A pilot study and randomized controlled trial of the mindful self-compassion program.

OBJECTIVES The aim of these two studies was to evaluate the effectiveness of the Mindful Self-Compassion (MSC) program, an 8-week workshop designed to train people to be more self-compassionate. METHODS Study 1 was a pilot study that examined change scores in self-compassion, mindfulness, and various wellbeing outcomes among community adults (N = 21; mean [M] age = 51.26, 95% female). Study 2 was a randomized controlled trial that compared a treatment group (N = 25; M age = 51.21; 78% female) with a waitlist control group (N = 27; M age = 49.11; 82% female). RESULTS Study 1 found significant pre/post gains in self-compassion, mindfulness, and various wellbeing outcomes. Study 2 found that compared with the control group, intervention participants reported significantly larger increases in self-compassion, mindfulness, and wellbeing. Gains were maintained at 6-month and 1-year follow-ups. CONCLUSIONS The MSC program appears to be effective at enhancing self-compassion, mindfulness, and wellbeing.

[1]  S. N. Beretvas,et al.  The Role of Self-compassion in Romantic Relationships , 2013 .

[2]  Stefan Schmidt,et al.  Measuring mindfulness—the Freiburg Mindfulness Inventory (FMI) , 2006 .

[3]  Darren Higgins.  The Mindful Path to Self-Compassion: Freeing Yourself from Destructive Thoughts and Emotions , 2011 .

[4]  P. Grossman,et al.  Mindfulness-based stress reduction and health benefits. A meta-analysis. , 2004, Journal of psychosomatic research.

[5]  K. Neff,et al.  Self-compassion, Achievement Goals, and Coping with Academic Failure , 2005 .

[6]  J. Laurenceau,et al.  Mindfulness and Emotion Regulation: The Development and Initial Validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R) , 2007 .

[7]  Richard M. Lee,et al.  Measuring belongingness: The Social Connectedness and the Social Assurance scales. , 1995 .

[8]  Elizabeth Ann Pommier,et al.  The Compassion Scale , 2010 .

[9]  J. Crocker,et al.  Contingencies of self-worth in college students: theory and measurement. , 2003, Journal of personality and social psychology.

[10]  Mark R. Leary,et al.  Self-compassion, self-regulation, and health , 2011 .

[11]  S. Sears,et al.  Measuring the Immeasurables: Development and Initial Validation of the Self-Other Four Immeasurables (SOFI) Scale Based on Buddhist Teachings on Loving Kindness, Compassion, Joy, and Equanimity , 2009 .

[12]  Helena Motlagh,et al.  Impact of Event Scale-revised. , 2010, Journal of physiotherapy.

[13]  P. Gilbert,et al.  Focused therapies and compassionate mind training for shame and self-attacking. , 2005 .

[14]  Tara-Leigh F. McHugh,et al.  The Role of Self-compassion in Women's Self-determined Motives to Exercise and Exercise-related Outcomes , 2010 .

[15]  M. Mehl,et al.  When Leaving Your Ex, Love Yourself , 2012, Psychological science.

[16]  L. Yarnell,et al.  Self-compassion, Interpersonal Conflict Resolutions, and Well-being , 2013 .

[17]  J. Pinto-Gouveia,et al.  Acceptance of pain, self-compassion and psychopathology: using the chronic pain acceptance questionnaire to identify patients' subgroups. , 2011, Clinical psychology & psychotherapy.

[18]  C. Spielberger,et al.  STAI manual for the State-trait anxiety inventory ("self-evaluation questionnaire") , 1970 .

[19]  D. Hinton,et al.  Loving-kindness and compassion meditation: potential for psychological interventions. , 2011, Clinical psychology review.

[20]  S. Lyubomirsky,et al.  A Measure of Subjective Happiness: Preliminary Reliability and Construct Validation , 1999 .

[21]  Jack Kornfield,et al.  Radical Acceptance: Embracing Your Life with the Heart of a Buddha , 2003 .

[22]  S. Allan,et al.  Compassion focused therapy for eating disorders. , 2010 .

[23]  I. Lowens.  Compassion Focused Therapy for People with Bipolar Disorder , 2010 .

[24]  Paul Gilbert,et al.  Having a word with yourself: Neural correlates of self-criticism and self-reassurance , 2010, NeuroImage.

[25]  J. Wingrove,et al.  Pilot Study of Mindfulness-Based Cognitive Therapy for Trainee Clinical Psychologists , 2010, Behavioural and Cognitive Psychotherapy.

[26]  K. Neff,et al.  The Development and Validation of a Scale to Measure Self-Compassion , 2003 .

[27]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[28]  David C. Zuroff,et al.  Soothing Oneself and Resisting Self-Attacks: The Treatment of Two Intrapersonal Deficits in Depression Vulnerability , 2009, Cognitive Therapy and Research.

[29]  D. Zuroff,et al.  Who benefits from training in self-compassionate self-regulation? A study of smoking reduction. , 2010 .

[30]  W. Li,et al.  Does Self-Compassion Mitigate the Association Between Childhood Maltreatment and Later Emotion Regulation Difficulties? A Preliminary Investigation , 2011, International Journal of Mental Health and Addiction.

[31]  Willem Kuyken,et al.  How does mindfulness-based cognitive therapy work? , 2010, Behaviour research and therapy.

[32]  P. Gilbert,et al.  Fears of compassion: development of three self-report measures. , 2011, Psychology and psychotherapy.

[33]  Suzette Glasner-Edwards,et al.  Assessing Mindfulness and Acceptance Processes in Clients: Illuminating the Theory and Practice of Change , 2011 .

[34]  L. Carlson,et al.  Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) , 2010 .

[35]  S. Rude,et al.  An examination of self-compassion in relation to positive psychological functioning and personality traits , 2007 .

[36]  Lauren Wispé,et al.  The psychology of sympathy , 1991 .

[37]  C. Germer,et al.  The Mindful Path to Self-Compassion: Freeing Yourself from Destructive Thoughts and Emotions , 2009 .

[38]  Paul Gilbert,et al.  Compassionate mind training for people with high shame and self‐criticism: overview and pilot study of a group therapy approach , 2006 .

[39]  K. Neff,et al.  The Relationship between Self-compassion and Other-focused Concern among College Undergraduates, Community Adults, and Practicing Meditators , 2013 .

[40]  J. Astin,et al.  Mindfulness-Based Stress Reduction for Health Care Professionals: Results From a Randomized Trial , 2005 .

[41]  W. Lee,et al.  The effects of mindfulness‐based group intervention on the mental health of middle‐aged Korean women in community , 2010 .

[42]  J. Fitzpatrick,et al.  Self-compassion and emotional intelligence in nurses. , 2010, International journal of nursing practice.

[43]  K. Neff.  The science of self-compassion. , 2012 .

[44]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[45]  A. Serretti,et al.  Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. , 2009, Journal of alternative and complementary medicine.

[46]  J. Crocker,et al.  The costly pursuit of self-esteem. , 2004, Psychological bulletin.

[47]  Emiliana R. Simon-Thomas,et al.  Compassion: an evolutionary analysis and empirical review. , 2010, Psychological bulletin.

[48]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[49]  Paul Gilbert,et al.  Compassion Focused Therapy: Distinctive Features , 2010 .

[50]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[51]  M. Csíkszentmihályi,et al.  Positive psychology. An introduction. , 2000, The American psychologist.

[52]  N. V. Van Dam,et al.  Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. , 2011, Journal of anxiety disorders.

[53]  Alice T. Sawyer,et al.  The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. , 2010, Journal of consulting and clinical psychology.

[54]  Z. Segal,et al.  Mindfulness: A Proposed Operational Definition , 2004 .

[55]  Kenneth Colosimo,et al.  Mindfulness, self-compassion, and happiness in non-meditators: A theoretical and empirical examination , 2011 .

[56]  S. McPherson,et al.  The experience and meaning of compassion and self-compassion for individuals with depression or anxiety. , 2010, Psychology and psychotherapy.

[57]  C. Spielberger,et al.  Manual for the State-Trait Anxiety Inventory , 1970 .

[58]  Paul Gilbert,et al.  A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery. , 2008 .

[59]  Shian-Ling Keng,et al.  Effects of mindfulness on psychological health: a review of empirical studies. , 2011, Clinical psychology review.

[60]  J. Kabat-Zinn,et al.  An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. , 1982, General hospital psychiatry.

[61]  M. Leary,et al.  Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. , 2007, Journal of personality and social psychology.

[62]  Britta K. Hölzel,et al.  How Does Mindfulness Meditation Work? Proposing Mechanisms of Action From a Conceptual and Neural Perspective , 2011, Perspectives on psychological science : a journal of the Association for Psychological Science.

[63]  F. Raes,et al.  Construction and factorial validation of a short form of the Self-Compassion Scale. , 2011, Clinical psychology & psychotherapy.

[64]  S. Shapiro,et al.  Teaching Self-Care to Caregivers: Effects of Mindfulness-Based Stress Reduction on the Mental Health of Therapists in Training , 2007 .

[65]  Darcel M Reyes.  Self-Compassion , 2012, Journal of holistic nursing : official journal of the American Holistic Nurses' Association.

[66]  R. Larsen,et al.  The Satisfaction with Life Scale , 1985, Journal of personality assessment.

[67]  K. Neff.  Self-Compassion: An Alternative Conceptualization of a Healthy Attitude Toward Oneself , 2003 .

[68]  M. Leary,et al.  Promoting self-compassionate attitudes toward eating among restrictive and guilty eaters. , 2007 .

[69]  G. Adshead.  Compassion: Conceptualisations, Research and Use in Psychotherapy , 2006, British Journal of Psychiatry.