An intervention study examining the effectiveness of loving kindness meditation in reducing depressive symptoms: Compassionate coping as a mediator?

Mike Silhan, N. Garnefski
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Abstract

Aim: We are interested in whether the LKM intervention has the potential to decrease depression and increase self-compassion. Self-compassionate coping was examined as a mediating variable. Methods: A sample of 57 university students underwent a pretest-posttest design. Self-compassion was measured with the Self-Compassion Scale, depression with the Patient Health Questionnaire – 9, and self-compassionate coping was assessed using the Self-Compassionate Coping Measure. Participants completed all measures at both pre and posttest. Between both measurement moments there were 12 days in which participants followed either the LKM or a control exercise daily. Repeated measures ANOVAs and a simple mediation analysis were performed. Results: Over time, both groups decreased in their depression and increased in their self-compassion scores. Assignment to the LKM condition did not result in significantly higher self-compassion scores compared to control. We found a significant effect of LKM for depressive symptoms only when controlling for successfully completed homework exercises. Self-Compassionate coping did not emerge as significant mediator in our statistical analysis. Conclusion: The results indicate a mixed picture regarding the efficacy of LKM in reducing depression and increasing self-compassion. Both conditions were possibly too similar and involved helpful elements. Further research into the antidepressant utility of LKM is warranted to understand the exact mechanisms of action.
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一项考察仁爱冥想在减轻抑郁症状中的有效性的干预研究:慈悲应对是一种中介?
目的:我们对LKM干预是否具有减少抑郁和增加自我同情的潜力感兴趣。自我同情应对作为中介变量进行检验。方法:对57名大学生进行前测后测设计。采用《自我同情量表》测量自我同情,采用《患者健康问卷- 9》测量抑郁,采用《自我同情应对量表》评估自我同情应对。参与者在测试前和测试后都完成了所有的测试。在两个测量时刻之间有12天,参与者每天遵循LKM或对照练习。进行了重复测量方差分析和简单的中介分析。结果:随着时间的推移,两组人的抑郁情绪都有所下降,自我同情得分有所上升。与对照组相比,LKM组的自我同情得分并没有显著提高。我们发现,只有在成功完成家庭作业的情况下,LKM对抑郁症状才有显著的影响。在我们的统计分析中,自我同情应对并没有成为显著的中介。结论:LKM在减少抑郁和增加自我同情方面的效果好坏参半。这两种情况可能太相似了,并且包含了有益的因素。进一步研究LKM的抗抑郁效用是必要的,以了解确切的作用机制。
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