Objectives <p>This meta-analysis provided a comprehensive synthesis of research on the relationship between trait self-compassion (SC), operationalised by the Self-Compassion Scale (SCS), and symptoms of psychopathology, including depression, anxiety, PTSD, and eating disorders. Given that SC is a multifaceted construct, we examined it at the overall, dimensional (compassionate and uncompassionate self-responding; CS and UCS), and component levels (mindfulness, self-kindness, common humanity, self-judgement, over-identification and isolation) to identify distinct patterns of association.</p> Method <p>We analysed 256 studies (1106 effect sizes; <i>N</i> = 107,304) with a three-level approach to meta-analysis with restricted maximum likelihood estimation.</p> Results <p>Overall SC showed a strong negative association with psychopathology symptoms (<i>r</i> = −0.50). The UCS dimension (<i>r</i> = 0.49) was more strongly linked to psychopathology than the CS dimension (<i>r</i> = −0.31). The UCS dimension showed the strongest association with depression (<i>r</i> = 0.53) and anxiety (<i>r</i> = 0.49), followed by eating disorders (<i>r</i> = 0.44) and PTSD (<i>r</i> = 0.26), while the CS dimension showed its strongest association with depression (<i>r</i> = −0.35). At the component level, self-kindness was consistently linked to lower psychopathology across symptom domains, while mindfulness and common humanity had the strongest associations with lower PTSD symptoms. Over-identification and isolation showed stronger links to symptoms in non-clinical and medically vulnerable groups (all <i>p</i> &lt; 0.05). Additionally, age, gender, ethnicity, and publication year did not significantly moderate these associations (all <i>p</i> &gt; 0.05).</p> Conclusions <p>Our findings demonstrated the transdiagnostic relevance of SC and emphasise the need to treat it as a multifaceted construct when examining its relationship with psychopathology. </p> Preregistration <p>This study is not preregistered.</p>

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Self-compassion as a Transdiagnostic Construct: A Multilevel Meta-analysis of Associations with Psychopathology at Overall, Dimensional, and Component Levels

  • Ivana Buric,
  • Marleen J. ter Avest,
  • Petra Helmond,
  • Mark Assink,
  • Milica Nikolic,
  • Ana Pizarro-Carmona,
  • Eline Möller,
  • Esther I. de Bruin,
  • Susan M. Bögels,
  • Corina U. Greven,
  • Maja Wrzesien

摘要

Objectives

This meta-analysis provided a comprehensive synthesis of research on the relationship between trait self-compassion (SC), operationalised by the Self-Compassion Scale (SCS), and symptoms of psychopathology, including depression, anxiety, PTSD, and eating disorders. Given that SC is a multifaceted construct, we examined it at the overall, dimensional (compassionate and uncompassionate self-responding; CS and UCS), and component levels (mindfulness, self-kindness, common humanity, self-judgement, over-identification and isolation) to identify distinct patterns of association.

Method

We analysed 256 studies (1106 effect sizes; N = 107,304) with a three-level approach to meta-analysis with restricted maximum likelihood estimation.

Results

Overall SC showed a strong negative association with psychopathology symptoms (r = −0.50). The UCS dimension (r = 0.49) was more strongly linked to psychopathology than the CS dimension (r = −0.31). The UCS dimension showed the strongest association with depression (r = 0.53) and anxiety (r = 0.49), followed by eating disorders (r = 0.44) and PTSD (r = 0.26), while the CS dimension showed its strongest association with depression (r = −0.35). At the component level, self-kindness was consistently linked to lower psychopathology across symptom domains, while mindfulness and common humanity had the strongest associations with lower PTSD symptoms. Over-identification and isolation showed stronger links to symptoms in non-clinical and medically vulnerable groups (all p < 0.05). Additionally, age, gender, ethnicity, and publication year did not significantly moderate these associations (all p > 0.05).

Conclusions

Our findings demonstrated the transdiagnostic relevance of SC and emphasise the need to treat it as a multifaceted construct when examining its relationship with psychopathology.

Preregistration

This study is not preregistered.