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Gepubliceerd in: Mindfulness 7/2021

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

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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 2nd month (T2), the 5th month (T3), and the 8th 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.
Literatuur
go back to reference 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, 1169–1180 CrossRef 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, 1169–1180 CrossRef
go back to reference 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), 1653–1664 CrossRef 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), 1653–1664 CrossRef
go back to reference 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), 401–407 CrossRef 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), 401–407 CrossRef
go back to reference 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, 90–103 CrossRef 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, 90–103 CrossRef
go back to reference 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 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
go back to reference Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis. (2nd ed.). Guilford Press. Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis. (2nd ed.). Guilford Press.
go back to reference 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 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
go back to reference 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), 321–331 CrossRef 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), 321–331 CrossRef
go back to reference Kabat-Zinn, J. (1994). Wherever you go, there you are. Hyperion. Kabat-Zinn, J. (1994). Wherever you go, there you are. Hyperion.
go back to reference Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101 CrossRef Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101 CrossRef
go back to reference 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/​mdw205 CrossRef 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/​mdw205 CrossRef
go back to reference 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, 56–64 CrossRef 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, 56–64 CrossRef
go back to reference Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386 CrossRef Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386 CrossRef
go back to reference Xu, S., Zhang, H., & Wang, J. (2020). Caregiver burden and depression among Chinese family caregivers: The role of self-compassion. Mindfulness, 11, 1647–1654 CrossRef Xu, S., Zhang, H., & Wang, J. (2020). Caregiver burden and depression among Chinese family caregivers: The role of self-compassion. Mindfulness, 11, 1647–1654 CrossRef
Metagegevens
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