The Effect of Self-Compassion on Psychosocial and Clinical Outcomes in Patients With Medical Conditions: A Systematic Review

Misurya, Ishita; Misurya, Pranati; Dutta, Anirban

doi:10.7759/cureus.10998

Cited by 12 publications

(12 citation statements)

References 47 publications

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“…Most of our patients presented moderate self-compassion. Self-compassion has emerged as an important part of the management of psychological issues that may be associated with many aspects of mental wellbeing, including reduced anxiety, stress, and depression, as well as improved quality of life [ 7 ]. In our cohort, the SCS score was statistically significantly negatively associated with the SCL-90-R total GSI score, thus providing further support to the previously mentioned concept that low self-compassion may be adversely related to psychological health.…”

Section: Discussionmentioning

confidence: 99%

“…Published data suggest a positive association of self-compassion to medical disease management (i.e., with adherence to behaviors aiming at health promotion) [ 20 ]. Additionally, self-compassion aimed interventions (such as compassion-focused therapy or compassionate mind training) in patients with chronic conditions may improve health-promoting behaviors and affect clinical outcomes [ 7 ]. The design of our study cannot assess the possible association between the mental distress associated with acute PE and the patient’s response to disease management.…”

Section: Discussionmentioning

confidence: 99%

“…The acute diagnosis can be stressful, and the patient may experience impaired quality of life, anxiety, and depression in long-term follow-up [ 5 - 6 ]. Psychological distress may further worsen existing illnesses and thus contribute to a decreased drive for engaging in disease management behaviors [ 7 ]. Limited data are available on the short-term psychological response to PE diagnosis, with most studies focusing on the extended impact of the disease on quality of life and psychosocial responses.…”

Section: Introductionmentioning

confidence: 99%

“…The psychological characteristics may relate to physical symptoms and influence how patients manage their disease. For example, the presence of psychotic symptoms has been related to poor drug adherence [ 8 ] while self-compassion is associated with self-management behaviors [ 7 ]. The term self-compassion as described by Neff [ 9 ] includes the idea that one should treat himself/herself as he/she would treat others and is defined by three components: common humanity versus isolation, self-kindness versus self-judgment, and mindfulness versus over-identification.…”

Section: Introductionmentioning

confidence: 99%

“…The term self-compassion as described by Neff [ 9 ] includes the idea that one should treat himself/herself as he/she would treat others and is defined by three components: common humanity versus isolation, self-kindness versus self-judgment, and mindfulness versus over-identification. Self-compassion is related to improved quality of life, protects against anxiety and depression, and is associated with better clinical outcomes [ 7 ]. Forgiveness is a complex phenomenon that is considered to be central to human wellbeing and linked to health promotion by decreasing anxiety and depression.…”

Section: Introductionmentioning

confidence: 99%

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Association of Psychopathology Symptoms, Self-Compassion, and Forgiveness in Patients With Pulmonary Embolism

Malli¹,

Lampropoulos²,

Iatrou³

et al. 2021

Cureus

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BackgroundPulmonary embolism (PE) is a potentially life-threatening disease with both physical and psychological impacts. The psychological distress in the early phase of the disease has not been previously studied in the literature. MethodsThe study sample included patients with PE with or without deep vein thrombosis. All subjects included in the study prospectively completed the Symptom Checklist-90-R (SCL-90-R) questionnaire, the Heartland Forgiveness Scale (HFS), and the Self-Compassion Scale (SCS) during their hospitalization for PE. ResultsForty-four PE patients were included in the study (59.1% males). The mean age was 62.27±15.03 years. The majority (77.3%) had at least one comorbidity with 9.1% previously diagnosed with depression. The Total Global Severity Index (GSI) score for SCL-90-R was 82.42±49.70 while 36.4% of subjects had a high "Obsessive-compulsive" score, 22.7% had a high "Depression" score, and 22.7% presented a high "Hostility" score. The total HFS score was 45.54±40.42 with 54.5% of patients classified as "usually forgiving." The mean SCS score was 2.05±0.65 with 59.1% of patients presenting moderate self-compassion while 18.2% had low self-compassion. The total SCS score was correlated with the total GSI score (p=0.005, r=-0.576) and total HFS score (p=0.005, r=0.675). The SCS Self-kindness score correlated with interpersonal sensitivity (p=0.024, r=-0.479), depression (p=0.008, r=-0.551), and GSI score (p=0.049, r=-0.425). Self-judgement correlated with paranoid ideation (p=0.044, r=-0.467), hostility (p=0.007, r=-0.597), and GSI (p=0.027, r=-0.505). Isolation correlated with interpersonal sensitivity (p=0.026, r=-0.509), anxiety (p=0.014, r=-0.553), hostility (p=0.032, r=-0.494), paranoid ideation (p=0.026, r=-0.509), and GSI (p=0.015, r=-0.548). The total SCS score correlated with anxiety (p=0.041, r=-0.438). SCS Self-kindness score correlated significantly with total HFS score (p=0.002, r=0.613), forgiveness of self (p=0.011, r=0.528), forgiveness of others (p=0.008, r=0.550), and forgiveness of situations (p=0.004. r=0.587). Common humanity was significantly correlated with total HFS score (p=0.023, r=0.481), forgiveness of others (p=0.033, r=0.456), and forgiveness of situations (p=0.016, r=0.507). Mindfulness was positively correlated with HFS total score (p=0.009, r=0.544), forgiveness of self (p=0.049, r=0.424), forgiveness of others (p=0.012, r=0.525), and forgiveness of situations (p=0.013, r=0.520). ConclusionsWe report for the first time that patients acutely hospitalized for PE present symptoms of obsessivecompulsive disorder, depression, and hostility and exhibit moderate self-compassion. The marginal majority of PE patients are "usually forgiving" during the acute phase of the disease. Self-compassion is positively associated with forgiveness and negatively associated with psychiatric symptoms. Further studies are warranted in order to assess longitudinal differences in psychometric scores and the possible result of targeted mental health interventions at PE-specific clin...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association of Psychopathology Symptoms, Self-Compassion, and Forgiveness in Patients With Pulmonary Embolism

Malli¹,

Lampropoulos²,

Iatrou³

et al. 2021

Cureus

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Can self‐compassion help us better understand the impact of pulmonary hypertension on those with the condition and their carers? A cross‐sectional analysis

et al. 2023

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Pulmonary hypertension (PH) can have a multifaced impact both on the affected individual and close family members. However there are relatively few studies that have sought to identify potential protective factors. Individual differences in ability to be self-compassionate are known to be implicated in adjustment in other long-term conditions and are now featuring in the provision of care for a number of conditions. This is a cross-sectional study that investigated the relationship between self-compassion, demographic, PHrelated information, and measures of psychosocial functioning in adults with PH (n = 65) and caregivers (n = 29). Individuals with PH and caregivers of someone with PH completed self-report measures on demographic and clinical factors, anxiety, depression, self-compassion, and in those with PH, healthrelated quality of life, and in carers, caregiver burden. Data were analyzed using hierarchical regression analyses. Surprisingly, participants with PH and caregivers did not significantly differ on rates of depression (p = 0.19) or anxiety (p = 0.57) with both scoring relatively high. Components of selfcompassion were associated with psychological functioning in both individuals and caregivers. Greater self-compassion was associated with fewer symptoms of anxiety and depression, and greater health-related quality of life in individuals with PH and lower burden in caregivers. More specifically, multiple regression analyses revealed after controlling for age, gender, and duration of PH, self-compassion was a significant predictor of anxiety and depression in people with PH, and of anxiety and caregiver burden in carers.These findings add to the evidence base indicating that there can be a range of burdens experienced by both people living with PH and their wider families.Further, this study uniquely suggests that psychological and supportive interventions that seek to build self-compassion may be useful to develop and test in this clinical group.

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Cognitive Behavioral Therapy, Metacognitive Therapies, and Rehabilitation and Further Developments in Mental Health

Rakitzi¹

2023

Clinical Psychology and Cognitive Behavioral Psychotherapy

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The Effect of Self-Compassion on Psychosocial and Clinical Outcomes in Patients With Medical Conditions: A Systematic Review

Cited by 12 publications

References 47 publications

Association of Psychopathology Symptoms, Self-Compassion, and Forgiveness in Patients With Pulmonary Embolism

Association of Psychopathology Symptoms, Self-Compassion, and Forgiveness in Patients With Pulmonary Embolism

Can self‐compassion help us better understand the impact of pulmonary hypertension on those with the condition and their carers? A cross‐sectional analysis

Cognitive Behavioral Therapy, Metacognitive Therapies, and Rehabilitation and Further Developments in Mental Health

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