Compassion-focused self-help for psychological distress associated with skin conditions: a randomized feasibility trial

Hudson, Mark; Thompson, Andrew R.; Emerson, Lisa-Marie

doi:10.1080/08870446.2019.1707829

Cited by 27 publications

(29 citation statements)

References 55 publications

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“…The results of the current study suggest that increasing self-compassion is a viable target in the psychological treatment of depression in people with skin conditions. Indeed, there is emerging evidence that compassion interventions can benefit people with skin conditions: Studies in this population have found compassion self-help to reduce depression, shame, self-criticism, and negative affect, and improve quality of life (Hudson, Thompson, & Emerson, 2019;Muftin, Gilbert, & Thompson, in press;Sherman, Roper, & Kilby, 2019).…”

Section: Discussionmentioning

confidence: 99%

Depression in people with skin conditions: The effects of disgust and self‐compassion

Clarke

Thompson

Norman

2020

British J Health Psychol

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Objectives. Skin conditions can be accompanied by significant levels of depression; there is therefore a need to identify the associated psychological factors to assist with the development of appropriate interventions. This study sought to examine the effects of disgust propensity, disgust sensitivity, self-focused/ruminative disgust, and self-compassion on depression in people with skin conditions. Design. A cross-sectional survey with follow-up survey. Methods. Dermatology outpatients (N = 147) completed self-report measures of disgust traits, self-compassion, and depression. At three-month follow-up, participants (N = 80) completed the depression measure again. Results. Multiple regression analyses revealed that disgust propensity, disgust sensitivity, self-focused/ruminative disgust, and self-compassion each explained significant amounts of variance in baseline depression. Self-compassion also explained a significant amount of variance in depression at follow-up, after accounting for baseline depression. In addition, self-compassion moderated the effect of disgust propensity on depression at baseline, such that at high levels of self-compassion, disgust propensity no longer had a positive relationship with depression. Conclusions. Disgust traits contribute to depression in people with skin conditions, while being self-compassionate may be protective against depression. High selfcompassion also buffers the effects of disgust propensity on depression in people with skin conditions. The findings indicate the potential of compassion-focused interventions for depression in people with skin conditions. Statement of contribution What is already known on this subject? People with skin conditions can experience depression that is not well explained by condition severity. Skin conditions can elicit disgust reactions that, in turn, may contribute to the development of depression. Self-compassion is negatively associated with depression. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Depression in people with skin conditions: The effects of disgust and self‐compassion

Clarke

Thompson

Norman

2020

British J Health Psychol

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“…In line with this, a recent longitudinal study in people with IBD showed self-compassion to be a protective factor to the experience of stress, depressive symptoms, and anxiety ( 41 ). Interventions that promote self-compassion are feasible ( 42 ) and present promising results in the context of chronic illnesses, such as persistent pain ( 43 ), acquired brain injury ( 44 ), and chronic skin conditions ( 45 ). Although these data seem to indicate that helping cultivate self-compassion may be useful in IBD, no compassion-based intervention has yet been tested in this population.…”

Section: Introductionmentioning

confidence: 99%

The LIFEwithIBD Intervention: Study Protocol for a Randomized Controlled Trial of a Face-to-Face Acceptance and Commitment Therapy and Compassion-Based Intervention Tailored to People With Inflammatory Bowel Disease

et al. 2021

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Background: There is ample evidence of the high mental health burden caused by Inflammatory Bowel Disease (IBD). Several constructs such as experiential avoidance, cognitive fusion, shame, and self-criticism have recently emerged as potential intervention targets to improve mental health in IBD. Psychotherapeutic models such as Acceptance and Commitment Therapy and compassion-based interventions are known to target these constructs. In this protocol, we aim to describe a two-arm Randomized Controlled Trial (RCT) testing the efficacy of an ACT and compassion-focused intervention named Living with Intention, Fullness, and Engagement with Inflammatory Bowel Disease (LIFEwithIBD) intervention + Treatment As Usual (TAU) vs. TAU in improving psychological distress, quality of life, work and social functioning, IBD symptom perception, illness-related shame, psychological flexibility, self-compassion, disease activity, inflammation biomarkers, and gut microbiota diversity.Methods: This trial is registered at ClinicalTrials.gov (Identifier: NCT03840707, date assigned 13/02/2019). The LIFEwithIBD intervention is an adaptation to the IBD population of the Mind programme for people with cancer, an acceptance, mindfulness, and compassion-based intervention designed to be delivered in a group format. The LIFEwithIBD intervention's structure and topics are presented in this protocol. Participants were recruited at the Gastroenterology Service of the Coimbra University Hospital between June and September 2019. Of the 355 patients screened, 61 participants were selected, randomly assigned to one of two conditions [experimental group (LIFEwithIBD + TAU) or control group (TAU)] and completed the baseline assessment. Outcome measurement took place at baseline, post-intervention, 3- and 12-month follow-ups.Discussion: Results from this RCT will support future studies testing the LIFEwithIBD intervention or other acceptance and/or compassion-based interventions for IBD.

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“…Targeted forms of cognitive behavioural therapy (e.g. Clarke et al, 2013) and approaches such as Acceptance and Commitment Therapy (Feros, Lane, Ciarrochi, & Blackledge, 2013;Shepherd, Reynolds, Turner, O'Boyle, & Thompson, 2019;Zucchelli, Donnelly, Williamson, & Hooper, 2018) and Compassion-Based Therapy (Kirby, Tellegen, & Steindl, 2017;Hudson et al in second review) might be particularly useful to facilitating adjustment for people coming to terms with living with an altered appearance.…”

Section: Discussionmentioning

confidence: 99%

Cancer and changes in facial appearance: A meta‐ethnography of qualitative studies

Thompson

Sewards

Baker

2020

British J Health Psychol

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Introduction. Living with an altered facial appearance as a result of treatment for cancer requires considerable psychological adjustment. As such it is essential that health care professionals understand the lived experience of people affected. This systematic review provides a meta-ethnography of studies that have explored the experience of changed facial appearance as a result of cancer. Methods.A search of four databases (Web of Science, CINAHL, PsycInfo, and Scopus) took place using terms relating to qualitative research, cancer, and changed facial appearance. Thirteen studies were identified, appraised, and included in the synthesis. The findings and interpretations within the studies were subject to meta-ethnography procedures so as to elicit novel cross-cutting themes.Findings. The experience of changed facial appearance after cancer was clustered into three contexts. In the context of the disease, subthemes were the primacy of survival, the changing relationship with the disease, and the impact of the care team on the experience of changed appearance. In the context of the social world, subthemes were positive reactions, negative reactions, and coping strategies. In the context of the self, subthemes were the self under attack, self-to-self relating, the self in the world, and rebuilding the self.Conclusions. The findings indicate that health care professionals must conduct holistic assessments, so as to fully recognize and where necessary address the impact upon self. The meta-ethnography shows that the experience of facial appearance change following cancer is complex and requires awareness of a number of theoretical areas including identity construction, social support, stigmatization, and the specific literature on visible difference. Statement of contributionWhat is already known on this subject?Changed facial appearance after cancer can cause significant social difficulties and impact on the sense of self.

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Compassion-focused self-help for psychological distress associated with skin conditions: a randomized feasibility trial

Cited by 27 publications

References 55 publications

Depression in people with skin conditions: The effects of disgust and self‐compassion

Depression in people with skin conditions: The effects of disgust and self‐compassion

The LIFEwithIBD Intervention: Study Protocol for a Randomized Controlled Trial of a Face-to-Face Acceptance and Commitment Therapy and Compassion-Based Intervention Tailored to People With Inflammatory Bowel Disease

Cancer and changes in facial appearance: A meta‐ethnography of qualitative studies

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