Self-compassion, automatic thoughts, and mental pain in depression: Mediating effects and clinical implications.

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2025-04-19 DOI:10.5498/wjp.v15.i4.101105

Li-Na Ren, Ji-Song Pang, Qiao-Na Jiang, Xiao-Fei Zhang, Lu-Lu Li, Jing Wang, Jian-Gong Li, Yan-Yan Ma, Wei Jia

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引用次数: 0

Abstract

Background: Depression is a leading global health concern with high suicide rates and recurrence. Cognitive models suggest that mental pain and automatic thoughts are central to depression's impact. The hypothesis is that self-compassion will be negatively associated with mental pain, mediated by automatic thoughts.

Aim: To determine the mediating role of automatic thoughts in the relationship between self-compassion and mental pain in individuals with depression.

Methods: This cross-sectional study included 389 inpatients with depression from Tianjin Anding Hospital. Participants completed the Self-Compassion Scale-Chinese Version (SCS-C), Automatic Thought Questionnaire (ATQ), and Orbach & Mikulincer Mental Pain Scale-Chinese Version (OMMP). Data were analyzed using Pearson correlations, multiple linear regressions, and mediation analysis.

Results: The SCS-C total score was 68.95 ± 14.89, ATQ was 87.02 ± 28.91, and OMMP was 129.01 ± 36.74. Correlation analysis showed mental pain was positively associated with automatic thoughts (r = 0.802, P < 0.001) and negatively with self-compassion (r = -0.636, P < 0.001). Regression analysis indicated automatic thoughts (β = 0.623, P < 0.001) and self-compassion (β = -0.301, P < 0.001) significantly predicted mental pain. Mediation analysis confirmed automatic thoughts partially mediated the relationship between self-compassion and mental pain (ab = -0.269, 95%CI: -0.363 to -0.212).

Conclusion: Self-compassion is inversely related to mental pain in depression, with automatic thoughts playing a mediating role. These findings suggest potential therapeutic targets for alleviating mental pain in depressed patients.

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自我同情、自动思维和抑郁症的精神痛苦：中介效应和临床意义。

背景：抑郁症是全球主要的健康问题，具有高自杀率和复发率。认知模型表明，精神痛苦和自动思维是抑郁症影响的核心。假设是，自我同情与心理痛苦呈负相关，由自动思维介导。目的：探讨自动思维在抑郁症患者自我同情与心理疼痛关系中的中介作用。方法：对天津市安定医院住院抑郁症患者389例进行横断面研究。被试完成自我同情量表中文版（SCS-C）、自动思维问卷中文版（ATQ）和奥巴赫-米库林心理痛苦量表中文版（OMMP）。数据分析采用Pearson相关性、多元线性回归和中介分析。结果：SCS-C总分为68.95±14.89，ATQ总分为87.02±28.91，OMMP总分为129.01±36.74。相关分析显示，心理疼痛与自动思维呈正相关（r = 0.802, P < 0.001），与自我同情负相关（r = -0.636, P < 0.001）。回归分析显示，自动思维（β = 0.623, P < 0.001）和自我同情（β = -0.301, P < 0.001）对心理疼痛有显著预测作用。中介分析证实，自动思维在自我同情与心理痛苦之间具有部分中介作用（ab = -0.269, 95%CI: -0.363 ~ -0.212）。结论：自我同情与抑郁症患者心理痛苦呈负相关，自动思维在其中起中介作用。这些发现提示了减轻抑郁症患者精神疼痛的潜在治疗靶点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.