Pathways from paranoid conviction to distress: exploring the mediator role of Fears of Compassion in a sample of people with psychosis

Martins, Maria João; Castilho, Paula; Carvalho, Célia Barreto; Pereira, A.T.; Carvalho, Diana Paula de Souza Rêgo Pinto; Bajouco, M.; Madeira, Nuno; Santos, Vítor; Macedo, A.

doi:10.1080/17522439.2017.1349830

Cited by 4 publications

(2 citation statements)

References 32 publications

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“…It might be expected that the MAS-A Self-Reflectivity scale would be a stronger predictor due to the focus on thoughts about the self. However, this finding may be consistent with research suggesting that individuals with schizophrenia have more distress associated with compassion for the self than with cultivating compassion toward others (Martins et al, 2017).…”

Section: Discussionsupporting

confidence: 87%

The Independent Relationships of Metacognition, Mindfulness, and Cognitive Insight to Self-Compassion in Schizophrenia

2019

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The debilitating nature of psychosis may be exacerbated by societal stigma and feelings of social isolation over and above positive (e.g., hallucinations) and negative (e.g., flat affect) symptoms. Thus, recovery may be facilitated by increasing self-compassion, the ability to respond with a nonjudgmental attitude of kindness toward oneself as a result of connecting with one's own inadequacies and suffering. We conducted a stepwise regression in individuals with schizophreniaspectrum disorders (n = 92) to determine the unique contributions of cognitive variables in predicting self-compassion, such as metacognition (the ability to form complex and integrated ideas about oneself and others), mindfulness, and cognitive insight. Results indicated that increased metacognitive awareness of others and mindfulness uniquely predicted greater selfcompassion (i.e., self-kindness), whereas increased cognitive insight predicted greater lack of selfcompassion (i.e., self-judgment). These findings suggest the potential for mindfulness and metacognitive interventions to increase positive self-compassion and promote recovery in psychosis.

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Section: Discussionsupporting

confidence: 87%

The Independent Relationships of Metacognition, Mindfulness, and Cognitive Insight to Self-Compassion in Schizophrenia

2019

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“…In contrast to previous research (e.g. Martins et al, 2017;Martins et al, 2018), patients in this study did not report fear of compassion. Instead, the qualitative accounts highlight improvements in self-compassion and self-acceptance, which for many also extended to increased compassion for others.…”

Section: Discussioncontrasting

confidence: 99%

A compassionate imagery intervention for patients with persecutory delusions

Forkert

Brown

Freeman

2021

Behav. Cogn. Psychother.

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Background: Negative beliefs about the self, including low self-compassion, have been identified as a putative causal factor in the occurrence of paranoia. Therefore, improving self-compassion may be one route to reduce paranoia. Aims: To assess the feasibility, acceptability, and potential clinical effects of a brief compassionate imagery intervention for patients with persecutory delusions. Method: Twelve patients with persecutory delusions received an individual four-session compassionate imagery intervention. Assessments of self-concept and paranoia were completed before treatment, immediately after treatment, and at 1-month follow-up. A qualitative study exploring participants’ experiences of the treatment was also completed. Results: Twelve out of 14 eligible patients referred to the study agreed to take part. All participants completed all therapy sessions and assessments. Post-treatment, there were improvements in self-compassion (change score –0.64, 95% CI –1.04, –0.24, d = –1.78), negative beliefs about the self (change score 2.42, 95% CI –0.37, 5.20, d = 0.51), and paranoia (change score 10.08, 95% CI 3.47, 16.69, d = 0.61). There were no serious adverse events. Three themes emerged from the qualitative analysis: ‘effortful learning’, ‘seeing change’ and ‘taking it forward’. Participants described a process of active and effortful engagement in therapy which was rewarded with positive changes, including feeling calmer, gaining clarity, and developing acceptance. Conclusion: This uncontrolled feasibility study indicates that a brief compassionate imagery intervention for patients with persecutory delusions is feasible, acceptable, and may lead to clinical benefits.

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Self-Compassion in Psychotherapy: Clinical Integration, Evidence Base, and Mechanisms of Change

Germer

2023

Mindfulness in Behavioral Health

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Pathways from paranoid conviction to distress: exploring the mediator role of Fears of Compassion in a sample of people with psychosis

Cited by 4 publications

References 32 publications

The Independent Relationships of Metacognition, Mindfulness, and Cognitive Insight to Self-Compassion in Schizophrenia

The Independent Relationships of Metacognition, Mindfulness, and Cognitive Insight to Self-Compassion in Schizophrenia

A compassionate imagery intervention for patients with persecutory delusions

Self-Compassion in Psychotherapy: Clinical Integration, Evidence Base, and Mechanisms of Change

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