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Erschienen in: Archives of Women's Mental Health 5/2018

17.03.2018 | Original Article

Feasibility and acceptability of a brief online self-compassion intervention for mothers of infants

verfasst von: Amy E. Mitchell, Koa Whittingham, Stanley Steindl, James Kirby

Erschienen in: Archives of Women's Mental Health | Ausgabe 5/2018

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Abstract

To evaluate the acceptability and potential utility of a small package of online resources designed to improve self-compassion for mothers of infants. A within-groups repeated-measures study design was used. A community sample of 262 mothers who were ≤ 24 months post-partum were given access to a set of online resources (two videos plus a tip sheet) that outlined simple techniques for increasing self-compassion drawn from compassion-focused therapy (CFT). Participants completed pre-intervention assessment, followed by post-intervention assessment 1 month later. Assessment included self-report measures of self-compassion, psychological flexibility and shame in the mothering role; symptoms of post-traumatic stress (PTS) following childbirth; subjective breastfeeding experience; and satisfaction with infant feeding. Overall, 49.8% of participants accessed some or all of the resources, with lack of time the most common barrier to use. The vast majority (96%) agreed that self-compassion is helpful for women experiencing birth or breastfeeding difficulties. t tests examined change in scores from pre- to post-intervention, indicating increases in self-compassion, decreases in PTS symptoms (intrusion, hyperarousal and total PTS score) and improved subjective breastfeeding experience as well as overall satisfaction with breastfeeding. There were no changes in scores for psychological flexibility, shame, or satisfaction with general infant feeding. This pilot study supports the acceptability and potential utility of self-compassion resources, drawn from CFT, to support mothers’ well-being in the first years of their baby’s life. This novel approach to maternal health intervention warrants further exploration, development and testing in future research.
Literatur
Zurück zum Zitat Alcorn KL, O'Donovan A, Patrick JC, Creedy D, Devilly GJ (2010) A prospective longitudinal study of the prevalence of post-traumatic stress disorder resulting from childbirth events. Psychol Med 40:1849–1859CrossRef Alcorn KL, O'Donovan A, Patrick JC, Creedy D, Devilly GJ (2010) A prospective longitudinal study of the prevalence of post-traumatic stress disorder resulting from childbirth events. Psychol Med 40:1849–1859CrossRef
Zurück zum Zitat Athan AM (2011) Postpartum flourishing: motherhood as opportunity for positive growth and self-development. Colombia University, New York Athan AM (2011) Postpartum flourishing: motherhood as opportunity for positive growth and self-development. Colombia University, New York
Zurück zum Zitat Beck CT (2004) Birth trauma: in the eye of the beholder. Nurs Res 53:28–35CrossRef Beck CT (2004) Birth trauma: in the eye of the beholder. Nurs Res 53:28–35CrossRef
Zurück zum Zitat Beck JG, Grant DM, Read JP, Clapp JD, Coffey SF, Miller LM, Palyo SA (2008) The impact of event scale - revised: psychometric properties in a sample of motor vehicle accident survivors. J Anxiety Disord 22:187–198CrossRef Beck JG, Grant DM, Read JP, Clapp JD, Coffey SF, Miller LM, Palyo SA (2008) The impact of event scale - revised: psychometric properties in a sample of motor vehicle accident survivors. J Anxiety Disord 22:187–198CrossRef
Zurück zum Zitat Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, Waltz T (2011) Preliminary psychometric properties of the acceptance and action questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther 42:676–688CrossRef Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, Waltz T (2011) Preliminary psychometric properties of the acceptance and action questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther 42:676–688CrossRef
Zurück zum Zitat Desai FG (2012) Transpersonal experiences and the emergence of transpersonal motherhood. Sofia University, Sofia Desai FG (2012) Transpersonal experiences and the emergence of transpersonal motherhood. Sofia University, Sofia
Zurück zum Zitat Felder JN, Lemon ES, K, Kripke K, Dimidjian S (2016) Role of self-compassion in psychological well-being among perinatal women. Arch Women Ment Health 19:687–690 Felder JN, Lemon ES, K, Kripke K, Dimidjian S (2016) Role of self-compassion in psychological well-being among perinatal women. Arch Women Ment Health 19:687–690
Zurück zum Zitat Ferreira C, Matos M, Duarte C, Pinto-Gouveia J (2014) Shame memories and eating psychopathology: the buffering effect of self-compassion. Eur Eat Disord Rev 22:487–494CrossRef Ferreira C, Matos M, Duarte C, Pinto-Gouveia J (2014) Shame memories and eating psychopathology: the buffering effect of self-compassion. Eur Eat Disord Rev 22:487–494CrossRef
Zurück zum Zitat Gilbert P (2000) The relationship of shame, social anxiety and depression: the role of the evaluation of social rank. Clin Psychol Psychother 7:174–189CrossRef Gilbert P (2000) The relationship of shame, social anxiety and depression: the role of the evaluation of social rank. Clin Psychol Psychother 7:174–189CrossRef
Zurück zum Zitat Gilbert P (2014) The origins and nature of compassion focused therapy. Br J Clin Psychol 53:6–41CrossRef Gilbert P (2014) The origins and nature of compassion focused therapy. Br J Clin Psychol 53:6–41CrossRef
Zurück zum Zitat Gilbert P, Catarino F, Duarte C, Matos M, Kolts R, Stubbs J, Ceresatto L, Duarte J, Pinto-Gouveia J, Basran J (2017) The development of compassionate engagement and action scales for self and others. J Compassionate Health Care 4. https://doi.org/10.1186/s40639-017-0033-3 Gilbert P, Catarino F, Duarte C, Matos M, Kolts R, Stubbs J, Ceresatto L, Duarte J, Pinto-Gouveia J, Basran J (2017) The development of compassionate engagement and action scales for self and others. J Compassionate Health Care 4. https://​doi.​org/​10.​1186/​s40639-017-0033-3
Zurück zum Zitat Gilbert P, McEwan K, Matos M, Rivis A (2011) Fears of compassion: development of three self-report measures. Psychol Psychother Theory Res Pract 4:239–255CrossRef Gilbert P, McEwan K, Matos M, Rivis A (2011) Fears of compassion: development of three self-report measures. Psychol Psychother Theory Res Pract 4:239–255CrossRef
Zurück zum Zitat Gilbert P, Procter S (2006) Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clin Psychol Psychother 13:353–379CrossRef Gilbert P, Procter S (2006) Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clin Psychol Psychother 13:353–379CrossRef
Zurück zum Zitat Goetz JL, Keltner D, Simon-Thomas E (2010) Compassion: an evolutionary analysis and empirical review. Psychol Bull 136:351–374CrossRef Goetz JL, Keltner D, Simon-Thomas E (2010) Compassion: an evolutionary analysis and empirical review. Psychol Bull 136:351–374CrossRef
Zurück zum Zitat Goss K, Gilbert P, Allan S (1994) An exploration of shame measures - I: the other as Shamer scale. Personal Individ Differ 17:713–717CrossRef Goss K, Gilbert P, Allan S (1994) An exploration of shame measures - I: the other as Shamer scale. Personal Individ Differ 17:713–717CrossRef
Zurück zum Zitat Gouveia MJ, Carona C, Canavarro MC, Moreira H (2016) Self-compassion and dispositional mindfulness are associated with parenting styles and parenting stress: the mediating role of mindful parenting. Mindfulness 7:700–712CrossRef Gouveia MJ, Carona C, Canavarro MC, Moreira H (2016) Self-compassion and dispositional mindfulness are associated with parenting styles and parenting stress: the mediating role of mindful parenting. Mindfulness 7:700–712CrossRef
Zurück zum Zitat Hall H, McLelland G, Gilmour C, Cant R (2014) ‘It’s those first few weeks’: Women’s views about breastfeeding support in an Australian outer metropolitan region. Women Birth 27:259–265CrossRef Hall H, McLelland G, Gilmour C, Cant R (2014) ‘It’s those first few weeks’: Women’s views about breastfeeding support in an Australian outer metropolitan region. Women Birth 27:259–265CrossRef
Zurück zum Zitat Hayes S, Luoma J, Bond F, Masuda A, Lillis J (2006) Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther 44:1–25CrossRef Hayes S, Luoma J, Bond F, Masuda A, Lillis J (2006) Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther 44:1–25CrossRef
Zurück zum Zitat IBM Corp (2013) IBM SPSS statistics for windows, version 22.0. IBM Corp, Armonk IBM Corp (2013) IBM SPSS statistics for windows, version 22.0. IBM Corp, Armonk
Zurück zum Zitat Kashdan T, Rottenberg J (2010) Psychological flexibility as a fundamental aspect of health. Clin Psychol Rev 30:865–878CrossRef Kashdan T, Rottenberg J (2010) Psychological flexibility as a fundamental aspect of health. Clin Psychol Rev 30:865–878CrossRef
Zurück zum Zitat Kendall-Tackett K (2014) Interventions for mothers who have experienced childbirth-related trauma and post-traumatic stress disorder. Clin Lact 5:56–61CrossRef Kendall-Tackett K (2014) Interventions for mothers who have experienced childbirth-related trauma and post-traumatic stress disorder. Clin Lact 5:56–61CrossRef
Zurück zum Zitat Kim S, Thibodeau R, Jorgensen RS (2011) Shame, guilt, and depressive symptoms: a meta-analytic review. Psychol Bull 137(1):68–96 Kim S, Thibodeau R, Jorgensen RS (2011) Shame, guilt, and depressive symptoms: a meta-analytic review. Psychol Bull 137(1):68–96
Zurück zum Zitat Kirby JN, Gilbert P (2017) The emergence of compassion focused therapies. In: Gilbert P (ed) Compassion: concepts, research and applications. Routledge Ltd, Abingdon, pp 258–285CrossRef Kirby JN, Gilbert P (2017) The emergence of compassion focused therapies. In: Gilbert P (ed) Compassion: concepts, research and applications. Routledge Ltd, Abingdon, pp 258–285CrossRef
Zurück zum Zitat Kirby JN, Tellegen CL, Steindl SR (2017) A meta-analysis of compassion-based intervention: current state of knowledge and future directions. Behav Ther 48:778–792CrossRef Kirby JN, Tellegen CL, Steindl SR (2017) A meta-analysis of compassion-based intervention: current state of knowledge and future directions. Behav Ther 48:778–792CrossRef
Zurück zum Zitat Leaviss J, Uttley L (2015) Psychotherapeutic benefits of compassion-focused therapy: an early systematic review. Psychol Med 45:927–945CrossRef Leaviss J, Uttley L (2015) Psychotherapeutic benefits of compassion-focused therapy: an early systematic review. Psychol Med 45:927–945CrossRef
Zurück zum Zitat Leff EW, Jefferis SC, Gagne MP (1994) The development of the maternal breastfeeding evaluation scale. J Hum Lact 10:105–111CrossRef Leff EW, Jefferis SC, Gagne MP (1994) The development of the maternal breastfeeding evaluation scale. J Hum Lact 10:105–111CrossRef
Zurück zum Zitat MacBeth A, Gumley A (2012) Exploring compassion: a meta-analysis of the association between self-compassion & psychopathology. Clin Psychol Rev 32:545–552CrossRef MacBeth A, Gumley A (2012) Exploring compassion: a meta-analysis of the association between self-compassion & psychopathology. Clin Psychol Rev 32:545–552CrossRef
Zurück zum Zitat Mitchell AE, Whittingham K (2016) The childbirth and feeding history questionnaire. The University of Queensland, Brisbane Mitchell AE, Whittingham K (2016) The childbirth and feeding history questionnaire. The University of Queensland, Brisbane
Zurück zum Zitat Neff K (2003) The development and validation of a scale to measure self-compassion. Self Identity 2:223–250CrossRef Neff K (2003) The development and validation of a scale to measure self-compassion. Self Identity 2:223–250CrossRef
Zurück zum Zitat Raes F, Pommier E, Neff KD, Van Gucht D (2011) Construction and factorial validation of a short form of the self-compassion scale. Clin Psychol Psychother 18:250–255CrossRef Raes F, Pommier E, Neff KD, Van Gucht D (2011) Construction and factorial validation of a short form of the self-compassion scale. Clin Psychol Psychother 18:250–255CrossRef
Zurück zum Zitat Sanders MR, Morawska A (2010) Family background questionnaire. Parenting and Family Support Centre, Brisbane Sanders MR, Morawska A (2010) Family background questionnaire. Parenting and Family Support Centre, Brisbane
Zurück zum Zitat Sockol LE, Battle CL (2015) Maternal attitudes, depression, and anxiety in pregnant and postpartum multiparous women. Arch Women Ment Health 18:585–593CrossRef Sockol LE, Battle CL (2015) Maternal attitudes, depression, and anxiety in pregnant and postpartum multiparous women. Arch Women Ment Health 18:585–593CrossRef
Zurück zum Zitat Soet JE, Brack GA, DiIorio C (2003) Prevalence and predictors of women's experience of psychological trauma during childbirth. Birth 30:36–46CrossRef Soet JE, Brack GA, DiIorio C (2003) Prevalence and predictors of women's experience of psychological trauma during childbirth. Birth 30:36–46CrossRef
Zurück zum Zitat Strauss C, Lever Taylor B, Gu J, Kuyken W, Baer R, Jones F, Cavanagh K (2016) What is compassion and how can we measure it? A review of definitions and measures. Clin Psychol Rev 47:15–27CrossRef Strauss C, Lever Taylor B, Gu J, Kuyken W, Baer R, Jones F, Cavanagh K (2016) What is compassion and how can we measure it? A review of definitions and measures. Clin Psychol Rev 47:15–27CrossRef
Zurück zum Zitat Sutherland J-A (2010) Mothering, guilt and shame. Sociol Compass 4:310–321CrossRef Sutherland J-A (2010) Mothering, guilt and shame. Sociol Compass 4:310–321CrossRef
Zurück zum Zitat Thompson BL, Waltz J (2008) Self-compassion and PTSD symptom severity. J Trauma Stress 21:556–558CrossRef Thompson BL, Waltz J (2008) Self-compassion and PTSD symptom severity. J Trauma Stress 21:556–558CrossRef
Zurück zum Zitat Thomson G, Ebisch-Burton K, Flacking R (2015) Shame if you do - shame if you don't: women's experiences of infant feeding. Matern Child Nutr 11:33–46CrossRef Thomson G, Ebisch-Burton K, Flacking R (2015) Shame if you do - shame if you don't: women's experiences of infant feeding. Matern Child Nutr 11:33–46CrossRef
Zurück zum Zitat Tirch D, Schoendorff B, Silberstein L (2014) ACT practitioner's guide to the science of compassion, 1st edn. New Harbinger Publications, Inc, Oakland Tirch D, Schoendorff B, Silberstein L (2014) ACT practitioner's guide to the science of compassion, 1st edn. New Harbinger Publications, Inc, Oakland
Zurück zum Zitat Valdez CE, Lilly MM (2015) Self-compassion and trauma processing outcomes among victims of violence. Mindfulness 7:329–339CrossRef Valdez CE, Lilly MM (2015) Self-compassion and trauma processing outcomes among victims of violence. Mindfulness 7:329–339CrossRef
Zurück zum Zitat Weiss DS (2007) The impact of event scale-revised. In: Wilson JP, Keane TM (eds) Assessing psychological trauma and PTSD: a practitioner's handbook, 2nd edn. Guilford Press, New York Weiss DS (2007) The impact of event scale-revised. In: Wilson JP, Keane TM (eds) Assessing psychological trauma and PTSD: a practitioner's handbook, 2nd edn. Guilford Press, New York
Zurück zum Zitat Whittingham K, Mitchell AE (2016) The distress and flourishing questionnaire. The University of Queensland, Brisbane Whittingham K, Mitchell AE (2016) The distress and flourishing questionnaire. The University of Queensland, Brisbane
Zurück zum Zitat Yadavaia JE (2014) Using acceptance and commitment therapy to decrease high-prevalence psychopathology by targeting self-compassion: a randomized controlled trial. J Context Behav Sci 3:248–257CrossRef Yadavaia JE (2014) Using acceptance and commitment therapy to decrease high-prevalence psychopathology by targeting self-compassion: a randomized controlled trial. J Context Behav Sci 3:248–257CrossRef
Metadaten
Titel
Feasibility and acceptability of a brief online self-compassion intervention for mothers of infants
verfasst von
Amy E. Mitchell
Koa Whittingham
Stanley Steindl
James Kirby
Publikationsdatum
17.03.2018
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 5/2018
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-018-0829-y

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