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17-04-2020 | ORIGINAL PAPER

Self-compassion and Fear of Self-compassion: Mechanisms Underlying the Link between Child Maltreatment Severity and Psychological Distress in College Women

Auteurs: Terri L. Messman-Moore, Prachi H. Bhuptani

Gepubliceerd in: Mindfulness | Uitgave 6/2020

Abstract

Objectives

Women are at increased risk for depression and anxiety associated with child maltreatment, given higher rates of exposure to childhood maltreatment and a greater sensitivity resulting in maltreatment-related distress. Thus, there is a need to identify mechanisms of resilience among female survivors of child maltreatment. Self-compassion may promote resilience, whereas fear of self-compassion may diminish this protective effect. Moreover, distinct facets of self-compassion (e.g., self-kindness) versus self-coldness (e.g., self-judgment) may differentially explain risk or resilience for child maltreatment outcomes.

Methods

College women (N = 586) completed anonymous online surveys assessing the severity of different types of child maltreatment, self-compassion, fear of self-compassion, depression, anxiety, and stress.

Results

Severity of sexual, physical, and emotional abuse, and emotional and physical neglect, was positively associated with elevated fear of self-compassion and the absence of self-compassion (i.e., self-coldness). In contrast, emotional abuse and neglect severity were the only maltreatment variables negatively associated with self-compassion. Models indicated an indirect relation between increased maltreatment severity and heightened psychological distress via fear of self-compassion and self-coldness (i.e., isolation, overidentification). Statistical patterns indicative of suppression among the positive facets of self-compassion occurred.

Conclusions

The centrality of emotional maltreatment, along with fear of self-compassion, isolation, and overidentification, emerged across analyses. Findings suggest the absence of self-compassion (i.e., self-coldness) is associated with specific forms of distress. Additional research with child maltreatment survivors should examine self-compassion components rather than a unidimensional construct.

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Beckstead, J. W. (2012). Isolating and examining sources of suppression and multicollinearity in multiple linear regression. Multivariate Behavioral Research, 47, 224–246. https://doi.org/10.1080/00273171.2012.658331.CrossRefPubMed

Bernstein, D. P., & Fink, L. (1998). Childhood Trauma Questionnaire: a retrospective self-report (CTQ). San Antonio: NCS Pearson.

Bifulco, A., Moran, P. M., Baines, R., Bunn, A., & Stanford, K. (2002). Exploring psychological abuse in childhood: II. Association with other abuse and adult clinical depression. Bulletin of the Menninger Clinic, 66, 241–258. https://doi.org/10.1521/bumc.66.3.241.23366.CrossRefPubMed

Bluth, K., Campo, R. A., Futch, W. S., & Gaylord, S. A. (2017). Age and gender differences in the associations of self-compassion and emotional well-being in a large adolescent sample. Journal of Youth and Adolescence, 46, 840–853. https://doi.org/10.1007/s10964-016-0567-2.CrossRefPubMed

Boykin, D. M., Himmerich, S. J., Pinciotti, C. M., Miller, L. M., Miron, L. R., & Orcutt, H. K. (2018). Barriers to self-compassion for female survivors of childhood maltreatment: the roles of fear of self-compassion and psychological inflexibility. Child Abuse & Neglect, 76, 216–224. https://doi.org/10.1016/j.chiabu.2017.11.003.CrossRef

Bravo, A. J., Villarosa-Hurlocker, M. C., Pearson, M. R., & Protective Strategies Study Team. (2018). College student mental health: an evaluation of the DSM-5 self-rated level 1 cross-cutting symptom measure. Psychological Assessment, 20, 1381–1389. https://doi.org/10.1037/pas0000628.CrossRef

Bryant-Davis, T. (2019). The cultural context of trauma recovery: considering the posttraumatic stress disorder practice guideline and intersectionality. Psychotherapy, 56, 400–408. https://doi.org/10.1037/pst0000241.CrossRefPubMed

Cohen, J. R., McNeil, S. L., Shorey, R. C., & Temple, J. R. (2019). Maltreatment subtypes, depressed mood, and anhedonia: a longitudinal study with adolescents. Psychological Trauma: Theory, Research, Practice, and Policy, 11(7), 704–712. https://doi.org/10.1037/tra0000418.CrossRef

DiLillo, D., Fortier, M. A., Hayes, S. A., Trask, E., Perry, A. R., Messman-Moore, T., Fauchier, A., & Nash, C. (2010). Retrospective assessment of childhood sexual and physical abuse: a comparison of scaled and behaviorally specific approaches. Assessment, 13, 297–312. https://doi.org/10.1177/1073191106288391.CrossRef

Edwards, V. J., Holden, G. W., Felitti, V., & Anda, R. F. (2003). Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: results from the adverse childhood experiences survey. American Journal of Psychiatry, 160, 1453–1460. https://doi.org/10.1176/appi.ajp.160.8.1453.CrossRefPubMed

Eller, L. S., Rivero-Mendez, M., Voss, J., Chen, W.-T., Chaiphibalsarisdi, P., Iipinge, S., et al. (2014). Depressive symptoms, self-esteem, HIV symptom management self-efficacy and self-compassion in people living with HIV. AIDS Care, 26, 795–803. https://doi.org/10.1080/095-40121.2013.841842.CrossRefPubMed

Evans, S. E., Steel, A., & DiLillo, D. (2013). Child maltreatment severity and adult trauma symptoms: does perceived social support play a buffering role? Child Abuse & Neglect, 37, 934–943. https://doi.org/10.1016/j.chiabu.2013.03.005.CrossRef

Fritz, J., de Graaff, A. M., Caisley, H., van Harmelen, A. L., & Wilkinson, P. O. (2018). A systematic review of amenable resilience factors that moderate and/or mediate the relationship between childhood adversity and mental health in young people. Frontiers in Psychiatry, 9, 230. https://doi.org/10.3389/fpsyt.2018.00230.CrossRefPubMedPubMedCentral

Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: overview and pilot study. Clinical Psychology and Psychotherapy, 13, 353–379. https://doi.org/10.1002/cpp.507.CrossRef

Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011). Fears of compassion: development of three self-report measures. Psychology and Psychotherapy: Theory, Research, and Practice, 84, 239–255. https://doi.org/10.1348/147608310X526511.CrossRef

Hagborg, J. M., Tidefors, I., & Fahlke, C. (2017). Gender differences in the association between emotional maltreatment with mental, emotional, and behavioral problems in Swedish adolescents. Child Abuse & Neglect, 67, 249–259. https://doi.org/10.1016/j.chiabu.2017.02.033.CrossRef

Hartford, T. C., Yi, H., & Grant, B. F. (2014). Associations between childhood abuse and interpersonal aggression and suicide attempt among U.S. adults in a national study. Child Abuse & Neglect, 38, 1389–1398. https://doi.org/10.1016/j.chiabu.2014.02.011.CrossRef

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: The Guilford Press.

Játiva, R., & Cerezo, M. A. (2014). The mediating role of self-compassion in the relationship between victimization and psychological maladjustment in a sample of adolescents. Child Abuse & Neglect, 38, 1180–1190. https://doi.org/10.1016/j.chiabu.2014.04.005.CrossRef

Körner, A., Coroiu, A., Copeland, L., Gomez-Garibello, C., Albani, C., Zenger, M., & Brähler, E. (2015). The role of self-compassion in buffering symptoms of depression in the general population. PLoS One, 10, e0136598. https://doi.org/10.1371/journal.pone.0136598.CrossRefPubMedPubMedCentral

Krieger, T., Berger, T., & Holtforth, M. G. (2016). The relationship of self-compassion and depression: cross-lagged panel analyses in depressed patients after outpatient therapy. Journal of Affective Disorders, 202, 39–45. https://doi.org/10.1016/j.jad.2016.05.032.CrossRefPubMed

Li, M., D’Arcy, C., & Meng, X. (2016). Maltreatment in childhood substantially increases the risk of adult depression and anxiety in prospective cohort studies: systematic review, meta-analysis, and proportional attributable fractions. Psychological Medicine, 46, 717–730. https://doi.org/10.1017/S0033291715002743.CrossRefPubMed

Little, R. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83(404), 1198–1202. https://doi.org/10.2307/2290157.

López, A., Sanderman, R., & Schroevers, M. J. (2018). A close examination of the relationship between self-compassion and depressive symptoms. Mindfulness, 9, 1470–1478. https://doi.org/10.1007/s12671-018-0891-6.CrossRefPubMedPubMedCentral

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the Beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–343. https://doi.org/10.1016/0005-7967(94)00075-U.CrossRef

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

MacDonald, K., Thomas, M. L., Sciolla, A. F., Schneider, B., Pappas, K., Bieijenberg, G., Bohus, M., Bekh, B., Carpenter, L., Carr, A., Dannlowski, U., Dorahy, M., Fahlke, C., Finzi-Dottan, R., Karu, T., Gerdener, A., Glaesmer, H., Grabe, H. J., Heins, M., et al. (2016). Minimization of childhood maltreatment is common and consequential: results from a large, multinational sample using the Childhood Trauma Questionnaire. PLoS One, 11(1), e0146058. https://doi.org/10.1371/journal.pone.0146058.CrossRefPubMedPubMedCentral

Maples, L. A., Park, S. S., Nolen, J. P., & Rosen, L. A. (2014). Resilience to childhood abuse and neglect in college students. Journal of Aggression, Maltreatment & Trauma, 23, 1001–1019. https://doi.org/10.1080/10926771.2014.964435.CrossRef

Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication—Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989. https://doi.org/10.1016/j.jaac.2010.05.017.CrossRefPubMedPubMedCentral

Miron, L. R., Orcutt, H. K., Hannan, S. M., & Thompson, K. L. (2014). Childhood abuse and problematic alcohol use in college females: the role of self-compassion. Self and Identity, 13, 364–379. https://doi.org/10.1080/15298868.2013.836131.CrossRef

Miron, L. R., Seligowski, A. V., Boykin, D. M., & Orcutt, H. K. (2016). The potential indirect effect of childhood abuse on posttrauma pathology through self-compassion and fear of self-compassion. Mindfulness, 7, 596–604. https://doi.org/10.1007/s12671-016-0493-0.CrossRef

Muris, P., & Petrocchi, N. (2017). Protection or vulnerability? A meta-analysis of the relations between positive and negative components of self-compassion and psychopathology. Clinical Psychology and Psychotherapy, 24, 373–383. https://doi.org/10.1002/cpp.2005.CrossRefPubMed

Naismith, I., Zarate Guerrero, S., & Feigenbaum, J. (2019). Abuse, invalidation, and lack of early warmth show distinct relationships with self-criticism, self-compassion, and fear of self-compassion in personality disorder. Clinical Psychology and Psychotherapy, 26, 350–361. https://doi.org/10.1002/cpp.2357.CrossRef

Nanni, V., Uher, R., & Danese, A. (2012). Childhood maltreatment predicts unfavorable course of illness and treatment outcome in depression: a meta-analysis. The American Journal of Psychiatry, 169, 141–151. https://doi.org/10.1176/appi.ajp.2011.11020335.CrossRefPubMed

Neff, K. (2003). Development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250.CrossRef

Nolen-Hoeksema, S., & Aldao, A. (2011). Gender and age differences in emotion regulation strategies and their relationship to depressive symptoms. Personality and Individual Differences, 51, 704–708. https://doi.org/10.1016/j.paid.2011.06.012.CrossRef

Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: a critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879.CrossRefPubMed

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731.

Reffi, A. N., Boykin, D. M., & Orcutt, H. K. (2019). Examining pathways of childhood maltreatment and emotional dysregulation using self-compassion. Journal of Aggression, Maltreatment, & Trauma, 28, 1269–1285. https://doi.org/10.1080/10926771.2018.1485810.CrossRef

Rehan, W., Antfolk, J., Johansson, A., Jern, P., & Santtila, P. (2017). Experiences of severe childhood maltreatment, depression, anxiety and alcohol abuse among adults in Finland. PLoS One, 12(5), e0177252. https://doi.org/10.1371/journal.pone.0177252.CrossRefPubMedPubMedCentral

Rehan, W., Antfolk, J., Johansson, A., & Santtila, P. (2019). Do single experiences of childhood abuse increase psychopathology symptoms in adulthood? Journal of Interpersonal Violence, 34, 1021–1038. https://doi.org/10.1177/0886260516647004.CrossRefPubMed

Ross, N. D., Kaminski, P. L., & Herrington, R. (2019). From childhood emotional maltreatment to depressive symptoms in adulthood: the roles of self-compassion and shame. Child Abuse & Neglect, 92, 32–42. https://doi.org/10.1016/j.chidabu.2019.03.016.CrossRef

Sachs-Ericsson, N., Verona, E., Joiner, T., & Preacher, J. K. (2006). Parental verbal abuse and the mediating role of self-criticism in adult internalizing disorders. Journal of Affective Disorders, 93, 71–78. https://doi.org/10.1016/j.jad.2006.02.014.CrossRefPubMed

Scher, C. D., Forde, D. R., McQuaid, J. R., & Stein, M. B. (2004). Prevalence and demographic correlates of childhood maltreatment in an adult community sample. Child Abuse & Neglect, 28, 167–180. https://doi.org/10.1016/j.chiabu.2003.09.012.CrossRef

Schmidt, M. R., Narayan, A. J., Atzl, V. M., Rivera, L. M., & Lieberman, A. F. (2018). Childhood maltreatment on the Adverse Childhood Experiences (ACEs) Scale versus the Childhood Trauma Questionnaire (CTQ) in a perinatal sample. Journal of Aggression, Maltreatment & Trauma. Advance online publication. https://doi.org/10.1080/10926771.2018.1524806.CrossRef

Scoglio, A. A. J., Rudat, D. A., Garvert, D., Jarmolowski, M., Jackson, C., & Herman, J. L. (2018). Self-compassion and responses to trauma: the role of emotion regulation. Journal of Interpersonal Violence, 33, 2016–2036. https://doi.org/10.1177/0886260515622296.CrossRefPubMed

Taillieu, T., Brownridge, D. A., Sareen, J., & Afifi, T. O. (2016). Childhood emotional maltreatment and mental disorders: results from a nationally representative adult sample from the United States. Child Abuse & Neglect, 59, 1–12. https://doi.org/10.1016/j.chiabu.2016.07.005.CrossRef

Tanaka, M., Wekerle, C., Schmuck, M. L., Paglia-Boak, A., & Research Team, M. A. P. (2011). The linkages among childhood maltreatment, adolescent mental health, and self-compassion in child welfare adolescents. Child Abuse & Neglect, 35, 887–898. https://doi.org/10.1016/j.chiabu.2011.07.003.CrossRef

Teicher, M. H., & Samson, J. A. (2013). Child maltreatment and psychopathology: a case for ecophenotypic variants as clinically and neurobiologically distinct subtypes. American Journal of Psychiatry, 170, 1114–1133. https://doi.org/10.1176/appi.ajp.2013.12070957.CrossRefPubMed

Twenge, J. M., Cooper, A. B., Joiner, T. E., Duffy, M. E., & Binau, S. G. (2019). Age, period, and cohort trends in mood disorder indicators and suicide-related outcomes in a nationally representative dataset, 2005-2017. Journal of Abnormal Psychology. Advance online publication. https://doi.org/10.1037/abn0000410.CrossRef

Van Dam, N. T., Sheppard, S. C., Forsyth, J. P., & Earleywine, M. (2011). Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. Journal of Anxiety Disorders, 25, 123–130. https://doi.org/10.1016/j.janxdis.2010.08.011.CrossRefPubMed

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

Werner, K. H., Hooria Jazaieri, M. A., Goldin, P. R., Ziv, M., Heimberg, R. G., & Gross, J. J. (2012). Self-compassion and social anxiety disorder. Anxiety, Stress, and Coping, 25, 543–558. https://doi.org/10.1080/10615806.2011.608842.CrossRefPubMed

Widaman, K. F. (2006). III. Missing data: what to do with or without them. Monographs of the Society for Research in Child Development, 71(3), 42–64. https://doi.org/10.1111/j.1540-5834.2006.00404.x.CrossRef

Wilson, A. C., Mackintosh, K., Power, K., & Shan, S. W. Y. (2019). Effectiveness of self-compassion related therapies: a systematic review and meta-analysis. Mindfulness, 10, 977–995. https://doi.org/10.1007/s12671-018-1037-6.CrossRef

Wu, Q., Chi, P., Lin, X., & Du, H. (2018). Child maltreatment and adult depressive symptoms: roles of self-compassion and gratitude. Child Abuse & Neglect, 80, 62–69. https://doi.org/10.1016/j.chiabu.2018.03.013.CrossRef

Yarnell, L. M., Stafford, R. E., Neff, K. D., Reilly, E. C., Knox, M. C., & Mullarkey, M. (2015). Meta-analysis of gender differences in self-compassion. Self and Identity, 14, 499–520. https://doi.org/10.1080/15298868.2015.1029966.CrossRef

Titel: Self-compassion and Fear of Self-compassion: Mechanisms Underlying the Link between Child Maltreatment Severity and Psychological Distress in College Women
Auteurs: Terri L. Messman-Moore
Prachi H. Bhuptani
Publicatiedatum: 17-04-2020
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 6/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-020-01361-2

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Abstract

Objectives

Methods

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Conclusions

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