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The ‘Flow’ of compassion: A meta-analysis of the fears of compassion scales and psychological functioning
Abstract
This meta-analysis examined the associations between the fears of compassion and mental health. We extracted 19 studies reporting 154 effect sizes (Pearson's r) from 22 independent samples published during the last seven years, with data from 4723 participants. All studies used the Fears of Compassion Scales (FCS), which includes three subscales; fears of compassion for self, for others, and receiving from others. Specific mental health outcomes included: depression; anxiety; distress; and well-being, as well as the psychological vulnerability factors of self-criticism and shame. The overall association between the three FCS subscales and mental health difficulties was .49, .30 and .48 for fears of self-compassion, fears of compassion for others, and fears of compassion from others, respectively. Across mental health domains and vulnerability factors, pooled effect sizes ranged between r = .13 and .55 (in absolute value), with the strongest associations found between the mental health variables of shame, self-criticism, and depression, and the FCS subscales of fears of self-compassion and fears of receiving compassion. Moderator analyses were also conducted, including, age, gender, publication status, and sample (clinical vs. non-clinical). Overall, clinical populations demonstrated significantly stronger associations between mental health difficulties and fears of self-compassion, relative to non-clinical populations.
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“Results can also be understood in the context of research on fears of compassion, in which fear of receiving compassion has a stronger association with mental health outcomes than fears of being compassionate to others [37].”
From Validation of the compassionate engagement and action scales, compassion scale, and Sussex-Oxford compassion scales in a French-Canadian sample (2024) · cites this paper as [37]
In the citing paper
“A meta-analysis found that fear of compassion was more strongly related to reduced mental health in clinical populations compared to non-clinical populations (Kirby et al., 2019), and thus targeting these processes in therapy may be relevant.”
From Group-based compassion-focused therapy for prolonged grief symptoms in adults – Results from a randomized controlled trial (2022) · cites this paper as Kirby et al., 2019
Citations
Cites
R: A Language and Environment for Statistical Computing
R Core Team (2000) · doi:10.32614/r.manuals · Cited by 355,893
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Meta-analysis in clinical trials
DerSimonian, R., & Laird, N. (1986) · Controlled Clinical Trials · doi:10.1016/0197-2456(86)90046-2 · Cited by 39,552
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763
Conducting Meta-Analyses in R with the metafor Package
Viechtbauer, W. (2010) · Journal of Statistical Software · doi:10.18637/jss.v036.i03 · Cited by 20,464
(1969) · Cited by 18,340
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2021) · doi:10.1002/9781119558378 · Cited by 9,799
Meta-Analytic Procedures for Social Research
Rosenthal, R. (1991) · doi:10.4135/9781412984997 · Cited by 4,635
Attachment in adulthood: structure, dynamics, and change
(2008) · Choice Reviews Online · doi:10.5860/choice.45-2903 · Cited by 4,303
Meta-Analytic Procedures for Social Research.
Metcalfe, A., & Rosenthal, R. (1994) · Journal of the Royal Statistical Society Series D (The Statistician) · doi:10.2307/2348600 · Cited by 4,249
Porges, S. W. (2007) · Biological Psychology · doi:10.1016/j.biopsycho.2006.06.009 · Cited by 3,415
A model of neurovisceral integration in emotion regulation and dysregulation
Thayer, J. F., & Lane, R. D. (2000) · Journal of Affective Disorders · doi:10.1016/s0165-0327(00)00338-4 · Cited by 3,092
A pilot study and randomized controlled trial of the mindful self-compassion program
Neff, K. D., & Germer, C. K. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.21923 · Cited by 2,253
Improved tests for a random effects meta‐regression with a single covariate
Knapp, G., & Hartung, J. (2003) · Statistics in Medicine · doi:10.1002/sim.1482 · Cited by 2,075
A Fail-Safe N for Effect Size in Meta-Analysis
Orwin, R. G. (1983) · Journal of Educational Statistics · doi:10.2307/1164923 · Cited by 2,064
Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology
MacBeth, A., & Gumley, A. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.06.003 · Cited by 1,838
Gilbert, P., & Procter, S. (2006) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.507 · Cited by 1,822
Is caregiving hazardous to one’s physical health? A meta-analysis
Vitaliano, P. P., Zhang, J., & Scanlan, J. M. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.6.946 · Cited by 1,734
The origins and nature of compassion focused therapy
Gilbert, P. (2014) · British Journal of Clinical Psychology · doi:10.1111/bjc.12043 · Cited by 1,593
Jones, H. E. (2010) · Paediatric and Perinatal Epidemiology · doi:10.1111/j.1365-3016.2010.01108.x · Cited by 1,447
Cheung, M. W.-L. (2014) · Psychological Methods · doi:10.1037/a0032968 · Cited by 1,342
(2011) · Cited by 1,303
Three-level meta-analysis of dependent effect sizes
Van den Noortgate, W., López-López, J. A., Marín-Martínez, F., & Sánchez-Meca, J. (2013) · Behavior Research Methods · doi:10.3758/s13428-012-0261-6 · Cited by 1,130
What is compassion and how can we measure it? A review of definitions and measures
Strauss, C., Lever Taylor, B., Gu, J., Kuyken, W., Baer, R., Jones, F., & Cavanagh, K. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.05.004 · Cited by 1,021
Fischer, P., Krueger, J. I., Greitemeyer, T., Vogrincic, C., Kastenmüller, A., Frey, D., Heene, M., Wicher, M., & Kainbacher, M. (2011) · Psychological Bulletin · doi:10.1037/a0023304 · Cited by 983
Fears of compassion: Development of three self‐report measures
Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1348/147608310x526511 · Cited by 973
depue, R. A., & morrone-strupinsky, J. V. (2005) · Behavioral and Brain Sciences · doi:10.1017/s0140525x05000063 · Cited by 958
A Meta-Analysis of Compassion-Based Interventions: Current State of Knowledge and Future Directions
Kirby, J. N., Tellegen, C. L., & Steindl, S. R. (2017) · Behavior Therapy · doi:10.1016/j.beth.2017.06.003 · Cited by 827
Self-citationSelf-Compassion Increases Self-Improvement Motivation
Breines, J. G., & Chen, S. (2012) · Personality and Social Psychology Bulletin · doi:10.1177/0146167212445599 · Cited by 773
Oxytocin pathways and the evolution of human behavior
Carter, C. S. (2014) · Annual Review of Psychology · doi:10.1146/annurev-psych-010213-115110 · Cited by 714
The neuroscience of human relationships: attachment and the developing social brain
Cozolino, L. (2014) · Choice Reviews Online · doi:10.5860/choice.51-7031 · Cited by 684
Differential pattern of functional brain plasticity after compassion and empathy training
Klimecki, O. M., Leiberg, S., Ricard, M., & Singer, T. (2014) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nst060 · Cited by 676
The Oxford Handbook of Compassion Science
(2017) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780190464684.001.0001 · Cited by 629
Compassion training alters altruism and neural responses to suffering.
Weng, H. Y., Fox, A. S., Shackman, A. J., Stodola, D. E., Caldwell, J. Z. K., Olson, M. C., Rogers, G. M., & Davidson, R. J. (2013) · Psychological Science · doi:10.1177/0956797612469537 · Cited by 602
Enhancing Compassion: A Randomized Controlled Trial of a Compassion Cultivation Training Program
Jazaieri, H., Jinpa, T., McGonigal, K. M., Rosenberg, E. L., Finkelstein, J., Simon-Thomas, E. R., Cullen, M., Doty, J. R., Gross, J. J., & Goldin, P. R. (2012) · Journal of Happiness Studies · doi:10.1007/s10902-012-9373-z · Cited by 546
A LIKELIHOOD APPROACH TO META-ANALYSIS WITH RANDOM EFFECTS
Hardy, R., & Thompson, S. G. (1996) · Statistics in Medicine · doi:10.1002/(sici)1097-0258(19960330)15:6 · Cited by 522
Power, Distress, and Compassion: Turning a Blind Eye to the Suffering of Others
van Kleef, G. A., Oveis, C., van der Löwe, I., LuoKogan, A., Goetz, J., & Keltner, D. (2008) · Psychological Science · doi:10.1111/j.1467-9280.2008.02241.x · Cited by 482
Meta-analysis of multiple outcomes: a multilevel approach
Van den Noortgate, W., López-López, J. A., Marín-Martínez, F., & Sánchez-Meca, J. (2015) · Behavior Research Methods · doi:10.3758/s13428-014-0527-2 · Cited by 450
Compassion interventions: The programmes, the evidence, and implications for research and practice
Kirby, J. N. (2017) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1111/papt.12104 · Cited by 427
Self-citationEmpathy-Motivated Helping: The Moderating Role of Group Membership
Stürmer, S., Snyder, M., Kropp, A., & Siem, B. (2006) · Personality and Social Psychology Bulletin · doi:10.1177/0146167206287363 · Cited by 425
Having a word with yourself: neural correlates of self-criticism and self-reassurance.
Longe, O., Maratos, F. A., Gilbert, P., Evans, G., Volker, F., Rockliff, H., & Rippon, G. (2010) · NeuroImage · doi:10.1016/j.neuroimage.2009.09.019 · Cited by 403
The Scarecrow and the Tin Man: The Vicissitudes of Human Sympathy and Caring
Loewenstein, G. F., & Small, D. A. (2007) · Review of General Psychology · doi:10.1037/1089-2680.11.2.112 · Cited by 392
Effect of kindness-based meditation on health and well-being: A systematic review and meta-analysis.
Galante, J., Galante, I., Bekkers, M.-J., & Gallacher, J. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0037249 · Cited by 380
The origins of altruism in offspring care.
Preston, S. D. (2013) · Psychological Bulletin · doi:10.1037/a0031755 · Cited by 368
The psychological organization of depression
Arieti, S., & Bemporad, J. R. (1980) · American Journal of Psychiatry · doi:10.1176/ajp.137.11.1360 · Cited by 335
Compassion-focused therapy distinctive features
Gilbert, P. (2010) · Cited by 326
Individual differences in fundamental social motives.
Neel, R., Kenrick, D. T., White, A. E., & Neuberg, S. L. (2015) · Journal of Personality and Social Psychology · doi:10.1037/pspp0000068 · Cited by 325
Keltner, D., Kogan, A., Piff, P. K., & Saturn, S. R. (2014) · Annual Review of Psychology · doi:10.1146/annurev-psych-010213-115054 · Cited by 298
López, A., Sanderman, R., Ranchor, A. V., & Schroevers, M. J. (2018) · Mindfulness · doi:10.1007/s12671-017-0777-z · Cited by 281
Applying Self-Compassion in Sport: An Intervention With Women Athletes
Mosewich, A. D., Crocker, P. R. E., Kowalski, K. C., & DeLongis, A. (2013) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.35.5.514 · Cited by 270
Explorations into the nature and function of compassion
Gilbert, P. (2019) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2018.12.002 · Cited by 250
Pauley, G., & McPherson, S. (2009) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1348/147608309x471000 · Cited by 241
Rockliff, H., Gilbert, P., McEwan, K., Lightman, S. L., & Glover, D. G. (2008) · University of Derby Online Research Archive. (University of Derby) · Cited by 234
Brown, S. L., & Brown, R. M. (2015) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2015.04.004 · Cited by 212
Kelly, A. C., Zuroff, D. C., & Shapira, L. B. (2008) · Cognitive Therapy and Research · doi:10.1007/s10608-008-9202-1 · Cited by 183
Huang, J. Y., & Bargh, J. A. (2014) · Behavioral and Brain Sciences · doi:10.1017/s0140525x13000290 · Cited by 173
The Current and Future Role of Heart Rate Variability for Assessing and Training Compassion
Kirby, J. N., Doty, J. R., Petrocchi, N., & Gilbert, P. (2017) · Frontiers in Public Health · doi:10.3389/fpubh.2017.00040 · Cited by 152
Self-citationPace, T. W. W., Negi, L. T., Dodson‐Lavelle, B., Silva, B. O.-D., Reddy, S. D., Cole, S. P., Danese, A., Craighead, L. W., & Raison, C. L. (2012) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2012.05.019 · Cited by 137
Consequences of Self-image and Compassionate Goals
Crocker, J., & Canevello, A. (2012) · Advances in experimental social psychology · doi:10.1016/b978-0-12-394286-9.00005-6 · Cited by 110
Hermanto, N., Zuroff, D. C., Kopala‐Sibley, D. C., Kelly, A. C., Matos, M., Gilbert, P., & Koestner, R. (2016) · Personality and Individual Differences · doi:10.1016/j.paid.2016.04.055 · Cited by 108
The power paradox: how we gain and lose influence
Perry, C. (2017) · International Journal of Lifelong Education · doi:10.1080/02601370.2017.1297009 · Cited by 95
Hierarchical Dependence in Meta-Analysis
Stevens, J. R., & Taylor, A. (2008) · Journal of Educational and Behavioral Statistics · doi:10.3102/1076998607309080 · Cited by 94
Catarino, F., Gilbert, P., McEwan, K., & Baião, R. (2014) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2014.33.5.399 · Cited by 90
Personality: Evolutionary Heritage and Human Distinctiveness
Buss, A. H. (2014) · Psychology Press eBooks · doi:10.4324/9781315807966 · Cited by 84
The caring motivation : an integrated theory
Mayseless, O. (2016) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199913619.001.0001 · Cited by 79
Black, S. (2008) · Nursing Standard · doi:10.7748/ns2008.10.23.7.70.p4204 · Cited by 76
Compassionate love buffers stress-reactive mothers from fight-or-flight parenting.
Miller, J. G., Kahle, S. S., Lopez, M., & Hastings, P. D. (2014) · Developmental Psychology · doi:10.1037/a0038236 · Cited by 75
The emergence of the compassion focused therapies
Kirby, J. N., & Gilbert, P. (2017) · Compassion · doi:10.4324/9781315564296-15 · Cited by 71
Self-citationThe Social Brain Hypothesis and Human Evolution
Dunbar, R. (2016) · Oxford Research Encyclopedia of Psychology · doi:10.1093/acrefore/9780190236557.013.44 · Cited by 61
Styles of Leadership, Fears of Compassion, and Competing to Avoid Inferiority
Basran, J., Pires, C., Matos, M., McEwan, K., & Gilbert, P. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02460 · Cited by 54
Compassion, fears, blocks and resistances: An evolutionary investigation.
Gilbert, P., & Mascaro, J. S. (2017) · University of Derby Online Research Archive. (University of Derby) · Cited by 52
Ebert, A., Edel, M., Gilbert, P., & Brüne, M. (2017) · Depression and Anxiety · doi:10.1002/da.22683 · Cited by 50
The development of fears of compassion scale Japanese version
Asano, K., Tsuchiya, M., Ishimura, I., Lin, S., Matsumoto, Y., Miyata, H., Kotera, Y., Shimizu, E., & Gilbert, P. (2017) · PLoS ONE · doi:10.1371/journal.pone.0185574 · Cited by 47
The caring motivation: An integrated theory
Martin-Matthews, A. (2017) · International Journal of Care and Caring · doi:10.1332/239788217x14951899318096 · Cited by 43
Motivational interviewing in compassion‐based interventions: Theory and practical applications
Steindl, S. R., Kirby, J. N., & Tellegan, C. (2018) · Clinical Psychologist · doi:10.1111/cp.12146 · Cited by 40
Self-citationKirby, J. N., & Gilbert, P. (2019) · Mindfulness · doi:10.1007/s12671-018-1088-8 · Cited by 34
Self-citationThe Power Paradox: How We Gain and Lose Influence
Keltner, D. J. (2016) · Cited by 33
Yaman, A., Mesman, J., van IJzendoorn, M. H., & Bakermans‐Kranenburg, M. J. (2010) · Journal of Family Psychology · doi:10.1037/a0019100 · Cited by 30
The Compassion–Hostility Paradox
Keller, J., & Pfattheicher, S. (2013) · Personality and Social Psychology Bulletin · doi:10.1177/0146167213499024 · Cited by 27
Faces of Compassion: Classic Bodhisattva Archetypes and Their Modern Expression
Leighton, T. D., & Halifax, J. S. (2003) · Medical Entomology and Zoology · Cited by 19
Two key features created the human mind: Inside our heads.
Suddendorf, T. (2018) · Scientific American · Cited by 17
Evolved minds and compassion-focused imagery in depression
Gilbert, P. (2009) · Routledge eBooks · doi:10.4324/9780203878644-14 · Cited by 14
Matos, M., Duarte, J., & Pinto‐Gouveia, J. (2017) · European Psychiatry · doi:10.1016/j.eurpsy.2017.01.312 · Cited by 11
Compassion in Clinical Practice: Current Applications and New Directions
Finlay‐jones, A. L. (2017) · Clinical Psychologist · doi:10.1111/cp.12133 · Cited by 8
Suddendorf, T. (2018) · Scientific American · doi:10.1038/scientificamerican0918-42 · Cited by 8
Kirby, J. N. (2017) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780190464684.013.8 · Cited by 5
Self-citationSelf-compassion as a resource to manage stress in women athletes
Mosewich, A. (2013) · cIRcle (University of British Columbia) · doi:10.14288/1.0073655 · Cited by 4
Research works printed but not linked: 1
- Rosenthal, 1991, Vol. 6
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Sorted by citations
Compassion: From Its Evolution to a Psychotherapy
Gilbert, P. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.586161 · Cited by 365
“There are now many studies on how fears of compassion (Pauley and MacPherson, 2010; Gilbert et al., 2011) are linked to mental health problems (for a major meta-analysis of this scale see Kirby et al., 2019).”
BackgroundResultInfluentialCraig, C., Hiskey, S., & Spector, A. (2020) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2020.1746184 · Cited by 201
“Recent meta-analytic work [2] exploring fears of compassion relating to these three flows indicates that fears of self compassion and fears of compassion from another to oneself exhibit the strongest correlations with shame, selfcriticism and depression.”
BackgroundWakelin, K. E., Perman, G., & Simonds, L. M. (2022) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2586 · Cited by 170
“Besides Kirby et al.'s (2019) meta-analysis examining fears of compassion, the majority of previous reviews have taken a diagnostic stance by analysing anxiety and depression outcomes (Ferrari et al., 2019; Kirby et al., 2017; Wilson et al., 2019).”
BackgroundNeurophysiological and behavioural markers of compassion
Kim, J. J., Parker, S. L., Doty, J. R., Cunnington, R., Gilbert, P., & Kirby, J. N. (2020) · Scientific Reports · doi:10.1038/s41598-020-63846-3 · Cited by 153
Self-citationKim, J. J., Cunnington, R., & Kirby, J. N. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.10.023 · Cited by 125
Self-citation
Metadata
- Authors
- Kirby, J. N., Day, J., & Sagar, V.
- Affiliations
- The University of Queensland (AU)
- University of Newcastle Australia (AU)
- Corresponding author
- Kirby, James N.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2019-06
- Volume
- 70
- Pages
- 26-39
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2922505176
- Cited by
- 232
- References
- 90
- Citations by year
- 2026: 32 · 2025: 32 · 2024: 31 · 2023: 43 · 2022: 32 · 2021: 35 · 2020: 21 · 2019: 5
- FWCI
- 3.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- NOVA (University of Newcastle Australia) (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 › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- self-compassion, compassion for others, depression, anxiety, psychological distress, well-being, shame, self-criticism, psychological vulnerability
- MeSH terms
- Psychological Distress, Anxiety, Depression, Empathy, Fear, Humans, Interpersonal Relations, Self Concept, Shame, Social Behavior
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