Self-Compassion Interventions and Psychosocial Outcomes: a Meta-Analysis of RCTs
Self-Compassion Interventions and Psychosocial Outcomes: a Meta-Analysis of RCTs
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DOI：
10.1007/s12671-019-01134-6
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发表时间：
2019-08-01
期刊：
影响因子：
3.6
通讯作者：
Einstein, Danielle A.
中科院分区：
文献类型：
--
作者：
Ferrari, Madeleine;Hunt, Caroline;Einstein, Danielle A.
目的自我同情是一种健康的方式与一个人的自我动机的愿望，以帮助而不是伤害。新的基于自我同情的干预措施针对不同的人群和结果。此荟萃分析确定了随机对照试验的自我同情干预措施，并衡量其对psychosocial outcome.MethodsThis荟萃分析的影响，包括系统搜索的六个数据库和手搜索的研究的参考清单。27项随机对照试验检查了基于自我同情的干预措施的有效心理社会措施，符合纳入标准。基线，后和后续数据提取的干预和对照组，研究质量进行了评估，使用PRISMA checklist.ResultsSelf-compassion干预导致了显着改善，在11个不同的心理社会结果与对照组相比。值得注意的是，对于进食行为（g=1.76）和反刍（g=1.37）的测量，总效应大小Hedge的g较大。对自我同情（g=0.75），压力（g=0.67），抑郁（g= 0.66），正念（g=0.62），自我批评（g=0.56）和焦虑（g=0.57）结果的影响是中等的。进一步的适度分析发现，抑郁症状的改善在随访中继续增加，自我同情的收益得到维持。结果在不同的人群类型中有所不同，并且在个体分娩方法中，该群体的结果更强。干预类型太多样化，分析特定类别，和出版偏见可能present.ConclusionsThis审查支持自我同情为基础的干预措施在一系列的结果和不同的人群的疗效。未来的研究应该考虑变化的机制。
ObjectivesSelf-compassion is a healthy way of relating to one's self motivated by a desire to help rather than harm. Novel self-compassion-based interventions have targeted diverse populations and outcomes. This meta-analysis identified randomized controlled trials of self-compassion interventions and measured their effects on psychosocial outcomes.MethodsThis meta-analysis included a systematic search of six databases and hand-searches of the included study's reference lists. Twenty-seven randomized controlled trials that examined validated psychosocial measures for self-compassion-based interventions met inclusion criteria. Baseline, post and follow-up data was extracted for the intervention and control groups, and study quality was assessed using the PRISMA checklist.ResultsSelf-compassion interventions led to a significant improvement across 11 diverse psychosocial outcomes compared with controls. Notably, the aggregate effect size Hedge's g was large for measures of eating behavior (g=1.76) and rumination (g=1.37). Effects were moderate for self-compassion (g=0.75), stress (g=0.67), depression (g=0.66), mindfulness (g=0.62), self-criticism (g=0.56), and anxiety (g=0.57) outcomes. Further moderation analyses found that the improvements in depression symptoms continued to increase at follow-up, and self-compassion gains were maintained. Results differed across population type and were stronger for the group over individual delivery methods. Intervention type was too diverse to analyze specific categories, and publication bias may be present.ConclusionsThis review supports the efficacy of self-compassion-based interventions across a range of outcomes and diverse populations. Future research should consider the mechanisms of change.