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Articles

Enhancing self-compassion in individuals with visible skin conditions: randomised pilot of the ‘My Changed Body’ self-compassion writing intervention

ORCID Icon, & ORCID Icon
Pages 62-77 | Received 03 Oct 2018, Accepted 15 Feb 2019, Published online: 18 Mar 2019

References

  • Ahmed, A., Steed, L., Burden-Teh, E., Shah, R., Sanyal, S., Tour, S., … Bewley, A. (2018). Identifying key components for a psychological intervention for people with vitiligo–a quantitative and qualitative study in the United Kingdom using web-based questionnaires of people with vitiligo and healthcare professionals. Journal of the European Academy of Dermatology and Venereology, 1–9. doi: 10.1111/jdv.15168
  • Albertson, E. R., Neff, K. D., & Dill-Shackleford, K. E. (2015). Self-compassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation intervention. Mindfulness, 6(3), 444–454.
  • Allen, A. B., & Leary, M. R. (2010). Self-compassion, stress, and coping. Social and Personality Psychology Compass, 4(2), 107–118. doi: 10.1111/j.1751-9004.2009.00245.x
  • Arch, J. J., Brown, K. W., Dean, D. J., Landy, L. N., Brown, K. D., & Laudenslager, M. L. (2014). Self-compassion training modulates alpha-amylase, heart rate variability, and subjective responses to social evaluative threat in women. Psychoneuroendocrinology, 42, 49–58.
  • Atkinson, M. J., & Wade, T. D. (2015). Mindfulness-based prevention for eating disorders: A school-based cluster randomized controlled study. International Journal of Eating Disorders, 48(7), 1024–1037.
  • Atkinson, M. J., & Wade, T. D. (2016). Does mindfulness have potential in eating disorders prevention? A preliminary controlled trial with young adult women. Early Intervention in Psychiatry, 10(3), 234–245.
  • Australian Bureau of Statistics. (2018). Household Use of Information Technology, Australia, 2016–17. (8146.0).
  • Baker, C. S., Foley, P. A., & Braue, A. (2013). Psoriasis uncovered–measuring burden of disease impact in a survey of Australians with psoriasis. Australasian Journal of Dermatology, 54(S1), 1–6. doi: 10.1111/ajd.12010
  • Beatty, L., Kemp, E., Binnion, C., Turner, J., Milne, D., Butow, P., … Koczwara, B. (2017). Uptake and adherence to an online intervention for cancer-related distress: Older age is not a barrier to adherence but may be a barrier to uptake. Supportive Care in Cancer, 25(6), 1905–1914.
  • Bessell, A. (2012). Computer-based psychosocial interventions. The Oxford Handbook of the Psychology of Appearance (chap. 39), 568–580.
  • Braun, T. D., Park, C. L., & Gorin, A. (2016). Self-compassion, body image, and disordered eating: A review of the literature. Body Image, 17, 117–131.
  • Bundy, C., Pinder, B., Bucci, S., Reeves, D., Griffiths, C. E. M., & Tarrier, N. (2013). A novel, web-based, psychological intervention for people with psoriasis: The electronic Targeted Intervention for Psoriasis (eTIPs) study. British Journal of Dermatology, 169(2), 329–336. doi: 10.1111/bjd.12350
  • Cash, T. F. (2011). Cognitive-behavioral perspectives on body image. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice, and prevention (pp. 39–47). New York: Guilford Press.
  • Cash, T. F., Phillips, K. A., Santos, M. T., & Hrabosky, J. I. (2004). Measuring “negative body image”: Validation of the body image disturbance questionnaire in a nonclinical population. Body Image, 1(4), 363–372. doi: 10.1016/j.bodyim.2004.10.001
  • Cash, T. F., & Szymanski, M. L. (1995). The development and validation of the body-image ideals questionnaire. Journal of Personality Assessment, 64(3), 466–477. doi: 10.1207/s15327752jpa6403_6
  • Collison, J., & Mahlberg, J. (2018). Factor analysis and psychometric validation of the body image disturbance questionnaire in an Australian undergraduate sample. Australian Psychologist, 53(3), 195–202.
  • Consedine, N. S., Krivoshekova, Y. S., & Harris, C. R. (2007). Bodily embarrassment and judgment concern as separable factors in the measurement of medical embarrassment: Psychometric development and links to treatment-seeking outcomes. British Journal of Health Psychology, 12(3), 439–462. doi: 10.1348/135910706X118747
  • Costa, J., & Pinto-Gouveia, J. (2013). Experiential avoidance and self-compassion in chronic pain. Journal of Applied Social Psychology, 43(8), 1578–1591.
  • Crawford, J. R., & Henry, J. D. (2004). The positive and negative affect schedule (PANAS): Construct validity, measurement properties and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 43(3), 245–265.
  • Duarte, C., Ferreira, C., Trindade, I. A., & Pinto-Gouveia, J. (2015). Body image and college women’s quality of life: The importance of being self-compassionate. Journal of Health Psychology, 20(6), 754–764.
  • Finlay-Jones, A., Kane, R., & Rees, C. (2017). Self-compassion online: A pilot study of an internet-based self-compassion cultivation program for psychology trainees. Journal of Clinical Psychology, 73(7), 797–816.
  • Finlay-Jones, A. L., Rees, C. S., Kane, R. T., & van der Feltz-Cornelis, C. (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.
  • Ginsburg, I. H., & Link, B. G. (1993). Psychosocial consequences of rejection and stigma feelings in psoriasis patients. International Journal of Dermatology, 32(8), 587–591. doi: 10.1111/j.1365-4362.1993.tb05031.x
  • 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(1), 41–54.
  • Gupta, M. A., & Gupta, A. K. (1998). Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. British Journal of Dermatology, 139(5), 846–850. doi: 10.1046/j.1365-2133.1998.02511.x
  • Gupta, M. A., & Gupta, A. K. (2013). Cutaneous body image dissatisfaction and suicidal ideation: Mediation by interpersonal sensitivity. Journal of Psychosomatic Research, 75(1), 55–59. doi: 10.1016/j.jpsychores.2013.01.015
  • Gupta, M. A., Gupta, A. K., & Knapp, K. (2015). Dissatisfaction with cutaneous body image is directly correlated with insomnia severity: A prospective study in a non-clinical sample. Journal of Dermatological Treatment, 26(2), 193–197. doi: 10.3109/09546634.2014.883060
  • Hinkley, S. B. (2015). Not just “skin deep”: understanding cutaneous body image in community and clinical samples. Dallas: The University of Texas.
  • Hong, J., Koo, B., & Koo, J. (2008). The psychosocial and occupational impact of chronic skin disease. Dermatologic Therapy, 21(1), 54–59. doi: 10.1111/j.1529-8019.2008.00170.x
  • IBM Corp. (2017). IBM SPSS statistics for windows (version 25.0). Armonk, NY: IBM Corp.
  • Karyotaki, E., Riper, H., Twisk, J., Hoogendoorn, A., Kleiboer, A., Mira, A., … Cuijpers, P. (2017). Efficacy of self-guided internet-based cognitive behavioral therapy in the treatment of depressive symptoms: A meta-analysis of individual participant data. JAMA Psychiatry, 74(4), 351–359.
  • Kellett, S. (2014). Shame-fused acne: A biopsychosocial conceptualisation and treatment rationale. In P. Gilbert, & J. Miles (Eds.), Body shame (pp. 149–168). London: Routledge.
  • Kelly, A. C., Zuroff, D. C., & Shapira, L. B. (2009). Soothing oneself and resisting self-attacks: The treatment of two intrapersonal deficits in depression vulnerability. Cognitive Therapy and Research, 33(3), 301–313. doi: 10.1007/s10608-008-9202-1
  • Köhle, N., Drossaert, C. H., Schreurs, K. M., Hagedoorn, M., Verdonck-de Leeuw, I. M., & Bohlmeijer, E. T. (2015). A web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy: A protocol of a randomized controlled trial. BMC Public Health, 15(1), 1471–2458.
  • Kouris, A., Platsidaki, E., Kouskoukis, C., & Christodoulou, C. (2017). Psychological parameters of psoriasis. Psychiatriki, 28(1), 54–59.
  • 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(3), 501–513.
  • Kuijpers, W., Groen, W. G., Aaronson, N. K., & van Harten, W. H. (2013). A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: Relevance for cancer survivors. Journal of Medical Internet Research, 15(2), e37.
  • Law, M., Chuh, A., Lee, A., & Molinari, N. (2010). Acne prevalence and beyond: Acne disability and its predictive factors among Chinese late adolescents in Hong Kong. Clinical and Experimental Dermatology, 35(1), 16–21. doi: 10.1111/j.1365-2230.2009.03340.x
  • Leary, M. R., Tate, E. B., Adams, C. E., Batts Allen, A., & 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(5), 887–904. doi: 10.103/0022-3514.92.5.887
  • MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552. doi: 10.1016/j.cpr.2012.06.003
  • Melioli, T., Bauer, S., Franko, D. L., Moessner, M., Ozer, F., Chabrol, H., & Rodgers, R. F. (2016). Reducing eating disorder symptoms and risk factors using the internet: A meta-analytic review. International Journal of Eating Disorders, 49(1), 19–31.
  • Merz, E. L., Fox, R. S., & Malcarne, V. L. (2014). Expressive writing interventions in cancer patients: A systematic review. Health Psychology Review, 8(3), 339–361.
  • Murray, C. D., & Rhodes, K. (2005). Nobody likes damaged goods: The experience of adult visible acne. British Journal of Health Psychology, 10(2), 183–202. doi: 10.1348/135910705X26128
  • Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. doi: 10.1080/15298860309027
  • Neff, K. D., & Dahm, K. A. (2015). Self-compassion: What it is, what it does, and how it relates to mindfulness. In B. D. Ostafin, M. D. Robinson, & B. P. Meier (Eds.), Handbook of mindfulness and self-regulation (pp. 121–137). New York: Springer.
  • Neff, K. D., & Germer, C. (2017). Self-compassion and psychological well-being. In E. M. Seppala, E. Simon-Thomas, S. L. Brown, M. C. Worline, C. D. Cameron, & J. R. Doty (Eds.), The Oxford handbook of compassion science (Chap. 27, pp. 371). Oxford: Oxford University Press.
  • 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(1), 28–44.
  • Neff, K. D., Kirkpatrick, K. L., & Rude, S. S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41(1), 139–154. doi: 10.1016/j.jrp.2006.03.004
  • Neff, K. D., Long, P., Knox, M. C., Davidson, O., Kuchar, A., Costigan, A., … Breines, J. G. (2018). The forest and the trees: Examining the association of self-compassion and its positive and negative components with psychological functioning. Self and Identity, 17(6), 627–645.
  • 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(4), 908–916. doi: 10.1016/j.jrp.2006.08.002
  • Odou, N., & Brinker, J. (2015). Self-compassion, a better alternative to rumination than distraction as a response to negative mood. The Journal of Positive Psychology, 10(5), 447–457.
  • Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8(3), 162–166. doi: 10.1111/j.1467-9280.1997.tb00403.x
  • Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event: Toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95(3), 274–281. doi: 10.1037//0021-843X.95.3.274
  • Picardi, A., Mazzotti, E., & Pasquini, P. (2006). Prevalence and correlates of suicidal ideation among patients with skin disease. Journal of the American Academy of Dermatology, 54(3), 420–426. doi: 10.1016/j.jaad.2005.11.1103
  • Pinto-Gouveia, J., Duarte, C., Matos, M., & Fráguas, S. (2014). The protective role of self-compassion in relation to psychopathology symptoms and quality of life in chronic and in cancer patients. Clinical Psychology & Psychotherapy, 21(4), 311–323.
  • Postel, M. G., de Haan, H. A., Ter Huurne, E. D., Becker, E. S., & de Jong, C. A. (2010). Effectiveness of a web-based intervention for problem drinkers and reasons for dropout: Randomized controlled trial. Journal of Medical Internet Research, 12(4), e68.
  • Przezdziecki, A., Alcorso, J., & Sherman, K. A. (2016). My Changed Body: Background, development and acceptability of a self-compassion based writing activity for female survivors of breast cancer. Patient Education and Counseling, 99(5), 870–874. doi: 10.1016/j.pec.2015.12.011
  • Przezdziecki, A., & Sherman, K. A. (2016). Modifying affective and cognitive responses regarding body image difficulties in breast cancer survivors using a self-compassion-based writing intervention. Mindfulness, 7(5), 1142–1155. doi: 10.1007/s12671-016-0557-1
  • Przezdziecki, A., Sherman, K. A., Baillie, A., Taylor, A., Foley, E., & Stalgis-Bilinski, K. (2013). My changed body: Breast cancer, body image, distress and self-compassion. Psycho-Oncology, 22(8), 1872–1879. doi: 10.1002/pon.3230
  • Radtke, T., Ostergaard, M., Cooke, R., & Scholz, U. (2017). Web-based alcohol intervention: Study of systematic attrition of heavy drinkers. Journal of Medical Internet Research, 19(6), e217.
  • Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48(6), 757–761.
  • Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology and Psychotherapy, 18(3), 250–255. doi: 10.1002/cpp.702
  • R Development Core Team. (2008). R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing.
  • Richards, J. M., Beal, W. E., Seagal, J. D., & Pennebaker, J. W. (2000). Effects of disclosure of traumatic events on illness behavior among psychiatric prison inmates. Journal of Abnormal Psychology, 109(1), 156–160.
  • Richards, D., & Richardson, T. (2012). Computer-based psychological treatments for depression: A systematic review and meta-analysis. Clinical Psychology Review, 32(4), 329–342.
  • Rodgers, R. F., Donovan, E., Cousineau, T., Yates, K., McGowan, K., Cook, E. … Franko, D. L. (2018). Bodimojo: Efficacy of a mobile-based intervention in improving body image and self-compassion among adolescents. Journal of Youth and Adolescence, 47, 1363–1372.
  • 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.
  • Rumsey, N. (2018). Psychosocial adjustment to skin conditions resulting in visible difference (disfigurement): What do we know? Why don’t we know more? How shall we move forward? International Journal of Women’s Dermatology, 4(1), 2–7. doi: 10.1016/j.ijwd.2017.09.005
  • Sarwer, D., & Spitzer, J. (2015). Cosmetic surgical procedures of the body. In T. F. Cash (Ed.), Encyclopedia of body image and human appearance (Vol. 1, pp. 360–365). San Diego, CA: Academic Press.
  • Shaw, L. K., Sherman, K., Fitness, J., Elder, E., & Breast Cancer Network Australia. (2018). Factors associated with romantic relationship formation difficulties in women with breast cancer. Psycho-Oncology, 27(4), 1270–1276.
  • Shenefelt, P. D. (2010). Psychological interventions in the management of common skin conditions. Psychology Research and Behavior Management, 3, 51–63.
  • Sherman, K. A., Przezdziecki, A., Alcorso, J., Kilby, C. J., Elder, E., Boyages, J., … Mackie, H. (2018). Reducing body image–related distress in women with breast cancer using a structured online writing exercise: Results from the my changed body randomized controlled trial. Journal of Clinical Oncology, 36(19), 1930–1940. doi: 10.1200/jco.2017.76.3318
  • Smyth, J. M. (1998). Written emotional expression: Effect sizes, outcome types, and moderating variables. Journal of Consulting and Clinical Psychology, 66(1), 174–184. doi:10.1037//0022-006X.66.1.174
  • Stanton, A. L., Danoff-Burg, S., Sworowski, L. A., Collins, C. A., Branstetter, A. D., Rodriguez-Hanley, A., … Austenfeld, J. L. (2002). Randomized, controlled trial of written emotional expression and benefit finding in breast cancer patients. Journal of Clinical Oncology, 20(20), 4160–4168. doi: 10.1220/JCO.2002.08.521
  • Sundström, C., Blankers, M., & Khadjesari, Z. (2017). Computer-based interventions for problematic alcohol use: A review of systematic reviews. International Journal of Behavioral Medicine, 24(5), 646–658.
  • Van Dam, N. T., Sheppard, S. C., Forsyth, J. P., & Earleywine, M. (2011). Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. Journal of Anxiety Disorders, 25(1), 123–130. doi: 10.1016/j.janxdis.2010.08.011
  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.
  • White, C. A. (2000). Body image dimensions and cancer: A heuristic cognitive behavioural model. Psycho-Oncology, 9(3), 183–192. doi: 10.1002/1099-1611
  • Williamson, H., Griffiths, C., & Harcourt, D. (2015). Developing young person’s face IT: Online psychosocial support for adolescents struggling with conditions or injuries affecting their appearance. Health Psychology Open, July–December, 1–12. doi:10.1177/2055102915619092