Top

Gepubliceerd in:

12-11-2016 | ORIGINAL PAPER

The Differential Moderating Roles of Self-Compassion and Mindfulness in Self-Stigma and Well-Being Among People Living with Mental Illness or HIV

Auteurs: Xue Yang, Winnie W. S. Mak

Gepubliceerd in: Mindfulness | Uitgave 3/2017

Abstract

In addition to endorsing the content of stigmatizing thoughts (self-stigma “content”), how frequently and automatically individuals think about these thoughts (self-stigma “process”) also have implications for their well-being. The present study examined the roles of self-compassion and mindfulness in moderating the relationships of self-stigma content and process with subjective well-being of people in recovery of mental illness (PMI) and people living with HIV (PLHIV). Participants included 169 PMI and 291 PLHIV in Hong Kong who reported their levels of self-compassion, mindfulness, self-stigma content and process, and life satisfaction. Path analyses indicated that the proposed model fitted the two samples well, χ ²(10) = 19, p = .04, CFI = .98, NNFI = .93, and RMSEA = .04. In both groups, self-compassion and mindfulness were significantly associated with life satisfaction. Self-compassion moderated the relationship between self-stigma content and life satisfaction among PLHIV, while mindfulness moderated the relationship between self-stigma process and life satisfaction among PMI. The differential moderating roles of self-compassion and mindfulness in buffering the effects of self-stigma content and process among PMI and PLHIV were identified, and implications for stigma reduction and well-being promotion in different stigmatized groups were discussed.

vorige artikel Implementing Mindfulness in the Mainstream: Making the Path by Walking It

volgende artikel A Pilot RCT of a Values-Based Mindfulness Group Intervention with Jail Inmates: Evidence for Reduction in Post-Release Risk Behavior

Abramowitz, J. S., Tolin, D. F., & Street, G. P. (2001). Paradoxical effects of thought suppression: a meta-analysis of controlled studies. Clinical Psychology Review, 21, 683–703. doi:10.1016/S02727358(00)00057X.CrossRefPubMed

Alleva, J., Roelofs, J., Voncken, M., Meevissen, Y., & Alberts, H. (2014). On the relation between mindfulness and depressive symptoms: rumination as a possible mediator. Mindfulness, 5, 72–79. doi:10.1007/s12671-012-0153-y,0.01,0.01,0.CrossRef

Bishop, S. J., Duncan, J., & Lawrence, A. D. (2004). State anxiety modulation of the amygdala response to unattended threat-related stimuli. The Journal of Neuroscience, 24, 10364–10368. doi:10.1523/jneurosci.2550-04.2004.CrossRefPubMed

Brion, J. M., & Menke, E. M. (2008). Perspectives regarding adherence to prescribed treatment in highly adherent HIV-infected gay men. Journal of the Association of Nurses in AIDS Care, 19, 181–191. doi:10.1016/j.jana.2007.11.006.CrossRefPubMed

Brion, J. M., Leary, M. R., & Drabkin, A. S. (2014). Self-compassion and reactions to serious illness: the case of HIV. Journal of Health Psychology, 19, 218–229. doi:10.1177/1359105312467391.CrossRefPubMed

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.CrossRefPubMed

Chadwick, P., Hughes, S., Russell, D., Russell, I., & Dagnan, D. (2009). Mindfulness groups for distressing voices and paranoia: a replication and randomized feasibility trial. Behavioural and Cognitive Psychotherapy, 37, 403–412. doi:10.1017/S1352465809990166.CrossRefPubMed

Chan, K. S. K., & Mak, W. W. S. (2015). Attentional bias associated with habitual self-stigma in people with mental illness. PloS One, 10(7), e0125545. doi:10.1371/journal.pone.0125545.CrossRefPubMedPubMedCentral

Chan, K. S. K., & Mak, W. W. S. (2016). The content and process of self-stigma in people with mental illness. American Journal of Orthopsychiatry.

Chien, W. T., & Lee, I. Y. (2013). The mindfulness-based psychoeducation program for Chinese patients with schizophrenia. Psychiatric Services, 64, 376–379. doi:10.1176/appi.ps.002092012.CrossRefPubMed

Corrigan, P. W., & Watson, A. C. (2002). The paradox of self-stigma and mental illness. Clinical Psychology: Science and Practice, 9, 35–53. doi:10.1093/clipsy.9.1.35.

Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self-stigma of mental illness: implications for self-esteem and self-efficacy. Journal of Social and Clinical Psychology, 25, 875–884. doi:10.1521/jscp.2006.25.8.875.CrossRef

Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatric Services, 63, 963–973. doi:10.1176/appi.ps.201100529.CrossRefPubMed

Davis, L., & Kurzban, S. (2012). Mindfulness-based treatment for people with severe mental illness: a literature review. American Journal of Psychiatric Rehabilitation, 15, 202–232. doi:10.1080/15487768.2012.679578.CrossRef

Davis, L. W., Strasburger, A. M., & Brown, L. F. (2007). Mindfulness: an intervention for anxiety in schizophrenia. Journal of Psychosocial Nursing and Mental Health Services, 45, 23–29.PubMed

Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75. doi:10.1207/s15327752jpa4901_13.CrossRefPubMed

Equal Opportunities Commission (2016). Study on Legislation against Discrimination on the Grounds of Sexual Orientation, Gender Identity and Intersex Status. Report commissioned by the Equal Opportunities Commission and conducted by Gender Research Centre of the Hong Kong Institute of Asia-Pacific Studies of The Chinese University of Hong Kong. Retrieved from http://www.eoc.org.hk/eoc/upload/ResearchReport/20161251750293418312.pdf.

Germer, C. K. (2009). The mindful path to self-compassion: freeing yourself from destructive thoughts and emotions. New York: Guilford.

Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69, 856–867. doi:10.1002/jclp.22021.CrossRefPubMed

Gross, J. J. (2002). Emotion regulation: affective, cognitive, and social consequences. Psychophysiology, 39, 281–291. doi:10.1017/S0048577201393198.CrossRefPubMed

Hawley, L. L., Schwartz, D., Bieling, P. J., Irving, J., Corcoran, K., Farb, N. A., et al. (2014). Mindfulness practice, rumination and clinical outcome in mindfulness-based treatment. Cognitive Therapy and Research, 38, 1–9. doi:10.1007/s10608-013-9586-4.CrossRef

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford.

Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183. doi:10.1037/a0018555.CrossRefPubMedPubMedCentral

Hou, J., Wong, S. Y. S., Lo, H. H. M., Mak, W. W. S., & Ma, H. S. W. (2014). Validation of a Chinese version of the five facet mindfulness questionnaire in Hong Kong and development of a short form. Assessment, 21, 363–371. doi:10.1177/1073191113485121.CrossRefPubMed

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. doi:10.1080/10705519909540118.CrossRef

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. doi:10.1093/clipsy.bpg016.

Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychology Review, 31, 1041–1056. doi:10.1016/j.cpr.2011.04.006.CrossRefPubMedPubMedCentral

Khoury, B., Lecomte, T., Gaudiano, B. A., & Paquin, K. (2013). Mindfulness interventions for psychosis: a meta-analysis. Schizophrenia Research, 150, 176–184. doi:10.1016/j.schres.2013.07.055.CrossRefPubMed

Lillis, J., Hayes, S. C., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: a preliminary test of a theoretical model. Annals of Behavioral Medicine, 37, 58–69. doi:10.1007/s12160-009-9083-x.CrossRefPubMed

MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552. doi:10.1016/j.cpr.2012.06.003.CrossRefPubMed

Mak, W. W. S., & Cheung, R. Y. M. (2010). Self-stigma among concealable minorities in Hong Kong: conceptualization and unified measurement. American Journal of Orthopsychiatry, 80, 267–281. doi:10.1111/j.1939-0025.2010.01030.x.CrossRefPubMed

Mak, W. W. S., Mo, P. K. H., Cheung, R. Y. W., Woo, J., Cheung, F. M., & Lee, D. (2006). Comparative stigma of HIV/AIDS, SARS, and tuberculosis in Hong Kong. Social Science & Medicine, 63, 1912–1922. doi:10.1016/j.socscimed.2006.04.016.

Mak, W. W. S., Cheung, R. Y. M., Law, R. W., Woo, J., Li, P. C. K., & Chung, R. W. Y. (2007a). Examining attribution model of self-stigma on social support and psychological well-being among people with HIV+/AIDS. Social Science & Medicine, 64, 1549–1559. doi:10.1016/j.socscimed.2006.12.003.CrossRef

Mak, W. W. S., Poon, C. Y. M., Pun, L. Y. K., & Cheung, S. F. (2007b). Meta-analysis of stigma and mental health. Social Science & Medicine, 65, 245–261. doi:10.1016/j.socscimed.2007.03.015.CrossRef

Mak, W. W. S., Chan, R. C. H., Wong, S. Y. S., Lau, J. T. F., Tang, W. K., Tang, A. K. L., et al. (2016). A cross-diagnostic investigation of the differential impact of discrimination on clinical and personal recovery. Psychiatric Services.

Mayhew, S. L., & Gilbert, P. (2008). Compassionate mind training with people who hear malevolent voices: a case series report. Clinical Psychology & Psychotherapy, 15, 113–138. doi:10.1002/cpp.566.CrossRef

McCracken, L. M., & Zhao-O’Brien, J. (2010). General psychological acceptance and chronic pain: there is more to accept than the pain itself. European Journal of Pain, 14, 170–175. doi:10.1016/j.ejpain.2009.03.004.CrossRefPubMed

Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. doi:10.1080/15298860309027.CrossRef

Neff, K. D., & Dahm, K. A. (2014). Self-compassion: what it is, what it does, and how it relates to mindfulness. In M. Robinson, B. Meier, & B. Ostafin (Eds.), Handbook of mindfulness and self-regulation (pp. 121–137). New York: Springer.

Neff, K. D., Hsieh, Y., & Dejitthirat, K. (2005). Self-compassion, achievement goals, and coping with academic failure. Self and Identity, 4, 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, 139–154. doi:10.1016/j.jrp.2006.03.004.CrossRef

Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400–424. doi:10.1111/j.1745-6924.2008.00088.x.CrossRefPubMed

Phillips, M. R., Pearson, V., Li, F., Xu, M., & Yang, L. (2002). Stigma and expressed emotion: a study of people with schizophrenia and their family members in China. The British Journal of Psychiatry, 181, 488–493. doi:10.1192/bjp.181.6.488.CrossRefPubMed

Quinn, D. M., & Chaudoir, S. R. (2009). Living with a concealable stigmatized identity: the impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. Journal of Personality and Social Psychology, 97, 634–651. doi:10.1037/a0015815.CrossRefPubMedPubMedCentral

Quinn, D. M., & Earnshaw, V. A. (2011). Understanding concealable stigmatized identities: the role of identity in psychological, physical, and behavioral outcomes. Social Issues and Policy Review, 5, 160–190. doi:10.1037/a0015815.CrossRef

Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology & Psychotherapy, 18(3), 250–255. doi:10.1002/cpp.702.CrossRef

Rapgay, L., & Bystrisky, A. (2009). Classical mindfulness. Annals of the New York Academy of Sciences, 1172, 148–162. doi:10.1002/cpp.702.CrossRefPubMed

Ritsher, J. B., Otilingam, P. G., & Grajales, M. (2003). Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Research, 121, 31–49. doi:10.1016/j.psychres.2003.08.008.CrossRefPubMed

Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78. doi:10.1037/0003-066X.55.1.68.CrossRefPubMed

Satorra, A., & Bentler, P. M. (2001). A scaled difference chi-square test statistic for moment structure analysis. Psychometrika, 66, 507–514. doi:10.1007/BF02296192.CrossRef

Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623. doi:10.1037//0022-006X.68.4.615.CrossRefPubMed

Van Brakel, W. H. (2006). Measuring health-related stigma—a literature review. Psychology, Health & Medicine, 11, 307–334. doi:10.1080/13548500600595160.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.CrossRefPubMed

Verplanken, B. (2012). When bittersweet turns sour: adverse effects of nostalgia on habitual worriers. European Journal of Social Psychology, 42, 285–289. doi:10.1002/ejsp.1852.CrossRef

Verplanken, B., & Fisher, N. (2014). Habitual worrying and benefits of mindfulness. Mindfulness, 5, 566–573. doi:10.1007/s12671-013-0211-0.CrossRef

Verplanken, B., & Velsvik, R. (2008). Habitual negative body image thinking as psychological risk factor in adolescents. Body Image, 5, 133–140. doi:10.1016/j.bodyim.2007.11.001.CrossRefPubMed

Virtual AIDS Office of Hong Kong (2015, August 8). Retrieved from http://www.info.gov.hk/aids/english/surveillance/latest_stat.htm.

Wu, C. H., & Yao, G. (2006). Analysis of factorial invariance across gender in the Taiwan version of the satisfaction with life scale. Personality and Individual Differences, 40, 1259–1268. doi:10.1016/j.bodyim.2007.11.001.CrossRef

Yadavaia, J. E., & Hayes, S. C. (2012). Acceptance and commitment therapy for self-stigma around sexual orientation: a multiple baseline evaluation. Cognitive and Behavioral Practice, 19, 545–559. doi:10.1016/j.cbpra.2011.09.002.CrossRef

Yanos, P. T., Roe, D., Markus, K., & Lysaker, P. H. (2008). Pathways between internalized stigma and outcomes related to recovery in schizophrenia spectrum disorders. Psychiatric Services, 59, 1437–1442. doi:10.1176/appi.ps.59.12.1437.CrossRefPubMedPubMedCentral

Young, S. D., Nussbaum, A. D., & Monin, B. (2007). Potential moral stigma and reactions to sexually transmitted diseases: evidence for a disjunction fallacy. Personality and Social Psychology Bulletin, 33, 789–799. doi:10.1177/0146167207301027.CrossRefPubMed

Titel: The Differential Moderating Roles of Self-Compassion and Mindfulness in Self-Stigma and Well-Being Among People Living with Mental Illness or HIV
Auteurs: Xue Yang
Winnie W. S. Mak
Publicatiedatum: 12-11-2016
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 3/2017
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-016-0635-4

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2017

Trait Mindfulness and Self-Compassion as Moderators of the Association Between Gender Nonconformity and Psychological Health

Effectiveness of a School-Based Yoga Program on Adolescent Mental Health and School Performance: Findings from a Randomized Controlled Trial

Angry Rumination Mediates the Unique Associations Between Self-Compassion and Anger and Aggression

Creativity Is Enhanced by Long-Term Mindfulness Training and Is Negatively Correlated with Trait Default-Mode-Related Low-Gamma Inter-Hemispheric Connectivity

Self-Reported Mindful Attention and Awareness, Go/No-Go Response-Time Variability, and Attention-Deficit Hyperactivity Disorder

Effectiveness of Mindfulness-Based Intervention on Perceived Stress, Anxiety, and Depression Among Parents of Children with Autism Spectrum Disorder