Swipe om te navigeren naar een ander artikel
The online version of this article (https://doi.org/10.1007/s12671-018-1037-6) contains supplementary material, which is available to authorized users.
This systematic review and meta-analysis investigated whether self-compassion-related therapies, including compassion-focussed therapy, mindfulness-based cognitive therapy and acceptance and commitment therapy, are effective in promoting self-compassion and reducing psychopathology in clinical and subclinical populations. A total of 22 randomised controlled trials met inclusion criteria, with data from up to 1172 individuals included in each quantitative analysis. Effect sizes were the standardised difference in change scores between intervention and control groups. Results indicated that self-compassion-related therapies produced greater improvements in all three outcomes examined: self-compassion (g = 0.52, 95% CIs [0.32, 0.71]), anxiety (g = 0.46, 95% CIs [0.25, 0.66]) and depressive symptoms (g = 0.40, 95% CIs [0.23, 0.57]). However, when analysis was restricted to studies that compared self-compassion-related therapies to active control conditions, change scores were not significantly different between the intervention and control groups for any of the outcomes. Patient status (clinical vs. subclinical) and type of therapy (explicitly compassion-based vs. other compassion-related therapies, e.g. mindfulness) were not moderators of outcome. There was some evidence that self-compassion-related therapies brought about greater improvements in the negative than the positive subscales of the Self-Compassion Scale, although a statistical comparison was not possible. The methodological quality of studies was generally good, although risk of performance bias due to a lack of blinding of participants and therapists was a concern. A narrative synthesis found that changes in self-compassion and psychopathology were correlated in several studies, but this relationship was observed in both intervention and control groups. Overall, this review presents evidence that third-wave therapies bring about improvements in self-compassion and psychopathology, although not over and beyond other interventions.
ESM 1 (DOCX 27 kb)12671_2018_1037_MOESM1_ESM.docx
Arimitsu, K. (2016). The effects of a program to enhance self-compassion in Japanese individuals: A randomized controlled pilot study, The Journal of Positive Psychology, 11(6), 559-571. https://doi.org/10.1080/17439760.2016.1152593. CrossRef
Armstrong, L., & Rimes, K. A. (2016). Mindfulness-based cognitive therapy for neuroticism (stress vulnerability): a pilot randomized study. Behavior Therapy, 47, 287–298. https://doi.org/10.1016/j.beth.2015.12.005. CrossRefPubMed
Beaumont, E., Durkin, M., McAndrew, S., & Martin, C. R. (2016). Using compassion focused therapy as an adjunct to trauma-focused CBT for fire service personnel suffering with trauma-related symptoms. The Cognitive Behaviour Therapist, 9, e34. https://doi.org/10.1017/S1754470X16000209. CrossRef
Centre for Reviews and Dissemination. (2009). Sytematic reviews: CRD’s guidance for undertaking reviews in healthcare. York: York Publishing Services URL: https://www.york.ac.uk/crd/guidance.
Clark, L. A., Watson, D., & Mineka, S. (1994). Temperament, personality, and the mood and anxiety disorders. Journal of Abnormal Psychology, 103, 103–116. https://doi.org/10.1037/0021-843X.103.1.103. CrossRefPubMed
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum Associates.
Collett, N., Pugh, K., Waite, F., & Freeman, D. (2016). Negative cognitions about the self in patients with persecutory delusions: an empirical study of self-compassion, self-stigma, schematic beliefs, self-esteem, fear of madness, and suicidal ideation. Psychiatry Research, 239, 79–84. https://doi.org/10.1016/j.psychres.2016.02.043. CrossRefPubMed
de Bruin, E. I., van der Zwan, J. E., & Bögels, S. M. (2016). A RCT comparing daily mindfulness meditations, biofeedback exercises, and daily physical exercise on attention control, executive functioning, mindful awareness, self-compassion, and worrying in stressed young adults. Mindfulness, 7, 1182–1192. https://doi.org/10.1007/s12671-016-0561-5. CrossRefPubMedPubMedCentral
Del Re, A. C. (2013). Compute.es: compute effect sizes. R package version 0.2-2. URL: http://cran.r-project.org/web/packages/compute.es.
Downs, S. H., & Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology and Community Health, 52, 377–384. https://doi.org/10.1136/jech.52.6.377. CrossRefPubMedPubMedCentral
Duval, S., & Tweedie, R. (2000). Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56, 455–463. https://doi.org/10.1111/j.0006-341X.2000.00455.x. CrossRef
Eisendrath, S. J., Gillung, E., Delucchi, K. L., Segal, Z. V., Nelson, J. C., McInnes, L. A., … & Feldman, M. D. (2016). A randomized controlled trial of mindfulness-based cognitive therapy for treatment-resistant depression. Psychotherapy and Psychosomatics, 85, 99–110. doi: https://doi.org/10.1159/000442260 CrossRef
Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2013). Self-compassion in the face of shame and body image dissatisfaction: implications for eating disorders. Eating Behaviors, 14, 207–210. https://doi.org/10.1016/j.eatbeh.2013.01.005. CrossRefPubMed
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006. CrossRefPubMed
Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. San Diego: Academic.
Higgins, J. P. T. & Green, S. (2011). Cochrane handbook for systematic reviews of interventions version 5.1.0. The Cochrane Collaboration. URL: http://training.cochrane.org/handbook.
Hoffart, A., Øktedalen, T., & Langkaas, T. F. (2015). Self-compassion influences PTSD symptoms in the process of change in trauma-focused cognitive-behavioral therapies: a study of within-person processes. Frontiers in Psychology, 6, 1273. https://doi.org/10.3389/fpsyg.2015.01273. CrossRefPubMedPubMedCentral
Hou, R. J., Wong, S.Y-S, Yip, B. H-K., Hung, A. T. F., Lo, H. H-M., Chan, P. H. S., et al. (2013). The effects of mindfulness-based stress reduction program on the mental health of family caregivers: a randomized controlled trial. Psychotherapy and Psychosomatics, 83(1), 45-53. https://doi.org/10.1159/000353278. CrossRef
Hou, R. J., Wong, S. Y., Yip, B. H., Hung, A. T., Lo, H. H., Chan, P. H., … & Ma, S. H. (2014). The effects of mindfulness-based stress reduction program on the mental health of family caregivers: a randomized controlled trial. Psychotherapy and Psychosomatics, 83, 45–53. doi: https://doi.org/10.1159/000353278. CrossRef
Huijbers, M. J., Spinhoven, P., Spijker, J., Ruhé, H. G., van Schaik, D. J. F., van Oppen, P., et al. (2015). Adding mindfulness-based cognitive therapy to maintenance antidepressant medication for prevention of relapse/recurrence in major depressive disorder: randomised controlled trial. Journal of Affective Disorders, 187, 54–61. https://doi.org/10.1016/j.jad.2015.08.0230165-0327. CrossRefPubMed
Huijbers, M. J., Crane, R. S., Kuyken, W., Heijke, L., van den Hout, I., Donders, A. R. T., & Speckens, A. E. M. (2017). Teacher competence in mindfulness-based cognitive therapy for depression and its relation to treatment outcome. Mindfulness, 8, 960–972. https://doi.org/10.1007/s12671-016-0672-z. CrossRefPubMedPubMedCentral
Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delta.
Kelly, A. C., & Leybman, M. J. (2012). Calming your eating disorder voice with compassion. Unpublished manual.
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, 475–487. https://doi.org/10.1002/cpp.2018. CrossRef
Kingston, T., Collier, S., Hevey, D., McCormick, M. M., Besani, C., Cooney, J., & O’Dwyer, A. M. (2015). Mindfulness-based cognitive therapy for psycho-oncology patients: an exploratory study. Irish Journal of Psychological Medicine, 32, 265–274. https://doi.org/10.1017/ipm.2014.81. CrossRefPubMed
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, 778–792. https://doi.org/10.1016/j.beth.2017.06.003. CrossRefPubMed
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. The Journal of Alternative and Complementary Medicine, 22, 363–374. https://doi.org/10.1089/acm.2015.0108. CrossRefPubMed
Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., … & Dalgleish, T. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48, 1105–1112. doi: https://doi.org/10.1016/j.brat.2010.08.003 CrossRef
Langkaas, T. F., Hoffart, A., Øktedalen, T., Ulvenes, P. G., Hembree, E. A., & Smucker, M. (2017). Exposure and non-fear emotions: a randomized controlled study of exposure-based and rescripting-based imagery in PTSD treatment. Behaviour Research and Therapy, 97, 33–42. https://doi.org/10.1016/j.brat.2017.06.007. CrossRefPubMed
Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. New York: Guilford.
MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552. https://doi.org/10.1016/j.cpr.2012.06.003. CrossRefPubMed
Mackintosh, K. (2016). The effectiveness of compassion-focused and mindfulness-based psychological interventions in improving self-compassion in clinical populations. PROSPERO: International prospective register of systematic reviews. URL: http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42016033532.
Mann, J., Kuyken, W., O’Mahen, H., Ukoumunne, O. C., Evans, A., & Ford, T. (2016). Manual development and pilot randomised controlled trial of mindfulness-based cognitive therapy versus usual care for parents with a history of depression. Mindfulness, 7, 1024–1033. https://doi.org/10.1007/s12671-016-0543-7. CrossRefPubMedPubMedCentral
Neff, K. D., & Tirch, D. (2013). Self-compassion and ACT. In T. B. Kashdan & J. Ciarrochi (Eds.), Mindfulness, acceptance, and positive psychology: the seven foundations of well-being (pp. 79–107). Oakland: Context Press/New Harbinger Publications.
Newby, J. M., McKinnon, A., Kuyken, W., Gilbody, S., & Dalgleish, T. (2015). Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical Psychology Review, 40, 91–110. https://doi.org/10.1016/j.cpr.2015.06.002. CrossRefPubMed
Schanche, E., Stiles, T., McCullough, L., Svartberg, M., & Nielsen, G. (2011). The relationship between activating affects, inhibitory affects, and self-compassion in psychotherapy patients with Cluster C personality disorders. Psychotherapy, 48, 293–303. https://doi.org/10.1037/a0022012. CrossRefPubMed
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: Guilford.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford.
Shahar, B., Szepsenwol, O., Zilcha-Mano, S., Haim, N., Zamir, O., Levi-Yeshuvi, S., & Levit-Binnun, N. (2015). A wait-list randomized controlled trial of loving-kindness meditation programme for self-criticism. Clinical Psychology & Psychotherapy, 22, 346–356. https://doi.org/10.1002/cpp.1893. CrossRef
Van Dam, N. T., Hobkirk, A. L., Sheppard, S. C., Aviles-Andrews, R., & Earleywine, M. (2014). How does mindfulness reduce anxiety, depression, and stress? An exploratory examination of change processes in wait-list controlled mindfulness meditation training. Mindfulness, 5, 574–588. https://doi.org/10.1007/s12671-013-0229-3. CrossRef
Weisz, J. R., Kuppens, S., Eckshtain, D., Ugueto, A. M., Hawley, K. M., & Jensen-Doss, A. (2013). Performance of evidence-based youth psychotherapies compared with usual clinical care: a multilevel meta-analysis. JAMA Psychiatry, 70, 750–761. https://doi.org/10.1001/jamapsychiatry.2013.1176. CrossRef
Yadavaia, J. E., Hayes, S. C., & Vilardaga, R. (2014). Using acceptance and commitment therapy to increase self-compassion: a randomized controlled trial. Journal of Contextual Behavioral Science, 3, 248–257. https://doi.org/10.1016/j.jcbs.2014.09.002. CrossRefPubMedPubMedCentral
- Effectiveness of Self-Compassion Related Therapies: a Systematic Review and Meta-analysis
Alexander C. Wilson
Stella W. Y. Chan
- Springer US
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535