Examining the impact of mindfulness and self-compassion on the relationship between mental health and resiliency
Słowa kluczowe:mental health, resilience, mindfulness, self-compassion
Mechanisms for improving resiliency, and the potential benefits of doing so, are not well evidenced and understood. This research explored the relationship between mental health and resiliency, to broaden the perspectives of influ-ences on resiliency by controlling for mindfulness and self-compassion.
Participants and procedure
One questionnaire comprised four pre-developed questions, examining mental health (i.e., depression, anxiety and stress), resilience, mindfulness and self-compassion. Participants (N = 551) were recruited from the general public across the West and East Midlands of England.
The results showed that poor mental health was related negatively to resilience. Furthermore, the negative relation-ship of resiliency with mental health was mediated when controlling for mindfulness and self-compassion.
Mindfulness and compassion-based interventions have the potential to develop resiliency by influencing their rela-tionship with health. Future directions are discussed.
Ali, Z., Wong, K., Egan, H., Cook, A., & Mantzios, M. (2017). All you can eat buffets, obesity, mindfulness, and mindful eating: an exploratory investigation. Journal of Psychology and Psychiatry, 1, 1–5. https://doi.org/10. 15761/JPP.1000101.
Allen, T., Henderson, T., Mancini, V., & French, K. (2017). Mindfulness and meditation practice as moderators of the relationship between age and subjective wellbeing among working adults. Mindfulness, 8, 1055–1063. https://doi.org/10.1007/s12671-017-0681-6.
APA (2013). Diagnostic and statistical manual of mental disorders – DSM-5. Washington, DC: APA Publishing.
Baer, R., Lykins, E., & Peters, J. (2012): Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators, The Journal of Positive Psychology, 7, 230–238. https://doi.org/10.1080/17439760.2012.674548.
Bender, A., & Farvolden, P. (2008). Depression and the workplace: a progress report. Current Psychiatry Reports, 10, 73–79. https://doi.org/10.1007/s11920-008-0013-6.
Bittner, A., Goodwin, R., Wittchen, H., Beesdo, K., Höfler, M., & Lieb, R. (2004). What characteristics of primary anxiety disorders predict subsequent major depressive disorder? The Journal of Clinical Psychiatry, 65, 618–626. https://doi.org/10.4088/jcp.v65n0505.
Bohlmeijer, E., ten Klooster, P., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the Five Facet Mindfulness Questionnaire in Depressed Adults and development of a short form. Assessment, 18, 308–320. https://doi.org/10.1177/1073191111408231.
Bolton, D. (2009). What is mental disorder? Psychiatry, 8, 468–470. https://doi.org/10.1016/j.mppsy.2009.09.002.
Brand, S., Nakkas, C., & Annen, H. (2016). Psychological distress and coping in military cadre candidates. Neuropsychiatric Disease and Treatment, 12, 2237–2243. https://doi.org/10.2147/ndt.s113220.
Brewer, J. (2014). Mindfulness in the military. American Journal of Psychiatry, 171, 803–806. https://doi.org/10.1176/appi.ajp.2014.14040501.
Brummer, L., Stopa, L., & Bucks, R. (2013). The influence of age on emotion regulation strategies and psychological distress. Behavioural and Cognitive Psychotherapy, 42, 668–681. https://doi.org/10.1017/S1352465813000453.
Bystritsky, A., Khalsa, S., Cameron, M., & Schiffman, J. (2013). Current diagnosis and treatment of anxiety disorders. Pharmacy and Therapeutics, 38, 30–57.
Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor-Davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20, 1019–1028. https://doi.org/10.1002/jts.20271.
Cohen, J. (1992). Statistical power analysis. Current Directions in Psychological Science, 1, 98–101. https://doi.org/10.1111/1467-8721.ep10768783.
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor‐Davidson Resilience Scale (CD‐RISC). Depression and Anxiety, 18, 76–82. https://doi.org/10.1002/da.10113.
Creswell, J. (2017). Mindfulness interventions. Annual Review of Psychology, 68, 491–516. https://doi.org/10.1146/annurev-psych-042716-051139.
Donald, J., Atkins, P., Parker, P., Christie, A., & Ryan, R. (2016). Daily stress and the benefits of mindfulness: Examining the daily and longitudinal relations between present-moment awareness and stress responses. Journal of Research in Personality, 65, 30–37. https://doi.org/10.1016/j.jrp.2016.09.002.
Dutt, S., Keyte, R., Egan, H., Hussain, M., & Mantzios, M. (2019). Healthy and unhealthy eating amongst stressed students: Considering the influence of mindfulness on eating choices and consumption. Health Psychology Report, 7, 113–120. https://doi.org/10.5114/hpr.2019.77913.
Egan, H., Keyte, R., McGowan, K., Peters, L., Lemon, N., Parsons, S., Meadows, S., Fardy, T., Singh., P., & Mantzios, M. (2019). ‘You before me’: a qualitative study of health care professionals’ and students’ understanding and experiences of compassion in the workplace, self-compassion, self-care and health behaviours. Health Professions Education, 5, 225–236. https://doi.org/10.1016/j.hpe.2018.07.002.
Egan, H., & Mantzios, M. (2018). A qualitative exploration of self-kindness and “treating oneself” in contexts of eating, weight regulation and other health behaviors: Implications for mindfulnessbased eating programs. Frontiers in Psychology, 9, 880. https://doi.org/10.3389/fpsyg.2018.00880.
Egan, H., Mantzios, M., & Jackson, C. (2017). Health practitioners and the directive towards compassionate healthcare in the UK: Exploring the need to educate health practitioners on how to be selfcompassionate and mindful alongside mandating compassion towards patients. Health Professions Education, 3, 61–63. https://doi.org/10.1016/j.hpe.2016.09.002.
Eggerman, M., & Panter-Brick, C. (2010). Suffering, hope, and entrapment: Resilience and cultural values in Afghanistan. Social Science & Medicine, 71, 71–83. https://doi.org/10.1016/j.socscimed.2010.03.023.
Färber, F., & Rosendahl, J. (2018). The association between resilience and mental health in the somatically ill. Deutsches Aerzteblatt Online, 115, 621–627. https://doi.org/10.3238/arztebl.2018.0621.
Faugier, J., & Sargeant, M. (1997). Sampling hard to reach populations. Journal of Advanced Nursing, 26, 790–797. https://doi.org/10.1046/j.1365-2648.1997.00371.x.
Friborg, O., Hjemdal, O., Rosenvinge, J. H., & Martinussen, M. (2003). A new rating scale for adult resilience: What are the central protective resources behind healthy adjustment? International Journal of Methods in Psychiatric Research, 12, 65–76. https://doi.org/10.1002/mpr.143.
Graham, L. (2016). Mindfulness, self-compassion and resilience. Retrieved from https://lindagraham-mft.net/mindfulness-self-compassion-and-resilience/.
Greenberg, N., Jones, E., Jones, N., Fear, N., & Wessely, S. (2011). The injured mind in the UK Armed Forces. Philosophical Transactions of The Royal Society B: Biological Sciences, 366, 261–267. https://doi.org/10.1098/rstb.2010.0210.
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006.
Hayes, A. F. (2015). An index and test of linear moderated mediation. Multivariate Behavioral Research, 50, 1–22. https://doi.org/10.1080/00273171.2014.962683.
Hayter, M. R., & Dorstyn, D. S. (2014). Resilience, self-esteem and self-compassion in adults with spina bifida. Spinal Cord, 52, 167–171. https://doi.org/10.1038/sc.2013.152.
Horan, K., & Taylor, M. (2018). Mindfulness and selfcompassion as tools in health behavior change: An evaluation of a workplace intervention pilot study. Journal of Contextual Behavioral Science, 8, 8–16. https://doi.org/10.1016/j.jcbs.2018.02.003.
Ilies, I. A., Egan, H., & Mantzios, M. (2019). Comparing state anxiety and mindfulness between mindfulness and loving-kindness meditation whilst controlling for the effect of altruism and boredom. Current Issues in Personality Psychology, 7, 109–119. https://doi.org/10.5114/cipp.2019.85412.
Iversen, A., Fear, N., Ehlers, A., Hacker Hughes, J., Hull, L., Earnshaw, M., Greenberg, N., Rona, R., Wessely, S., & Hotopf, M. (2008). Risk factors for post-traumatic stress disorder among UK Armed Forces personnel. Psychological Medicine, 38, 511–522. https://doi.org/10.1017/s0033291708002778.
Jakuszkowiak-Wojten, K., Landowski, J., Wiglusz, M., & Cubała, W. (2015). Impulsivity in Anxiety Disorders. A critical review. Psychiatria Danubina, 27, S452–S455.
Kabat-Zinn, J. (2003). Mindfulness‐based interventions in context: Past, present and future. Clinical Psychology: Science and Practice, 10, 144–156. https://doi.org/10.1093/clipsy.bpg016.
Kemper, K. J., Mo, X., & Khayat, R. (2015). Are mindfulness and self-compassion associated with sleep and resilience in health professionals? The Journal of Alternative and Complementary Medicine, 21, 496–503. https://doi.org/10.1089/acm.2014.0281.
Keng, S., Smoski, M., & Robins, C. (2011). Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychology Review, 31, 1041–1056. https://doi.org/10.1016/j.cpr.2011.04.006.
Kim, C., & Ko, H. (2018). The impact of self-compassion on mental health, sleep, quality of life and life satisfaction among older adults. Geriatric Nursing, 39, 623–628. https://doi.org/10.1016/j.gerinurse.2018.06.005.
Leary, M., Tate, E., Adams, C., Batts-Allen, A., & 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, 887–904. https://doi.org/10.1037/0022-3518.104.22.1687.
Lilja, J. L., Frodi-Lundgren, A., Hanse, J. J., Josefsson, T., Lundh, L. G., Sköld, C., & Broberg, A. G. (2011). Five Facets Mindfulness Questionnaire – reliability and factor structure: a Swedish version. Cognitive Behaviour Therapy, 40, 291–303. https://doi.org/10.1080/16506073.2011.580367.
Limebury, J., & Shea, S. (2015). The role of compassion and ‘Tough Love’ in caring for and supporting the homeless: Experiences from ‘Catching Lives’ Canterbury, UK. Journal of Compassionate Health Care, 2, article 7. https://doi.org/10.1186/s40639-015-0016-1.
LoParo, D., Mack, S., Patterson, B., Negi, L., & Kaslow, N. (2018). The efficacy of cognitively-based compassion training for African American suicide attempters. Mindfulness, 9, 1941–1954. https://doi.org/10.1007/s12671-018-0940-1.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335–343. https://doi.org/10.1016/0005-7967(94)00075-U.
Mahoney, C. T., Segal, D. L., & Coolidge, F. L. (2015). Anxiety sensitivity, experiential avoidance, and mindfulness among younger and older adults: Age differences in risk factors for anxiety symptoms. International Journal of Aging and Human Development, 81, 217–240. https://doi.org/10.1177/0091415015621309.
Mantzios, M. (2014). Exploring the relationship between worry and impulsivity in military recruits: the role of mindfulness and self-compassion as potential mediators. Stress and Health, 30, 397–404. https://doi.org/10.1002/smi.2617.
Mantzios, M. (2020). Mental health first aid and exciting opportunities for peer-support networks within universities with prospects of influencing public health and treatment. Journal of Public Health, 28, 219–221. https://doi.org/10.1007/s10389-019-01057-5.
Mantzios, M., Cook, A., & Egan, H. (2019a). Mental health first aid for students in the health professions: Exploring opportunities for experiential learning in higher education. Health Professions Education, 5, 281–282. https://doi.org/10.1016/j.hpe.2019.03.001.
Mantzios, M., Cook, A., & Egan, H. (2019b). Mental health first aid embedment within undergraduate psychology curriculums: An opportunity of applied experience for psychology students and for enhancing mental health care in higher education institutions. Higher Education Pedagogies, 4, 307–310. https://doi.org/10.1080/23752696.2019.1640631.
Mantzios, M., & Egan, H. (2017). On the role of selfcompassion and self-kindness in weight regulation and health behavior change. Frontiers in Psychology, 8, 229. https://doi.org/10.3389/fpsyg.2017.00229.
Mantzios, M., & Giannou, K. (2018). A real-world application of short mindfulness-based practices: a review and reflection of the literature and a practical proposition for an effortless mindful lifestyle. American Journal of Lifestyle Medicine, 13, 520–525. https://doi.org/10.1177/1559827618772036.
Mantzios, M., & Wilson, J. (2013). Improving psychological wellbeing of military personnel by diminishing negative automatic thoughts and intolerance of uncertainty: The role of mindfulness training. Wessex Psychologist Bulletin, 8, 46.
Mantzios, M., & Wilson, J. (2015). Exploring mindfulness and mindfulness with self-compassioncentered interventions to assist weight loss: Theoretical considerations and preliminary results of a randomized pilot study. Mindfulness, 6, 824–835. https://doi.org/10.1007/s12671-014-0325-z.
Mantzios, M., Wilson, J., Linnell, M., & Morris, P. (2014). The role of negative cognition, intolerance of uncertainty, mindfulness, and self-compassion in weight regulation among male army recruits. Mindfulness, 6, 545–552. https://doi.org/10.1007/s12671-014-0286-2.
McArthur, M., Mansfield, C., Matthew, S., Zaki, S., Brand, C., Andrews, J., & Hazel, S. (2017). Resilience in veterinary students and the predictive role of mindfulness and self-compassion. Journal of Veterinary Medical Education, 44, 106–115. https://doi.org/10.3138/jvme.0116-027R1.
McLaughlin, K. (2011). The public health impact of major depression: a call for interdisciplinary prevention efforts. Prevention Science, 12, 361–371. https://doi.org/10.1007/s11121-011-0231-8.
Meland, A., Ishimatsu, K., Pensgaard, A., Wagstaff, A., Fonne, V., Garde, A., & Harris, A. (2015). Impact of mindfulness training on physiological measures of stress and objective measures of attention control in a military helicopter unit. The International Journal of Aviation Psychology, 25, 191–208. https://doi.org/10.1080/10508414.2015.1162639.
Mongrain, M., Chin, J., & Shapira, L. (2010). Practicing compassion increases happiness and selfesteem. Journal of Happiness Studies, 12, 963–981. https://doi.org/10.1007/s10902-010-9239-1.
Neff, K. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. https://doi.org/10.1080/15298860309027.
Neff, K. D., & Pommier, E. (2013). The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity, 12, 160–176. https://doi.org/10.1080/15298868.2011.649546.
Nery-Hurwit, M., Yun, J., & Ebbeck, V. (2018). Examining the roles of self-compassion and resilience on health-related quality of life for individuals with multiple sclerosis. Disability and Health Journal, 11, 256–261. https://doi.org/10.1016/j.dhjo.2017.10.010.
Pidgeon, A. M., & Keye, M. (2014). Relationship between resilience, mindfulness, and psychological well-being in university students. International Journal of Liberal Arts and Social Science, 2, 27–32.
Rajgopal, T. (2010). Mental well-being at the workplace. Indian Journal of Occupational and Environmental Medicine, 14, 63–65. https://doi.org/10.4103/0019-5278.75691.
Roulston, A., Montgomery, L., Campbell, A., & Davidson, G. (2017). Exploring the impact of mindfulness on mental wellbeing, stress and resilience of undergraduate social work students. Social Work Education, 37, 157–172. https://doi.org/10.1080/02615479.2017.1388776.
Ruiz-Casares, M., Guzder, J., Rousseau, C., & Kirmayer, L. (2014). Cultural roots of well-being and resilience in child mental health. In A. Ben-Arieh, F. Casas, I. Frønes, & J. Korbin (Eds.), Handbook of child well-being (pp. 2379–2407). Dordrecht: Springer.
Schaefer, K., Esposito-Smythers, C., & Riskind, J. (2012). The role of impulsivity in the relationship between anxiety and suicidal ideation. Journal of Affective Disorders, 143, 95–101. https://doi.org/10.1016/j.jad.2012.05.034.
Shrivastava, A., De Sousa, A., Sonavane, S., & Shah, N. (2016). Resilience improves neurocognition and treatment outcomes in schizophrenia: a hypothesis. Open Journal of Psychiatry, 6, 173–187. https://doi.org/10.4236/ojpsych.2016.62021.
Smith, B., Tooley, E., Christopher, P., & Kay, V. (2010). Resilience as the ability to bounce back from stress: A neglected personal resource? The Journal of Positive Psychology, 5, 166–176. https://doi.org/10.1080/17439760.2010.482186.
Soysa, C. K., & Wilcomb, C. J. (2015). Mindfulness, selfcompassion, self-efficacy, and gender as predictors of depression, anxiety, stress, and well-being. Mindfulness, 6, 217–226. https://doi.org/10.1007/s12671-013-0247-1.
Wamsler, C. (2018). Mind the gap: The role of mindfulness in adapting to increasing risk and climate change. Sustainability Science, 13, 1121–1135. https://doi.org/10.1007/s11625-017-0524-3.
Wied, M., Oehmen, J., & Welo, T. (2019). Conceptualizing resilience in engineering systems: an analysis of the literature. Systems Engineering, 23, 3–13. https://doi.org/10.1002/sys.21491.
Yarnell, L. M., Stafford, R. E., Neff, K. D., Reilly, E. D., Knox, M. C., & Mullarkey, M. (2015). Meta-analysis of gender differences in self-compassion. Self and Identity, 14, 499–520. https://doi.org/10.1080/15298868.2015.1029966.
Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self-compassion and wellbeing: a meta-analysis. Applied Psychology: Health and Well-Being, 7, 340–364. https://doi.org/10.1111/aphw.12051.
Zhang, H., Watson-Singleton, N., Pollard, S., Pittman, D., Lamis, D., Fischer, N., Patterson, B., & Kaslow, N. J. (2019). Self-criticism and depressive symptoms: Mediating role of self-compassion. OMEGA – Journal of Death and Dying, 80, 202–223. https://doi.org/10.1177/0030222817729609.