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Background: Over the past decade, there has been an increasing interest in exploring self-compassion as a related and complementary construct to mindfulness. Improved self-compassion may predict clinical outcomes after implementing Mindfulness-Based Stress Reduction (MBSR) approach and Compassion-Focused Therapy (CFT). This pilot study compared the impact of MBSR and CFT on self-compassion in people living with HIV, utilizing implicit and explicit instructions, respectively. Methods: The present quasi-experimental study with pre-test, post-test, and follow-up design was conducted among people living with HIV referred to the Voluntary Counseling and Testing (VCT) center of Imam Khomeini Hospital in Tehran, Iran in which 54 patients were selected by convenient sampling. The interventions based on CFT and MBSR were applied to two experimental groups (18 people in each group) while the control group included 18 people who received no interventions and were placed on a waiting list. The experimental groups received the two interventions for 10 weekly sessions. Patients’ self-compassion was assessed at three stages of pre-test, post-test, and follow-up with a self-compassion scale. Descriptive and inferential statistics (analysis of covariance) were used to analyze the extracted data. Results: The results showed that both interventions based on CFT and MBSR were effective in enhancing self-compassion of people living with HIV (p<0.05), and this effect remained consistent even during the follow-up stage (p=0.021). The changes were observable even three months after the treatment (p< 0.05). Conclusion: This study demonstrated that MBSR and CFT can be effective in improving self-compassion among HIV positive patients. Besides, they can be helpful in developing preventive interventions.

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Background: HIV patients are exposed to many psychological problems, including psychological inflexibility. It seems that psychological interventions can be effective to improve the psychological state of these patients. Therefore, in this study, we aimed to compare the effectiveness of interventions with 2 methods of Compassion-Focused Therapy (CFT) and Mindfulness-Based Stress Reduction (MBSR) program on psychological flexibility of HIV patients in Imam Khomeini Hospital. Methods: The present study was a descriptive-analytical study that was performed as an intervention in the period from May to January in 2020 on 54 HIV patients referred to Voluntary Counseling and Testing (VCT) center of Imam Khomeini Hospital Complex. The samples of the study mode were selected by available sampling and randomly divided in 3 groups of 18 people based on CFT, MBSR session and the control group. Each treatment was presented to 2 experimental groups for 10 sessions per week and the control group was placed on a waiting lists. Patients' psychological flexibility was assessed by the Acceptance and Action Questionnaire- II "AAQ-II" in 3 stages: pre-test, post-test and follow-up. SPSS 23 software and analysis of covariance, bonferoni test and one-way analysis of variance were used to analyze the data. Results: The results showed that CFT and MBSR were effective on increasing psychological flexibility of HIV patients (p < 0.01). Comparison of the effectiveness of the 2 therapies showed that CFT caused a further increase on increasing psychological flexibility (p < 0.01). Changes in follow-up 3 months after treatment also remained stable (p < 0.01). Conclusion: Findings of the study show that the use of therapies in this study can be effective in planning psychological interventions to promote and improve mental health in HIV patients.