Skip to main content
Top
Gepubliceerd in: Mindfulness 1/2021

01-10-2020 | ORIGINAL PAPER

Mindful Self-Compassion (MSC) with Veterans: a Program Evaluation

Auteurs: John Greg Serpa, Christine P. Bourey, Ghislene N. Adjaoute, Jessica M. Pieczynski

Gepubliceerd in: Mindfulness | Uitgave 1/2021

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

This pilot study explores the impact of Mindful Self-Compassion (MSC) in veterans. Self-compassion, the capacity to hold one’s suffering with kindness and a wish to alleviate it, is associated with improvements in well-being. Veterans have more medical conditions than non-veterans and higher prevalence rates of severe pain. Acceptability of the intervention with veterans is assessed along with the impact of MSC on the physical, mental, and social health of the participants.

Methods

A racially diverse, predominantly male group of veterans (n = 80) were assessed pre- and post-MSC group with the Patient-Reported Outcomes Measurement Information System (PROMIS) to evaluate physical, mental, and social health. Measures of self-compassion, happiness, self-report medication usage, and a global assessment of improvement measure were also included. Qualitative responses to the MSC program were also solicited and reviewed.

Results

Engagement with MSC was high (74% completion rate) and 96% of treatment completers rated their participation in the intervention as positive. Completers demonstrated small to medium effect size increases in self-compassion, happiness, and social role satisfaction, 95% CIs (− 6.13, − 2.65), (− 2.62, − 1.06), and (− 4.28, − 1.05), and decreases in depression, anxiety, fatigue, and pain interference, 95% CIs (0.44, 4.13), (0.57, 4.84), (0.43, 3.71), and (0.13, 2.70). In exploratory analyses related to pain, veterans taking pain medication reported a significant decrease in use (χ2(2, N = 47) = 24.30, p < .001).

Conclusions

These results are suggestive of the positive effects of the MSC intervention to veterans, but await a randomized controlled trial to establish its effectiveness in this population.
Literatuur
go back to reference Amtmann, D., Cook, K. F., Jensen, M. P., Chen, W. H., Choi, S., Revicki, D., et al. (2010). Development of a PROMIS item bank to measure pain interference. Pain, 150(1), 173–182.PubMedPubMedCentralCrossRef Amtmann, D., Cook, K. F., Jensen, M. P., Chen, W. H., Choi, S., Revicki, D., et al. (2010). Development of a PROMIS item bank to measure pain interference. Pain, 150(1), 173–182.PubMedPubMedCentralCrossRef
go back to reference Dahm, K. A., Meyer, E. C., Neff, K. D., Kimbrel, N. A., Gulliver, S. B., & Morissette, S. B. (2015). Mindfulness, self-compassion, posttraumatic stress disorder symptoms, and functional disability in US Iraq and Afghanistan war veterans. Journal of Traumatic Stress, 28(5), 460–464.PubMedPubMedCentralCrossRef Dahm, K. A., Meyer, E. C., Neff, K. D., Kimbrel, N. A., Gulliver, S. B., & Morissette, S. B. (2015). Mindfulness, self-compassion, posttraumatic stress disorder symptoms, and functional disability in US Iraq and Afghanistan war veterans. Journal of Traumatic Stress, 28(5), 460–464.PubMedPubMedCentralCrossRef
go back to reference Eber, S., Barth, S., Kang, H., Mahan, C., Dursa, E., & Schneiderman, A. (2013). The National Health Study for a new generation of United States veterans: methods for a large-scale study on the health of recent veterans. Military Medicine, 178(9), 966–969.PubMedCrossRef Eber, S., Barth, S., Kang, H., Mahan, C., Dursa, E., & Schneiderman, A. (2013). The National Health Study for a new generation of United States veterans: methods for a large-scale study on the health of recent veterans. Military Medicine, 178(9), 966–969.PubMedCrossRef
go back to reference Eibner, C., Krull, H., Brown, K. M., Cefalu, M., Mulcahy, A. W., Pollard, M., et al. (2016). Current and projected characteristics and unique health care needs of the patient population served by the Department of Veterans Affairs. Rand Health Quarterly, 5(4). Eibner, C., Krull, H., Brown, K. M., Cefalu, M., Mulcahy, A. W., Pollard, M., et al. (2016). Current and projected characteristics and unique health care needs of the patient population served by the Department of Veterans Affairs. Rand Health Quarterly, 5(4).
go back to reference Espejo, E. P., Castriotta, N., Bessonov, D., Kawamura, M., Werdowatz, E. A., & Ayers, C. R. (2016). A pilot study of transdiagnostic group cognitive–behavioral therapy for anxiety in a veteran sample. Psychological Services, 13(2), 162.PubMedCrossRef Espejo, E. P., Castriotta, N., Bessonov, D., Kawamura, M., Werdowatz, E. A., & Ayers, C. R. (2016). A pilot study of transdiagnostic group cognitive–behavioral therapy for anxiety in a veteran sample. Psychological Services, 13(2), 162.PubMedCrossRef
go back to reference Ferrari, M., Hunt, C., Harrysunker, A., Abbott, M. J., Beath, A. P., & Einstein, D. A. (2019). Self-compassion interventions and psychosocial outcomes: a meta-analysis of RCTs. Mindfulness, 10(8), 1455–1473.CrossRef Ferrari, M., Hunt, C., Harrysunker, A., Abbott, M. J., Beath, A. P., & Einstein, D. A. (2019). Self-compassion interventions and psychosocial outcomes: a meta-analysis of RCTs. Mindfulness, 10(8), 1455–1473.CrossRef
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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Germer, C., & Barnhofer, T. (2017). Mindfulness and compassion. In P. Gilbert (Ed.), Compassion: Concepts, research and applications (pp. 69–86). Abingdon: Routledge. Germer, C., & Barnhofer, T. (2017). Mindfulness and compassion. In P. Gilbert (Ed.), Compassion: Concepts, research and applications  (pp. 69–86). Abingdon: Routledge.
go back to reference Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856–867.PubMedCrossRef Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856–867.PubMedCrossRef
go back to reference Germer, C., & Neff, K. (2017). Mindful self-compassion teacher guide. San Diego: Center for Mindful Self-Compassion. Germer, C., & Neff, K. (2017). Mindful self-compassion teacher guide. San Diego: Center for Mindful Self-Compassion.
go back to reference Germer, C., Neff, K., Becker, M., & Hickman, S. (2015). MSC Teacher Guide. San Diego: Center for Mindful Self-Compassion. Germer, C., Neff, K., Becker, M., & Hickman, S. (2015). MSC Teacher Guide. San Diego: Center for Mindful Self-Compassion.
go back to reference Goldberg, S. B., Zeliadt, S. B., Hoggatt, K. J., Simpson, T. L., Fortney, J. C., & Taylor, S. L. (2019). Utilization and perceived effectiveness of mindfulness meditation in veterans: results from a national survey. Mindfulness, 10(12), 2596–2605.CrossRef Goldberg, S. B., Zeliadt, S. B., Hoggatt, K. J., Simpson, T. L., Fortney, J. C., & Taylor, S. L. (2019). Utilization and perceived effectiveness of mindfulness meditation in veterans: results from a national survey. Mindfulness, 10(12), 2596–2605.CrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Hildebrandt, L. K., McCall, C., & Singer, T. (2017). Differential effects of attention-, compassion-, and socio-cognitively based mental practices on self-reports of mindfulness and compassion. Mindfulness, 8(6), 1488–1512.PubMedPubMedCentralCrossRef Hildebrandt, L. K., McCall, C., & Singer, T. (2017). Differential effects of attention-, compassion-, and socio-cognitively based mental practices on self-reports of mindfulness and compassion. Mindfulness, 8(6), 1488–1512.PubMedPubMedCentralCrossRef
go back to reference Kabat-Zinn, J. (2003). Mindfulness-based stress reduction (MBSR). Constructivism in the Human Sciences, 8(2), 73. Kabat-Zinn, J. (2003). Mindfulness-based stress reduction (MBSR). Constructivism in the Human Sciences, 8(2), 73.
go back to reference Kearney, D. J., Malte, C. A., McManus, C., Martinez, M. E., Felleman, B., & Simpson, T. L. (2013). Loving-kindness meditation for posttraumatic stress disorder: a pilot study. Journal of Traumatic Stress, 26(4), 426–434.PubMedCrossRef Kearney, D. J., Malte, C. A., McManus, C., Martinez, M. E., Felleman, B., & Simpson, T. L. (2013). Loving-kindness meditation for posttraumatic stress disorder: a pilot study. Journal of Traumatic Stress, 26(4), 426–434.PubMedCrossRef
go back to reference 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(6), 778–792.PubMedCrossRef 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(6), 778–792.PubMedCrossRef
go back to reference Lang, A. J., Malaktaris, A. L., Casmar, P., Baca, S. A., Golshan, S., Harrison, T., & Negi, L. (2019). Compassion meditation for posttraumatic stress disorder in veterans: a randomized proof of concept study. Journal of Traumatic Stress, 32(2), 299–309.PubMedCrossRef Lang, A. J., Malaktaris, A. L., Casmar, P., Baca, S. A., Golshan, S., Harrison, T., & Negi, L. (2019). Compassion meditation for posttraumatic stress disorder in veterans: a randomized proof of concept study. Journal of Traumatic Stress, 32(2), 299–309.PubMedCrossRef
go back to reference LeBeau, R., Izquierdo, C., Culver, N., Karahalios, D., & Serpa, J. G. (2018). A pilot study examining the effect of integrative tinnitus management (ITM) on tinnitus distress and depression symptoms in veterans. Psychological Services, 17(2), 227–232.PubMedCrossRef LeBeau, R., Izquierdo, C., Culver, N., Karahalios, D., & Serpa, J. G. (2018). A pilot study examining the effect of integrative tinnitus management (ITM) on tinnitus distress and depression symptoms in veterans. Psychological Services, 17(2), 227–232.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Nahin, R. L. (2017). Severe pain in veterans: the effect of age and sex, and comparisons with the general population. The Journal of Pain, 18(3), 247–254.PubMedCrossRef Nahin, R. L. (2017). Severe pain in veterans: the effect of age and sex, and comparisons with the general population. The Journal of Pain, 18(3), 247–254.PubMedCrossRef
go back to reference National Research Council. (2010). The prevention and treatment of missing data in clinical trials. Panel on Handling Missing Data in Clinical Trials. Committee on National Statistics, Division of Behavioral and Social Sciences and Education. Washington, DC: The National Academic Press. National Research Council. (2010). The prevention and treatment of missing data in clinical trials. Panel on Handling Missing Data in Clinical Trials. Committee on National Statistics, Division of Behavioral and Social Sciences and Education. Washington, DC: The National Academic Press.
go back to reference Neff, K. (2016). The Self-Compassion Scale is a valid and theoretically coherent measure of self-compassion. Mindfulness, 7(1), 264–274.CrossRef Neff, K. (2016). The Self-Compassion Scale is a valid and theoretically coherent measure of self-compassion. Mindfulness, 7(1), 264–274.CrossRef
go back to reference Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44.PubMedCrossRef Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44.PubMedCrossRef
go back to reference Pleil, A. M., Coyne, K. S., Reese, P. R., Jumadilova, Z., Rovner, E. S., & Kelleher, C. J. (2005). The validation of patient-rated global assessments of treatment benefit, satisfaction, and willingness to continue—the BSW. Value in Health, 8, S25–S34.PubMedCrossRef Pleil, A. M., Coyne, K. S., Reese, P. R., Jumadilova, Z., Rovner, E. S., & Kelleher, C. J. (2005). The validation of patient-rated global assessments of treatment benefit, satisfaction, and willingness to continue—the BSW. Value in Health, 8, S25–S34.PubMedCrossRef
go back to reference Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley. Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley.
go back to reference Schnitzer, T. J., Easton, R., Pang, S., Levinson, D. J., Pixton, G., Viktrup, L., ... & Verburg, K. M. (2019). Effect of tanezumab on joint pain, physical function, and patient global assessment of osteoarthritis among patients with osteoarthritis of the hip or knee: a randomized clinical trial. Journal of the American Medical Association, 322(1), 37–48. Schnitzer, T. J., Easton, R., Pang, S., Levinson, D. J., Pixton, G., Viktrup, L., ... & Verburg, K. M. (2019). Effect of tanezumab on joint pain, physical function, and patient global assessment of osteoarthritis among patients with osteoarthritis of the hip or knee: a randomized clinical trial. Journal of the American Medical Association, 322(1), 37–48.
go back to reference Seal, K. H., Metzler, T. J., Gima, K. S., Bertenthal, D., Maguen, S., & Marmar, C. R. (2009). Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002–2008. American Journal of Public Health, 99(9), 1651–1658.PubMedPubMedCentralCrossRef Seal, K. H., Metzler, T. J., Gima, K. S., Bertenthal, D., Maguen, S., & Marmar, C. R. (2009). Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002–2008. American Journal of Public Health, 99(9), 1651–1658.PubMedPubMedCentralCrossRef
go back to reference Serpa, J. G., Taylor, S. L., & Tillisch, K. (2014). Mindfulness-based stress reduction (MBSR) reduces anxiety, depression, and suicidal ideation in veterans. Medical Care, 52, S19–S24.PubMedCrossRef Serpa, J. G., Taylor, S. L., & Tillisch, K. (2014). Mindfulness-based stress reduction (MBSR) reduces anxiety, depression, and suicidal ideation in veterans. Medical Care, 52, S19–S24.PubMedCrossRef
go back to reference Shi, Q., Mendoza, T. R., & Cleeland, C. S. (2019). Interpreting patient-reported outcome scores for clinical research and practice: definition, determination, and application of cutpoints. Medical Care, 57, S8–S12.PubMedCrossRef Shi, Q., Mendoza, T. R., & Cleeland, C. S. (2019). Interpreting patient-reported outcome scores for clinical research and practice: definition, determination, and application of cutpoints. Medical Care, 57, S8–S12.PubMedCrossRef
Metagegevens
Titel
Mindful Self-Compassion (MSC) with Veterans: a Program Evaluation
Auteurs
John Greg Serpa
Christine P. Bourey
Ghislene N. Adjaoute
Jessica M. Pieczynski
Publicatiedatum
01-10-2020
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 1/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-020-01508-1

Andere artikelen Uitgave 1/2021

Mindfulness 1/2021 Naar de uitgave