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Mindfulness

Gepubliceerd in:

05-05-2021 | ORIGINAL PAPER

The Short- and Long-term Causal Relationships Between Self-compassion, Trait Mindfulness, Caregiver Stress, and Depressive Symptoms in Family Caregivers of Patients with Lung Cancer

Auteurs: Chia-Chen Hsieh, Zhong-Zhe Lin, Chao-Chi Ho, Chong-Jen Yu, Hsiu-Jung Chen, Yu-Wen Chen, Fei-Hsiu Hsiao

Gepubliceerd in: Mindfulness | Uitgave 7/2021

Abstract

Objectives

Using a prospective longitudinal design, this paper examines a serial mediation model of the associations between self-compassion, trait mindfulness, caregiver stress, and depressive symptoms among the family caregivers of patients with lung cancer.

Methods

A four-wave design was used, with initial assessment (T1) and three follow-ups, at the 2^nd month (T2), the 5^th month (T3), and the 8^th month (T4). A total of 123 family caregivers completed the baseline measurements, including caregiver stress, self-compassion, trait mindfulness, and depressive symptoms. Data were analyzed by serial mediation models to determine the causal ordering of these variables.

Results

Nearly one-quarter of the family caregivers suffered from clinically significant depressive symptoms and the severity of their depression remained unchanged throughout the 8-month follow-up period. Both cross-sectional and longitudinal path analyses revealed that the relationship between self-compassion and depressive symptoms was mediated sequentially by trait mindfulness and caregiver stress. The subscale analysis indicated that the association of higher compassionate action with fewer depressive symptoms was through chain-mediating effects of higher mindful awareness and lower caregiver stress.

Conclusions

Family caregivers who have higher levels of self-compassion tend to have more mindfulness; greater mindfulness leads to lower levels of perceived caregiving stress which, in turn, links to fewer symptoms of depression. Both self-compassion and mindfulness could be regarded as protective factors for caregivers to reduce caregiving stress and depression.

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Alsubaie, M., Abbott, R., Dunn, B., Dickens, C., Keil, T. F., Henley, W., & Kuyken, W. (2017). Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and/or psychological conditions: A systematic review. Clinical Psychology Review, 55, 74–91. https://doi.org/10.1016/j.cpr.2017.04.008CrossRefPubMed

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504

Bakker, A. M., Cox, D. W., Hubley, A. M., & Owens, R. L. (2019). Emotion regulation as a mediator of self-compassion and depressive symptoms in recurrent depression. Mindfulness, 10, 1169–1180CrossRef

Banerjee, M., Cavanagh, K., & Strauss, C. (2017). A qualitative study with healthcare staff exploring the facilitators and barriers to engaging in a self-help mindfulness-based intervention. Mindfulness, 8(6), 1653–1664CrossRef

Banerjee, M., Cavanagh, K., & Strauss, C. (2018). Barriers to mindfulness: A path analytic model exploring the role of rumination and worry in predicting psychological and physical engagement in an online mindfulness-based intervention. Mindfulness, 9(3), 980–992. https://doi.org/10.1007/s12671-017-0837-4CrossRefPubMed

Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303. https://doi.org/10.1037/a0025754CrossRef

Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. (1996). Comparison of Beck depression inventories -IA and -II in psychiatric outpatients. Journal of Personality Assessment, 67(3), 588–597. https://doi.org/10.1207/s15327752jpa6703_13CrossRefPubMed

Bluth, K., & Blanton, P. W. (2014). Mindfulness and self-compassion: Exploring pathways to adolescent emotional well-being. Journal of Child and Family Studies, 23(7), 1298–1309. https://doi.org/10.1007/s10826-013-9830-2CrossRefPubMed

Colgan, D. D., Klee, D., Memmott, T., Proulx, J., & Oken, B. (2019). Perceived stress mediates the relationship between mindfulness and negative affect variability: A randomized controlled trial among middle-aged to older adults. Stress and Health, 35(1), 89–97. https://doi.org/10.1002/smi.2845CrossRefPubMed

Creswell, J. D., & Lindsay, E. K. (2014). How does mindfulness training affect health? A mindfulness-stress-buffering account. Current Directions in Psychological Science, 23(6), 401–407CrossRef

Day, J. R., & Anderson, R. A. (2011). Compassion fatigue: An application of the concept to informal caregivers of family members with dementia. Nursing Research and Practice, 2011, 1–10. https://doi.org/10.1155/2011/408024CrossRef

Finlay-Jones, A. L. (2017). The relevance of self-compassion as an intervention target in mood and anxiety disorders: A narrative review based on an emotion regulation framework. Clinical Psychologist, 21, 90–103CrossRef

Geng, H. M., Chuang, D. M., Yang, F., Yang, Y., Liu, W. M., Liu, L. H., & Tian, H. M. (2018). Prevalence and determinants of depression in caregivers of cancer patients: A systematic review and meta-analysis. Medicine (Baltimore), 97(39), e11863. https://doi.org/10.1097/MD.0000000000011863CrossRef

Gilbert, P., Catarino, F., Duarte, C., Matos, M., Kolts, R., Stubbs, J., Ceresatto, L., Duarte, J., Pinto-Gouveia, J., & Basran, J. (2017). The development of compassionate engagement and action scales for self and others. Journal of Compassionate Health Care, 4(4), 1–24

Grant, M., Sun, V., Fujinami, R., Sidhu, R., Otis-Green, S., Juarez, G., Klein, L., & Ferrel, B. (2013). Family caregiver burden, skills preparedness, and quality of life in non-small cell lung cancer. Oncoloy Nursing Forum, 40(4), 337–346. https://doi.org/10.1188/13.ONF.337-346CrossRef

Grecucci, A., Pappaianni, E., Siugzdaite, R., Theuninck, A., & Job, R. (2015). Mindful emotion regulation: Exploring the neurocognitive mechanisms behind mindfulness. Biomed Research International, 2015, 670724. https://doi.org/10.1155/2015/670724CrossRefPubMedPubMedCentral

Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis. (2nd ed.). Guilford Press.

Inwood, E., & Ferrari, M. (2018). Mechanisms of change in the relationship between self-compassion, emotion regulation, and mental health: A systematic review. Applied Psychology: Health and Well-Being, 10(2), 215–235

Jaffray, L., Bridgman, H., Stephens, M., & Skinner, T. (2016). Evaluating the effects of mindfulness-based interventions for informal palliative caregivers: A systematic literature review. Palliative Medicine, 30(2), 117–131. https://doi.org/10.1177/0269216315600331CrossRefPubMed

Jay Miller, J., Lee, J., Niu, C., Grise Owens, E., & Bode, M. (2019). Self-compassion as a predictor of self-care: A study of social work clinicians. Clinical Social Work Journal, 47(4), 321–331CrossRef

Junior, A. R., Liebel, G., de Andrade, A. G., Andrade, L. H., Gorenstein, C., & Wang, Y. P. (2019). Can gender and age impact on response pattern of depressive symptoms among college students? A differential item functioning analysis. Front in Psychiatry, 10, 50. https://doi.org/10.3389/fpsyt.2019.00050CrossRef

Kabat-Zinn, J. (1994). Wherever you go, there you are. Hyperion.

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.2016.05.032CrossRefPubMed

Lopez, A., Sanderman, R., & Schroevers, M. J. (2016). Mindfulness and self-compassion as unique and common predictors of affect in the general population. Mindfulness, 7(6), 1289–1296. https://doi.org/10.1007/s12671-016-0568-yCrossRefPubMedPubMedCentral

Lynch, S. H., Shuster, G., & Lobo, M. L. (2018). The family caregiver experience - Examining the positive and negative aspects of compassion satisfaction and compassion fatigue as caregiving outcomes. Aging & Mental Health, 22(11), 1424–1431. https://doi.org/10.1080/13607863.2017.1364344CrossRef

Milbury, K., Badr, H., Fossella, F., Pisters, K. M., & Carmack, C. L. (2013). Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer. Supportive Care in Cancer, 21(9), 2371–2379. https://doi.org/10.1007/s00520-013-1795-6CrossRefPubMedPubMedCentral

Mosher, C. E., Jaynes, H. A., Hanna, N., & Ostroff, J. S. (2013). Distressed family caregivers of lung cancer patients: An examination of psychosocial and practical challenges. Supportive Care in Cancer, 21(2), 431–437. https://doi.org/10.1007/s00520-012-1532-6CrossRefPubMed

Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101CrossRef

Nightingale, C. L., Steffen, L. E., Tooze, J. A., Petty, W., Danhauer, S. C., Badr, H., & Weaver, K. E. (2019). Lung cancer patient and caregiver health vulnerabilities and interest in health promotion interventions: An exploratory study. Global Advances in Health and Medicine, 17(8), 1–11. https://doi.org/10.1177/2164956119865160CrossRef

Nipp, R. D., El-Jawahri, A., Fishbein, J. N., Gallagher, E. R., Stagl, J. M., Park, E. R., Jackson, V. A., Piril, W. F., Greer, J. A., & Temel, J. S. (2016). Factors associated with depression and anxiety symptoms in family caregivers of patients with incurable cancer. Annals of Oncoogyl, 27(8), 1607–1612. https://doi.org/10.1093/annonc/mdw205CrossRef

Paul, N. A., Stanton, S. J., Greeson, J. M., Smoski, M. J., & Wang, L. (2013). Psychological and neural mechanisms of trait mindfulness in reducing depression vulnerability. Social Cognitive and Affective Neuroscience, 8, 56–64CrossRef

Pires, F. B. C., Lacerda, S. S., Balardin, J. B., Portes, B., Tobo, P. R., Barrichello, C. R. C., Amaro, E., & Kozasa, E. H. (2018). Self-compassion is associated with less stress and depression and greater attention and brain response to affective stimuli in women managers. BMC Women’s Health, 18(1), 195. https://doi.org/10.1186/s12905-018-0685-yCrossRefPubMedPubMedCentral

Rowe, A. C., Shepstone, L., Carnelley, K. B., Cavanagh, K., & Millings, A. (2016). Attachment security and self-compassion priming increase the likelihood that first-time engagers in mindfulness meditation will continue with mindfulness training. Mindfulness, 7, 642–650. https://doi.org/10.1007/s12671-016-0499-7CrossRefPubMedPubMedCentral

Sadak, T., Korpak, A., Wright, J. D., Lee, M. K., Noel, M., Buckwalter, K., & Borson, S. (2017). Psychometric evaluation of kingston caregiver stress scale. Clinical Gerontologist, 40(4), 268–280. https://doi.org/10.1080/07317115.2017.1313349CrossRefPubMed

Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386CrossRef

Siminoff, L. A., Wilson-Genderson, M., & Baker, S., Jr. (2010). Depressive symptoms in lung cancer patients and their family caregivers and the influence of family environment. Psycho-Oncology, 19(12), 1285–1293. https://doi.org/10.1002/pon.1696CrossRefPubMedPubMedCentral

Subic-Wrana, C., Beutel, M. E., Brahler, E., Stobel-Richter, Y., Knebel, A., Lane, R. D., & Wiltink, J. (2014). How is emotional awareness related to emotion regulation strategies and self-reported negative affect in the general population? PLoS ONE, 9(3), e91846. https://doi.org/10.1371/journal.pone.0091846CrossRefPubMedPubMedCentral

Tan, J. Y., Molassiotis, A., Lloyd-Williams, M., & Yorke, J. (2018). Burden, emotional distress and quality of life among informal caregivers of lung cancer patients: An exploratory study. European Journal of Cancer Care, 27(1), e12691. https://doi.org/10.1111/ecc.12691CrossRef

Xu, S., Zhang, H., & Wang, J. (2020). Caregiver burden and depression among Chinese family caregivers: The role of self-compassion. Mindfulness, 11, 1647–1654CrossRef

Zhu, L., Yao, J., Wang, J., Wu, L., Gao, Y., Xie, J., Liu, A., Ranchor, A. V., & Schroevers, M. J. (2019). The predictive role of self-compassion in cancer patients’ symptoms of depression, anxiety, and fatigue: A longitudinal study. Psycho-Oncology, 28(9), 1918–1925. https://doi.org/10.1002/pon.5174CrossRefPubMed

Titel: The Short- and Long-term Causal Relationships Between Self-compassion, Trait Mindfulness, Caregiver Stress, and Depressive Symptoms in Family Caregivers of Patients with Lung Cancer
Auteurs: Chia-Chen Hsieh
Zhong-Zhe Lin
Chao-Chi Ho
Chong-Jen Yu
Hsiu-Jung Chen
Yu-Wen Chen
Fei-Hsiu Hsiao
Publicatiedatum: 05-05-2021
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 7/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-021-01642-4

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Abstract

Objectives

Methods

Results

Conclusions

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