Self-Compassion in Depression: Associations With Depressive Symptoms, Rumination, and Avoidance in Depressed Outpatients
Abstract
Self-compassion involves being kind to oneself when challenged with personal weaknesses or hardship and has been claimed to be associated with resilience in various areas. So far, there are only a handful of studies that investigate self-compassion and its relation to clinical depression. Therefore, the principal goals of the present study were (a) to compare self-compassion in clinically depressed patients and never-depressed subjects, (b) to investigate self-compassion and its relation to cognitive-behavioral avoidance and rumination in depressed outpatients, and (c) to investigate rumination and avoidance as mediators of the relationship between self-compassion and depressive symptoms. One hundred and forty-two depressed outpatients and 120 never-depressed individuals from a community sample completed a self-report measure of self-compassion along with other measures. Results indicate that depressed patients showed lower levels of self-compassion than never-depressed individuals, even when controlled for depressive symptoms. In depressed outpatients, self-compassion was negatively related to depressive symptoms, symptom-focused rumination, as well as cognitive and behavioral avoidance. Additionally, symptom-focused rumination and cognitive and behavioral avoidance mediated the relationship between self-compassion and depressive symptoms. These findings extend previous research on self-compassion, its relation to depression, as well as processes mediating this relationship,…
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- Authors
- Krieger, T., Altenstein, D., Baettig, I., Doerig, N., & Holtforth, M. G.
- Affiliations
- University of Zurich (CH)
- Corresponding author
- Krieger, Tobias
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 44
- Issue
- 3
- Pages
- 501-513
- ISSN
- 0005-7894 (ISSN-L)
- OpenAlex
- W1978909559
- Cited by
- 374
- References
- 78
- Citations by year
- 2026: 21 · 2025: 23 · 2024: 27 · 2023: 39 · 2022: 33 · 2021: 40 · 2020: 43 · 2019: 35 · 2018: 31 · 2017: 21 · 2016: 29 · 2015: 17 · 2014: 13 · 2013: 1
- FWCI
- 22.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Therapy (publishedVersion)
- PubMed (publishedVersion)
- BORIS (University Library Bern) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- self-compassion, depression, depressive symptoms, rumination, avoidance, mediation, resilience, outpatients
- MeSH terms
- Adult, Attitude, Depression, Depressive Disorder, Empathy, Female, Humans, Male, Middle Aged, Outpatients, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, Thinking, Resilience, Psychological, Self Report
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