The DOI matches its Crossref record; 62 of the 69 references it cites were found in a registry or an index; 2 of the 32 sources its claims cite were checked for support.
Using acceptance and commitment therapy to increase self-compassion: A randomized controlled trial
Open accessAbstract
Self-compassion has been shown to be related to several types of psychopathology, including traumatic stress, and has been shown to improve in response to various kinds of interventions. Current conceptualizations of self-compassion fit well with the psychological flexibility model, which underlies acceptance and commitment therapy (ACT). However, there has been no research on ACT interventions specifically aimed at self-compassion. This randomized trial therefore compared a 6-hour ACT-based workshop targeting self-compassion to a wait-list control. From pretreatment to 2-month follow-up, ACT was significantly superior to the control condition in self-compassion, general psychological distress, and anxiety. Process analyses revealed psychological flexibility to be a significant mediator of changes in self-compassion, general psychological distress, depression, anxiety, and stress. Exploratory moderation analyses revealed the intervention to be of more benefit in terms of depression, anxiety, and stress to those with greater trauma history. © 2014.
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Claims the paper makes
36 Own result · 12 Own method · 11 Own interpretation · 10 No full text of the sources · 4 Sources not found · 4 Not checked yet · 2 Partly supported · 1 No basis given · accuracy not yet measured
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“ACT’s process of change, psychological flexibility, which is measured by the Acceptance and Action Questionnaire-II (AAQ-II; Bond et al., 2011), correlates with the SCS at r = .65”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
What the sources say
- Not matchedcites Neff, unpublished data cited in Neff & Tirch, 2013
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Supportedcites Bond et al., 2011 source
The citation is attached to the identification of the AAQ-II as a measure of psychological flexibility. The Overview of the present studies explicitly describes developing the AAQ-II as a measure of that construct. The sentence does not attach this citation specifically to the subsequent SCS correlation. (LLM, conf=0.92)
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Not matched
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Process analyses revealed psychological flexibility to be a significant mediator of changes in self-compassion, general psychological distress, depression, anxiety, and stress.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: Missing data in the outcome analyses are missing at random.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“From pretreatment to 2-month follow-up, ACT was significantly superior to the control condition in self-compassion, general psychological distress, and anxiety.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: Missing data in the outcome analyses are missing at random.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Exploratory moderation analyses revealed the intervention to be of more benefit in terms of depression, anxiety, and stress to those with greater trauma history.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: Missing data in the outcome analyses are missing at random.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Process analyses revealed psychological flexibility to be a significant mediator of changes in self-compassion, general psychological distress, depression, anxiety, and stress.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: Missing data in the outcome analyses are missing at random.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Process analyses revealed psychological flexibility to be a significant mediator of changes in self-compassion, general psychological distress, depression, anxiety, and stress.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: Missing data in the outcome analyses are missing at random.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Process analyses revealed psychological flexibility to be a significant mediator of changes in self-compassion, general psychological distress, depression, anxiety, and stress.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: Missing data in the outcome analyses are missing at random.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“From pretreatment to 2-month follow-up, ACT was significantly superior to the control condition in self-compassion, general psychological distress, and anxiety.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: Missing data in the outcome analyses are missing at random.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Exploratory moderation analyses revealed the intervention to be of more benefit in terms of depression, anxiety, and stress to those with greater trauma history.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: Missing data in the outcome analyses are missing at random.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Exploratory moderation analyses revealed the intervention to be of more benefit in terms of depression, anxiety, and stress to those with greater trauma history.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Rests on an assumption: Missing data in the outcome analyses are missing at random.
- Probably not a substantial claim. 14
- It may state two separate claims as one. 16
- The quote only partly states this claim. 1
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“The AAQ-II correlates very highly with the AAQ-I (r = .97), which has mediated ACT treatment effects in many outcome studies”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Method > Measures and Assessment Schedule
What the sources say
- Partly supportedcites Hayes, Luoma, Bond, Masuda, & Lillis, 2006 sourceExperimental — accuracy not yet measured
The Mediational studies section (p. 17) reports that the AAQ mediated ACT outcomes in a worksite study, supporting the mediation part of the claim. But the paper does not report an AAQ-II–AAQ-I correlation of r = .97, and its discussion of AAQ versions (Research on ACT, p. 10) does not identify them as AAQ-I and AAQ-II. (LLM, conf=0.86)
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
- Partly supported
In the paper
“a score on the General Health Questionnaire (GHQ; Goldberg, 1972) of 10 or higher, which indicates the presence of a current DSM-IV Axis I disorder with a sensitivity of 78% and a specificity of 60% in this approximate age group”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Method > Participants
What the sources say
- Not checked — no full text of the sourcecites Baksheev, Robinson, Cosgrave, Baker, & Yung, 2011 source
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim could be matched to a paper in Crossref, so there is nothing to check it against.
In the paper
“Some authors have suggested that acceptance and commitment therapy (ACT; Hayes, Strosahl, & Wilson, 2012) overlaps with Neff’s conceptualization of self-compassion considerably and that Relational Frame Theory (RFT; Hayes, Barnes-Holmes, & Roche, 2001), the basic science of language and cognition behind ACT, may be relevant to self-compassion as well”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
What the sources say
- Not matchedcites Neff & Tirch, 2013
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Not matchedcites Hayes, Barnes-Holmes, & Roche, 2001
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
- Not matched
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“assigned to either the ACT workshop or waitlist condition via a random number generator”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Method > Participants
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
In the paper
“The SCS has good internal reliability, both in its validation study (α = .92) and in the present study (α = .90).”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Method > Measures and Assessment Schedule
What the sources say
- Not matchedcites Neff, 2003a
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
In the paper
“One study showed that an 8-week mindful self-compassion course based on Neff’s conceptualization improved self-compassion, mindfulness, compassion towards others, life satisfaction, avoidance, depression, anxiety, and stress significantly more than a wait-list control, with all improvements maintained at 6-month follow-up”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Abstract
What the sources say
- Not checked — no full text of the sourcecites Neff & Germer, 2013 source
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Several simpler and restrictive covariance assumptions were tested (compound symmetry, compound symmetry heterogeneous, Toeplitz) and the simplest model was used that was not significantly different than the unspecified covariance structure as determined by comparison of nested models through the restricted log-likelihood.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Results > Outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“The AAQ-II is more internally consistent than the original AAQ (Hayes et al., 2004) with an α = .84 in its validation study and α = .87 in the present study.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Method > Measures and Assessment Schedule
What the sources say
- Not checked — no full text of the sourcecites Hayes et al., 2004 source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Differences between group conditions in outcome and process measures were generally medium to large and always in favor of the ACT intervention.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Discussion > Efficacy of ACT Intervention and Mediation by Psychological Flexibility
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Internal consistency has previously been shown to be good (α for each scale > .87; Antony, Bieling, Cox, Enns, & Swinson, 1998), and was acceptable to good at pretreatment in the present study (αs for depression, anxiety, and stress = .86, .76, and .84, respectively).”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Method > Measures and Assessment Schedule
What the sources say
- Not checked — no full text of the sourcecites Antony, Bieling, Cox, Enns, & Swinson, 1998 source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The raters’ responses were never more than 1 point apart, and they agreed precisely 76% of the time.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Method > Intervention
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one. The quote only partly states this claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Exploratory analyses and visual inspection suggested that the workshop had a greater effect on self-compassion, depression, anxiety, and stress among those endorsing more types of stressful life events, including a history of trauma.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Discussion > Moderating Role of Trauma History
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Internal consistency is good in college-aged individuals (Cronbach’s α = .84; Winefield, Goldney, Winefield, & Tiggemann, 1989) and was good at pretreatment in the current study (α = .87).”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Method > Measures and Assessment Schedule
What the sources say
- Not checked — no full text of the sourcecites Winefield, Goldney, Winefield, & Tiggemann, 1989 source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Overall, these outcomes are consistent with our theoretical rationale, suggesting that this brief intervention was efficacious to improve self-compassion and symptoms of psychopathology, and that these improvements were mediated by the hypothesized process of change.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Discussion > Efficacy of ACT Intervention and Mediation by Psychological Flexibility
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Before conducting formal statistical analyses, underlying distributional assumptions were examined, particularly skewness, kurtosis, outliers, and homogeneity of variance.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Results > Distributional Assumptions
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Clinical psychology graduate students with a minimum of 1 year of practicum training in ACT rated each workshop using an adherence manual adapted from Plumb & Vilardaga (2010) that assessed coverage of the 6 ACT flexibility processes and the absence of ACT-inconsistent approaches”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Method > Intervention
What the sources say
- Not checked — no full text of the sourcecites Plumb & Vilardaga (2010) source
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Symptoms of depression were significantly reduced in the ACT group after the intervention and at two months follow up.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Discussion > Efficacy of ACT Intervention and Mediation by Psychological Flexibility
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Although hierarchical linear modeling (HLM) was explored as a method of data analysis, in virtually all cases modeling time categorically rather than as a linear covariate provided a better fit as determined by a comparison of nested models using restricted log-likelihoods, and thus a mixed model repeated measures (MMRM) analysis was used.”
- Also stated in: § Outcomes · hedged
“MMRM is a mixed regression model that retains most of the advantages of HLM for an intent-to-treat analysis (Raudenbush & Bryk, 2002) in using all available data from all subjects and taking into account the obtained outcome and missingness, thus reducing the problem of missing data.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Results > Outcomes
What the sources say
- Not matchedcites Raudenbush & Bryk, 2002
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Rests on an assumption: Missing data in the outcome analyses are missing at random.
- Also stated in: § Outcomes · hedged
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For the last outcome, stress, the ACT intervention led to moderate reductions over time, but between group differences only reached a trend, which could be due to insufficient power to detect small effects.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Discussion > Efficacy of ACT Intervention and Mediation by Psychological Flexibility
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“However, because the AAQ-II measures several facets of psychological flexibility, and because the intervention targeted several of the 6 ACT processes, it is difficult to know which components of the intervention impacted which processes and were most beneficial.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Future Directions and Clinical Implications
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Conversely, symptoms of anxiety improved in the ACT condition at each measurement occasion—improvements which were superior as compared to the waitlist condition.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Discussion > Efficacy of ACT Intervention and Mediation by Psychological Flexibility
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Only the Anxiety subscale of the DASS failed to meet criteria, but did so after 2 outliers were removed from follow-up.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Results > Distributional Assumptions
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Overall adherence scores for the 3 workshops were high in all cases (4.59, 4.69, and 4.86; M = 4.71, SD = .14), indicating that the intervention was delivered skillfully and in depth.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Method > Intervention
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“There was no difference on any screening measure or demographic variable (gender, racial/ethnic background, sexual orientation, or grade point average) between the two conditions, except that that ACT participants were significantly younger than waitlist control participants (p = .04), although the means differed by less than 1 year.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Results > Participant Characteristics
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The ACT group was smaller (n = 34) than the waitlist group (n = 44) because of the unblocked randomization procedure, which could not ensure equivalence of group size.”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Results > Participant Characteristics
plaindirectn = 34- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
The paper relies on this without support.
Missing data in the outcome analyses are missing at random.
“MMRM is a mixed regression model that retains most of the advantages of HLM for an intent-to-treat analysis (Raudenbush & Bryk, 2002) in using all available data from all subjects and taking into account the obtained outcome and missingness, thus reducing the problem of missing data.”
The paper relies on this without support.
Pre-to-post changes in psychological flexibility causally mediate pre-to-follow-up changes in outcomes.
“Pre to follow-up changes in the outcome variable were entered as outcomes, and pre to post changes in the process variable (AAQ-II) were entered as mediators.”
The paper relies on this without support.
Missing data in the moderation analyses are missing at random.
“Using bootstrapping, 30 imputed datasets were generated, and missing data were imputed based on values for all other variables in the dataset.”
The paper relies on this without support.
The AAQ-II validly measures psychological flexibility.
“The functional role of psychological flexibility (AAQ-II) in producing effects on the outcome measures was examined by mediation analysis.”
The paper relies on this without support.
The SLESQ-R validly measures trauma history or stressful life events.
“To evaluate whether the workshop was differentially effective for individuals according to trauma history, the SLESQ-R (taken at pretreatment) was evaluated as a moderator of the effect of treatment condition on outcomes.”
The paper relies on this without support.
The SCS, GHQ, DASS-D, DASS-A, and DASS-S validly measure their target constructs.
“An MMRM analysis with a heterogeneous compound symmetry covariance structure best fit the data from the SCS and revealed a significant effect for treatment condition (p < .001) and time (p < .001), and a significant and medium time-by-condition interaction [F(2, 102.61) = 10.18, p < .001, effect size = .74].”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“These processes predict subsequent improvements in mental health, with defusion—conceptually analogous to decentering in the mindfulness literature—and self-as-context showing particularly strong links to reductions in rigid, self-critical, and shame-based thinking, as well as to the development of more compassionate self-perspectives (89).”
From The therapeutic role of self-transcendence in moral injury recovery: theory, mechanisms, and clinical implications (2026) · cites this paper as [89]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“These findings are also consistent with what prior literature found as benefits of ACT, helping one to detach oneself from thoughts and emotions and to be more self-compassionate [46].”
From ClearMind Workshop: An ACT-based Intervention Tailored for Academic Procrastination among Computing Students (2024) · cites this paper as [46]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“research suggests that ACT does promote self-compassion [16]”
From Self-compassion in Acceptance and Commitment Therapy for chronic pain: A pilot study (2022) · cites this paper as [16]
The cited source says what the claim attributes to it.
In the citing paper
“Researchers have found that, when compared to a wait-list control condition, ACT resulted in greater increases in self-compassion (Yadavaia et al., 2014).”
From Feasibility and preliminary outcomes of compassion-focused acceptance and commitment therapy delivered via telehealth in a community behavioral health clinic (2025) · cites this paper as Yadavaia et al., 2014
The cited source says what the claim attributes to it.
In the citing paper
“These findings are consistent with the results of Khamoshi Ghalenoi & Mansouri (17) and Yadavaia et al. (32).”
From Effects of the Acceptance and Commitment Therapy on Resiliency, Self-Compassion, and Corona Disease Anxiety on Medical Staff Involved in COVID-19 Pandemic (2023) · cites this paper as Yadavaia et al. (32)
The cited source says what the claim attributes to it.
In the citing paper
“anxiety symptoms (Forman et al., 2007; Niles et al., 2014; Yadavaia et al., 2014)”
From Examining domains of psychological flexibility and inflexibility as treatment mechanisms in acceptance and commitment therapy: A comprehensive systematic and meta-analytic review (2024) · cites this paper as Yadavaia et al., 2014
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- ConsistentF(2, 102.61) = 10.18reported p < .001 · recomputed p < .001
“F(2, 102.61) = 10.18, p < .001”
- Consistentt(109.56) = 3.08reported p < .01 · recomputed p = .003
“t (109.56) = 3.08, p < .01”
- Consistentt(109.37) = 8.21reported p < .001 · recomputed p < .001
“t (109.37) = 8.21, p < .001”
- Consistentt(109.45) = -4.32reported p < .001 · recomputed p < .001
“t (109.45) = −4.32, p < .001”
- ConsistentF(2, 106.8) = 3.69reported p = .03 · recomputed p = .028
“F(2, 106.80) = 3.69, p = .03”
- Consistentt(108.29) = -3.34reported p < .01 · recomputed p = .001
“t (108.29) = −3.34, p < .01”
- Consistentt(108.08) = -5.56reported p < .001 · recomputed p < .001
“t (108.08) = −5.56, p < .001”
- Consistentt(108.17) = 2.13reported p = .04 · recomputed p = .035
“t (108.17) = 2.13, p = .04”
- ConsistentF(2, 87.45) = 3.11reported p = .0498 · recomputed p = .050
“F(2, 87.45) = 3.11, p = .0498”
- Consistentt(63.18) = -2.73reported p = .01 · recomputed p = .008
“t (63.18) = −2.73, p = .01”
- Consistentt(133.02) = 2.49reported p = .01 · recomputed p = .014
“t (133.02) = 2.49, p = .01”
- ConsistentF(2, 67.21) = 7.48reported p < .01 · recomputed p = .001
“F(2, 67.21) = 7.48, p < .01”
- Consistentt(71.37) = -3.48reported p < .01 · recomputed p < .001
“t (71.37) = −3.48, p < .01”
- Consistentt(70.47) = 2.76reported p = .01 · recomputed p = .007
“t (70.47) = 2.76, p = .01”
- Consistentt(111.53) = -3.02reported p < .01 · recomputed p = .003
“t (111.53) = −3.02, p < .01”
- Consistentt(111.64) = 1.88reported p = .06 · recomputed p = .063
“t (111.64) = 1.88, p = .06”
- Consistentt(63) = 3.72reported p < .01 · recomputed p < .001
“t(63) = 3.72, p < .01”
- Consistentt(63) = 3.03reported p < .01 · recomputed p = .004
“t(63) = 3.03, p < .01”
- Consistentt(63) = -2.01reported p = .049 · recomputed p = .049
“t(63) = −2.01, p = .049”
- Consistentt(63) = -1.14reported p = .26 · recomputed p = .259
“t(63) = −1.14, p = .26”
- Consistentt(63) = -1.79reported p = .08 · recomputed p = .078
“t(63) = −1.79, p = .08”
- Consistentt(63) = -0.8reported p = .43 · recomputed p = .427
“t(63) = −.80, p = .43”
- Consistentt(63) = -2.4reported p = .02 · recomputed p = .019
“t(63) = −2.40, p = .02”
- Consistentt(63) = -1.59reported p = .12 · recomputed p = .117
“t(63) = −1.59, p = .12”
- Consistentt(63) = -1.86reported p = .07 · recomputed p = .068
“t(63) = −1.86, p = .07”
- Consistentt(63) = -1.09reported p = .28 · recomputed p = .280
“t(63) = −1.09, p = .28”
- ConsistentF(1, 64) = 6.18reported p = .02 · recomputed p = .016
“F(1,64) = 6.18, p = .02”
- ConsistentF(1, 64) = 7.55reported p < .01 · recomputed p = .008
“F(1,64) = 7.55, p < .01”
- ConsistentF(1, 64) = 5.41reported p = .02 · recomputed p = .023
“F(1, 64) = 5.41, p = .02”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Rated major: it would touch a result — a value a result rests on, reported and recomputed p-values on opposite sides of the significance level, two passages that conflict with no sign which is right, or a cited work retracted before this paper was published.
In the paper
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Results > Mediation Analyses
“bootstrapped point estimate = 2.51, SE = .86”
§ Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial > Results > Mediation Analyses
“95% CI: .07, 2.01”
Citations
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,603
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,417
(2013) · Cited by 44,563
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,421 · cited 1×
“Effect sizes are discussed using the cutoffs suggested by Cohen (1988).”
MethodPreacher, K. J., & Hayes, A. F. (2008) · Behavior Research Methods · doi:10.3758/brm.40.3.879 · Cited by 34,117 · cited 2×
“These confidence intervals are similar to the 2.5 and 97.5 percentile scores of the obtained distribution of the cross products over the k samples, but with z-score based corrections for bias due to the underlying distribution (Preacher & Hayes, 2004, 2008).”
MethodInfluentialMultiple Imputation for Nonresponse in Surveys
Rubin, D. B. (1987) · Wiley Series in Probability and Statistics · doi:10.1002/9780470316696 · Cited by 20,701
Hierarchical Linear Models: Applications and Data Analysis Methods.
Longford, N. T., Bryk, A. S., & Raudenbush, S. W. (1993) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2075823 · Cited by 18,773 · cited 1×
“MMRM is a mixed regression model that retains most of the advantages of HLM for an intent-to-treat analysis (Raudenbush & Bryk, 2002) in using all available data from all subjects and taking into account the obtained outcome and missingness, thus reducing the problem of missing data.”
MethodSPSS and SAS procedures for estimating indirect effects in simple mediation models
Preacher, K. J., & Hayes, A. F. (2004) · Behavior Research Methods, Instruments, & Computers · doi:10.3758/bf03206553 · Cited by 17,383 · cited 2×
“These confidence intervals are similar to the 2.5 and 97.5 percentile scores of the obtained distribution of the cross products over the k samples, but with z-score based corrections for bias due to the underlying distribution (Preacher & Hayes, 2004, 2008).”
MethodInfluentialHierarchical Linear Models: Applications and Data Analysis Methods
Davidian, M. (2003) · Journal of the American Statistical Association · doi:10.1198/jasa.2003.s288 · Cited by 13,820
Lazarus, R. S. (1991) · doi:10.1093/oso/9780195069945.001.0001 · Cited by 12,691
Cited by
Sorted by citations
Self-compassion interventions and psychosocial outcomes: a meta-analysis of RCTs
Ferrari, M., Hunt, C., Harrysunker, A., Abbott, M. J., Beath, A. P., & Einstein, D. A. (2019) · Mindfulness · doi:10.1007/s12671-019-01134-6 · Cited by 740
“Other therapeutic interventions, such as CBT or ACT, which investigated the effects of alternative approaches on self-compassion as an outcome, were excluded (e.g., Yadavaia et al. 2014).”
BackgroundCompassion 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
Arslan, G., Yıldırım, M., Tanhan, A., Buluş, M., & Allen, K.-A. (2021) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-020-00337-6 · Cited by 355
Effectiveness of Self-Compassion Related Therapies: a Systematic Review and Meta-analysis
Wilson, A. C., Mackintosh, K., Power, K., & Chan, S. W. Y. (2019) · Mindfulness · doi:10.1007/s12671-018-1037-6 · Cited by 301
Psychological flexibility: What we know, what we do not know, and what we think we know
Doorley, J. D., Goodman, F. R., Kelso, K. C., & Kashdan, T. B. (2020) · Social and Personality Psychology Compass · doi:10.1111/spc3.12566 · Cited by 264
Self-Compassion and Psychological Well-being
Neff, K., & Germer, C. (2017) · Oxford Handbooks Online · doi:10.1093/oxfordhb/9780190464684.013.27 · Cited by 215
The role of psychological factors in oncology nurses' burnout and compassion fatigue symptoms
Duarte, J., & Pinto‐Gouveia, J. (2017) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2017.04.002 · Cited by 224
“flexibility (Yadavaia et al., 2014), which broadly refers to an individual’s ability to fully embrace and connect with the experiences in the present moment, without avoidance, and to change or persist in behaviors that are in line with identified values (Hayes et al.”
Linardon, J. (2020) · Behavior Therapy · doi:10.1016/j.beth.2019.10.002 · Cited by 133
Hacker, T., Stone, P., & MacBeth, A. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.10.053 · Cited by 130
“Secondary aims were to investigate the efficacy of ACT when compared against active treatments and when anxiety or depression were predetermined target outcomes.”
BackgroundInfluentialLee, E., Govind, T., Ramsey, M., Wu, T. C., Daly, R., Liu, J., Tu, X. M., Paulus, M. P., Thomas, M. L., & Jeste, D. V. (2021) · Translational Psychiatry · doi:10.1038/s41398-021-01491-8 · Cited by 157
Han, A., & Kim, T. H. (2023) · Mindfulness · doi:10.1007/s12671-023-02148-x · Cited by 119
“Two studies directly targeted individuals with low levels of self-compassion (Arimitsu, 2016; Yadavaia et al., 2014), and two studies directly targeted adults with high levels of self-criticism (Krieger et al.”
BackgroundMethodNewcomb, M. E., Macapagal, K. R., Feinstein, B. A., Bettin, E., Swann, G., & Whitton, S. W. (2017) · AIDS and Behavior · doi:10.1007/s10461-017-1674-0 · Cited by 103
“Other techniques rooted in acceptance, such as acknowledging one’s internal reactions to a problem and identifying that negative situations may not be able to change, have been effective in decreasing sexual minority stress [50].”
Duarte, J., & Pinto-Gouveia, J. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.03.002 · Cited by 98
Lee, E. E., Bangen, K. J., Avanzino, J. A., Hou, B., Ramsey, M., Eglit, G., Liu, J., Tu, X. M., Paulus, M., & Jeste, D. V. (2020) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2020.0821 · Cited by 85
Macri, J. A., & Rogge, R. D. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102432 · Cited by 89
Uğur, E., Kaya, Ç., & Tanhan, A. (2021) · Current Psychology · doi:10.1007/s12144-020-01074-8 · Cited by 81
“Psychological flexibility is a mediator of changes in self-compassion, anxiety, depression, stress and general psychological distress (Yadavaia et al. 2014), positively related to the psychologically resilient outcomes (Galatzer-Levy et al.”
BackgroundViskovich, S., & Pakenham, K. I. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22656 · Cited by 77
Feasibility and acceptability of a brief online self-compassion intervention for mothers of infants
Mitchell, A. E., Whittingham, K., Steindl, S., & Kirby, J. (2018) · Archives of Women's Mental Health · doi:10.1007/s00737-018-0829-y · Cited by 77
Khoramnia, S., Bavafa, A., Jaberghaderi, N., Parvizifard, A., Foroughi, A., Ahmadi, M., & Amiri, S. (2020) · Trends in Psychiatry and Psychotherapy · doi:10.1590/2237-6089-2019-0003 · Cited by 65
The role of mindfulness and compassion in enhancing nurturing family environments.
Kirby, J. N. (2016) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12149 · Cited by 69
Landi, G., Pakenham, K. I., Crocetti, E., Grandi, S., & Tossani, E. (2021) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.05.004 · Cited by 51
Meyer, E. C., Szabo, Y. Z., Frankfurt, S. B., Kimbrel, N. A., DeBeer, B. B., & Morissette, S. B. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.01.002 · Cited by 52
Mindfulness, selfcompassion, and depressive symptoms in chronic pain: the role of pain acceptance
Carvalho, S. A., Gillanders, D., Palmeira, L., Pinto‐Gouveia, J., & Castilho, P. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22689 · Cited by 49
Waters, C. S., Annear, B., Flockhart, G., Jones, I., Simmonds, J. R., Smith, S., Traylor, C., & Williams, J. F. (2020) · British Journal of Clinical Psychology · doi:10.1111/bjc.12261 · Cited by 51
“…and psychological flexibility have been emphasized (Dahl, Plumb, Stewart, & Lundgren, 2009; Neff & Tirch, 2013), and compassion-focused strategies have been incorporated into ACT interventions (Neff & Tirch, 2013; Tirch, Schoendorff, & Silberstein, 2014; Yadavaia, Hayes, & Vilardaga, 2014).”
Peltz, J. S., Rogge, R. D., Bodenlos, J. S., Kingery, J. N., & Pigeon, W. R. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.12.003 · Cited by 47
Hayes, S. C., & King, G. A. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100809 · Cited by 85
Self-citationOng, C. W., Barney, J. L., Barrett, T. S., Lee, E. B., Levin, M. E., & Twohig, M. P. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.06.005 · Cited by 40
Meyer, E. C., Frankfurt, S. B., Kimbrel, N. A., DeBeer, B. B., Gulliver, S. B., & Morrisette, S. B. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22596 · Cited by 40
“A recent randomized control trial of ACT compared to a waitlist control found that participants in the intervention had significant improvements in self-compassion, general psychological distress, anxiety, and depression from pretreatment to follow-up, and that increases in psychological flexibility mediated these cha…”
BackgroundStjernswärd, S., & Hansson, L. I. (2016) · Mindfulness · doi:10.1007/s12671-016-0653-2 · Cited by 44
“Mindfulness and compassion can help tame the inner critic (Stjernswärd and Hansson 2016b), reduce guilt and stress, and improve interpersonal relationships (Hofmann et al. 2010; Jazaieri et al. 2014; Stjernswärd and Hansson 2016b; Yadavaia et al. 2014).”
BackgroundMechanisms of the acceptance and commitment therapy: A meta-analytic structural equation model
REN, Z., ZHAO, C., BIAN, C., ZHU, W., JIANG, G., & ZHU, Z. (2019) · Acta Psychologica Sinica · doi:10.3724/sp.j.1041.2019.00662 · Cited by 36
“…= 16)使用推荐的 Bootstrap 法进行中介检验(Preacher & Hayes, 2008), 个别研 究仍使用传统的回归逐步检验法(Kemani, Hesser, Olsson, Lekander, & Wicksell, 2016)。当然, 也有些研究采用更为复杂的中介检验方法 , 比如多水平 (HLM)中介模型 (Rost, Wilson, Buchanan, Hildebrandt, & Mutch, 2012; Zarling, Lawrence, & Marchman, 2015)和结构方程模型 (Eilenberg, Hoffmann,…”
Psychological flexibility, self-compassion and daily functioning in chronic pain
Davey, A., Chilcot, J., Driscoll, E., & McCracken, L. M. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.06.005 · Cited by 38
Kirby, J. N., & Gilbert, P. (2019) · Mindfulness · doi:10.1007/s12671-018-1088-8 · Cited by 34
Han, A., Yuen, H. K., Jenkins, J., & Yun Lee, H. (2022) · Clinical Gerontologist · doi:10.1080/07317115.2021.1908475 · Cited by 32
Kornfield, R., Stamatis, C. A., Bhattacharjee, A., Pang, B., Nguyen, T., Williams, J. J., Kumar, H., Popowski, S., Beltzer, M., Karr, C. J., et al. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100667 · Cited by 33
“Third, willingness, which also stems from ACT, supports approaching a full range of human experiences without selectively avoiding unpleasant ones.”
BackgroundInfluentialBeyond acceptance and commitment therapy: Process-based therapy
Ong, C. W., Levin, M. E., & Twohig, M. P. (2020) · The Psychological Record · doi:10.1007/s40732-020-00397-z · Cited by 32
Trindade, I. A., Ferreira, C., & Pinto-Gouveia, J. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.12.005 · Cited by 31
The utility of the Valuing Questionnaire in Chronic Pain
Carvalho, S. A., Palmeira, L., Pinto-Gouveia, J., Gillanders, D., & Castilho, P. (2018) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.06.002 · Cited by 30
Chaotic-Enmeshment and Anxiety: The Mediating Role of Psychological Flexibility and Self-Compassion
Berryhill, M. B., Hayes, A., & Lloyd, K. (2018) · Contemporary Family Therapy · doi:10.1007/s10591-018-9461-2 · Cited by 30
“Theoretically, there are parallels between self-compassion and the ACT processes used to increase psychological flexibility (Yadavaia et al. 2014).”
BackgroundHsu, T., Adamowicz, J. L., & Thomas, E. B. K. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.10.006 · Cited by 31
Chen, G., He, J., Cai, Z., & Fan, X. (2020) · Children and Youth Services Review · doi:10.1016/j.childyouth.2020.105698 · Cited by 28
Interrupting internalized racial oppression: A community based ACT intervention
Banks, K. H., Goswami, S., Goodwin, D., Petty, J., Bell, V., & Musa, I. (2021) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.02.006 · Cited by 37
Hill, M. L., Schaefer, L. W., Spencer, S. D., & Masuda, A. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.04.006 · Cited by 26
Hazzard, V. M., Yoon, C. Y., Emery, R. L., Mason, S. M., Crosby, R. D., Wonderlich, S. A., & Neumark‐Sztainer, D. (2021) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2021.105307 · Cited by 26
Kocovski, N. L., Fleming, J. E., Blackie, R. A., MacKenzie, M. B., & Rose, A. L. (2019) · Behavior Therapy · doi:10.1016/j.beth.2018.10.007 · Cited by 25
Stjernswärd, S., & Hansson, L. I. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.03.004 · Cited by 26
“Increased self-compassion can also improve interpersonal relationships (Hofmann et al., 2011; Jazaieri et al., 2014; Yadavaia et al., 2014).”
BackgroundSelf-Compassion Mediates the Perfectionism and Depression Link on Chinese Undergraduates
Wei, S., Li, L., Shi, J., Liang, H., & Yang, X. (2021) · Annals of Palliative Medicine · doi:10.21037/apm-20-1582 · Cited by 24
“The acceptance and commitment therapy (ACT) has been proved effective in strengthening individual’s self-compassion, especially for patients with psychological distress, depression, and anxiety (68).”
BackgroundKılıç, A., Hudson, J. L., Scott, W., McCracken, L. M., & Hughes, L. D. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.110728 · Cited by 32
Self-compassion in Acceptance and Commitment Therapy for chronic pain: A pilot study
Carvalho, S. A., Gillanders, D., Forte, T., Trindade, I. A., Pinto-Gouveia, J., Lapa, T., Valentim, A., Santos, E., Paciência, J., Guiomar, R., et al. (2022) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2021-0214 · Cited by 21
Böge, K., Pollex, F., Bergmann, N., Hahne, I., Zierhut, M. M., Mavituna, S., Thomas, N., & Hahn, E. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.959467 · Cited by 20
Galvin, J., Howes, A., McCarthy, B., & Richards, G. (2020) · Autism · doi:10.1177/1362361320966853 · Cited by 20
“, 2016), acceptance and commitment therapy (Yadavaia et al., 2014), affect training (Hildebrandt et al.”
BackgroundTrindade, I. A., Pereira, J., Galhardo, A., Ferreira, N. B., Lucena-Santos, P., Carvalho, S. A., Oliveira, S., Skvarc, D., Rocha, B. S., Portela, F., et al. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.699367 · Cited by 20
Adie, T., Steindl, S. R., Kirby, J. N., Kane, R. T., & Mazzucchelli, T. G. (2021) · Mindfulness · doi:10.1007/s12671-021-01637-1 · Cited by 20
Adonis, M. N., Loucaides, M., Sullman, M. J. M., & Lajunen, T. J. (2025) · Scientific Reports · doi:10.1038/s41598-025-91819-x · Cited by 25
“The significant moderating role of self-compassion underscores its importance in trauma recovery interventions 58 .”
Fung, K. P.-L., Liu, J. J. W., Sin, R., Shakya, Y. B., Guruge, S., Bender, A., & Wong, J. P. (2020) · Community Mental Health Journal · doi:10.1007/s10597-020-00723-3 · Cited by 21
Misra, A., Bryan, A., S. Faber, N., Printz Pereira, D., Faber, S., T. Williams, M., & D. Skinta, M. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.05.008 · Cited by 21
Determination of specific life changes on psychological distress during the COVID-19 pandemic
Kabasawa, K., Tanaka, J., Komata, T., Matsui, K., Nakamura, K., Ito, Y., & Narita, I. (2021) · PLoS ONE · doi:10.1371/journal.pone.0256481 · Cited by 20
“These respondents might have psychological flexibility, which is a process of acceptance and commitment therapy that consists of defusion, acceptance, present moment awareness, self-as-context committed action, and values [37].”
BackgroundJemima, R., Strelan, P., & Proeve, M. J. (2021) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.08.001 · Cited by 21
Forkus, S. R., Breines, J. G., & Weiss, N. H. (2019) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000481 · Cited by 21
The lived experience of parenting a child with sensory sensitivity and picky eating
Cunliffe, L., Coulthard, H., & Williamson, I. R. (2022) · Maternal and Child Nutrition · doi:10.1111/mcn.13330 · Cited by 16
“Research supporting this concept has found being kind to the self and open/ flexible, holds greater benefits for those under psychological trauma, depression, and difficult living environments Yadavaia et al. (2014).”
BackgroundDuarte, J., & Pinto‐Gouveia, J. (2016) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2016.12.002 · Cited by 24
Morcillo-Muñoz, Y., Castellano, M. H. J., Exposito, F. J. D., Sánchez-Guarnido, A. J., Alcantara, M. G., & Baena-Parejo, M. I. (2021) · Clinics and Practice · doi:10.3390/clinpract11030072 · Cited by 19
“ACT aims to promote committed action guided by values and help individuals take personal responsibility for pain control [8,9].”
BackgroundMcCallum, M., Ho, A. S., May, C. N., Behr, H., Mitchell, E. S., & Michealides, A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413358 · Cited by 15
Mallik, D., Kaplan, J., Somohano, V. C., Bergman, A. L., & Bowen, S. W. (2021) · Substance Use & Misuse · doi:10.1080/10826084.2021.1899220 · Cited by 15
“Mindfulness and PF share emphasis of an open, non-judgmental perspective regarding internal distress (Meyer et al., 2018; Yadavaia et al., 2014).”
BackgroundCooper, D. D. J., Popovic, G. C., & Grisham, J. R. (2023) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2023.100799 · Cited by 14
Pyszkowska, A., & Wrona, K. (2021) · PeerJ · doi:10.7717/peerj.11198 · Cited by 12
Relational Behavior and ACT: A Dynamic Relationship
Belisle, J., & Dixon, M. R. (2021) · Behavior Analysis in Practice · doi:10.1007/s40617-021-00599-z · Cited by 14
“for (i.e., self-compassion; Luoma & Platt, 2015; Yadavaia et al., 2014), with a potential shift in relational functions.”
BackgroundLuo, X., Che, X., & Lei, Y. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.10.004 · Cited by 18
Self-Compassion in Psychotherapy: Clinical Integration, Evidence Base, and Mechanisms of Change
Germer, C. K. (2023) · Mindfulness in behavioral health · doi:10.1007/978-3-031-22348-8_22 · Cited by 16
Marta‐Simões, J., & Ferreira, C. (2018) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.11.004 · Cited by 14
Wong, M. Y. C., Fung, H. W., Wong, J. Y. H., & Lam, S. K. K. (2025) · Scientific Reports · doi:10.1038/s41598-025-95821-1 · Cited by 22
“To further investigate the effect of self-criticism, the connection between self-compassion, acceptance, and action, which also highlights psychological flexibility and emotional well-being, should be discussed 21 .”
Anderson, M., McCracken, L. M., & Scott, W. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1322723 · Cited by 12
“Given their overlap, ACT-based interventions that aim to improve psychological flexibility may also improve self-compassion (Yadavaia et al., 2014).”
BackgroundCarvalho, S. A., Trindade, I. A., Duarte, J., Menezes, P. J., Patrão, B., Nogueira, M. R., Guiomar, R. N. R. M., Lapa, T. A. S. C., Pinto‐Gouveia, J., & Castilho, P. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.630766 · Cited by 12
“Recently, some studies suggested that ACT interventions also promote self-compassion (Yadavaia et al., 2014; Luoma and Platt, 2015), a non-judgmental and mindful approach to one’s pain and suffering (Neff, 2003), which presents known links with pain regulation systems, such as heart-rate variability…”
BackgroundSchick, M. R., Nalven, T., Crawford, M. C., & Spillane, N. S. (2021) · Translational Issues in Psychological Science · doi:10.1037/tps0000300 · Cited by 11
Fattahi, A., Mazini, F., Jaberghaderi, N., Rajabi, F., Derakhshani, M., & Laki, M. (2023) · Trends in Psychiatry and Psychotherapy · doi:10.47626/2237-6089-2023-0685 · Cited by 10
Berman, B. M., & Kurlancheek, K. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.758356 · Cited by 11
Self-Esteem and Suicidal Thoughts and Behaviors: A Meta-Analytic Review
Buecker, S., Doll, J., Diaz, S. A., Haehner, P., Berg, F., Kaurin, A., & Teismann, T. (2025) · Clinical Psychological Science · doi:10.1177/21677026241308163 · Cited by 20
“…acceptance-and-commitment therapy, which includes enhancing self-compassion and self-kindness and may help improving in psychological flexibility (Yadavaia et al., 2014), can be fruitful in protecting against the negative effects of low self-esteem (Marshall et al., 2015) and shield against STBs…”
Rebuttal of Atkins et al. (2017) critique of the Öst (2014) meta-analysis of ACT
Öst, L. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.08.008 · Cited by 13
Kabul ve Kararlılık Terapisi Odaklı Deneysel Araştırmalar: Sistematik Bir Gözden Geçirme
Dursun, A., & AKKAYA, M. (2022) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1014526 · Cited by 9
Ravanbakhsh, L., Ebrahimi, M. I., Haddadi, A., & Yazdi-Ravandi, S. (2023) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs-136845 · Cited by 8
“Due to its perspective, acceptance and commitment treatment increases self-compassion by limiting emotional thoughts, especially negative ones, which regulate mood and reduce anxiety (32).”
BackgroundSelf-Compassion and Social Anxiety: A Scoping Review
Slivjak, E. T., Majid, F. A., Wrigley, J., Russell, S., Zielony, L., & Arch, J. J. (2024) · Mindfulness · doi:10.1007/s12671-024-02450-2 · Cited by 15
“Although contextual behavioral therapy modalities such as ACT have been shown to increase self-compassion (Khoramnia et al., 2020; Ong et al., 2019; Yadavaia et al., 2014), self-compassion is not typically the primary intervention target in these interventions; most content does not specifically…”
Langroudi, K. F., & Skinta, M. D. (2019) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x19000096 · Cited by 8
“Furthermore, the elements of self-compassion highlighted by Neff (2009) – mindfulness, common humanity, and self-kindness – can be evoked within ACT ’ s emphasis on acceptance, defusion, and perspective-taking in the present moment (Yadavaia et al. , 2014).”
BackgroundKian, A. A., Rostami, B., Moosavi, S. E., Maghbooli, M., & Fakoor, E. (2020) · Iranian Journal of Psychiatry and Clinical Psychology · doi:10.32598/ijpcp.26.2.2817.1 · Cited by 9
Self-compassion: conceptualization, research, and interventions (Brief review)
Foroughi, A., Khanjani, S., Rafiee, S., & Taheri, A. A. (2020) · Shenakht Journal of Psychology and Psychiatry · doi:10.29252/shenakht.6.6.77 · Cited by 8
Viator, T. L., Levy, J. J., & Murphy, B. A. (2024) · Music & Science · doi:10.1177/20592043241268665 · Cited by 8
“Further, targeting psychological fl exibility may also help musicians practice self-compassion in the face of professional setbacks, which are common in the music performance industry (Pecen et al., 2018; Yadavaia et al., 2014).”
Oliveira, S., Cunha, M. I. V. A., Rosado, A. F. B., Matos‐Pina, I., & Ferreira, C. (2025) · Mindfulness · doi:10.1007/s12671-025-02521-y · Cited by 7
“In fact, the conjugation of self-compassion, ACT, and mindfulness-based approaches has been a study theme during the last decade since these interventions are compatible and complementary (e.g. Baltzell et al., 2019; Neff & Tirch, 2013; Yadavaia et al., 2014).”
Ditton, E., Knott, B., Hodyl, N. A., Horton, G. L., Walker, F. R., & Nilsson, M. (2022) · JMIR Research Protocols · doi:10.2196/32992 · Cited by 9
Gunawan, F. Y., & Oriza, I. I. D. (2022) · ANIMA Indonesian Psychological Journal · doi:10.24123/aipj.v37i1.3033 · Cited by 14
Han, A., Wilroy, J. D., Jenkins, J., & Yuen, H. K. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2022.2038283 · Cited by 10
Kılıç, A., Hudson, J., Scott, W., McCracken, L. M., Hackett, R. A., & Hughes, L. D. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100658 · Cited by 6
“For example, being directed to reappraise ‘maladaptive ’ cognitions through CBT can be viewed as another source of criticism directed to oneself, further fostering the vicious cycle of criticism (Yadavaia et al., 2014).”
BackgroundO'Boyle-Finnegan, Ú., Graham, C. D., Doherty, N., & Adair, P. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2022.05.002 · Cited by 5
Posttraumatic stress among trauma-exposed Hispanic/Latinx adults: relations to mental health
Mayorga, N. A., Shepherd, J. M., Matoska, C. T., Kabel, K. E., Vujanovic, A. A., Viana, A. G., & Zvolensky, M. J. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2023.2176783 · Cited by 6
The Role of Psychologists and Psychological Approaches in Cancer Care
Zacharia, M., & Karekla, M. (2022) · Springer eBooks · doi:10.1007/978-3-030-84702-9_19 · Cited by 6
Hulbert-Williams, N., Norwood, S. F., Gillanders, D. T., Finucane, A., Spiller, J. A., Strachan, J., Millington, S., & Swash, B. (2019) · Pilot and Feasibility Studies · doi:10.1186/s40814-019-0488-4 · Cited by 7
Chen, H., Abdelrasheed, N. S. G., Mecheser, A. E., Tayyib, N. A., Ramaiah, P., Prasad, K., Estrada-Araoz, E. G., Alkhayyat, S., Ramadan, M. F., & Abdollahi, A. (2023) · Research Square · doi:10.21203/rs.3.rs-2925992/v1 · Cited by 6
Büyüköksüz, E. (2025) · BMC Psychology · doi:10.1186/s40359-025-03023-1 · Cited by 7
“The components of the ACT framework on psychological well-being are discussed in scholarly literature, particularly with the concept of self-compassion [34, 35].”
Transdiagnostic Approach to Anxiety Disorders: Common Factors and Integrative Interventions
Türk, F., Dalkılınç, G., Açıkgöz, S., Kara, B. C., Guven, S. N., Kul, A., & Hamamcı, Z. (2026) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1841690 · Cited by 5
Ghari Saadati, L., Ghorban Shiroudi, S., & Khalatbari, J. (2022) · Avicenna Journal of Nursing and Midwifery Care · doi:10.32592/ajnmc.30.1.30 · Cited by 7
Değerli, F. İ., & Odacı, H. (2023) · Current Psychology · doi:10.1007/s12144-023-04274-0 · Cited by 7
“There are some studies in the literature on the relationship between ACT and self-compassion (Bar-nard & Curry, 2011; Neff & Tirch, 2013; Ong et al., 2019; Yadavaia et al., 2014).”
Kleiman, K., Marks, D. R., Block-Lerner, J., Tirch, D., Brady, V., Foote, B., & Silberstein-Tirch, L. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1509396 · Cited by 4
The Efficacy of Acceptance and Commitment Therapy for Transitional-Age Youth: A Meta-analysis
Keulen, J., Deković, M., Oud, M., A-Tjak, J. G. L., & Bodden, D. H. M. (2025) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-025-00543-5 · Cited by 11
Metadata
- Authors
- Yadavaia, J. E., Hayes, S. C., & Vilardaga, R.
- Affiliations
- University of Nevada, Reno (US)
- University of Washington (US)
- Corresponding author
- Yadavaia, James E.
- Venue
- Journal of Contextual Behavioral Science
- Publisher
- Elsevier BV
- Published
- 2014-10
- Volume
- 3
- Issue
- 4
- Pages
- 248-257
- ISSN
- 2212-1447 (ISSN-L)
- PMC
- PMC4260406
- OpenAlex
- W2141219537
- Cited by
- 188
- References
- 69
- Citations by year
- 2026: 20 · 2025: 27 · 2024: 18 · 2023: 21 · 2022: 18 · 2021: 26 · 2020: 21 · 2019: 14 · 2018: 11 · 2017: 7 · 2016: 4 · 2015: 1
- FWCI
- 4.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Contextual Behavioral Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (K99DA037276)
- 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
- acceptance and commitment therapy, self-compassion, psychological flexibility, psychological distress, anxiety, depression, stress, trauma history, workshop intervention, mediation, moderation
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