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The online version of this article (https://doi.org/10.1007/s12671-017-0835-6) contains supplementary material, which is available to authorized users.
Self-compassion has been consistently linked to psychological well-being. The ability to be self-compassionate may be shaped by early attachment experiences and associated with interpersonal difficulties. However, evidence has yet to be extended to clinical populations. This study examined the role of self-compassion and its relationship with attachment and interpersonal problems in clinical patients with anxiety and depression. Participants (N = 74; 60% female, mean age 40 years) were recruited from a primary care psychological therapies service in Scotland, UK. Participants completed four self-report questionnaires assessing self-compassion, attachment, interpersonal problems and emotional distress (including depression and anxiety). Low self-compassion, attachment-related avoidance (but not attachment-related anxiety) and high interpersonal problems were all associated with higher levels of emotional distress and anxiety. Low self-compassion and high interpersonal problems were predicted by attachment-related avoidance. Self-compassion mediated the relationship between attachment-related avoidance and emotional distress and anxiety. This was a cross-sectional design and therefore a definitive conclusion cannot be drawn regarding causal relationships between these variables. Self-reported questionnaires were subject to response bias. This study has extended the evidence base regarding the role of self-compassion in patients with clinical levels of depression and anxiety. Notably, our findings indicated that self-compassion may be a particularly important construct, both theoretically and clinically, in understanding psychological distress amongst those with higher levels of attachment avoidance. This study supports the development and practice of psychotherapeutic approaches, such as compassion-focused therapy for which there is a growing evidence base.
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Bernecker, S. L. (2012). How and for whom does interpersonal psychotherapy for depression work? Psychotherapy Bulletin, 47, 13–17.
Catanzaro, A., & Wei, M. (2010). Adult attachment, dependence, self-criticism, and depressive symptoms: a test of a mediational model. Journal of Personality, 78, 1135–1162.
Cohen, J. (1988). Statistical power analysis for the behavioural sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates.
Corrigan, P. W., & Calabrese, J. D. (2003). Cognitive therapy and schizophrenia. In M. A. Reinecke & D. A. Clark (Eds.), Cognitive therapy over the lifespan: theory, research and practice. Cambridge: Cambridge University Press.
Costa, J., Marôco, J., Pinto-Gouveia, J., Ferreira, C., & Castilho, P. (2015). Validation of the psychometric properties of the self-compassion scale. Testing the factorial validity and factorial invariance of the measure among borderline personality disorder, anxiety disorder, eating disorder and general populations. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.1974.
Depue, R. A., & Morrone-Strupinsky, J. V. (2005). A neurobehavioral model of affiliative bonding: implications for conceptualizing a human trait of affiliation. Behavioral and Brain Sciences, 28(3), 313–349. PubMed
Field, A. (2013). Discovering statistics using IBM SPSS statistics. Sage.
Fox-Wasylyshyn, S. M., & El-Masri, M. M. (2005). Handling missing data in self-report measures. Research in Nursing & Health, 28(6), 488–495. CrossRef
Fraley, R. C., Waller, N. G., & Brennan, K. A. (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78(2), 350–365. https://doi.org/10.1037//0022-3518.104.22.1680. CrossRefPubMed
Fritz, M. S., & Mackinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18(3), 233–239. https://doi.org/10.1111/j.1467-9280.2007.01882.x. CrossRefPubMedPubMedCentral
Gilbert, P. (2005). Compassion: conceptualisations, research and use in psychotherapy. New York: Routledge; US.
Gilbert, P., McEwan, K., Catarino, F., Baiao, R., & Palmeira, L. (2014). Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology, 53(2), 228–244. https://doi.org/10.1111/bjc.12037. CrossRefPubMed
Gillath, O., Shaver, P. R., & Mikulincer, M. (2005). An attachment-theoretical approach to compassion and altruism. In P. Gilbert (Ed.), Compassion: conceptualizations, research, and use in psychotherapy. London: Brunner-Routledge.
Girard, J. M., Wright, A. G. C., Beeney, J. E., Lazarus, S. A., Scott, L. N., Stepp, S. D., & Pilkonis, P. A. (2017). Interpersonal problems across levels of the psychopathology hierarchy. Comprehensive Psychiatry. https://doi.org/10.1016/j.comppsych.2017.06.014.
Haggerty, G., Hilsenroth, M. J., & Vala-Stewart, R. (2009). Attachment and interpersonal distress: examining the relationship between attachment styles and interpersonal problems in a clinical population. Clinical Psychology and Psychotherapy, 16(1), 1–9. https://doi.org/10.1002/cpp.596. CrossRefPubMed
Hankin, B. L., Kassel, J. D., & Abela, J. R. (2005). Adult attachment dimensions and specificity of emotional distress symptoms: prospective investigations of cognitive risk and interpersonal stress generation as mediating mechanisms. Personality & Social Psychology Bulletin, 31(1), 136–151. https://doi.org/10.1177/0146167204271324. CrossRef
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Publications.
Joiner, T. E. (2002). Depression in its interpersonal context. In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression (pp. 295–313). NY: The Guilford Press.
Krieger, T., Altenstein, D., Baettig, I., Doerig, N., & Holtforth, M. G. (2013). Self-compassion in depression: associations with depressive symptoms, rumination, and avoidance in depressed outpatients. Behavior Therapy, 44(3), 501–513. https://doi.org/10.1016/j.beth.2013.04.004. CrossRefPubMed
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. https://doi.org/10.1016/j.cpr.2012.06.003. CrossRefPubMed
McEvoy, P. M., Burgess, M. M., & Nathan, P. (2014). The relationship between interpersonal problems, therapeutic alliance, and outcomes following group and individual cognitive behaviour therapy. Journal of Affective Disorders, 157, 25–32. https://doi.org/10.1016/j.jad.2013.12.038. CrossRefPubMed
Mikulincer, M., & Shaver, P. R. (2005). Attachment security, compassion, and altruism. Current Directions in Psychological Science, 14, 34–38. CrossRef
Mikulincer, M., & Shaver, P. R. (2010). Attachment in adulthood: structure, dynamics, and change. London: Guilford Press.
Muris, P., & Petrocchi, N. (2017). Protection or vulnerability? A meta-analysis of the relations between the positive and negative components of self-compassion and psychopathology. Clinical Psychology & Psychotherapy, 24, 373–383. CrossRef
Neff, K. D. (2016). The self-compassion scale is a valid and theoretically coherent measure of self-compassion. Mindfulness, 7, 264–274. CrossRef
Neff, K. D., & Beretvas, S. N. (2013). The role of self-compassion in romantic relationships. Self and Identity, 12(1), 78–98. https://doi.org/10.1080/15298868.2011.639548. CrossRef
Pepping, C. A., Davis, P. J., O'Donovan, A., & Pal, J. (2014). Individual differences in self-compassion: the role of attachment and experiences of parenting in childhood. Self and Identity, 14(1), 104–117. https://doi.org/10.1080/15298868.2014.955050. CrossRef
Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: preliminary evidence for independent and overlapping contributions. Behavior Therapy, 40(2), 142–154. CrossRefPubMed
Roth, P. L., Switzer, F. S., & Switzer, D. M. (1999). Missing data in multiple item scales: a Monte Carlo analysis of missing data techniques. Organizational Research Methods, 2(3), 211–232. CrossRef
Sibley, C., Fischer, R. G., & Liu, J. (2005). Reliability and validity of the revised experiences in close relationships (ECR-R) self-report measure of adult romantic attachment. Personality and Social Psychology Bulletin, 31(11), 1524–1536. https://doi.org/10.1177/0146167205276865. CrossRefPubMed
Snaith, R. P., & Zigmond, A. S. (1994). HADS: Hospital Anxiety and Depression Scale. Windsor: NFER Nelson.
Tanaka, M., Wekerle, 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(10), 887–898. https://doi.org/10.1016/j.chiabu.2011.07.003. CrossRefPubMed
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(1), 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 emotion regulation difficulties? A preliminary investigation. International Journal of Mental Health and Addiction, 9(5), 480–491. https://doi.org/10.1007/s11469-011-9340-7. CrossRef
Wei, M., Liao, K. Y., Ku, T. Y., & Shaffer, P. A. (2011). Attachment, self-compassion, empathy, and subjective well-being among college students and community adults. Journal of Personality, 79(1), 191–221. https://doi.org/10.1111/j.1467-6494.2010.00677.x. CrossRefPubMed
Werner, K. H., Jazaieri, H., Goldin, P. R., Ziv, M., Heimberg, R. G., & Gross, J. J. (2012). Self-compassion and social anxiety disorder. Anxiety, Stress and Coping, 25(5), 543–588. CrossRef
Yarnell, L. M., & Neff, K. D. (2013). Self-compassion, interpersonal conflict resolutions, and well-being. Self and Identity, 12(2), 146–159. https://doi.org/10.1080/15298868.2011.649545. CrossRef
- The Relationships Between Self-Compassion, Attachment and Interpersonal Problems in Clinical Patients with Mixed Anxiety and Depression and Emotional Distress
Stella W. Y. Chan
- Springer US