Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-10T13:35:31.206Z Has data issue: false hasContentIssue false

Self-Compassion as a Moderator of the Association Between COVID-19 Stressors and Psychological Symptoms: A Longitudinal Study

Published online by Cambridge University Press:  29 April 2022

Shian-Ling Keng*
Affiliation:
Department of Psychology, Monash University, Malaysia Division of Social Science, Yale-NUS College, Singapore
Emily Zhen Ning Hwang
Affiliation:
Division of Social Science, Yale-NUS College, Singapore
*
*Corresponding author: Shian-Ling Keng, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, 47500 Subang Jaya, Selangor, Malaysia. Email: keng.sl@monash.edu
Get access

Abstract

The COVID-19 pandemic has resulted in adverse psychological outcomes for many around the globe. Less is known however regarding dispositional traits that may protect against negative psychological outcomes. This study examined the prospective association between COVID-19 stressors and psychological symptoms, and whether self-compassion (referring to a dispositional tendency of relating to oneself kindly) would moderate this association. A convenience sample of 212 university students and working adults (60.4% female; Mage = 20.92 years) based in Singapore completed measures assessing COVID-19 stressors (perceived COVID-19 health risk, economic impact, and impact on daily life), psychological symptoms (depression, anxiety, and PTSD symptoms), and self-compassion 2 months apart. Results indicated that perceived COVID-19 health risk at baseline predicted anxiety symptoms 2 months later, above and beyond baseline anxiety symptoms. Self-compassion moderated the association between perceived COVID-19 health risk and depressive symptoms, and the relationship between perceived impact on daily life and anxiety symptoms. These findings highlight the importance of self-compassion in alleviating psychological symptoms in the context of the COVID-19 pandemic.

Type
Shorter Communication
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of the Australian Association for Cognitive and Behaviour Therapy

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Both Shian-Ling Keng and Emily Zhen Ning Hwang contributed equally and are co-first authors on this manuscript.

References

Barber, SJ and Kim, H (2021). COVID-19 worries and behavior changes in older and younger men and women. Journals of Gerontology: Psychological Sciences, 76, e17e23. doi:10.1093/geronb/gbaa068.CrossRefGoogle ScholarPubMed
Bults, M, Beaujean, DJ, de Zwart, O, Kok, G, van Empelen, P, van Steenbergen, JE, … Voeten, HA (2011). Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands: Results of three consecutive online surveys. BMC Public Health, 11. doi:10.1186/1471-2458-11-2.CrossRefGoogle ScholarPubMed
Cao, W, Fang, Z, Hou, G, Han, M, Xu, X, Dong, J and Zheng, J (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934. doi:10.1016/j.psychres.2020.112934.CrossRefGoogle ScholarPubMed
Chishima, Y, Mizuno, M, Sugawara, D and Miyagawa, Y (2018). The influence of self-compassion on cognitive appraisals and coping with stressful events. Mindfulness, 9, 19071915. doi:10.1007/s12671-018-0933-0.CrossRefGoogle Scholar
Inwood, E and Ferrari, M (2018). Mechanisms of change in the relationship between self-compassion, emotion regulation, and mental health: A systematic review. Applied Psychology: Health and Well-Being, 10, 215235. doi:10.1111/aphw.12127.Google ScholarPubMed
Jetten, J, Reicher, S, Haslam, S and Cruwys, T (2020). Together apart: The psychology of COVID-19. London, UK: Sage.Google Scholar
Kujawa, A, Green, H, Compas, BE, Dickey, L and Pegg, S (2020). Exposure to COVID-19 pandemic stress: Associations with depression and anxiety in emerging adults in the United States. Depression and Anxiety, 37, 12801288. doi:10.1002/da.23109.CrossRefGoogle ScholarPubMed
Lang, AJ and Stein, MB (2005). An abbreviated PTSD checklist for use as a screening instrument in primary care. Behaviour Research and Therapy, 43, 585594. doi:10.1016/j.brat.2004.04.005.CrossRefGoogle ScholarPubMed
Lau, BHP, Chan, CLW and Ng, SM (2020). Self-compassion buffers the adverse mental health impacts of COVID-19-related threats: Results from a cross-sectional survey at the first peak of Hong Kong's outbreak. Frontiers in Psychiatry, 11, 1203.CrossRefGoogle ScholarPubMed
Lee, WK (2013). Self-compassion as a moderator of the relationship between academic burn-out and psychological health in Korean cyber university students. Personality and Individual Differences, 54, 899902. doi:10.1016/j.paid.2013.01.001.Google Scholar
Li, Y, Zhao, J, Ma, Z, McReynolds, LS, Lin, D, Chen, Z, … Liu, X (2021). Mental health among college students during the COVID-19 pandemic in China: A 2-wave longitudinal survey. Journal of Affective Disorders, 281, 597604. doi:10.1016/j.jad.2020.11.109.CrossRefGoogle ScholarPubMed
Liu, CH, Zhang, E, Wong, GTF, Hyun, S and Hahm, H (2020). Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for US young adult mental health. Psychiatry Research, 290, 113172. doi:10.1016/j.psychres.2020.113172.CrossRefGoogle Scholar
Lovibond, PF and Lovibond, SH (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335343. doi:10.1016/0005-7967(94)00075-U.CrossRefGoogle ScholarPubMed
MacBeth, A and Gumley, A (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545552. doi:10.1016/j.cpr.2012.06.003.CrossRefGoogle ScholarPubMed
Muñoz-Navarro, R, Malonda, E, Llorca-Mestre, A, Cano-Vindel, A and Fernández-Berrocal, P (2021). Worry about COVID-19 contagion and general anxiety: Moderation and mediation effects of cognitive emotion regulation. Journal of Psychiatric Research, 137, 311318. doi:10.1016/j.jpsychires.2021.03.004.CrossRefGoogle ScholarPubMed
Neff, KD (2003a). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85101. doi:10.1080/15298860309032.CrossRefGoogle Scholar
Neff, KD (2003b). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223250. doi:10.1080/15298860309027.CrossRefGoogle Scholar
Pérez-Fuentes, MDC, Jurado, MDMM, Martínez, ÁM and Linares, JJG (2020). Threat of COVID-19 and emotional state during quarantine: Positive and negative affect as mediators in a cross-sectional study of the Spanish population. PLoS ONE, 15(6), e0235305. https://doi.org/10.1371/journal.pone.0235305CrossRefGoogle Scholar
Poli, A, Gemignani, A and Ciro Conversano, C (2020). The psychological impact of SARS-CoV-2 quarantine: Observations through the lens of the polyvagal theory. Clinical Neuropsychiatry, 17, 112114. doi:10.36131/CN20200216.Google ScholarPubMed
Raes, F (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48, 757761. doi:10.1016/j.paid.2010.01.023.CrossRefGoogle Scholar
Robinson, E and Daly, M (2020). Explaining the rise and fall of psychological distress during the COVID-19 crisis in the United States: Longitudinal evidence from the Understanding America study. British Journal of Health Psychology. doi:10.1111/bjhp.12493.Google ScholarPubMed
Smith, BM, Twohy, AJ and Smith, GS (2020). Psychological inflexibility and intolerance of uncertainty moderate the relationship between social isolation and mental health outcomes during COVID-19. Journal of Contextual Behavioral Science, 18, 162174. doi:10.1016/j.jcbs.2020.09.005.CrossRefGoogle ScholarPubMed
Stutts, LA, Leary, MR, Zeveney, AS and Hufnagle, AS (2018). A longitudinal analysis of the relationship between self-compassion and the psychological effects of perceived stress. Self and Identity, 17, 609626. doi:10.1080/15298868.2017.1422537.CrossRefGoogle Scholar
Tull, MT, Edmonds, KA, Scamaldo, KM, Richmond, JR, Rose, JP and Gratz, KL (2020). Psychological outcomes associated with stay-at-home orders and the perceived impact of COVID-19 on daily life. Psychiatry Research, 289, 113098. doi:10.1016/j.psychres.2020.113098.CrossRefGoogle ScholarPubMed
Wang, C, Pan, R, Wan, X, Tan, Y, Xu, L, McIntyre, RS, … Ho, C (2020). A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, Behavior, and Immunity, doi:10.1016/j.bbi.2020.04.028.Google ScholarPubMed
Xiong, J, Lipsitz, O, Nasri, F, Lui, LMW, Gill, H, Phan, L, … McIntyre, RS (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Journal of Affective Disorders, 277, 5564. doi:10.1016/j.jad.2020.08.001.CrossRefGoogle ScholarPubMed
Zhang, YT, Li, RT, Sun, XJ, Peng, M and Li, X (2021). Social media exposure, psychological distress, emotion regulation, and depression during the COVID-19 outbreak in community samples in China. Frontiers in Psychiatry, 12. doi:10.3389/fpsyt.2021.644899.Google ScholarPubMed