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Kotera Y, Beaumont J, Edwards AM, Cotterill M, Kirkman A, Tofani AC, McPhilbin M, Takhi S, Barnes K, Todowede O, Ingall BR, Asano K, Arimitsu K. A Narrative Review of Compassion Focused Therapy on Positive Mental Health Outcomes. Behav Sci (Basel) 2024; 14:643. [PMID: 39199039 PMCID: PMC11351419 DOI: 10.3390/bs14080643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2024] [Revised: 07/18/2024] [Accepted: 07/23/2024] [Indexed: 09/01/2024] Open
Abstract
BACKGROUND Compassion-focused therapy (CFT) has been attracting attention in mental health practice and research. CFT is effective in reducing a variety of negative mental health symptoms. Positive mental health (PMH) focuses on an individual's functioning, quality of life, and well-being, aiming to achieve fulfilment. A need for PMH has been increasingly recognised such as national policies incorporating recovery-oriented approaches. However, how effective CFT is for PMH outcomes remains to be investigated. This narrative review aimed to identify the literature that reports evidence on CFT used against PMH outcomes. METHODS Our research questions (RQs) were as follows: RQ1. What PMH outcomes are targeted in CFT intervention research? RQ2. Is CFT effective for PMH?" Medline, Embase, and PsycINFO were searched on the Ovid platform. All studies that mentioned "compassion focused therapy" and "compassion-focused therapy" were searched. RESULTS Sixteen RCTs were included published since 2012. Nine studies were from Europe, four from Asia, two from Northern America, and one from Australia and New Zealand. CFT was used for diverse PMH outcomes, and the effects were overall positive. Self-compassion and compassion were the most frequently evaluated outcomes. CONCLUSIONS The mechanism of action for CFT on PMH needs to be evaluated. CFT can be used as part of personal recovery in mental health. More evidence from non-WEIRD countries including LMICs is needed.
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Affiliation(s)
- Yasuhiro Kotera
- Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK (O.T.)
- Center for Infectious Disease Education and Research, Osaka University, Suita 565-0871, Japan
| | - Julie Beaumont
- School of Psychology, Queen’s University Belfast, Belfast BT7 1NN, UK;
| | - Ann-Marie Edwards
- University of Essex Online: Kaplan Open Learning Essex Ltd., Wivenhoe Park, Colchester CO4 3SQ, UK
| | - Matthew Cotterill
- College of Health, Psychology and Social Care, University of Derby, Derby DE22 1GB, UK; (M.C.)
| | - Ann Kirkman
- College of Health, Psychology and Social Care, University of Derby, Derby DE22 1GB, UK; (M.C.)
| | | | - Merly McPhilbin
- Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK (O.T.)
| | - Simran Takhi
- Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK (O.T.)
| | | | - Olamide Todowede
- Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK (O.T.)
| | - Benjamin-Rose Ingall
- Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK (O.T.)
| | - Kenichi Asano
- Faculty of Human Sciences, University of Tsukuba, Ibaraki 305-8577, Japan
| | - Kohki Arimitsu
- School of Humanities, Kwansei Gakuin University, Hyogo 662-8501, Japan
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Sengupta P, Saxena P. The Art of Compassion in Mental Healthcare for All: Back to the Basics. Indian J Psychol Med 2024; 46:72-77. [PMID: 38524943 PMCID: PMC10958073 DOI: 10.1177/02537176231158126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/26/2024] Open
Affiliation(s)
- Pramita Sengupta
- Dept. of Clinical Psychology, LGB Regional Institute of Mental Health, Tezpur, Assam, India
| | - Priya Saxena
- Dept. of Clinical Psychology, LGB Regional Institute of Mental Health, Tezpur, Assam, India
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Bratt AS, Johansson M, Holmberg M, Fagerström C, Elmqvist C, Rusner M, Kaldo V. An internet-based compassion course for healthcare professionals: Rationale and protocol for a randomised controlled trial. Internet Interv 2021; 28:100463. [PMID: 35646603 PMCID: PMC9136314 DOI: 10.1016/j.invent.2021.100463] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 09/17/2021] [Accepted: 09/26/2021] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Severe stress is one of the most common causes of sick leave in Sweden. Previous research has shown that compassion interventions for healthcare professionals can decrease work-related stress through the introduction of self-care, self-awareness, and emotion regulation abilities when experiencing difficult situations. Internet-based stress management interventions have hitherto shown promising results in reducing stress. However, further research is needed to examine the effectiveness of internet-based compassion interventions for healthcare professionals. OBJECTIVE In the present study protocol, a randomised controlled trial is described, aiming to examine the effects of an internet-based compassion course for healthcare professionals on work-related stress and stress of conscience. METHOD Healthcare professionals will be offered an internet-based stress management course of five modules across a period of five weeks. The design is a randomised controlled study consisting of three groups enrolled in one of the following: a compassion course (n = 120), a cognitive behavioural stress management course (n = 120), or placed on a waitlist followed by either the compassion course or the cognitive behavioural stress management course (n = 36). We hypothesise that the internet-based compassion course would reduce the participants' stress of conscience to a greater degree compared to the other two groups. The secondary hypothesis is that the compassion course would increase the participants' professional quality of life (i.e., higher job satisfaction and lower empathy fatigue) and self-compassion. In addition, the internet-based compassion course is expected to reduce the participants' work-related stress and sick leave rates to the same degree (non-inferiority) as the cognitive behavioural stress management course and to a higher degree when compared to the waitlist condition. The primary outcome measure is the Stress of Conscience Questionnaire (SCQ) and the secondary outcome measures are the Professional Quality of Life Scale (PROQOL), the Work-related Stress Copenhagen Psychosocial Questionnaire (COPSOQ), and the Self-compassion Scale (SCS). Assessments will be performed at baseline, four weekly assessments during treatment, post-treatment (5 weeks), and follow-ups at 10 weeks, 15 weeks, and 6 months. The repeated measures data will be analysed using a generalised estimating equation for repeated measurements to examine whether changes over time differ between the groups and whether the improvements persist over time. DISCUSSION The clinical trial is expected to provide novel data on the effects of compassion interventions and add to the existing knowledge of internet-based interventions for stress management in healthcare professionals.
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Affiliation(s)
- Anna Sofia Bratt
- Department of Psychology, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden,Corresponding author at: Department of Psychology, Faculty of Health and Life Sciences, Linnaeus University, 351 95 Växjö, Sweden.
| | - Maude Johansson
- Department of Psychology, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden
| | - Mats Holmberg
- Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden,Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden,School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden
| | - Cecilia Fagerström
- Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden,The Research Section, Region Kalmar County, Kalmar, Sweden
| | - Carina Elmqvist
- Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden,Department of Research and Development, Region Kronoberg, Växjö, Sweden
| | - Marie Rusner
- Department of Research, Education and Innovation, Södra Älvsborg Hospital, Region Västra Götaland, Borås, Sweden,Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Viktor Kaldo
- Department of Psychology, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden,Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm Health Care Services, Region Stockholm, Sweden
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