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Gepubliceerd in: Mindfulness 3/2016

18-02-2016 | ORIGINAL PAPER

The Potential Indirect Effect of Childhood Abuse on Posttrauma Pathology Through Self-Compassion and Fear of Self-Compassion

Auteurs: Lynsey R. Miron, Antonia V. Seligowski, Derrecka M. Boykin, Holly K. Orcutt

Gepubliceerd in: Mindfulness | Uitgave 3/2016

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Abstract

A growing evidence base suggests that increasing self-compassion is a valuable therapeutic target and may protect against the development and maintenance of posttrauma pathology. More recently, clinicians and researchers have noted that particular individuals respond to self-compassion with strong fear and resistance, a phenomenon known as fear of self-compassion. Yet to be examined is if survivors of childhood abuse exhibit fear of self-compassion and whether it relates to psychological functioning. The present model examined pathways from childhood physical and sexual abuse to symptoms of posttraumatic stress disorder (PTSD) and depression through self-compassion and fear of self-compassion using a college sample (N = 377). A main effect of childhood abuse type on fear of self-compassion scores was observed, while self-compassion scores did not significantly differ by abuse type. Path analyses using bootstrapping revealed a significant indirect effect of childhood sexual abuse on symptoms of depression and PTSD via fear of self-compassion, but not self-compassion. Findings suggest that fear of self-compassion may be uniquely related to trauma pathology for survivors of childhood sexual abuse, highlighting the potential value of addressing fear of self-compassion directly in posttraumatic intervention.
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: American Psychiatric Publishing. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: American Psychiatric Publishing.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
go back to reference Clemmons, J. C., Walsh, K., DiLillo, D., & Messman-Moore, T. L. (2007). Unique and combined contributions of multiple child abuse types and abuse severity to adult trauma symptomatology. Child Maltreatment, 12, 172–181. CrossRefPubMed Clemmons, J. C., Walsh, K., DiLillo, D., & Messman-Moore, T. L. (2007). Unique and combined contributions of multiple child abuse types and abuse severity to adult trauma symptomatology. Child Maltreatment, 12, 172–181. CrossRefPubMed
go back to reference Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2007). Polyvictimization and trauma in a national longitudinal cohort. Development and Psychopathology, 19, 149–166. CrossRefPubMed Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2007). Polyvictimization and trauma in a national longitudinal cohort. Development and Psychopathology, 19, 149–166. CrossRefPubMed
go back to reference Gilbert, P. (2010). Compassion Focused Therapy: Distinctive Features. New York: Routledge. Gilbert, P. (2010). Compassion Focused Therapy: Distinctive Features. New York: Routledge.
go back to reference Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualizations, Research and Use in Psychotherapy (pp. 263–325). London: Routledge. Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualizations, Research and Use in Psychotherapy (pp. 263–325). London: Routledge.
go back to reference 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. doi: 10.​1002/​cpp.​507. 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. doi: 10.​1002/​cpp.​507. CrossRef
go back to reference 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. 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. CrossRef
go back to reference Harman, R., & Lee, D. (2009). The role of shame and self-critical thinking in the development and maintenance of current threat in post-traumatic stress disorder. Clinical Psychology and Psychotherapy, 17, 13–24. doi: 10.​1002/​cpp.​636. Harman, R., & Lee, D. (2009). The role of shame and self-critical thinking in the development and maintenance of current threat in post-traumatic stress disorder. Clinical Psychology and Psychotherapy, 17, 13–24. doi: 10.​1002/​cpp.​636.
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regressionbased approach. New York, NY: Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regressionbased approach. New York, NY: Guilford Press.
go back to reference Hiraoka, R., Meyer, E. C., Kimbrel, N. A., DeBeer, B. B., Gulliver, S. B., & Morissette, S. B. (2015). Self-compassion as a prospective predictor of PTSD symptom severity among trauma-exposed US Iraq and Afghanistan war veterans. Journal of Traumatic Stress, 28, 127–133. doi: 10.​1002/​jts. CrossRefPubMed Hiraoka, R., Meyer, E. C., Kimbrel, N. A., DeBeer, B. B., Gulliver, S. B., & Morissette, S. B. (2015). Self-compassion as a prospective predictor of PTSD symptom severity among trauma-exposed US Iraq and Afghanistan war veterans. Journal of Traumatic Stress, 28, 127–133. doi: 10.​1002/​jts. CrossRefPubMed
go back to reference Janoff-Bulman, R. (1992). Shattered assumptions: towards a new psychology of trauma. New York: Free Press. Janoff-Bulman, R. (1992). Shattered assumptions: towards a new psychology of trauma. New York: Free Press.
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, 426–434. doi: 10.​1002/​jts.​21832. CrossRefPubMed 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, 426–434. doi: 10.​1002/​jts.​21832. CrossRefPubMed
go back to reference Kubany, E. S., Haynes, S. N., Leisen, M. B., Owens, J. A., Kaplan, A. S., Watson, S. B., & Burns, K. (2000a). Development and preliminary validation of a brief broad-spectrum measure of trauma exposure: the Traumatic Life Events Questionnaire. Psychological Assessment, 12, 210–224. doi: 10.​1037/​/​1040-3590.​12.​2.​210. CrossRefPubMed Kubany, E. S., Haynes, S. N., Leisen, M. B., Owens, J. A., Kaplan, A. S., Watson, S. B., & Burns, K. (2000a). Development and preliminary validation of a brief broad-spectrum measure of trauma exposure: the Traumatic Life Events Questionnaire. Psychological Assessment, 12, 210–224. doi: 10.​1037/​/​1040-3590.​12.​2.​210. CrossRefPubMed
go back to reference Liotti, G. (2000). Disorganised attachment, models of borderline states and evolutionary psychotherapy. In P. Gilbert & B. Bailey (Eds.), Genes on the Couch: Explorations in Evolutionary Psychotherapy (pp. 232–256). Hove: Brunner-Routledge. Liotti, G. (2000). Disorganised attachment, models of borderline states and evolutionary psychotherapy. In P. Gilbert & B. Bailey (Eds.), Genes on the Couch: Explorations in Evolutionary Psychotherapy (pp. 232–256). Hove: Brunner-Routledge.
go back to reference Littleton, H. L., & Grills-Taquechel, A. (2011). Evaluation of an information-processing model following sexual assault. Psychological Trauma: Theory, Research, Practice, and Policy, 3, 421–429. doi: 10.​1037/​a0021381. CrossRef Littleton, H. L., & Grills-Taquechel, A. (2011). Evaluation of an information-processing model following sexual assault. Psychological Trauma: Theory, Research, Practice, and Policy, 3, 421–429. doi: 10.​1037/​a0021381. CrossRef
go back to reference Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation.
go back to reference Messman-Moore, T. L., Walsh, K., & DiLillo, D. (2010). Emotion dyresgulation and risky sexual behavior in revictimization. Child Abuse and Neglect, 34, 967–976. CrossRefPubMed Messman-Moore, T. L., Walsh, K., & DiLillo, D. (2010). Emotion dyresgulation and risky sexual behavior in revictimization. Child Abuse and Neglect, 34, 967–976. CrossRefPubMed
go back to reference Middlebrooks, J. S., & Audage, N. C. (2008). The Effects of Childhood Stress on Health Across the Lifespan. Centers for Disease Control and Prevention. Atlanta: National Center for Injury Prevention and Control. Middlebrooks, J. S., & Audage, N. C. (2008). The Effects of Childhood Stress on Health Across the Lifespan. Centers for Disease Control and Prevention. Atlanta: National Center for Injury Prevention and Control.
go back to reference Muthén, L. K., & Muthén, B. O. (2012). Mplus User’s Guide (7th ed.). Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2012). Mplus User’s Guide (7th ed.). Los Angeles, CA: Muthén & Muthén.
go back to reference Neff, K. D. (2009). Self-compassion. In M. R. Leary & R. H. Hoyle (Eds.), Handbook of Individual Differences in Social Behavior (pp. 561–573). New York: Guilford Press. Neff, K. D. (2009). Self-compassion. In M. R. Leary & R. H. Hoyle (Eds.), Handbook of Individual Differences in Social Behavior (pp. 561–573). New York: Guilford Press.
go back to reference Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9, 225–240. CrossRef Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9, 225–240. CrossRef
go back to reference Nelson, E. C., Heath, A. C., Madden, P. A. F., Cooper, L., Dinwiddie, S. H., Bucholz, K. K., & Martin, N. G. (2002). Association between self-reported childhood sexual abuse and adverse psychosocial outcomes. Archives of General Psychiatry, 59, 139–145. CrossRefPubMed Nelson, E. C., Heath, A. C., Madden, P. A. F., Cooper, L., Dinwiddie, S. H., Bucholz, K. K., & Martin, N. G. (2002). Association between self-reported childhood sexual abuse and adverse psychosocial outcomes. Archives of General Psychiatry, 59, 139–145. CrossRefPubMed
go back to reference Noll, J. G. (2008). Sexual abuse of children—unique in its effects on development? Child Abuse & Neglect, 32, 603–605. CrossRef Noll, J. G. (2008). Sexual abuse of children—unique in its effects on development? Child Abuse & Neglect, 32, 603–605. CrossRef
go back to reference Orme, B. (2005). SSI Web v5. Software for web interviewing and conjoint analysis. Sequin, WA: Sawtooth Software, Inc. Orme, B. (2005). SSI Web v5. Software for web interviewing and conjoint analysis. Sequin, WA: Sawtooth Software, Inc.
go back to reference Tanaka, M., Werkerle, C., Schmuck, M. L., & Paglia-Boak, A. (2011). The linkages among childhood maltreatment, adolescent mental health, and self-compassion in child welfare adolescents. Child Abuse and Neglect, 35, 887–898. CrossRefPubMed Tanaka, M., Werkerle, C., Schmuck, M. L., & Paglia-Boak, A. (2011). The linkages among childhood maltreatment, adolescent mental health, and self-compassion in child welfare adolescents. Child Abuse and Neglect, 35, 887–898. CrossRefPubMed
go back to reference Turner, H. A., Finkelhor, D., & Ormrod, R. (2006). The effect of lifetime victimization on the mental health of children and adolescents. Social Science and Medicine, 62, 13–27. CrossRefPubMed Turner, H. A., Finkelhor, D., & Ormrod, R. (2006). The effect of lifetime victimization on the mental health of children and adolescents. Social Science and Medicine, 62, 13–27. CrossRefPubMed
go back to reference 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, 480–491. doi: 10.​1037/​a0020096. CrossRef 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, 480–491. doi: 10.​1037/​a0020096. CrossRef
go back to reference Xavier, A., Cunha, M., & Pinto Gouveia, J. (2015). Deliberate self-harm in adolescence: the impact of childhood experiences, negative affect and fears of compassion. Revista de Psicopatologia y Psicologia Clinical, 20, 41–49. Xavier, A., Cunha, M., & Pinto Gouveia, J. (2015). Deliberate self-harm in adolescence: the impact of childhood experiences, negative affect and fears of compassion. Revista de Psicopatologia y Psicologia Clinical, 20, 41–49.
go back to reference Yarnell, L. M., Stafford, R. E., Neff, K. D., Reilly, E. D., Knox, M. C., & Mullarkey, M. (2015). Meta-analysis of gender differences in self-compassion. Self and Identity, Online 1st Publication, 1-22. doi: 10.​1080/​15298868.​2015.​1029966. Yarnell, L. M., Stafford, R. E., Neff, K. D., Reilly, E. D., Knox, M. C., & Mullarkey, M. (2015). Meta-analysis of gender differences in self-compassion. Self and Identity, Online 1st Publication, 1-22. doi: 10.​1080/​15298868.​2015.​1029966.
go back to reference Zeller, M., Yuval, K., Nitzan-Assayag, Y., & Bernstein, A. (2014). Self-compassion in recovery following potentially traumatic stress: longitudinal study of at-risk youth. Journal of Abnormal Child Psychology, 1 –9. doi: 10.​1007/​s10802-014-9937-y Zeller, M., Yuval, K., Nitzan-Assayag, Y., & Bernstein, A. (2014). Self-compassion in recovery following potentially traumatic stress: longitudinal study of at-risk youth. Journal of Abnormal Child Psychology, 1 9. doi: 10.​1007/​s10802-014-9937-y
Metagegevens
Titel
The Potential Indirect Effect of Childhood Abuse on Posttrauma Pathology Through Self-Compassion and Fear of Self-Compassion
Auteurs
Lynsey R. Miron
Antonia V. Seligowski
Derrecka M. Boykin
Holly K. Orcutt
Publicatiedatum
18-02-2016
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 3/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-016-0493-0

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