A randomized controlled trial of compassion cultivation training: Effects on mindfulness, affect, and emotion regulation

Motivation and Emotion

Volumn 38, Issue 1, 2014, Pages 23-35

  Jazaieri, Hooria ^a   McGonigal, Kelly ^b   Jinpa, Thupten ^b   Doty, James R ^b,c   Gross, James J ^a   Goldin, Philippe R ^a  

^a STANFORD UNIVERSITY   (United States)

^b Center for Compassion and Altruism Research and Education   (United States)

^c STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Affect; Compassion; Emotion; Emotion regulation; Meditation; Mindfulness

Indexed keywords

EID: 84895905882     PISSN: 01467239     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11031-013-9368-z     Document Type: Article

References (68)

1. Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: The Kentucky Inventory of Mindfulness Skills. Assessment, 11, 191-206. doi: 10. 1177/1073191104268029.
2. Bandura, A., Caprara, G. V., Barbaranelli, C., Gerbino, M., & Pastorelli, C. (2003). Role of affective self-regulatory efficacy in diverse spheres of psychosocial functioning. Child Development, 74, 769-782. doi: 10. 1111/1467-8624. 00567.
3. Bandura, A., & Cervone, D. (1986). Differential engagement of selfreactive influences in cognitive motivation. Organizational Behavior and Human Decision Processes, 38, 92-113. doi: 10. 1016/0749-5978(86)90028-2.
4. Barlow, D. H. (2000). Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist, 55, 1247-1263. doi: 10. 1037//0003-066X. 55. 11. 1247.
5. Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15, 289-303. doi: 10. 1037/a0025754.
6. Bishop, S. R., Lau, M., Shapiro, S. L., Carlson, L. E., Anderson, N., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230-241. doi: 10. 1037/1528-3542. 6. 4. 587.
7. Cacioppo, J. T., Hawkley, L. C., Kalil, A., Hughes, M. E., Waite, L., & Thisted, R. A. (2008). Happiness and the invisible threads of social connection. In M. Eid & R. Larsen (Eds.), The science of subjective well-being (pp. 195-219). New York: Guilford Press.
8. Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006a). Acceptability and suppression of negative emotion in anxiety and mood disorders. Emotion, 6, 587-595. doi: 10. 1037/1528-3542. 6. 4. 587.
9. Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006b). Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behavior Research and Therapy, 44, 1251-1263. doi: 10. 1016/j. brat. 2005. 10. 001.
10. Carson, J. W., Carson, K. M., Gil, K. M., & Baucom, D. H. (2004). Mindfulness-based relationship enhancement. Behavior Therapy, 35, 471-494. doi: 10. 1016/s0005-7894(04)80028-5.
11. Cheng, C. (2001). Assessing coping flexibility in real-life and laboratory settings: A multimethod approach. Journal of Personality and Social Psychology, 80, 814-833. doi: 10. 1037/0022-3514. 80. 5. 814.
12. Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. Journal of Alternative and Complementary Medicine, 15. doi: 10. 1089/acm. 2008. 0495.
13. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measures of perceived stress. Journal of Health and Social Behavior, 24, 385-396. doi: 10. 2307/2136404.
14. Cosley, B. J., McCoy, S. K., Saslow, L. R., & Epel, E. S. (2010). Is compassion for others stress buffering? Consequences of Compassion and Social Support for Physiological Reactivity to Stress, 46, 816-823. doi: 10. 1016/j. jesp. 2010. 04. 008.
15. Côté, S., Gyurak, A., & Levenson, R. W. (2010). The ability to regulate emotion is associated with greater well-being, income, and socioeconomic status. Emotion, 10, 923-933. doi: 10. 1037/a0021156.
16. Crocker, J. (2011). Presidential address: Self-image and compassionate goals and construction of the social self: Implications for social and personality psychology. Personality and Social Psychology Review, 15, 394-407. doi: 10. 1177/1088868311418746.
17. Crocker, J., & Canevello, A. (2008). Creating and undermining social support in communal relationships: The role of compassionate and self-image goals. Journal of Personality and Social Psychology, 95, 555-575. doi: 10. 1037/0022-3514. 95. 3. 555.
18. Dunn, E. W., Aknin, L. B., & Norton, M. I. (2008). Spending money on others promotes happiness. Science, 319, 1687-1688. doi: 10. 1126/science. 1150952.
19. Eifert, G. H., & Heffner, M. (2003). The effects of acceptance versus control contexts on avoidance of panic-related symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 34, 293-312. doi: 10. 1016/j. jbtep. 2003. 11. 001.
20. Ellenbogen, M. A., Schwartzman, A. E., Stewart, J., & Walker, C. D. (2002). Stress and selective attention: The interplay of mood, cortisol levels, and emotional information processing. Psychophysiology, 39, 723-732. doi: 10. 1111/1469-8986. 3960723.
21. English, T., & John, O. P. (2012). Understanding the social effects of emotion regulation: The mediating role of authenticity for individual differences in suppression. Emotion. [Epub ahead of print]. doi: 10. 1037/a0029847.
22. Fredrickson, B. L., Cohn, M., Coffey, K. A., Pek, J., & Finkel, S. A. (2008). Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Journal of Personality and Social Psychology, 95, 1045-1062. doi: 10. 1037/a0013262.
23. Fresco, D. M., Moore, M. T., van Dulmen, M., Segal, Z. V., Teasdale, J. D., Ma, H., et al. (2007). Initial psychometric properties of the Experiences Questionnaire: Validation of a self-report measure of decentering. Behavior Therapy, 38, 234-246. doi: 10. 1016/j. beth. 2006. 08. 003.
24. Garland, E., Gaylord, S., & Park, J. (2009). The role of mindfulness in positive reappraisal. Explore, 5, 37-44. doi: 10. 1016/j. explore. 2008. 10. 001.
25. Gilbert, P. (2010). Compassion focused therapy: Distinctive features. London: Routledge.
26. Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2010). Fears of compassion: Development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice, 84, 239-255. doi: 10. 1348/147608310x526511.
27. 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. Clinical Psychology and Psychotherapy, 13, 353-379. doi: 10. 1002/cpp. 507.
28. Goetz, J. L., Keltner, D., & Simon-Thomas, E. (2010). Compassion: An evolutionary analysis and empirical review. Psychological Bulletin, 136, 351-374. doi: 10. 1037/a0018807.
29. Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10, 83-91. doi: 10. 1037/a0018441.
30. Goldin, P. R., Manber-Ball, T., Werner, K., Heimberg, R., & Gross, J. J. (2009). Neural mechanisms of cognitive reappraisal of negative self-beliefs in social anxiety disorder. Biological Psychiatry, 66, 1091-1099. doi: 10. 1016/j. biopsych. 2009. 07. 014.
31. Goldin, P. R., Ziv, M., Jazaieri, H., Werner, K., Kraemer, H., Heimberg, R. G., & Gross, J. J. (2012). Cognitive reappraisal self-efficacy mediates the effects of individual cognitive-behavioral therapy for social anxiety disorder. Journal of Consulting and Clinical Psychology. [Epub ahead of print]. doi: 10. 1037/a0028555.
32. Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General psychology, 2, 271. doi: 10. 1037//1089-2680. 2. 3. 271.
33. Gross, J. J. (2010). The future's so bright, I gotta wear shades. Emotion Review, 2, 212-216. doi: 10. 1177/1754073910361982.
34. Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well being. Journal of Personality and Social Psychology, 85, 248-362. doi: 10. 1037/0022-3514. 85. 2. 348.
35. Gross, J. J., & Muñoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice, 2, 151-164. doi: 10. 1111/j. 1468-2850. 1995. tb00036. x.
36. Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3-24). New York: Guilford Press.
37. Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57, 35-43. doi: 10. 1016/s0022-3999(03)00573-7.
38. Halifax, J. (2012). A heuristic model of enactive compassion. Current Opinion in Supportive and Palliative Care, 6, 228-235. doi: 10. 1097/SPC. 0b013e3283530fbe.
39. Hutcherson, C. A., Seppala, E. M., & Gross, J. J. (2008). Loving-kindness meditation increases social connectedness. Emotion, 8, 720-724. doi: 10. 1037/a0013237.
40. Jazaieri, H., Jinpa, T. G., McGonigal, K., Rosenberg, E., Finkelstein, J., Simon-Thomas, E., & Goldin, P. R. (2012). Enhancing compassion: A randomized controlled trial of a compassion cultivation training program. Journal of Happiness Studies. [Epub ahead of print]. doi: 10. 1007/s10902-012-9373-z.
41. Jinpa, G. T. (2010). Compassion cultivation training (CCT): Instructor's manual (unpublished).
42. Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.
43. Kashdan, T. B., Barrios, V., Forsyth, J. P., & Steger, M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotion regulation strategies. Behavior Research and Therapy, 44, 1301-1320. doi: 10. 1016/j. brat. 2005. 10. 003.
44. Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30, 865-878. doi: 10. 1016/j. cpr. 2010. 03. 001.
45. Keng, S.-L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31, 1041-1056. doi: 10. 1016/j. cpr. 2011. 04. 006.
46. Klimecki, O. M., Leiberg, S., Lamm, C., & Singer, T. (2012). Functional neural plasticity and associated changes in positive affect after compassion training. Cerebral Cortex. [Epub ahead of print]. doi: 10. 1093/cercor/bhs142.
47. Kring, A. M., & Werner, K. H. (2004). Emotion regulation and psychopathology. In P. Philippot & R. S. Feldman (Eds.), The regulation of emotion (pp. 359-385). Hove: Psychology Press.
48. Kumar, S. M. (2002). An introduction to Buddhism for the cognitive-behavioral therapist. Cognitive and Behavioral Practice, 9, 40-43. doi: 10. 1016/S1077-7229(02)80038-4.
49. Leiberg, S., Klimeck, O., & Singer, T. (2011). Short-term compassion training increases prosocial behavior in a newly developed prosocial game. PLoS ONE, 6, e17798. doi: 10. 1371/journal. pone. 0017798.
50. Levitt, J. T., Brown, T. A., Orsillo, S. M., & Barlow, D. H. (2004). The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder. Behavior Therapy, 35, 747-766. doi: 10. 1016/S0005-7894(04)80018-2.
51. Lieberman, M. D., Inagaki, T. K., Tabibnia, G., & Crockett, M. J. (2011). Subjective responses to emotional stimuli during labeling, reappraisal, and distraction. Emotion, 11, 468-480. doi: 10. 1037/a0023503.
52. Lyubomirsky, S., & Lepper, H. S. (1999). A measure of subjective happiness: Preliminary reliability and construct validation. Social Indicators Research, 46, 137-155. doi: 10. 1023/A: 1006824100041.
53. Mayer, J. D., Faber, M. A., & Xu, X. (2007). Seventy-five years of motivation measures (1930-2005): A descriptive analysis. Motivation and Emotion, 31, 83-103. doi: 10. 1007/s11031-007-9060-2.
54. Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2002). Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice, 9, 85-90. doi: 10. 1093/clipsy. 9. 1. 85.
55. Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28. doi: 10. 1016/0005-7967(90)90135-6.
56. Moore, S. A., Zoellner, L. A., & Mollenholt, N. (2008). Are expressive suppression and cognitive reappraisal associated with stress-related symptoms? Behavior Research and Therapy, 46, 993-1000. doi: 10. 1016/j. brat. 2008. 05. 001.
57. Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223-250. doi: 10. 1080/15298860309027.
58. Neff, K. D., & Germer, C. K. (2012). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology. [Epub ahead of print]. doi: 10. 1002/jclp. 21923.
59. Neff, K. D., Rude, S. S., & Kirkpatrick, K. (2007). An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality, 41, 908-916. doi: 10. 1016/j. jrp. 2006. 08. 002.
60. Pace, T. W., Negi, L. T., Adame, D. D., Cole, S. P., Sivilli, T. I., Brown, T. D., et al. (2009). Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocrinology, 34, 87-98. doi: 10. 1016/j. psyneuen. 2008. 08. 011.
61. Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: Preliminary evidence for independent and overlapping contributions. Behavior Therapy, 40, 142-154. doi: 10. 1016/j. beth. 2008. 04. 001.
62. Ryan, R., & Deci, E. (2001). On happiness and human potentials: A review of research on hedonic and eudemonic well-being. Annual Review of Psychology, 52, 141-166.
63. Salzberg, S. (1995). Lovingkindness: The revolutionary art of happiness. Boston, MA: Shambhala.
64. Shapiro, S. L., Bootzin, R. R., Figueredo, A. J., Lopez, A. M., & Schwartz, G. E. (2003). The efficacy of mindfulness-based stress reduction in the treatment of sleep disturbance in women with breast cancer. An exploratory study. Journal of Psychosomatic Research, 54, 85-91. doi: 10. 1016/s0022-3999(02)00546-9.
65. Shapiro, S. L., Jazaieri, H., & Goldin, P. R. (2012). Mindfulness-based stress reduction effects on moral reasoning and decision making. Journal of Positive Psychology. [Epub ahead of print]. doi: 10. 1080/17439760. 2012. 723732.
66. Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581-599.
67. Steffen, P. R., & Masters, K. S. (2005). Does compassion mediate the intrinsic religion-health relationship? Annals of Behavioral Medicine, 30, 217-224. doi: 10. 1207/s15324796abm3003_6.
68. Wirtz, P. H., von Kanel, R., Mohiyeddini, C., Emini, L., Ruedisueli, K., Groessbauer, S., et al. (2006). Low social support and poor emotional regulation are associated with increased stress hormone reactivity to mental stress in systemic hypertension. Journal of Clinical Endocrinology and Metabolism, 91, 3857-3865. doi: 10. 1210/jc. 2005-2586.