan, K., Catarino, F., Baião, R., & Palmeira, L. (2014). Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology, 53(2), 228–244. https://doi.org/10.1111/bjc.12037.CrossRef Gilbert, P., McEwan, K., Catarino, F., Baião, R., & Palmeira, L. (2014). Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology, 53(2), 228–244. https://​doi.​org/​10.​1111/​bjc.​12037.CrossRef
go back to reference Halamová, J., Kanovský, M., Gilbert, P., Troop, N. A., Zuroff, D. C., Hermanto, N., Petrocchi, N., Sommers-Spijkerman, M., Kirby, J. N., Shahar, B., Krieger, T., Matos, M., Asano, K., Yu, F., Basran, J., & Kupeli, N. (2018). The factor structure of the forms of Self-Criticising/Attacking & Self-Reassuring Scale in thirteen distinct populations. Journal of Psychopathology and Behavioral Assessment, 40(4), 736–751. https://doi.org/10.1007/s10862-018-9686-2.CrossRefPubMedPubMedCentral Halamová, J., Kanovský, M., Gilbert, P., Troop, N. A., Zuroff, D. C., Hermanto, N., Petrocchi, N., Sommers-Spijkerman, M., Kirby, J. N., Shahar, B., Krieger, T., Matos, M., Asano, K., Yu, F., Basran, J., & Kupeli, N. (2018). The factor structure of the forms of Self-Criticising/Attacking & Self-Reassuring Scale in thirteen distinct populations. Journal of Psychopathology and Behavioral Assessment, 40(4), 736–751. https://​doi.​org/​10.​1007/​s10862-018-9686-2.CrossRefPubMedPubMedCentral
go back to reference Karimi, M. N., & Fallah, N. (2019). Academic burnout, shame, intrinsic motivation and teacher affective support among Iranian efl learners: A structural equation modeling approach. Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological Issues. https://doi.org/10.1007/s12144-019-0138-2. Karimi, M. N., & Fallah, N. (2019). Academic burnout, shame, intrinsic motivation and teacher affective support among Iranian efl learners: A structural equation modeling approach. Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological Issues. https://​doi.​org/​10.​1007/​s12144-019-0138-2.
go back to reference Khanjani, S., Foroughi, A. A., Sadghi, K., & Bahrainian, S. A. (2016). Psychometric properties of Iranian version of Self-Compassion Scale (short form). Pejouhandeh, 21(5), 282–289. Khanjani, S., Foroughi, A. A., Sadghi, K., & Bahrainian, S. A. (2016). Psychometric properties of Iranian version of Self-Compassion Scale (short form). Pejouhandeh, 21(5), 282–289.
go back to reference 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 Psychology & Psychotherapy, 24(2), 475–487. https://doi.org/10.1002/cpp.2018.CrossRef 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 Psychology & Psychotherapy, 24(2), 475–487. https://​doi.​org/​10.​1002/​cpp.​2018.CrossRef
go back to reference Khanipour, H., Hakim-Shooshtari, M., Borjali, A., Golzari, M., & Falsafinejad, M. (2015). Relationship between impulse control difficulties and non-suicidal self-injury in adolescents with childhood maltreatment history: Mediating role of self-inadequacy. Iranian Journal of Psychiatry and Clinical Psychology, 20(4), 339–348. Khanipour, H., Hakim-Shooshtari, M., Borjali, A., Golzari, M., & Falsafinejad, M. (2015). Relationship between impulse control difficulties and non-suicidal self-injury in adolescents with childhood maltreatment history: Mediating role of self-inadequacy. Iranian Journal of Psychiatry and Clinical Psychology, 20(4), 339–348.
go back to reference Kline, R. (2005). Principles and practice of structural equation modelling (2nd ed.). New York: The Guilford Press. Kline, R. (2005). Principles and practice of structural equation modelling (2nd ed.). New York: The Guilford Press.
go back to reference Noorbala, F., Borjali, A., Ahmadian-Attari, M. M., & Noorbala, A. A. (2013). Effectiveness of compassionate mind training on depression, anxiety, and self-criticism in a group of Iranian depressed patients. Iranian Journal of Psychiatry, 8(3), 113–117.PubMedPubMedCentral Noorbala, F., Borjali, A., Ahmadian-Attari, M. M., & Noorbala, A. A. (2013). Effectiveness of compassionate mind training on depression, anxiety, and self-criticism in a group of Iranian depressed patients. Iranian Journal of Psychiatry, 8(3), 113–117.PubMedPubMedCentral
go back to reference Sommers-Spijkerman, M., Trompetter, H. R., Schreurs, K., & Bohlmeijer, E. T. (2018). Compassion-focused therapy as guided self-help for enhancing public mental health: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 86(2), 101–115. https://doi.org/10.1037/ccp0000268.CrossRefPubMed Sommers-Spijkerman, M., Trompetter, H. R., Schreurs, K., & Bohlmeijer, E. T. (2018). Compassion-focused therapy as guided self-help for enhancing public mental health: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 86(2), 101–115. https://​doi.​org/​10.​1037/​ccp0000268.CrossRefPubMed
go back to reference Shakurnia, A., Mohtadi, H., & Elhampour, H. L. (2013). Students’ problems presented upon attending in the University Counseling Centers of Ahvaz Jundishapur University of Medical Sciences. Iranian Journal of Medical Education, 13(5), 424–434. Shakurnia, A., Mohtadi, H., & Elhampour, H. L. (2013). Students’ problems presented upon attending in the University Counseling Centers of Ahvaz Jundishapur University of Medical Sciences. Iranian Journal of Medical Education, 13(5), 424–434.
Metagegevens
Titel
A Preliminary Investigation on the Effectiveness of Compassionate Mind Training for Students with Major Depressive Disorder: a Randomized Controlled Trial
Auteurs
Yasaman Savari
Hossein Mohagheghi
Nicola Petrocchi
Publicatiedatum
06-01-2021
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 5/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-020-01584-3