Chris Irons

The aim of this study was to examine the relationships between self-compassion and possible predictors of depressed mood in parents of people with eating disorders. A questionnaire design was conducted cross‐sectionally in a sample of 112 parents of people with eating disorders. Participants completed measures of depressed mood, experiences of entrapment, shame, guilt, self-criticism and self-compassion. Regression analyses showed entrapment and self-criticism to be mediators between the relationship of shame and depressed mood. Self-compassion appeared to reduce the experience of depressed mood through its effect on shame and entrapment. Self-compassion also appeared to reduce the experience of depressed mood through its effect on self-criticism. This study explored processes of depression and the buffering effects of self-compassion on these processes. These findings support an evolutionary understanding of depressed mood and the potential benefits of applying compassion-focused interventions for parents of people with eating disorders.

Objectives: Compassion‐focused therapy (CFT) is an evolution‐informed biopsychosocial approach that seeks to cultivate attachment and care motivational systems and their psychophysiological regulators. These can counteract some of the harmful effects of social threat, inferiority, shame, self‐criticism and depression, which are common in people with psychosis and undermine their well‐being, social trust and ability to feel safe. This study aimed to test the acceptability of a novel manualized individual CFT intervention for psychosis (CFTp). Design: A non‐concurrent, multiple‐baseline, case series design, with three phases: baseline, intervention and follow‐up. Methods: The 26‐session CFTp intervention was provided for a sample of eight people with distressing psychotic experiences and a psychosis‐related diagnosis. The study aimed to assess acceptability of CFTp and to test clinically reliable improvements while receiving the intervention, compared to a baseline period. Results: Seven of eight participants completed the therapy, and clinically reliable improvements were found at both the single‐case and group level of analysis. At the single‐case level, over half the participants showed improvements in depression (5/7), stress (5/7), distress (5/7), anxiety (4/7) and voices (3/5). One participant showed a deterioration in anxiety (1/7) and dissociation (1/7). At the group level ( n = 7), there were significant improvements in depression, stress, distress, voices and delusions. The improvements in voices, delusions and distress were sustained at 6‐ to 8‐week follow‐up, but depression and stress dropped slightly to trend‐level improvements. Conclusions: CFTp is a feasible and acceptable intervention for psychosis, and further investigation is warranted with a randomized controlled trial.

An individual’s wellbeing at work is now recognised as key, particularly for those in challenging environment’s such as health and social care. Focusing on the cultivation of (mindful) compassion has been shown to be an effective way of improving mental health. This service evaluation focused on a pilot drop-in group for council and NHS staff, informed by Compassionate Mind Training. It was facilitated during the COVID-19 pandemic, between April – August 2020. The group was evaluated by recording the number and characteristics of attendees and using a feedback survey focused on the acceptability of the group structure and content. Workload was a barrier to attendance. There were differences noted in terms of gender and area of employment of the attendees. The offer of a regular, short (30 minute) and virtual group during the working day seemed to facilitate participation. The group appeared acceptable as attendees indicated they improved their knowledge and understanding about group concepts and reported they had become more mindful and compassionate in everyday life. Participants appeared to value the range of meditations offered and group resources. The facilitators were struck by the sense of community that emerged. The group could be used in future research as a stand-alone programme to support staff wellbeing or perhaps as one part of a wider approach to support the development compassionate organisations.

Objectives: Compassionate Mind Training (CMT) is a therapeutic approach proven to be effective for reducing distress and increasing well-being in clinical and non-clinical populations. This study aimed to explore the efficacy of a short-term, online version of the CMT on compassion, distress, and well-being in a cross-cultural, non-clinical sample of Sri Lankan and UK people. Method: A randomized controlled trial with pre-, post-measurements, and a 2-week follow-up was conducted using CMT (n = 21 Sri Lankan, n = 73 UK) and wait-list control (n = 17 Sri Lankan, n = 54 UK) groups. The intervention effects were investigated using a series of repeated-measures ANOVAs using intention-to-treat and per-protocol analyses. Results: The 2-week CMT was effective in increasing all aspects of compassion in both Sri Lankan and UK people. In addition, some cross-cultural similarities and differences (in the factors affecting compassion) were present in the improvements following CMT between the two countries, which were maintained at a 2-week follow-up. Conclusion: This study provides promising evidence for the efficacy and cross-cultural applicability of CMT for reducing distress and increasing well-being.

The current paper explores the impact of Compassion Focused Therapy (CFT) when delivered in a group setting to people with a range of diagnoses presenting to a Community Mental Health Team. In total five groups of 14 to 18 sessions were run with an average of five participants completing each group. A range of self-report measures examining global psychological distress, self-criticism, depression, anxiety and stress, emotion regulation, social comparison, shame and compassionate attributes and skills were administered pre and post group. Results indicate overall reductions in psychological distress, depression, anxiety and stress and suggest improved emotion regulation and improved perception of social rank and how others may see them following completion of the group. In addition participants appeared to rate themselves as more compassionate towards themselves and more accepting of compassion from others following the group, according to the Compassionate Engagement and Action Scales. These results appear to be generally in keeping with the findings of other similar studies examining the effectiveness of CFT groups with trans-diagnostic populations thus adding to the evidence base in this area, however larger, more robust trials including a control group for comparison would be beneficial.

Self-guided, smartphone apps may be helpful in reducing symptoms associated with psychological distress and may boost wellbeing, and levels of compassion. To our knowledge this is the first study to examine the impact a 28-day app based on Compassion Focused Therapy and Compassionate Mind Training has on participant’s levels of compassion, wellbeing, and self-criticism. The Self-Compassion App includes exercises, meditations, quotes, a daily wisdom, and audios, all of which aim to help individuals develop compassion for themselves, experience compassion from others, and be more compassionate to other people. The aim of the study was to explore participants’ experiences of the app, including ease of use, preferred sessions, barriers, as well as perceived impact on well-being, self-compassion, and self-criticism. Nine members of staff and eight students from The University of Salford took part in two focus groups; one for staff and one for students approximately four-six weeks after use of the app. The analysis highlighted eight themes: (1) Thinking of my experiences differently (2) Soothing the threat: Managing the three systems (3) Stop, reflect, and befriend the self-critic (4) Looking after me: The therapist within (5) Fears, Blocks, and Resistances (6) Looking back at the good things in life (7) Gender of Therapist (8) An ap(p)t App. Following use of the app, participants reported that they were more supportive of themselves, connected with their compassionate self, befriended their inner critic, experienced gratitude, and in times of personal struggles, reminded themselves that the present moment was an opportunity for compassion to be applied. The COVID-19 pandemic had, and continues to have, a negative impact on the mental health of many people. Therefore considering interventions that utilise technology with the aim of boosting wellbeing, levels of compassion, and reducing self-criticism is imperative.

Research has shown that compassion – whether to others, from others or to oneself – can be associated with improved well-being and mental health. Most measures to date focus on one of these flows of compassion, with only one recently published scale tracking all three. The primary aim of the current study was to investigate the psychometric properties of The Compassionate Engagement and Action Scales (CEAS) in a UK sample. The secondary aims were to investigate the level of compassion, as measured by the CEAS, in this population and its relationship to psychological distress and positive affect. This study employed a quantitative methodology with a longitudinal design, using an online questionnaire to collect data. 315 participants completed the CEAS alongside a number of self-report questionnaires. Confirmatory factor analysis was used to confirm the factor structure of the CEAS. The CEAS was found to have good psychometric properties as assessed by a number of statistical analyses of validity and reliability. With the removal of four items, a three factor model of compassion towards self, others and receiving compassion was found to be the best fitting model in this sample. In addition, three separate two factor models (to assess the structure of engagement and action) for each flow of compassion were conducted and found to produce good fit. On the whole, the three CEAS subscales were found to have good internal consistency and test-retest reliability. Moderate positive correlations between each subscale confirmed convergent validity. Overall, the general population reported higher levels of giving compassion to others than receiving compassion or being self-compassionate. Self-compassion was found to be the strongest predictor of psychological distress and positive affect. The CEAS is a psychometrically robust measure of compassion which can be used in research and clinical practice. Attention is likely needed to a single item relating to distress tolerance, with further study needed to explore the extent to which this construct might differ in clinical and non-clinical populations.

The aim of the study was to assess the efficacy and feasibility of a newly designed online self-compassion training programme for the general public. Two hundred and forty-nine participants were randomly assigned to have either immediate or delayed access to a four-week online self-compassion training programme. This programme was based on Compassionate Mind Training and was made up of psychoeducational sessions and in-between session practices and readings. Out of the 179 participants who completed the pre-intervention measures, 81 participants completed the waiting list control design (45.25%; 52 participants from the waiting list group and 29 from the intervention group) and 50 participants went on to complete the intervention (27.9%; i.e., combining the 21 participants from the waiting list group that completed the intervention with the 29 from the intervention group). Compared to the control group, participants in the intervention group showed statistically significant increases in self-compassion and well-being and significant decreases in uncompassionate attitude towards self, shame, self-criticism, depression, anxiety, stress, levels of fear of compassion and attachment avoidance and anxiety. These effects remained at a one month follow up (based on data from 31 participants who completed these measures). The number of sessions completed was significantly predicted by baseline levels of well-being. This study provides promising results for the use of online self-compassion interventions to improve the mental wellbeing of the general public. However, further research is now needed to help understand the barriers to engagement and to help tailor its format to better suit participants who disengaged.

Practicing compassion has shown to reduce distress and increase emotional well-being in clinical and non-clinical populations. The existing research is primarily focused on Western populations although the concepts of compassion are heavily influenced by Asian Buddhist views. There is a dearth of compassion research conducted particularly in the Asian context. Therefore, this study aimed to explore the views and lived experiences of compassion in Sri Lankan students, to understand whether compassion is a socially embraced construct in Sri Lanka, considering that Sri Lanka is a Buddhist influenced society. Participants’ views and lived experiences of compassion towards themselves and to/from others were also investigated, with a specific focus on their perceived inhibitors and facilitators of compassion. Aims were set to identify whether Western compassion-based practices could be successfully applied to Asian societies such as Sri Lanka. An Interpretative Phenomenological Analysis approach was used to obtain and analyse qualitative data from a convenience sample of 10 Sri Lankan students, recruited from a Psychology course. The phenomenological analysis of the semi-structured face-to-face interviews elicited three predominant themes: What compassion means to me, what I make of it, and compassion through facilitators and inhibitors. The findings suggested that participants shared a similar understanding of the concept of compassion as reflected in the Western definitions. Experiences and views of compassion were shaped by several factors including religion, culture, society, and upbringing. In general, this study revealed that participants were well aware of the concept of compassion as well as its impact on their psychological well-being. Despite this, inhibitors existed in experiencing compassion. The religious and collectivistic-cultural influences need to be further explored and taken into account when implementing Western compassion-based practices to non-Western contexts such as Sri Lanka.

Compassion Focused Therapy (CFT) has increasingly been shown to have a positive impact for people experiencing a range of difficulties, and online self-help formats could provide a way of increasing its accessibility and scalability. This study explored adult participants’ subjective experiences of engaging with online self-compassion training drawn from Compassionate Mind Training (CMT) and CFT. Semi-structured interviews were conducted with 15 participants who had completed online self-compassion training, and the interview data was analysed using reflexive thematic analysis. The analysis generated four main themes and 17 sub-themes. The four main themes generated were ‘A way of being in the world’, ‘Old habits die hard’, The learning process, and Context and resources. These themes showed that while the process of developing self-compassion was often challenging, most participants described experiencing positive changes in their ways of relating to themselves and others. Participants identified many facilitators and barriers to change, including factors related to the training format and their wider social contexts. These findings support previous research into CMT and CFT, particularly in relation to some common positive changes people experience and some of the difficulties with this process (e.g. fears of compassion). Participants’ descriptions offer promise that approaches based on CMT and the CFT model can be experienced as acceptable and helpful by people engaging through an online self-help format as well as through individual and group-based interventions. The facilitators and barriers to change described by participants indicate the strong influence of people’s contexts and the need for these to be carefully considered when designing and implementing approaches.