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15-10-2021 | REVIEW

Meta-analysis of Self-compassion Interventions for Pain and Psychological Symptoms Among Adults with Chronic Illness

Auteurs: Erin G. Mistretta, Mary C. Davis

Gepubliceerd in: Mindfulness | Uitgave 2/2022

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Abstract

Objectives

Self-compassion interventions are increasingly used to address mental and physical health outcomes in individuals with chronic illness. This review integrates the available evidence to (1) determine the extent to which self-compassion interventions improve mental and physical health among adults with chronic illness, (2) investigate moderators of effect size, and (3) situate the current findings in the context of current practice of evidence-based approaches.

Methods

Randomized and non-randomized clinical trials (RCTs) that evaluated self-compassion interventions among samples of adults with chronic illness (N = 21) were included in a meta-analysis that employed random effects models. Outcomes included depressive symptoms, anxiety symptoms, pain, quality of life, and self-compassion.

Results

Overall, the studies included in the review were of low quality. Findings provided evidence that self-compassion interventions improved all within-person outcomes from pre- to post-intervention. In addition, self-compassion interventions had small effects on improvement in self-compassion compared to controls. Initial results showed small effects on improvement in depressive symptoms compared to controls, which became nonsignificant after trim-and-fill analyses. Length of intervention was a moderator of within-subject depressive symptoms and type of control condition and age were moderators of within-subject self-compassion.

Conclusions

Compared to current evidence-based approaches, self-compassion interventions have small effects on improved self-compassion in individuals with chronic illness. However, more rigorous RCTs that include follow-up assessments are needed prior to determining whether self-compassion interventions are an effective treatment for co-morbid mental and physical health challenges among adults with chronic illness.
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Metagegevens
Titel
Meta-analysis of Self-compassion Interventions for Pain and Psychological Symptoms Among Adults with Chronic Illness
Auteurs
Erin G. Mistretta
Mary C. Davis
Publicatiedatum
15-10-2021
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-021-01766-7