Attachment-Based Compassion Therapy for Ameliorating Fibromyalgia: Mediating Role of Mindfulness and Self-Compassion

Montero-Marín, Jesús; Gordon, William Van; Shonin, Edo; Navarro-Gil, Mayte; Gasión, Virginia; López‐Del‐Hoyo, Yolanda; Luciano, Juan V.; Campayo, Javier García

doi:10.1007/s12671-019-01302-8

Cited by 16 publications

(12 citation statements)

References 76 publications

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“…Numerous studies have shown that mindfulness is associated with reduced levels of anxiety and depression. [52][53][54][55] Belen 56 found that fear of COVID-19 and anxiety were inversely related to mindfulness and that more mindfulness might protect individuals against the negative effects of fear of coronavirus, anxiety and depression, and improve mental health during the COVID-19 epidemic. Mindfulness refers to the awareness and acceptance of the presence.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Coronavirus Anxiety, Mindfulness and Spiritual Health in Patients with Cancer: A Survey in Southeast Iran

Dehghan

Namjoo

Zarei

et al. 2021

Psychiatry Investig

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Objective The sudden outbreak of COVID-19 has caused major health problems, including anxiety in cancer patients worldwide. Spiritual health and mindfulness are considered as factors affecting anxiety. This study addressed the relationship between COVID-19 anxiety, spiritual health and mindfulness in patients with cancer.Methods One hundred and eighty-four cancer patients participated in this cross-sectional study. The data were collected with convenience sampling method from two oncology centers from 15 June to 15 July 2020 in the southeast Iran. Patients completed the Demographic and Clinical Characteristics Form, Corona Disease Anxiety Scale (CDAS), The Freiburg Mindfulness inventory-Short Form (FMI-SF) and Spiritual Health Scale.Results According to the psychological symptom subscale (CDAS), 61.4% of the participants had moderate to severe anxiety. According to the physical symptom subscale, 38% of the participants had moderate to severe anxiety. No significant association was found between corona disease anxiety and mindfulness/spiritual health (p>0.05).Conclusion The results of this study showed high levels of mental and physical anxiety and worries about COVID-19 disease in cancer patients, which led to challenges in their lives. It is necessary to review and implement effective interventions in future studies to prevent anxiety and its consequences in cancer patients.

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Section: Discussionmentioning

confidence: 99%

The Relationship between Coronavirus Anxiety, Mindfulness and Spiritual Health in Patients with Cancer: A Survey in Southeast Iran

Dehghan

Namjoo

Zarei

et al. 2021

Psychiatry Investig

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“…They also led to reduced anger (Carson et al., 2005; Chapin et al., 2014). Moreover, self‐compassion was a significant mediator of change in Acceptance and Commitment Therapy (ACT) and Attachment‐Based Compassion Therapy (ABCT) for chronic pain regarding disability, depression and (pain‐related) anxiety (Montero‐Marin et al., 2020; Vowles, Witkiewitz, Sowden, & Ashworth, 2014).…”

Section: Introductionmentioning

confidence: 99%

Self‐compassion predicting pain, depression and anger in people suffering from chronic pain: A prospective study

Emmerich

Friehs

Crombez

et al. 2020

European Journal of Pain

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Self-compassion is associated with disability, pain-related anxiety as well as depression and anger in patients with chronic pain. However, the unique value of selfcompassion versus other concepts such as psychological flexibility and self-esteem is unknown. The present study therefore aimed to clarify these relationships. Individuals with chronic pain (N CP = 872) and without chronic pain (N NP = 356) took part in a longitudinal study. Participants completed self-report instruments: Pain Disability Index (PDI), Pain Catastrophizing Scale (PCS), Pain Anxiety Symptom Scale (PASS-20), Patient Health Questionnaire (PHQ-9), State Trait Anger Expression Inventory (STAXI), Self-Compassion Scale (SCS), Psychological Inflexibility in Pain Scale (PIPS) and Rosenberg Self-Esteem Scale (RSES). Assessments were repeated after 8 weeks. We found differences in baseline levels of all relevant variables except for anger-out and anger-control between people with and without chronic pain. Subsequently, we computed a path model analysis regarding individuals suffering from chronic pain (N CP), addressing the predictive value of reduced uncompassionate self-responding (RUS), compassionate self-responding (CS), avoidance (PIPS), cognitive fusion (PIPS) and self-esteem (RSES) regarding pain-related (PDI, PCS, PASS) and emotional variables (PHQ-9, STAXI). Avoidance predicted disability, catastrophizing, anxiety and depression. RUS predicted catastrophizing and painrelated anxiety. Self-esteem predicted depression. CS and cognitive fusion had no unique predictive value. The model explained 65.4%-72.1% of the variance in painrelated variables, 68.7% of the variance in depression and 38.7%-60.7% in the variance of anger-related variables. In conclusion, psychological flexibility, in terms of avoidance, seems to be more relevant for chronic pain than self-compassion. Future research should focus on subgroups and tailored-treatment approaches. Significance: Applying a longitudinal design, this study examined the predictive value of self-compassion regarding pain, depression and anger. The relevance of self-compassion was compared to psychological flexibility and self-esteem. We can conclude that psychological flexibility, in terms of avoidance behaviour, is the most relevant predictor concerning pain. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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“…Particularly in CP, this calls for a larger discussion and further empirical analysis of whether selfcompassionate programs in CP operate through an increase in self-compassionate attributes (increase in selfkindness, the acknowledgment of suffering as part of the common humanity, and a mindful stance) or rather a decrease of self-directed judgment, feelings of isolation and an over-identification with personal difficulties and suffering. Indeed, it seems that one study found that it does increase self-compassionate attributes in women with fibromyalgia [7], however it did not control for the effect of the uncompassionate self-responding attributes. When examining the unique contribution of the SCS components, uncompassionate self-responding emerged as the only significant predictor of depressive symptoms, above and beyond pain intensity and disability and (in)flexibility processes, suggesting that pain management programs that aim to decrease depressive symptoms would benefit from focusing on the specific uncompassionate subcomponents (self-judgment, but also feelings of isolation and over identification).…”

Section: Discussionmentioning

confidence: 94%

“…Self-compassion is described as the ability to be sensitive to personal suffering and motivated to courageously alleviate it [4,5], and it has been theoretically proposed [6] and empirically suggested [7] to be beneficial in CP, even when it is not a direct focus of a psychological flexibility program [8]. Indeed, self-compassion seems to be a crosssectional predictor of depressive symptoms [9], of negative affect and pain disability [10], and to prospectively predict depressive symptoms [11].…”

Section: Introductionmentioning

confidence: 99%

Above and beyond emotional suffering: the unique contribution of compassionate and uncompassionate self-responding in chronic pain

Carvalho

Pinto‐Gouveia

Gillanders

et al. 2020

Scandinavian Journal of Pain

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ObjectivesStudies have shown that self-compassion plays a protective role against depression in women with chronic pain (CP). However, the majority of studies in CP have used the total score of the self-compassion scale (SCS), which have raised concerns due to potential overlap, not only between the uncompassionate self-responding factors and psychopathology, but also between self-compassion as a whole and other well-known psychological processes (e.g., mindfulness, acceptance, psychological flexibility). This calls for a more nuanced understanding of which components of (un)compassionate self-responding adds to better mental health in CP.MethodsThis study explores the unique contribution of compassionate and uncompassionate self-responding to depressive symptoms in women with CP undergoing pain consultation (n = 49).ResultsCorrelation analyses suggest that compassionate self-responding only significantly correlates with progress in valued living, while the uncompassionate self-responding significantly correlates with pain fusion, pain avoidance, obstructions to valued living and depression. Multiple regression analysis showed that self-compassion contributes to depressive symptoms (R2 = 8%) above and beyond pain intensity and disability (R2 = 12%) and psychological (in) flexibility processes (R2 = 31%), and uncompassionate (but not compassionate) self-responding uniquely contributes to depressive symptoms (sr2 = 18%).ConclusionsFindings suggest that uncompassionate self-responding is a stronger contributor to depression in CP than compassionate self-responding. Clinical implications are further discussed.

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Attachment-Based Compassion Therapy for Ameliorating Fibromyalgia: Mediating Role of Mindfulness and Self-Compassion

Cited by 16 publications

References 76 publications

The Relationship between Coronavirus Anxiety, Mindfulness and Spiritual Health in Patients with Cancer: A Survey in Southeast Iran

The Relationship between Coronavirus Anxiety, Mindfulness and Spiritual Health in Patients with Cancer: A Survey in Southeast Iran

Self‐compassion predicting pain, depression and anger in people suffering from chronic pain: A prospective study

Above and beyond emotional suffering: the unique contribution of compassionate and uncompassionate self-responding in chronic pain

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