Introduction: Little is known about the impact of restrictive measures during the COVID-19 pandemic on self-image and engagement in exercise and other coping strategies alongside the use of image and performance-enhancing drugs (IPEDs) to boost performance and appearance.Objectives: To assess the role of anxiety about appearance and self-compassion on the practice of physical exercise and use of IPEDs during lockdown.Methods: An international online questionnaire was carried out using the Exercise Addiction Inventory (EAI), the Appearance Anxiety Inventory (AAI), and the Self-Compassion Scale (SCS) in addition to questions on the use of IPEDs.Results: The sample consisted of 3,161 (65% female) adults from Italy (41.1%), Spain (15.7%), the United Kingdom (UK) (12.0%), Lithuania (11.6%), Portugal (10.5%), Japan (5.5%), and Hungary (3.5%). The mean age was 35.05 years (SD = 12.10). Overall, 4.3% of the participants were found to engage in excessive or problematic exercise with peaks registered in the UK (11.0%) and Spain (5.4%). The sample reported the use of a wide range of drugs and medicines to boost image and performance (28%) and maintained use during the lockdown, mostly in Hungary (56.6%), Japan (46.8%), and the UK (33.8%), with 6.4% who started to use a new drug. Significant appearance anxiety levels were found across the sample, with 18.1% in Italy, 16.9% in Japan, and 16.7% in Portugal. Logistic regression models revealed a strong association between physical exercise and IPED use. Anxiety about appearance also significantly increased the probability of using IPEDs. However, self-compassion did not significantly predict such behavior. Anxiety about appearance and self-compassion were non-significant predictors associated with engaging in physical exercise.Discussion and Conclusion: This study identified risks of problematic exercising and appearance anxiety among the general population during the COVID-19 lockdown period across all the participating countries with significant gender differences. Such behaviors were positively associated with the unsupervised use of IPEDs, although no interaction between physical exercise and appearance anxiety was observed. Further considerations are needed to explore the impact of socially restrictive measures among vulnerable groups, and the implementation of more targeted responses.

Background Clinical and health psychologists are often exposed to occupational hazards, such as burnout and compassion fatigue, which originate from emotional demands at work. Mindful Self‐Compassion (MSC) training has been demonstrated to be useful in increasing well‐being and enhancing mental health. Although the use of the MSC programme in educational contexts has been suggested, an evaluation of its efficacy as a method to improve the competencies of trainees in clinical psychology has yet to be performed. Methods Our study used a sample of 61 adults (88.5% women) attending postgraduate courses in clinical and health psychology who participated in an 8‐week MSC programme. Their levels of self‐compassion, mindfulness, well‐being, anxiety and depression symptoms were assessed before and after the intervention. Based on the participants' adherence to the MSC programme, two groups were created, that is, high (n = 30) versus low (n = 31) adherence. Results The participants in the high‐adherence group benefitted from the MSC programme because they increased their self‐compassion, mindfulness and psychological well‐being scores. The extent to which the participants reported to have been committed to the MSC practice was associated with changes in self‐compassion, mindfulness and psychological well‐being. Furthermore, the changes in self‐compassion were significantly correlated with changes in mindfulness and psychological well‐being. Conclusion The MSC programme offers a promising way to develop professional competencies and enhance the well‐being of trainees in clinical psychology.

ObjectiveDespite consistent evidence for the beneficial effects of meditation on mental health, little is known about the mechanisms that make mindfulness meditation effective.MethodThe levels of mental health, self‐compassion, presence of meaning in life, and experiential avoidance of meditators (n = 414) and nonmeditators (n = 414) were measured and compared. Bootstrap‐based structural equation modeling (SEM) modeling analyses were used to test multiple‐step multiple‐mediator models.ResultsMeditation was positively associated with mental health, although the regularity of practice was an influential element to be considered. Significant indirect effects of meditation on mental health through self‐compassion, meaning in life, and experiential avoidance were found. SEM models were able to account for 58% of the variance in mental health scores.ConclusionsSelf‐compassion, presence of meaning in life, and reduced experiential avoidance may be active components of healthy meditation practices. Identifying the mechanisms involved in effective meditation practices has relevant implications for well‐being and mental health‐promoting interventions.

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Mindfulness is connected to positive outcomes related to mental health and well-being. However, the psychological mechanisms that account for these relationships are largely unknown. A multiple-step multiple mediator structural equation modeling (SEM) model was tested with mindfulness as the independent variable; purpose in life and behavioral activation as serial mediators; and happiness, anxiety, and depression as outcome measures. Data were obtained from 1267 women. Higher mindfulness was associated with higher levels of happiness and lower anxiety and depression symptoms. The association of mindfulness with the outcome variables could be partially accounted for by purpose in life and behavioral activation. The SEM model explained large proportions of variance in happiness (50%), anxiety (34%), and depression (44%) symptoms. Mindfulness is associated with both a sense of purpose in life and engagement in activities, which are also connected with positive outcomes. Moreover, having purposes in life is linked to higher levels of behavioral activation.