A Systematic Review of the Effectiveness of Self-Compassion-Related Interventions for Individuals With Chronic Physical Health Conditions

Kılıç, Ayşenur; Hudson, Joanna; McCracken, Lance M.; Ruparelia, Roshni; Fawson, Sophie; Hughes, Lyndsay D.

doi:10.1016/j.beth.2020.08.001

Cited by 54 publications

(56 citation statements)

References 61 publications

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“…If so, selfcompassion-based interventions may not be the most efficacious treatments for depression and anxiety. We do, however, note some small-scale RCT studies of self-compassion-based interventions, suggesting that relationships may be causal (Austin et al 2020;Kılıç et al 2020). In cross-sectional studies, it is not possible to rule out common method effects due to overlap of self-compassion items and distress measures and scale scoring formats.…”

Section: Limitations and Future Researchmentioning

confidence: 76%

“…These interventions acknowledge the reality of patients' experiences of illness, but aim to develop compassion-based skillsets that overlay and inhibit threat and drive responses in contexts where they may be harmful. Early indications suggest that self-compassion-based interventions might be efficacious (Austin et al 2020;Kılıç et al 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Thus, most patients might benefit to some degree from self-compassion-focussed intervention. Preliminary evidence suggests that 'comprehensive' compassion-based interventions, such as CFT, MSC, CCT and MBCL, are effective interventions for depression and anxiety experienced by adults with chronic physical illness, regardless of the severity of these difficulties (Austin et al 2020;Kılıç et al 2020). Thus, a range of interventions varying in intensity, from self-help approaches (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…CFT), could be offered to patients depending on their needs and wishes. Preliminary evidence indicates that these interventions also effectively target process outcomes by increasing self-compassion and reducing self-blame and criticism (Austin et al 2020;Kılıç et al 2020). However, large-scale mediational RCTs are needed to definitively establish any effects and mechanisms of these interventions for adults with chronic physical illness (Austin et al 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Interventions have been found to reduce shame and depression (Braehler et al 2013;Judge et al 2012;Lucre and Corten 2013;Schuling et al 2020), although evidence from randomised controlled trials (RCTs) is currently limited (Leaviss and Uttley 2015). Two recent systematic reviews provide preliminary evidence that compassion-based interventions may reduce anxiety and depression in chronic physical illness patients (Austin et al 2020;Kılıç et al 2020). A mixture of qualitative, pre-post and small-sample randomised controlled trials suggest that brief and intensive interventions, drawing from a range of theoretical approaches, improve self-compassion, anxiety and depression in clinical and non-clinical populations (Austin et al 2020;Kılıç et al 2020) and are generally acceptable to patients (Austin et al 2020).…”

mentioning

confidence: 99%

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Self-Compassion and Anxiety and Depression in Chronic Physical Illness Populations: a Systematic Review

et al. 2021

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Objectives Anxiety and depression are common in chronic physical illness populations. Self-compassion, the motivation and the capacity to alleviate one’s own suffering, is associated with reduced anxiety and depression in mental health populations. This review aimed to collate available research showing links between self-compassion and anxiety and depression in chronic physical illness populations. Methods This study is a systematic review of English language studies investigating univariate and multivariate correlates of anxiety and depression by self-compassion constructs in adult chronic physical illness populations. Results Twenty papers, reporting data from 16 unique studies, were included. Half sampled cancer patients. Self-compassion scores consistently showed moderate to large inverse associations with anxiety and depression over both univariate (r = −.37 to −.53 and r = −.38 to −.66, respectively) and multivariate analyses (β =.01 to β = −.55 and β = −.17 to β = −.59, respectively). Worry and depressive brooding, and shame, mediated relationships between self-compassion and anxiety and depression. Conclusions Although findings suggest that self-compassion processes may have a role in alleviating anxiety and depression in chronic physical illness populations, methodological limitations limit confidence in this proposition. Prospective studies that identify theoretically plausible mediators and moderators are required before the development or modification of therapeutic interventions.

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Section: Limitations and Future Researchmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Self-Compassion and Anxiety and Depression in Chronic Physical Illness Populations: a Systematic Review

et al. 2021

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The predictive value of self‐compassion for psychological adjustment in left ventricular assist device patients: an observational study

et al. 2022

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Aims Implantation of a left ventricular assist device (LVAD) is an established treatment option for patients with advanced heart failure. However, apart from its challenging medical management, it comes with serious psychological implications. Empirical evidence suggests that self-compassion, a self-regulation strategy for countering negative self-directed emotions, might be a promising approach in facilitating psychological adjustment also in LVAD patients. The aims of the present study were to investigate self-compassion as a protective factor for anxiety and depressive symptoms, to test whether taking a decentred perspective mediates these effects, and to explore whether self-compassion predicts the clinically rated functional health status. Method and results A sample of N = 45 patients (36 male) with a mean age of 60.5 years (SD = 10.8) from the outpatient department for terminal heart failure at the University Medical Center in Kiel, Germany, participated in the study. Patients completed self-report measures for psychological adjustment (HADS), self-compassion (SCS), and decentring (EQ). Functional health status was determined by the NYHA classification. The more patients were self-compassionate, the less they reported anxiety (r = À0.28) and depressive symptoms (r = À0.34). Decentring mediated both effects. Moreover, self-compassion predicted the functional health status, even when controlling for anxiety (odds ratio [OR] = 0.09) and depressive symptoms (OR = 0.11). Conclusions This study provides the first evidence for a significant interrelation between self-compassion and common adverse psychological conditions in LVAD patients. Longitudinal data and the evaluation of interventions to strengthen self-compassion are needed to further validate the beneficial effects of self-compassion in LVAD patients in the future.

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Can self‐compassion help us better understand the impact of pulmonary hypertension on those with the condition and their carers? A cross‐sectional analysis

et al. 2023

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Pulmonary hypertension (PH) can have a multifaced impact both on the affected individual and close family members. However there are relatively few studies that have sought to identify potential protective factors. Individual differences in ability to be self-compassionate are known to be implicated in adjustment in other long-term conditions and are now featuring in the provision of care for a number of conditions. This is a cross-sectional study that investigated the relationship between self-compassion, demographic, PHrelated information, and measures of psychosocial functioning in adults with PH (n = 65) and caregivers (n = 29). Individuals with PH and caregivers of someone with PH completed self-report measures on demographic and clinical factors, anxiety, depression, self-compassion, and in those with PH, healthrelated quality of life, and in carers, caregiver burden. Data were analyzed using hierarchical regression analyses. Surprisingly, participants with PH and caregivers did not significantly differ on rates of depression (p = 0.19) or anxiety (p = 0.57) with both scoring relatively high. Components of selfcompassion were associated with psychological functioning in both individuals and caregivers. Greater self-compassion was associated with fewer symptoms of anxiety and depression, and greater health-related quality of life in individuals with PH and lower burden in caregivers. More specifically, multiple regression analyses revealed after controlling for age, gender, and duration of PH, self-compassion was a significant predictor of anxiety and depression in people with PH, and of anxiety and caregiver burden in carers.These findings add to the evidence base indicating that there can be a range of burdens experienced by both people living with PH and their wider families.Further, this study uniquely suggests that psychological and supportive interventions that seek to build self-compassion may be useful to develop and test in this clinical group.

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A Systematic Review of the Effectiveness of Self-Compassion-Related Interventions for Individuals With Chronic Physical Health Conditions

Cited by 54 publications

References 61 publications

Self-Compassion and Anxiety and Depression in Chronic Physical Illness Populations: a Systematic Review

Self-Compassion and Anxiety and Depression in Chronic Physical Illness Populations: a Systematic Review

The predictive value of self‐compassion for psychological adjustment in left ventricular assist device patients: an observational study

Can self‐compassion help us better understand the impact of pulmonary hypertension on those with the condition and their carers? A cross‐sectional analysis

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