Skip to main content
Top
Published in: Cognitive Therapy and Research 3/2017

Open Access 01-06-2017 | Original Article

Why Does Positive Mental Health Buffer Against Psychopathology? An Exploratory Study on Self-Compassion as a Resilience Mechanism and Adaptive Emotion Regulation Strategy

Authors: Hester R. Trompetter, Elian de Kleine, Ernst T. Bohlmeijer

Published in: Cognitive Therapy and Research | Issue 3/2017

Login to get access

Abstract

Growing evidence suggests that positive mental health or wellbeing protects against psychopathology. How and why those who flourish derive these resilient outcomes is, however, unknown. This exploratory study investigated if self-compassion, as it continuously provides a friendly, accepting and situational context for negative experiences, functions as a resilience mechanism and adaptive emotion regulation strategy that protects against psychopathology for those with high levels of positive mental health. Participants from the general population (n = 349) provided measures at one time-point on positive mental health (MHC-SF), self-compassion (SCS-SF), psychopathology (HADS) and negative affect (mDES). Self-compassion significantly mediated the negative relationship between positive mental health and psychopathology. Furthermore, higher levels of self-compassion attenuated the relationship between state negative affect and psychopathology. Findings suggest that especially individuals with high levels of positive mental health possess self-compassion skills that promote resilience against psychopathology. These might function as an adaptive emotion regulation strategy and protect against the activation of schema related to psychopathology following state negative affective experiences. Enhancing self-compassion is a promising positive intervention for clinical practice. It will not only impact psychopathology through reducing factors like rumination and self-criticism, but also improve positive mental health by enhancing factors such as kindness and positive emotions. This may reduce the future risk of psychopathology.
Footnotes
1
We also ran an alternative mediation model. We found significant, partial mediation for the link between psychopathology and positive mental health as mediated by self-compassion [indirect effect = −.447, 95 % CI = (−.607; −.312)]. The findings correspond to empirical evidence for a bidirectional relationship between psychopathology and positive mental health (Lamers et al. 2015).
 
2
We also ran an alternative moderation model. We found no evidence for a model in which self-compassion would moderate the relationship between psychopathology and state negative affect (interaction effect = −.006, SE = .005, p = .193).
 
Literature
go back to reference Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303. doi:10.1037/a0025754.CrossRef Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303. doi:10.​1037/​a0025754.CrossRef
go back to reference Boehm, J. K., & Kubzansky, L. D. (2012). The heart’s content: the association between positive psychological well-being and cardiovascular health. Psychological Bulletin, 138(4), 655–691. doi:10.1037/a0027448.PubMedCrossRef Boehm, J. K., & Kubzansky, L. D. (2012). The heart’s content: the association between positive psychological well-being and cardiovascular health. Psychological Bulletin, 138(4), 655–691. doi:10.​1037/​a0027448.PubMedCrossRef
go back to reference Braehler, C., Gumley, A., Harper, J., Wallace, S., Norrie, J., & Gilbert, P. (2013). Exploring change processes in compassion focused therapy in psychosis: Results of a feasibility randomized controlled trial. British Journal of Clinical Psychology, 52(2), 199–214. doi:10.1111/bjc.12009.PubMedCrossRef Braehler, C., Gumley, A., Harper, J., Wallace, S., Norrie, J., & Gilbert, P. (2013). Exploring change processes in compassion focused therapy in psychosis: Results of a feasibility randomized controlled trial. British Journal of Clinical Psychology, 52(2), 199–214. doi:10.​1111/​bjc.​12009.PubMedCrossRef
go back to reference Dempster, A. P., Laird, N. M., & Rubin, D. B. (1977). Maximum likelihood for incomplete data via the EM algorithm. Journal of the Royal Statistical Society: Series B (Methodological), 39(1), 1–38. Dempster, A. P., Laird, N. M., & Rubin, D. B. (1977). Maximum likelihood for incomplete data via the EM algorithm. Journal of the Royal Statistical Society: Series B (Methodological), 39(1), 1–38.
go back to reference Ehret, A. M., Joormann, J., & Berking, M. (2014). Examining risk and resilience factors for depression: The role of self-criticism and self-compassion. Cognition, 29(8), 1496–1504. doi:10.1080/02699931.2014.992394. Ehret, A. M., Joormann, J., & Berking, M. (2014). Examining risk and resilience factors for depression: The role of self-criticism and self-compassion. Cognition, 29(8), 1496–1504. doi:10.​1080/​02699931.​2014.​992394.
go back to reference Fledderus, M., Bohlmeijer, E. T., Smit, F., & Westerhof, G. J. (2010). Mental health promotion as a new goal in public mental health care: A randomized controlled trial of an intervention enhancing psychological flexibility. American Journal of Public Health, 100(12), 2372.PubMedPubMedCentralCrossRef Fledderus, M., Bohlmeijer, E. T., Smit, F., & Westerhof, G. J. (2010). Mental health promotion as a new goal in public mental health care: A randomized controlled trial of an intervention enhancing psychological flexibility. American Journal of Public Health, 100(12), 2372.PubMedPubMedCentralCrossRef
go back to reference Gilbert, P. (2009a). The compassionate mind. Londen: Constable & Robinson. Gilbert, P. (2009a). The compassionate mind. Londen: Constable & Robinson.
go back to reference Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 263–325). Londen: Routlegde. Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 263–325). Londen: Routlegde.
go back to reference Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13(6), 353–379. doi:10.1002/cpp.507.CrossRef Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13(6), 353–379. doi:10.​1002/​cpp.​507.CrossRef
go back to reference Grant, F., Guille, C., & Sen, S. (2013). Well-being and the risk of depression under stress. PLoS one, 8, 1–6. Grant, F., Guille, C., & Sen, S. (2013). Well-being and the risk of depression under stress. PLoS one, 8, 1–6.
go back to reference Hayes, A. (2013). Introduction to mediation, moderation and conditional process analysis. New York: Guilford Press. Hayes, A. (2013). Introduction to mediation, moderation and conditional process analysis. New York: Guilford Press.
go back to reference Huppert, F. A., & Whittington, J. E. (2003). Evidence for the independence of positive and negative well-being: Implications for quality of life assessment. British Journal of Health Psychology, 8, 107–122.PubMedCrossRef Huppert, F. A., & Whittington, J. E. (2003). Evidence for the independence of positive and negative well-being: Implications for quality of life assessment. British Journal of Health Psychology, 8, 107–122.PubMedCrossRef
go back to reference Kelly, A. C., Zuroff, D. C., & Shapira, L. B. (2009). Soothing oneself and resisting self-attacks: The treatment of two intrapersonal deficits in depression vulnerability. Cognitive Therapy and Research, 33(3), 301–313. doi:10.1007/s10608-008-9202-1.CrossRef Kelly, A. C., Zuroff, D. C., & Shapira, L. B. (2009). Soothing oneself and resisting self-attacks: The treatment of two intrapersonal deficits in depression vulnerability. Cognitive Therapy and Research, 33(3), 301–313. doi:10.​1007/​s10608-008-9202-1.CrossRef
go back to reference Lamers, S. M. A., Bolier, L., Westerhof, G. J., Smit, F., & Bohlmeijer, E. T. (2012). The impact of emotional well-being on long-term recovery and survival in physical illness: A meta-analysis. Journal of Behavioral Medicine, 35(5), 538–547. doi:10.1007/s10865-011-9379-8.PubMedCrossRef Lamers, S. M. A., Bolier, L., Westerhof, G. J., Smit, F., & Bohlmeijer, E. T. (2012). The impact of emotional well-being on long-term recovery and survival in physical illness: A meta-analysis. Journal of Behavioral Medicine, 35(5), 538–547. doi:10.​1007/​s10865-011-9379-8.PubMedCrossRef
go back to reference Lamers, S. M. A., Westerhof, G. J., Bohlmeijer, E. T., ten Klooster, P. M., & Keyes, C. L. M. (2011). Evaluating the psychometric properties of the Mental Health Continuum-Short Form (MHC-SF). Journal of Clinical Psychology, 67(1), 99–110. doi:10.1002/jclp.20741.PubMedCrossRef Lamers, S. M. A., Westerhof, G. J., Bohlmeijer, E. T., ten Klooster, P. M., & Keyes, C. L. M. (2011). Evaluating the psychometric properties of the Mental Health Continuum-Short Form (MHC-SF). Journal of Clinical Psychology, 67(1), 99–110. doi:10.​1002/​jclp.​20741.PubMedCrossRef
go back to reference Lamers, S. M. A., Westerhof, G. J., Glas, C. A. W., & Bohlmeijer, E. T. (2015). The bidirectional relation between positive mental health and psychopathology in a longitudinal representative panel study. The Journal of Positive Psychology,. doi:10.1080/17439760.2015.1015156. Lamers, S. M. A., Westerhof, G. J., Glas, C. A. W., & Bohlmeijer, E. T. (2015). The bidirectional relation between positive mental health and psychopathology in a longitudinal representative panel study. The Journal of Positive Psychology,. doi:10.​1080/​17439760.​2015.​1015156.
go back to reference Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92(5), 887–904. doi:10.1037/0022-3514.92.5.887.PubMedCrossRef Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92(5), 887–904. doi:10.​1037/​0022-3514.​92.​5.​887.PubMedCrossRef
go back to reference MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta- analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552.PubMedCrossRef MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta- analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552.PubMedCrossRef
go back to reference Muris, P., Meesters, C., Pierik, A., & De Kock, B. (2015). Good for the self: Self-compassion and other self-related constructs in relation to symptoms of anxiety and depression in non-clinical youths. Journal of Child and Family Studies,. doi:10.1007/s10826-015-0235-2. Muris, P., Meesters, C., Pierik, A., & De Kock, B. (2015). Good for the self: Self-compassion and other self-related constructs in relation to symptoms of anxiety and depression in non-clinical youths. Journal of Child and Family Studies,. doi:10.​1007/​s10826-015-0235-2.
go back to reference Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44.PubMedCrossRef Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44.PubMedCrossRef
go back to reference Neff, K. D., Rude, S. S., & Kirkpatrick, K. L. (2007b). An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality, 41(4), 908–916. doi:10.1016/j.jrp.2006.08.002.CrossRef Neff, K. D., Rude, S. S., & Kirkpatrick, K. L. (2007b). An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality, 41(4), 908–916. doi:10.​1016/​j.​jrp.​2006.​08.​002.CrossRef
go back to reference Preacher, K. J., & Kelley, K. (2011). Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods, 16(2), 93–115. doi:10.1037/a0022658.PubMedCrossRef Preacher, K. J., & Kelley, K. (2011). Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods, 16(2), 93–115. doi:10.​1037/​a0022658.PubMedCrossRef
go back to reference Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the Self-Compassion Scale. Clinical Ppsychology & Psychotherapy, 8, 250–255.CrossRef Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the Self-Compassion Scale. Clinical Ppsychology & Psychotherapy, 8, 250–255.CrossRef
go back to reference Schaefer, A., Nils, F. F., Sanchez, X., & Philippot, P. (2010). Assessing the effectiveness of a large database of emotion-eliciting films: A new tool for emotion researchers. Cognition & Emotion, 24, 1153–1172. doi:10.1080/02699930903274322.CrossRef Schaefer, A., Nils, F. F., Sanchez, X., & Philippot, P. (2010). Assessing the effectiveness of a large database of emotion-eliciting films: A new tool for emotion researchers. Cognition & Emotion, 24, 1153–1172. doi:10.​1080/​0269993090327432​2.CrossRef
go back to reference Spinhoven, P., Ormel, J., Sloekers, P. P., Kempen, G. I., Speckens, a E., & Van Hemert, a M. (1997). A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychological Medicine, 27(2), 363–70. http://www.ncbi.nlm.nih.gov/pubmed/9089829. Spinhoven, P., Ormel, J., Sloekers, P. P., Kempen, G. I., Speckens, a E., & Van Hemert, a M. (1997). A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychological Medicine, 27(2), 363–70. http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​9089829.
go back to reference Weich, S., Brugha, T., King, M., McManus, S., Bebbington, P., Jenkins, R., et al. (2011). Mental well-being and mental illness: Findings from the adult psychiatric morbidity survey for England 2007. British Journal of Psychiatry, 199(1), 23–28. doi:10.1192/bjp.bp.111.091496.PubMedCrossRef Weich, S., Brugha, T., King, M., McManus, S., Bebbington, P., Jenkins, R., et al. (2011). Mental well-being and mental illness: Findings from the adult psychiatric morbidity survey for England 2007. British Journal of Psychiatry, 199(1), 23–28. doi:10.​1192/​bjp.​bp.​111.​091496.PubMedCrossRef
go back to reference Wood, A. M., & Joseph, S. (2010). The absence of positive psychological (eudemonic) wellbeing as a risk factor for depression: A ten year cohort study. Journal of Affective Disorders, 2(122), 213–217.CrossRef Wood, A. M., & Joseph, S. (2010). The absence of positive psychological (eudemonic) wellbeing as a risk factor for depression: A ten year cohort study. Journal of Affective Disorders, 2(122), 213–217.CrossRef
go back to reference Zessin, U., Dickh, O., & Garbade, S. (2015). The relationship between self-compassion and well-being: A meta-analysis. Applied Psychology: Health and Well-Being, 7(3), 340–364. doi:10.1111/aphw.12051. Zessin, U., Dickh, O., & Garbade, S. (2015). The relationship between self-compassion and well-being: A meta-analysis. Applied Psychology: Health and Well-Being, 7(3), 340–364. doi:10.​1111/​aphw.​12051.
go back to reference Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRef Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.PubMedCrossRef
Metadata
Title
Why Does Positive Mental Health Buffer Against Psychopathology? An Exploratory Study on Self-Compassion as a Resilience Mechanism and Adaptive Emotion Regulation Strategy
Authors
Hester R. Trompetter
Elian de Kleine
Ernst T. Bohlmeijer
Publication date
01-06-2017
Publisher
Springer US
Published in
Cognitive Therapy and Research / Issue 3/2017
Print ISSN: 0147-5916
Electronic ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-016-9774-0

Other articles of this Issue 3/2017

Cognitive Therapy and Research 3/2017 Go to the issue