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31-03-2016 | ORIGINAL PAPER

Experiences of Changes in Self-Compassion Following Mindfulness-Based Intervention with a Cancer Population

Auteurs: Kylie L’Estrange, Ladislav Timulak, Louise Kinsella, Paul D’Alton

Gepubliceerd in: Mindfulness | Uitgave 3/2016

Abstract

Research over the past decade has consistently identified self-compassion as correlated with a variety of indicators of psychological wellbeing, and as increasing through mindfulness-based interventions (MBI). The potential processes linking MBI with enhanced self-compassion outcomes are less clear however. This study qualitatively explored experiences of changes in self-relating, in particular self-compassion, following MBI for individuals who had undergone cancer treatment. Ten participants were interviewed 4–6 weeks following MBI. Transcripts were analysed using a descriptive-interpretive approach. The results were captured under three domains: shifts in relating to self and others (i.e., releasing from pressured driving of the self; reducing absorption in negative self-relating cycles; enhancing connection with self and others; and asserting boundaries with others); experiences of self-compassion (i.e., prioritising time for the self; being less pressurising towards the self; accounting for own needs in relationships; and systemic influences impacting self-compassion); and processes which potentially facilitate changes in self-compassion (i.e., facing vulnerabilities; group identification; and facilitator guidance). Descriptions of shifts in pressured driving and interpersonal relating extend current understanding of the experience of self-compassion and MBI. Areas for future research are proposed, including a greater focus on the role of facilitators and on the interpersonal implications of self-compassion.

vorige artikel Mindfulness Promotes the Ability to Deliver Performance in Highly Demanding Situations

volgende artikel The Effects of a Brief Mindfulness Exercise on Executive Attention and Recognition Memory

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Meer informatie

Allen, M., Bromley, A., Kuyken, W., & Sonnenberg, S. J. (2009). Participants’ experiences of mindfulness-based cognitive therapy: “It changed me in just about every way possible”. Behavioural and Cognitive Psychotherapy, 37(4), 413–30. doi: 10.1017/S135246580999004X. CrossRefPubMed

Allen, A. B., Goldwasser, E. R., & Leary, M. R. (2012). Self-compassion and well-being among older adults. Self and Identity, 11(4), 428–453. doi: 10.1080/15298868.2011.595082. CrossRefPubMedPubMedCentral

Arch, J. J., Brown, K. W., Dean, D. J., Landy, L. N., Brown, K. D., & Laudenslager, M. L. (2014). Self-compassion training modulates alpha-amylase, heart rate variability, and subjective responses to social evaluative threat in women. Psychoneuroendocrinology, 42, 49–58. doi: 10.1016/j.psyneuen.2013.12.018. CrossRefPubMedPubMedCentral

Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. doi: 10.1093/clipsy/bpg015.

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. doi: 10.1177/1073191105283504. CrossRefPubMed

Barnard, L. K., & Curry, J. F. (2011). Self-compassion: conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303. doi: 10.1037/a0025754. CrossRef

Bihari, J. L. N., & Mullan, E. G. (2014). Relating mindfully: a qualitative exploration of changes in relationships through mindfulness-based cognitive therapy. Mindfulness, 5(1), 46–59. doi: 10.1007/s12671-012-0146-x. CrossRef

Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007). Mindfulness: theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18(4), 211–237. doi: 10.1080/10478400701598298. CrossRef

Carlson, L. E., Angen, M., Cullum, J., Goodey, E., Koopmans, J., Lamont, L., MacRae, J. H., et al. (2004a). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90(12), 2297–304. doi: 10.1038/sj.bjc.6601887. PubMedPubMedCentral

Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (2004b). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology, 29(4), 448–474. doi: 10.1016/S0306-4530(03)00054-4. CrossRefPubMed

Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review, 29(6), 560–72. doi: 10.1016/j.cpr.2009.06.005. CrossRefPubMed

Costa, J., & Pinto-Gouveia, J. (2011). Acceptance of pain, self-compassion and psychopathology: using the chronic pain acceptance questionnaire to identify patients’ subgroups. Clinical Psychology & Psychotherapy, 18(4), 292–302. doi: 10.1002/cpp.718. CrossRef

Dobkin, P. L. (2008). Mindfulness-based stress reduction: what processes are at work? Complementary Therapies in Clinical Practice, 14(1), 8–16. doi: 10.1016/j.ctcp.2007.09.004. CrossRefPubMed

Dunn, C., Hanieh, E., Roberts, R., & Powrie, R. (2012). Mindful pregnancy and childbirth: effects of a mindfulness-based intervention on women’s psychological distress and well-being in the perinatal period. Archives of Women’s Mental Health, 15(2), 139–43. doi: 10.1007/s00737-012-0264-4. CrossRefPubMed

Elliott, R., & Timulak, L. (2005). Descriptive and interpretive approaches to qualitative research. In J. Miles & P. Gilbert (Eds.), A handbook of research methods in clinical and health psychology (pp. 147–159). Oxford: Oxford University Press.

Elliott, R., Fischer, C. T., & Rennie, D. L. (1999). Evolving guidelines for publication of qualitative research studies in psychology and related fields. British Journal of Clinical Psychology, 38, 215–229. CrossRefPubMed

Feldman, C., & Kuyken, W. (2011). Compassion in the landscape of suffering. Contemporary Buddhism, 12(1), 143–155. doi: 10.1080/14639947.2011.564831. CrossRef

Flick, U. (2006). An introduction to qualitative research. London: Sage.

Foley, E., Baillie, A., Huxter, M., Price, M., & Sinclair, E. (2010). Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 78(1), 72–9. doi: 10.1037/a0017566. CrossRefPubMed

Gilbert, P. (2007). Evolved minds and compassion in the therapeutic relationship. In P. Gilbert & R. Leahy (Eds.), The therapeutic relationship in the cognitive behavioral psychotherapies. New York: Routledge.

Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15(3), 199–208. doi: 10.1192/apt.bp.107.005264. CrossRef

Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13, 353–379. doi: 10.1002/cpp. CrossRef

Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011). Fears of compassion: development of three self-report measures. Psychology and Psychotherapy, 84(3), 239–55. doi: 10.1348/147608310X526511. CrossRefPubMed

Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory. New York: Aldine de Gruyter.

Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43. doi: 10.1016/S0022-3999(03)00573-7. CrossRefPubMed

Hawley, L. L., Schwartz, D., Bieling, P. J., Irving, J., Corcoran, K., Farb, N. A. S., Anderson, A. K., et al. (2013). Mindfulness practice, rumination and clinical outcome in mindfulness-based treatment. Cognitive Therapy and Research, 38(1), 1–9. doi: 10.1007/s10608-013-9586-4. CrossRef

Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. doi: 10.1016/j.brat.2005.06.006. CrossRefPubMed

Hill, C. E., Thompson, B. J., & Williams, E. N. (1997). A guide to conducting consensual qualitative research. The Counseling Psychologist, 25(4), 517–572. CrossRef

Hoffman, C. J., Ersser, S. J., & Hopkinson, J. B. (2012). Mindfulness-based stress reduction in breast cancer: a qualitative analysis. Complementary Therapies in Clinical Practice, 18(4), 221–6. doi: 10.1016/j.ctcp.2012.06.008. CrossRefPubMed

Hollis-Walker, L., & Colosimo, K. (2011). Mindfulness, self-compassion, and happiness in non-meditators: a theoretical and empirical examination. Personality and Individual Differences, 50(2), 222–227. doi: 10.1016/j.paid.2010.09.033. CrossRef

Holzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559. doi: 10.1177/1745691611419671. CrossRefPubMed

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47. CrossRefPubMed

Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and chronic illness. New York, NY: Delta Trade Paperback/Bantam Dell.

Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M.-A., et al. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–71. doi: 10.1016/j.cpr.2013.05.005. CrossRefPubMed

Koch, L., Jansen, L., Brenner, H., & Arndt, V. (2013). Fear of recurrence and disease progression in long-term (≥5 years) cancer survivors—a systematic review of quantitative studies. Psycho-Oncology, 22, 1–11. doi: 10.1002/pon. CrossRefPubMed

Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., Evans, A., et al. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48(11), 1105–1112. doi: 10.1016/j.brat.2010.08.003. CrossRefPubMed

Kvillemo, P., & Bränström, R. (2011). Experiences of a mindfulness-based stress-reduction intervention among patients with cancer. Cancer Nursing, 34(1), 24–31. doi: 10.1097/NCC.0b013e3181e2d0df. CrossRefPubMed

Ledesma, D., & Kumano, H. (2009). Mindfulness-based stress reduction and cancer: a meta-analysis. Psycho-Oncology, 18(6), 571–9. doi: 10.1002/pon.1400. CrossRefPubMed

Lengacher, C. A., Johnson-Mallard, V., Post-White, J., Moscoso, M. S., Jacobsen, P. B., Klein, T. W., Widen, R. H., et al. (2009). Randomized controlled trial of mindfulness-based stress reduction (MBSR) for survivors of breast cancer. Psycho-Oncology, 18, 1261–1272. doi: 10.1002/pon. CrossRefPubMed

Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J. C., Kanter, J., & Comtois, K. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder. The American Journal of Addictions, 8, 279–292. CrossRef

MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–52. doi: 10.1016/j.cpr.2012.06.003. CrossRefPubMed

Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., & Meader, N. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. The Lancet Oncology, 12(2), 160–74. doi: 10.1016/S1470-2045(11)70002-X. CrossRefPubMed

National Institute for Health and Care Excellence. (2004). Improving supportive and palliative care for adults with cancer. London: National Institute for Health and Care Excellence. Retrieved from http://www.nice.org.uk/nicemedia/live/10893/28816/28816.pdf.

Neff, K. D. (2003a). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101. doi: 10.1080/15298860390129863. CrossRef

Neff, K. D. (2003b). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. doi: 10.1080/15298860390209035. CrossRef

Neff, K. D. (2012). The science of self-compassion. In C. Germer & R. Siegel (Eds.), Compassion and wisdom in psychotherapy (pp. 79–92). New York: Guilford Press.

Neff, K. D., & Beretvas, S. N. (2013). The role of self-compassion in romantic relationships. Self and Identity, 12(1), 78–98. doi: 10.1080/15298868.2011.639548. CrossRef

Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9(3), 225–240. doi: 10.1080/15298860902979307. CrossRef

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. 78–106). Oakland: Context Press/New Harbinger Publications.

Neff, K. D., Hsieh, Y. P., & Dejitterat, K. (2005). Self-compassion, achievement goals, and coping with academic failure. Self and Identity, 4(3), 263–287. doi: 10.1080/13576500444000317. CrossRef

Neff, K. D., Kirkpatrick, K. L., & Rude, S. S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41(1), 139–154. doi: 10.1016/j.jrp.2006.03.004. CrossRef

Neff, K. D., Pisitsungkagarn, K., & Hsieh, Y. P. (2008). Self-Compassion and self-construal in the United States, Thailand, and Taiwan. Journal of Cross-Cultural Psychology, 39(3), 267–285. doi: 10.1177/0022022108314544. CrossRef

Patsiopoulos, A. T., & Buchanan, M. J. (2011). The practice of self-compassion in counseling: a narrative inquiry. Professional Psychology: Research and Practice, 42(4), 301–307. doi: 10.1037/a0024482. CrossRef

Pauley, G., & McPherson, S. (2010). The experience and meaning of compassion and self-compassion for individuals with depression or anxiety. Psychology and Psychotherapy, 83(Pt 2), 129–143. doi: 10.1348/147608309X471000. CrossRefPubMed

Piet, J., Würtzen, H., & Zachariae, R. (2012). The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: a systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 76(1), 116–24. doi: 10.1037/a0028329.

Pinto-Gouveia, J., Duarte, C., Matos, M., & Fráguas, S. (2013). The protective role of self-compassion in relation to psychopathology symptoms and quality of life in chronic and in cancer patients. Clinical Psychology & Psychotherapy. doi: 10.1002/cpp.1838.

Przezdziecki, A., Sherman, K. A., Baillie, A., Taylor, A., Foley, E., & Stalgis-bilinski, K. (2013). My changed body: breast cancer, body image, distress and self-compassion. Psycho-Oncology, 22(8), 1872–9. doi: 10.1002/pon. CrossRefPubMed

Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48(6), 757–761. doi: 10.1016/j.paid.2010.01.023. CrossRef

Raque-Bogdan, T. L., Ericson, S. K., Jackson, J., Martin, H. M., & Bryan, N. A. (2011). Attachment and mental and physical health: self-compassion and mattering as mediators. Journal of Counseling Psychology, 58(2), 272–8. doi: 10.1037/a0023041. CrossRefPubMed

Rimes, K. A., & Wingrove, J. (2011). Pilot study of mindfulness-based cognitive therapy for trainee clinical psychologists. Behavioural and Cognitive Psychotherapy, 39(2), 235–41. doi: 10.1017/S1352465810000731. CrossRefPubMed

Robins, C. J., Keng, S. L., Ekblad, A. G., & Brantley, J. G. (2012). Effects of mindfulness-based stress reduction on emotional experience and expression: a randomized controlled trial. Journal of Clinical Psychology, 68(1), 117–31. doi: 10.1002/jclp.20857. CrossRefPubMed

Samaie, G., & Farahani, H. A. (2011). Self-compassion as a moderator of the relationship between rumination, self-reflection and stress. Procedia - Social and Behavioral Sciences, 30, 978–982. doi: 10.1016/j.sbspro.2011.10.190. CrossRef

Segal, Z. V., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford.

Segal, Z. V., Williams, M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford.

Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomized trial. International Journal of Stress Management, 12(2), 164–176. doi: 10.1037/1072-5245.12.2.164. CrossRef

Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386. doi: 10.1002/jclp. CrossRefPubMed

Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1(2), 105–115. doi: 10.1037/1931-3918.1.2.105. CrossRef

Shennan, C., Payne, S., & Fenlon, D. (2011). What is the evidence for the use of mindfulness-based interventions in cancer care? A review. Psycho-Oncology, 20, 681–697. doi: 10.1002/pon. CrossRefPubMed

Speca, M., Carlson, L. E., Goodey, E., & Angen, M. (2000). A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62(5), 613–22. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11020090.

Strauss, A., & Corbin, J. (1998). Basics of qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks: Sage.

van der Lee, M. L., & Garssen, B. (2012). Mindfulness-based cognitive therapy reduces chronic cancer-related fatigue: a treatment study. Psycho-Oncology, 21, 263–272. doi: 10.1002/pon.

Vettese, L. C., Dyer, C. E., Li, W. L., & Wekerle, C. (2011). Does self-compassion mitigate the association between childhood maltreatment and later emotion regulation difficulties? A preliminary investigation. International Journal of Mental Health and Addiction, 9(5), 480–491. doi: 10.1007/s11469-011-9340-7. CrossRef

Weitz, M. V., Fisher, K., & Lachman, V. D. (2012). The journey of women with breast cancer who engage in mindfulness-based stress reduction: a qualitative exploration. Holistic Nursing Practice, 26(1), 22–9. doi: 10.1097/HNP.0b013e31823c008b. CrossRefPubMed

Wren, A. A., Somers, T. J., Wright, M. A., Goetz, M. C., Leary, M. R., Fras, A. M., Huh, B. K., et al. (2012). Self-compassion in patients with persistent musculoskeletal pain: relationship of self-compassion to adjustment to persistent pain. Journal of Pain and Symptom Management, 43(4), 759–70. doi: 10.1016/j.jpainsymman.2011.04.014. CrossRefPubMed

Würtzen, H., Dalton, S. O., Elsass, P., Sumbundu, A. D., Steding-Jensen, M., Karlsen, R. V., Andersen, K. K., et al. (2013). Mindfulness significantly reduces self-reported levels of anxiety and depression: results of a randomised controlled trial among 336 Danish women treated for stage I-III breast cancer. European Journal of Cancer, 49(6), 1365–73. doi: 10.1016/j.ejca.2012.10.030. CrossRefPubMed

Yarnell, L. M., & Neff, K. D. (2013). Self-compassion, interpersonal conflict resolutions, and well-being. Self and Identity, 12(2), 146–159. doi: 10.1080/15298868.2011.649545. CrossRef

Titel: Experiences of Changes in Self-Compassion Following Mindfulness-Based Intervention with a Cancer Population
Auteurs: Kylie L’Estrange
Ladislav Timulak
Louise Kinsella
Paul D’Alton
Publicatiedatum: 31-03-2016
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 3/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-016-0513-0

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