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The role of self-compassion in lifetime history of depression: A study in Portuguese pregnant women

Published online by Cambridge University Press:  23 March 2020

E. Bento
Affiliation:
Faculty of Medicine-University of Coimbra, Department of Psychological Medicine, Coimbra, Portugal
S. Xavier
Affiliation:
Faculty of Medicine-University of Coimbra, Department of Psychological Medicine, Coimbra, Portugal
J. Azevedo
Affiliation:
Faculty of Medicine-University of Coimbra, Department of Psychological Medicine, Coimbra, Portugal
M. Marques
Affiliation:
Faculty of Medicine-University of Coimbra, Department of Psychological Medicine, Coimbra, Portugal Coimbra Hospital and University Centre-Portugal, Psychiatry, Coimbra, Portugal
M.J. Soares
Affiliation:
Faculty of Medicine-University of Coimbra, Department of Psychological Medicine, Coimbra, Portugal
M.J. Martins*
Affiliation:
Faculty of Medicine-University of Coimbra, Department of Psychological Medicine, Coimbra, Portugal Faculty of Psychology and Educational Sciences - University of Coimbra, CINEICC, Coimbra, Portugal
P. Castilho
Affiliation:
Faculty of Psychology and Educational Sciences - University of Coimbra, CINEICC, Coimbra, Portugal
N. Madeira
Affiliation:
Coimbra Hospital and University Centre-Portugal, Psychiatry, Coimbra, Portugal
A. Macedo
Affiliation:
Faculty of Medicine-University of Coimbra, Department of Psychological Medicine, Coimbra, Portugal Coimbra Hospital and University Centre-Portugal, Psychiatry, Coimbra, Portugal
A.T. Pereira
Affiliation:
Faculty of Medicine-University of Coimbra, Department of Psychological Medicine, Coimbra, Portugal
*
*Corresponding author.

Abstract

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Introduction

Although self-compassion has been pointed as an effective strategy for coping with depression, there are not any studies investigating its association with lifetime history of depression (LTHD).

Objective

To compare self-compassion levels in pregnant women with vs. without LTHD and to analyze if self-compassion dimensions are significant predictors of LTHD.

Methods

Four hundred and twenty-seven pregnant women with a mean age of 33 years (±4.785) in their second trimester of pregnancy completed the Self Compassion Scale validated for pregnancy (SCS; Bento et al., 2015) and a new self-report questionnaire to evaluate the presence of LTHD according to DSM-5 criteria for depression.

Results

Ninety-seven (23.0%) women had LTHD. Bisserial Spearmen correlations between LTHD and SCS total score were significant, negative and moderate (r = –0.31). SCS subscales, except Common Humanity, showed significant correlations: Self-Kindness/SK (r = –0.130), self-judgement (SJ) (0.313), isolation (0.357), mindfulness (r = –0.102), over-identification (OI) (r = 0.393). Independent sample t tests revealed that women with vs. without LTHD had significantly lower levels of total SCS, SK and Mindfulness scores and higher levels of SJ, Isolation and OI.Logistic regression (assumptions were fulfilled, Tabachnick and Fidell, 2007) showed that the SCS explained 26.7%–43.6% of the LTHD variance and correctly classified 86.9%; the odds ratio (OR) was.865 (95% CI 0.834–0.898; P < 0.001). The model composed by the correlated dimensions explained 15.9%–24.0% and correctly classified 80.6%. Odds ratios: SK = 0.017; SJ = 0.021; isolation = 16.027; mindfulness = 0.167 and OI = 20.178 (all P < 0.05).

Conclusions

Self-compassion, specifically the ability to treat oneself with care and understanding and to be aware and accepting one's present-moment experiences, decrease the probability of having LTHD.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV520
Copyright
Copyright © European Psychiatric Association 2016
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