Self-Compassion Online: A Pilot Study of an Internet-Based Self-Compassion Cultivation Program for Psychology Trainees

Journal of Clinical Psychology

Volumn 73, Issue 7, 2017, Pages 797-816

  Finlay Jones, Amy ^a   Kane, Robert ^a   Rees, Clare ^a  

^a CURTIN UNIVERSITY   (Australia)

Author keywords

clinical training; online intervention; psychologists; self compassion; self regulation; stress

Indexed keywords

ADULT; DEPRESSION; EDUCATION; EMPATHY; FEMALE; HEALTH PROMOTION; HEALTH STUDENT; HUMAN; INTERNET; MALE; MENTAL HEALTH; MENTAL STRESS; PILOT STUDY; PROCEDURES; PSYCHOLOGY; SELF CONCEPT; SELF REPORT;

ADULT; DEPRESSION; EMPATHY; FEMALE; HEALTH PROMOTION; HUMANS; INTERNET; MALE; MENTAL HEALTH; PILOT PROJECTS; PSYCHOLOGY; SELF CONCEPT; SELF REPORT; STRESS, PSYCHOLOGICAL; STUDENTS, HEALTH OCCUPATIONS;

EID: 84998673712     PISSN: 00219762     EISSN: 10974679     Source Type: Journal    
DOI: 10.1002/jclp.22375     Document Type: Article

References (115)

1. Adams, C. E., & Leary, M. R. (2007). Promoting self-compassionate attitudes toward eating among restrictive and guilty eaters. Journal of Social and Clinical Psychology, 26, 1120–1144. doi:10.1521/jscp.2007.26.10.1120
2. Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217–237. doi:10.1016/j.cpr.2009.11.004
3. Allen, A. B., & Leary, M. R. (2010). Self-compassion, stress, and coping. Social and Personality Psychology Compass, 4, 107–118. doi:10.1111/j.1751-9004.2009.00246.x
4. Andersson, G., & Titov, N. (2014). Advantages and limitations of internet-based interventions for common mental disorders. World Psychiatry, 13, 4–11.
5. Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales (DASS) in clinical groups and a community sample. Psychological Assessment, 10, 176–181.
6. Arch, J. J., Brown, K. W., J., D. D., Landy, L. N., Brown, K. D., & Laudenslager, M. L. (2014). Self-compassion training modeulates alpha-amylase, heart rate variability, and subjective responses to social evaluative threat in women. Psychoneuroendocrinology, 42, 49–58. doi:10.1016/j.psyneuen.2013.12.018
7. Baer, R. A., & Krietemeyer, J. (2006). Overview of mindfulness- and acceptance-based treatment approaches. In R. A. Baer (Ed.), Mindfulness-based treatment approaches (pp. 3–17). Burlington, MA: Academic Press.
8. Barnard, L. K., & Curry, J. F. (2011a). The relationship of clergy burnout to self-compassion and other personality dimensions. Pastoral Psychology, 61, 149–163. doi:10.1007/s11089-011-0377-0
9. Barnard, L. K., & Curry, J. F. (2011b). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15, 289–303. doi:10.1037/a0025754
10. Barnett, J. E., Baker, E. K., Elman, N. S., & Schoener, G. R. (2007). In pursuit of wellness: The self-care imperative. Professional Psychology: Research and Practice, 38, 603–612. doi:10.1037/0735-7028.38.6.603
11. Berry, K. A., Kowalski, K. C., Ferguson, L. J., & McHugh, T.-L. F. (2010). An empirical phenomenology of young adult women exercisers' body self-compassion. Qualitative Research in Sport and Exercise, 2, 293–312. doi:10.1080/19398441.2010.517035
12. Bibeau, M., Dionne, F., & Leblanc, J. (2016). Can compassion meditation contribute to the development of psychotherapists' empathy? A review. Mindfulness. doi:10.1007/s12671-015-0439-y
13. Birnie, K., Speca, M., & Carlson, L. E. (2010). Exploring self-compassion and empathy in the context of Mindfulness-Based Stress Reduction (MBSR). Stress and Health, 26, 359–371. doi:10.1002/smi.1305
14. Boellinghaus, I., Jones, F. W., & Hutton, J. (2013). Cultivating self-care and compassion in psychological therapists in training: The experience of practicing loving-kindness meditation. Training and Education in Professional Psychology, 7, 267–277. doi:10.1037/a0033092
15. Boellinghaus, I., Jones, F. W., & Hutton, J. (2014). The role of mindfulness and loving-kindness meditation in cultivating self-compassion and other-focused concern in health care professionals. Mindfulness, 5, 129–138. doi:10.1007/s12671-012-0158-6
16. Breines, J. G., McInnis, C. M., Kuras, Y. I., Thoma, M. V., Gianferante, D., Hanlin, L., … Rohleder, N. (2015). Self-compassionate young adults show lower salivary alpha-amylase responses to repeated psychosocial stress. Self and Identity, 14, 390–402. doi:10.1080/15298868.2015.1005659
17. Breines, J. G., Thoma, M. V., Gianferante, D., Hanlin, L., & Chen, X. (2014). Self-compassion as a predictor of interleukin-6 response to acute psychosocial stress. Brain, Behavior, and Immunity, 37, 109–114. doi:10.1016/j.bbi.2013.11.006
18. Brooks, J., Holttum, S., & Lavender, T. (2002). Personality style, psychological adaptation and expectations of trainee clinical psychologists. Clinical Psychology & Psychotherapy, 9, 253–270. doi:10.1002/cpp.318
19. Bryk, A. S., & Raudenbush, S. W. (1987). Application of hierarchical linear models to assessing change. Psychological Bulletin, 101(1), 147–158.
20. Cahir, N., & Morris, R. D. (1991). The psychology student stress questionnaire. Journal of Clinical Psychology, 47(3), 414–417.
21. Cavanagh, K., Strauss, C., Forder, L., & Jones, F. (2014). Can mindfulness and acceptance be learnt by self-help? A systematic review and meta-analysis of mindfulness and acceptance-based self-help interventions. Clinical Psychology Review, 34(2), 118–129. doi:10.1016/j.cpr.2014.01.001
22. Chiauzzi, E., Brevard, J., Thurn, C., Decembrele, S., & Lord, S. (2008). MyStudentBody-Stress: An online stress management intervention for college students. Journal of Health Communication, 13(6), 555–572. doi:10.1080/10810730802281668
23. Christensen, H., Griffiths, K. M., Korten, A. E., Brittliffe, K., & Groves, C. (2004). A comparison of changes in anxiety and depression symptoms of spontaneous users and trial participants of a cognitive behavior therapy website. Journal of Medical Internet Research, 6, e46. doi:10.2196/jmir.6.4.e46
24. Christensen, H., & Hickie, I. B. (2010). Using e-health applications to deliver new mental health services. Medical Journal of Australia, 192(Suppl. 11), S53–S56. Available at: https://www.mja.com.au/journal/2010/192/11/using-e-health-applications-deliver-new-mental-health-services
25. Christopher, J. C., Christopher, S. E., Dunnagan, T., & Schure, M. (2006). Teaching self-care through mindfulness practices: The application of yoga, meditation, and qigong to counselor training. Journal of Humanistic Psychology, 46, 494–509. doi:10.1177/0022167806290215
26. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159. doi:10.1037/0033-2909.112.1.155
27. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 386-396. doi:10.2307/2136404
28. Costa, J., & Pinto-Gouveia, J. (2013). Experiential avoidance and self-compassion in chronic pain. Journal of Applied Social Psychology, 43, 1578–1591. doi:10.1111/jasp.12107
29. Cushway, D. (1992). Stress in clinical psychology trainees. British Journal of Clinical Psychology, 31, 169–179. doi:10.1111/j.2044-8260.1992.tb00981.x
30. Davies, E. B., Morriss, R., & Glazebrook, C. (2014). Computer-delivered and web-based interventions to improve depression, anxiety, and psychological well-being of university students: A systematic review and meta-analysis. Journal of Medical Internet Research, 16, e130. doi:10.2196/jmir.3142
31. Dimitrov, D. M., & Rumrill, P. D. (2003). Pretest-posttest designs and measurement of change. Work, 20, 159–165.
32. Eysenbach, G. (2005). The law of attrition. Journal of Medical Internet Research, 7(1), e11.
33. Eysenbach, G. (2011). CONSORT-EHEALTH: Improving and standardizing evaluation reports of web-based and mobile health interventions. Journal of Medical Internet Research, 13, e126. doi:10.2196/jmir.1923
34. Farrer, L., Gulliver, A., Chan, J. K. Y., Batterham, P. J., Reynolds, J., Calear, A., … Griffiths, K. M. (2013). Technology-based interventions for mental health in tertiary students: Systematic review. Journal of Medical Internet Research, 15, e101. doi:10.2196/jmir.2639
35. Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analyis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191. doi:10.3758/BF03193146
36. Finlay-Jones, A. L., Rees, C. S., & Kane, R. T. (2015). Self-compassion, emotion regulation and stress among Australian psychologists: Testing an emotion regulation model of self-compassion using structural equation modeling. PLoS ONE, 10(7), e0133481. doi:10.1371/journal.pone.0133481
37. Galhardo, A., Cunha, M., Pinto-Gouveia, J., & Matos, M. (2013). The mediator role of emotion regulation processes on infertility-related stress. Journal of Clinical Psychology in Medical Settings, 20, 497–507. doi:10.1007/s10880-013-9370-3
38. Germer, C. K. (2009). The mindful path to self-compassion: Freeing yourself from destructive thoughts and emotions. New York: Guilford Press.
39. Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology: In Session, 69, 856–867. doi:10.1002/jclp.22021
40. Gilbert, P. (2010a). Compassion Focused Therapy: Distinctive features. Hove, UK: Routledge.
41. Gilbert, P. (2010b). The compassionate mind. London: Constable & Robinson Ltd.
42. Gilbert, P., & Proctor, 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
43. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54. doi:10.1023/B:JOBA.0000007455.08539.94
44. Guy, J. D. (1987). The personal life of the psychotherapist. New York: John Wiley & Sons.
45. Heffernan, M., Quinn Griffin, M. T., McNulty, R., & Fitzpatrick, J. J. (2010). Self-compassion and emotional intelligence in nurses. International Journal of Nursing Practice, 16, 366–373. doi:10.1111/j.1440-172X.2010.01853.x
46. Hintz, S., Frazier, P. A., Meredith, L. T., & Terence, J. G. (2015). Evaluating an online stress management intervention for college students. Journal of Counseling Psychology, 62(2), 137–147. doi:10.1037/cou0000014
47. Hofman, S. G., Rosenfield, A. E., Rosenfield, D., Suvak, M. K., Barlow, D. H., Gorman, J. M., … Woods, S. W. (2007). Preliminary evidence for cognitive mediation during cognitive-behavioural therapy of panic disorder. Journal of Consulting and Clinical Psychology, 75(3), 374–379.
48. Hofmann, S. G., Grossman, P., & Hinton, D. E. (2011). Loving-kindness and compassion meditation: Potential for psychological interventions. Clinical Psychology Review, 31, 1126–1132. doi:10.1016/j.cpr.2011.07.003
49. Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, S. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183. doi:10.1037/a0018555
50. Holden, J. E., Kelley, K., & Agarwal, R. (2008). Analyzing change: a primer on multilevel models with applications to nephrology. American Journal of Nephrology, 28(5), 792–801.
51. Hollis-Walker, L., & Colosimo, K. (2011). Mindfulness, self-compassion, and happiness in non-meditators: A theoretical and empirical examination. Personality and Individual Differences, 50, 222–227. doi:10.1016/j.paid.2010.09.033
52. Huprich, S. K., & Rudd, M. D. (2003). A national survey of trainee impairment in clinical, counseling, and school psychology doctoral programs and internships. Journal of Clinical Psychology, 60, 43–52. doi:10.1002/jclp.10233
53. Ip, S., Paulus, J. K., Balk, E. M., Dahabreh, I. J., Avendano, E. E., & Lau, J. (2013). Role of single group studies in agency for healthcare research and quality comparative effectiveness reviews. Research White Paper. Rockville, MD.
54. Kazdin, A. E., & Blase, S. L. (2011). Rebooting psychotherapy research and practice to reduce the burden of mental illness. Perspectives on Psychological Science, 6, 21–37. doi:10.1177/1745691610393527
55. Kelders, S. M., Kok, R. N., & Van Gemert-Pijnen, J. E. W. C. (2012). Persuasive system design does matter: A systematic review of adherence to web-based interventions. Journal of Medical Internet Research, 14(6), e152.
56. Krieger, T., Altenstein, D., Baettig, I., Doerig, N., & Holtforth, M. G. (2013). Self-compassion in depression: Associations with depressive symptoms, rumination, and avoidance in depressed outpatients. Behavior Therapy, 44, 501–513. doi:10.1016/j.beth.2013.04.004
57. Kumary, A., & Baker, M. (2008). Stress reported by UK trainee counselling psychologists. Counselling Psychology Quarterly, 21(1), 19–28. doi:10.1080/09515070801895626
58. Kuyken, W., Peters, E., Power, M., & Lavender, T. (1998). The psychological adapation of psychologists in clinical training: The role of cognition, coping, and social support. Clinical Psychology and Psychotherapy, 5, 238–252. doi:10.1002/(SICI)1099-0879(199812)5:4238::AID-CPP1603.0.CO;2-W
59. Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., … Dalgleish, T. (2012). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48, 1105–1112. doi:10.1016/j.brat.2010.08.003
60. Kwok, O.-M., Underhill, A. T., Berry, J. W., Luo, W., Elliott, T. R., & Yoon, M. (2008). Analyzing longitudinal data with multilevel models: An example with individuals living with lower extremity intra-articular fractures. Rehabilitation Psychology, 53, 370–386. doi:10.1037/a0012765
61. Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92, 887–904. doi:10.1037/0022-3514.92.5.887
62. Lee, W. K., & Bang, H. L. (2010). The effects of mindfulness-based group intervention on the mental health of middle-aged Korean women in community. Stress and Health, 26, 341–348. doi:10.1002/smi.1303
63. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation.
64. Lutz, A., Brefczynski-Lewis, J., Johnstone, T., & Davidson, R. J. (2008). Regulation of the neural circuitry of emotion by compassion meditation: Effects of the meditative expertise. Public Library of Science, 3(3), 1–5. doi:10.1371/journal.pone.0001897
65. Macbeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552. doi:10.1016/j.cpr.2012.06.003
66. Melville, K. M., Casey, L. M., & Kavanagh, D. J. (2010). Dropout from internet-based treatment for psychological disorders. British Journal of Clinical Psychology, 49, 455–471. doi:10.1348/014466509X472138
67. Monshat, K., Vella-Broderick, D., Burns, J., & Herrman, H. (2012). Mental health promotion in the Internet age: A consultation with Australian young people to inform the design of an online mindfulness training programme. Health Promotion International, 27, 177–186. doi:10.1093/heapro/dar01
68. Munsey, C. (2006). Helping colleagues to help themselves. Monitor on Psychology, 37, 35.
69. Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. doi:10.1080/15298860309027
70. Neff, K. D. (2003b). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101. doi:10.1080/15298860309032
71. Neff, K. D. (2009). Self-compassion. In M. R. Leary (Ed.), Handbook of individual differences in social behavior (pp. 561-573). New York: Guilford Press.
72. Neff, K. D. (2011). Self-compassion: Stop beating yourself up and leave insecurity behind. New York: HarperCollins Publishers.
73. Neff, K. D., & Costigan, A. P. (2014). Self-compassion, wellbeing, and happiness. Psychologie in Österreich, 2, 114–119.
74. Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69, 28–44. doi:10.1002/jclp.21923
75. Neff, K. D., Hsieh, Y.-P., & Dejitterat, K. (2005). Self-compassion, achievement goals, and coping with academic failure. Self and Identity, 4, 263–287. doi:10.1080/13576500444000317
76. Neff, K. D., Kirkpatrick, K. L., & Rude, S. S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41, 139-154. doi:10.1016/j.jrp.2006.03.004
77. Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9, 225–240. doi:10.1080/15298860902979307
78. Neff, K. D., Pisitsungkagarn, K., & Hseih, Y. (2008). Self-compassion and self-construal in the United States, Thailand, and Taiwan. Journal of Cross-Cultural Psychology, 39, 267–285. doi:10.1177/0022022108314544
79. Neff, K. D., Rude, S. S., & Kirkpatrick, K. L. (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
80. Newsome, S., Christopher, J. C., Dahlen, P., & Christopher, S. (2006). Teaching counselors self-care through mindfulness practices. Teachers College Record, 108, 1881-1900. doi:10.1111/j.1467-9620.2006.00766.x
81. Newsome, S., Waldo, M., & Gruszka, C. (2012). Mindfulness group work: Preventing stress and increasing self-compassion among helping professionals in training. The Journal for Specialists in Group Work, 37, 297–311. doi:10.1080/01933922.2012.690832
82. Norcross, J. C., & Guy, J. D. (2007). Leaving it at the office: A guide to psychotherapist self-care. New York: Guilford.
83. Ortega, V. (2009). Specificity of age differences in emotion regulation. Aging & Mental Health, 13, 818–826. doi:10.1080/13607860902989661
84. Pakenham, K. I. (2014). Investigation of the utility of the Acceptance and Commitment Therapy (ACT) framework for fostering self-care in clinical psychology trainees. Training and Education in Professional Psychology, 9(2), 144–152. doi:10.1037/tep0000074
85. Pakenham, K. I., & Stafford-Brown, J. (2012). Stress in clinical psychology trainees: A review of current research and future directions. Australian Psychologist, 47(3), 147–155. doi:10.1111/j.1742-9544.2012.00070.x
86. Patsiopoulos, A. T., & Buchanan, M. J. (2011). The practice of self-compassion in counseling: A narrative inquiry. Professional Psychology: Research and Practice, 42, 301–307. doi:10.1037/a0024482
87. Peterson, C., & Park, N. (2008). The Authentic Happiness Inventory (Unpublished manuscript). University of Michigan.
88. Pica, M. (1998). The ambiguous nature of clinical training and its impact on the development of student clinicians. Psychotherapy, 35(3), 361–265.
89. Proudfoot, J., Klein, B., Barak, A., Carlbring, P., Cuijpers, P., Lange, A., … Andersson, G. (2011). Establishing guidelines for executing and reporting Internet intervention research. Cognitive Behaviour Therapy, 40, 82–97. doi:10.1080/16506073.2011.573807
90. Raab, K. (2014). Mindfulness, self-compassion, and empathy among health care professionals: A review of the literature. Journal of Health Care Chaplaincy, 20, 95–108. doi:10.1080/08854726.2014.913876
91. Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48, 757–761. doi:10.1016/j.paid.2010.01.023
92. Rimes, K. A., & Wingrove, J. (2011). Pilot study of mindfulness-based cognitive therapy for trainee clinical psychologists. Behavioural and Cognitive Psychotherapy, 39, 235–241. doi:10.1017/S1352465810000731
93. Ritterband, L. M., Thorndike, F. P., Cox, D. J., Kovatchev, B. P., & Gonder-Frederick, L. A. (2009). A behavior change model for internet interventions. Annals of Behavioral Medicine, 38(1), 18–27.
94. Rockliff, H., Gilbert, P., McEwan, K., Lightman, S., & Glover, D. S. (2008). A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery. Journal of Clinical Neuropsychiatry, 5, 132-139.
95. 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(2), 142–154. doi:10.1016/j.beth.2008.04.001
96. Roemer, L., & Orsillo, S. M. (2009). Mindfulness & acceptance-based behavioral therapies in practice. New York: The Guilford Press.
97. Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: a review of research on hedonic and eudaimonic well-being. Annual Review of Clinical Psychology, 52, 141–166. doi:10.1146/annurev.psych.52.1.141
98. Schiffrin, H. H., & Nelson, S. K. (2010). Stressed and happy? Investigating the relationship between happiness and perceived stress. Journal of Happiness Studies, 11, 33–39.
99. Schwartz-Mette, R. A. (2009). Challenges in addressing graduate student impairment in academic professional psychology programs. Ethics & Behavior, 19(2), 91–102.
100. Seligman, M. E. P., Steen, T. A., Park, N. P., & Peterson, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60, 410–421.
101. Shapira, L. B., & Mongrain, M. (2010). The benefits of self-compassion and optimism exercises for individuals vulnerable to depression. The Journal of Positive Psychology, 5, 377–389. doi:10.1080/17439760.2010.516763
102. Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. International Journal of Stress Management, 12, 164–176. doi:10.1037/1072-5245.12.2.164
103. Shapiro, S. L., Brown, K. W., & Biegel, C. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychiatry, 1, 105–115. doi:10.1037/1931-3918.1.2.105
104. Shapiro, S. L., & Carlson, L. E. (2009). The art and science of mindfulness: Integrating mindfulness into psychology and the helping professions. Washington, DC: American Psychological Association.
105. Silberman, J. (2007). Positive intervention self-selection: Developing models of what works for whom. International Coaching Psychology Review, 2(1), 70–77.
106. Sirois, F. M., Molnar, D., & Hirsch, J. K. (2015). Self-Compassion, stress and coping in the context of chronic illness. Self and Identity, 1–15. doi:10.1080/15298868.2014.996249
107. Skovholt, T. M., & Rønnestad, M. H. (2003). Struggles of the novice counselor and therapist. Journal of Career Development, 30, 45–58. doi:10.1177/089484530303000103
108. Skovholt, T. M., & Trotter-Mathison, M. (2011). The resilient practitioner: Burnout prevention and self-care strategies for counselors, therapists, teachers, and health professionals (2nd ed.). New York: Routledge.
109. Smeets, E., Neff, K. D., Alberts, H., & Peters, M. (2014). Meeting suffering with kindness: Effects of a brief self-compassion intervention for female college students. Journal of Clinical Psychology, 70, 794–807. doi:10.1002/jclp.22076
110. Spijkerman, M. P. J., Pots, W. T. M., & Bolhmeijer, E. T. (2016). Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta-analysis of randomised controlled trials. Clinical Psychology Review, 45, 102–114. doi:10.1016/j.cpr.2016.03.009
111. Stafford-Brown, J., & Pakenham, K. I. (2012). The effectiveness of an ACT informed intervention for managing stress and improving therapist qualities in clinical psychology trainees. Journal of Clinical Psychology, 68, 592–613. doi:10.1002/jclp.21844
112. Terry, M., & Leary, M. R. (2011). Self-compassion, self-regulation, and health. Self and Identity, 10, 352–362. doi:10.1080/15298868.2011.558404
113. Vettese, L. C., Dyer, C. E., Li, W. L., & Wekerle, C. (2011). Does self-compassion mitigate the association between childhood maltreatment and later emotion regulation difficulties? A preliminary investigation. International Journal of Mental Health and Addiction, 9. doi:10.1007/s11469-011-9340-7
114. Wise, E. H., Hersh, M. A., & Gibson, C. M. (2012). Ethics, self-care and well-being for psychologists: Reenvisioning the stress-distress continuum. Professional Psychology: Research and Practice, 43, 487–494. doi:10.1037/a0029446
115. Wood, A. M., & Tarrier, N. (2010). Positive clinical psychology: A new vision and strategy for integrated research and practice. Clinical Psychology Review, 30, 819–829. doi:10.1016/j.cpr.2010.06.003