Skip to main content

Advertisement

Log in

Does Self-Compassion Mitigate the Association Between Childhood Maltreatment and Later Emotion Regulation Difficulties? A Preliminary Investigation

  • Published:
International Journal of Mental Health and Addiction Aims and scope Submit manuscript

Abstract

Child maltreatment-related outcomes range from no symptom expression to suicide. Increasingly, the diverse presentations have been conceptualized as core system dysregulation, including emotion dysregulation. Self-compassion has been advanced as a self-regulation strategy for countering negative self-directed emotions. This study explored whether individual differences in self-compassion would play a role in loosening the associations among childhood maltreatment severity and later emotion regulation difficulties. The sample consisted of transition-age youth (N = 81) seeking treatment for problem substance use. Self-compassion was negatively associated with emotion regulation difficulties and childhood maltreatment, and predicted emotion dysregulation above and beyond maltreatment history, current severity of psychological distress, and problem substance use. In addition, self-compassion mediated the relationship between childhood maltreatment severity and later emotion dysregulation. These findings provide an impetus for further research into the relevance of self-compassion for maltreatment-related impairment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders. Text revision (4th ed.). Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • Baron, R., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  CAS  Google Scholar 

  • Bernstein, D. P., Ahluvalia, T., Pogge, D., & Handelsman, L. (1997). Validity of the childhood trauma questionnaire in an adolescent psychiatric population. Journal of the American Academy of Child & Adolescent Psychiatry, 36(3), 340–348.

    Article  CAS  Google Scholar 

  • Bernstein, D. P., & Fink, L. (1998). Childhood trauma questionnaire: A retrospective self-report. Manual. San Antonio: The Psychological Corporation.

    Google Scholar 

  • Bernstein, D. P., Fink, L., Handelsman, L., & Foote, J. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. American Journal of Psychiatry, 151(8), 1132–1136.

    PubMed  CAS  Google Scholar 

  • Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., & Ahluvalia, T. (2003). Development and validation of a brief screening version of the childhood trauma questionnaire. Child Abuse & Neglect, 27(2), 169–190.

    Article  Google Scholar 

  • Cameron, I., Cunningham, L., Crawford, J., Eagles, J., & Eisen, S. (2007). Psychometric properties of the BASIS-24 (behaviour and symptom identification scale-revised) mental health outcome measure. International Journal of Psychiatry in Clinical Practice, 11(1), 36–43.

    Article  Google Scholar 

  • Cheetham, A., Allen, N. B., Yücel, M., & Lubman, D. I. (2010). The role of affective dysregulation in drug addiction. Clinical Psychology Review, 30(6), 621–634.

    Article  PubMed  Google Scholar 

  • Cohen, F. S., & Densen-Gerber, J. (1982). A study of the relationship between child abuse and drug addiction in 178 patients: preliminary results. Child Abuse & Neglect, 6, 383–387.

    Article  CAS  Google Scholar 

  • Dembo, R., Dertke, M., LaVoie, L., Borders, S., Washburn, M., & Schmeidler, J. (1987). Physical abuse, sexual victimization and illicit drug use: a structural analysis among high risk adolescents. Journal of Adolescence, 10, 13–31.

    Article  PubMed  CAS  Google Scholar 

  • Derogatis, L. R. (1977). Symptom checklist-90R administration, scoring, and procedures manual. Towson: Clinical and Psychometric Research.

    Google Scholar 

  • Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: an introductory report. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 13(3), 595–605.

    CAS  Google Scholar 

  • Draper, N., & Smith, H. (1981). Applied regression analysis (2nd ed.). New York: John Wiley & Sons, Inc.

    Google Scholar 

  • Dunn, M., Tarter, R. E., Mezzich, A. C., Vanyukov, M., Kirisci, L., & Kirillova, G. (2002). Origins and consequences of child neglect in substance abuse families. Clinical Psychology Review, 22(7), 1063–1090.

    Article  PubMed  Google Scholar 

  • Eisen, S. V., Dill, D. L., & Grob, M. C. (1994). Reliability and validity of a brief patient-report instrument for psychiatric outcome evaluation. Hospital & Community Psychiatry, 45(3), 242–247.

    CAS  Google Scholar 

  • Feiring, C., Taska, L., & Lewis, M. (2002). Adjustment following sexual abuse discovery: the role of shame and attributional style. Developmental Psychology, 38(1), 79–92.

    Article  PubMed  Google Scholar 

  • Fink, L. A., Bernstein, D., Handelsman, L., & Foote, J. (1995). Initial reliability and validity of the childhood trauma interview: a new multidimensional measure of childhood interpersonal trauma. American Journal of Psychiatry, 152(9), 1329–1335.

    PubMed  CAS  Google Scholar 

  • Finn, C. E. (1990). Narcissus goes to school. Commentary, 89, 40–45.

    Google Scholar 

  • Fox, H. C., Axelrod, S. R., Paliwal, P., Sleeper, J., & Sinha, R. (2007). Difficulties in emotion regulation and impulse control during cocaine abstinence. Drug and Alcohol Dependency, 89, 298–301.

    Article  CAS  Google Scholar 

  • Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15, 199–208.

    Article  Google Scholar 

  • Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 263–325). New York: Routledge.

    Google Scholar 

  • Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13, 353–379.

    Article  Google Scholar 

  • Gilligan, J. (2003). Shame, guilt and violence. Social Research, 70, 1149–1180.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Gratz, K. L., Tull, M. T., Baruch, D. E., Bornovalova, M. A., & Lejuez, C. W. (2008). Factors associated with co-occurring borderline personality disorder among inner-city substance users: the roles of childhood maltreatment, negative affect intensity/reactivity, and emotion dysregulation. Comprehensive Psychiatry, 49, 603–615.

    Article  PubMed  Google Scholar 

  • Gross, J. J., & Munoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice., 2(2), 151–164.

    Article  Google Scholar 

  • Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.

    Article  PubMed  CAS  Google Scholar 

  • Kendall-Tackett, K. (2002). The health effects of childhood abuse: four pathways by which abuse can influence health. Child Abuse & Neglect, 26(6–7), 715–729.

    Article  Google Scholar 

  • Kirby, M. J. L., & Keon, W. J. (2006). Out of the shadows at last: Transforming mental health, mental illness and addiction services in Canada. Ottawa: Standing Senate Committee on Social Affairs, Science and Technology.

    Google Scholar 

  • Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & 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.

    Article  PubMed  Google Scholar 

  • Lewis-Esquerre, J. M., Colby, S., Tevyaw, T., Eaton, C., Kahler, C., & Monti, P. M. (2005). Validation of the timeline follow-back in the assessment of adolescent smoking. Drug and Alcohol Dependence, 79(1), 33–43.

    Article  PubMed  Google Scholar 

  • Linehan, M. M. (1993). Cognitive–behavioral treatment of borderline personality disorder. New York: The Guilford Press.

    Google Scholar 

  • Lipschitz, D. S., Bernstein, D. P., Winegar, R. K., & Southwick, S. M. (1999). Hospitalized adolescents’ reports of sexual and physical abuse: a comparison of two self-report measures. Journal of Traumatic Stress, 12(4), 641–654.

    Article  PubMed  CAS  Google Scholar 

  • Lutz, A., Greischar, L. L., Rawlings, N. B., & Davidson, R. J. (2004). Long-term meditators self-induce high-amplitude gamma synchrony during mental practice. Proceedings of the National Academy of Sciences, 101, 16369–16373.

    Article  CAS  Google Scholar 

  • Masten, A., & Wright, M. (2009). Resilience over the lifespan: Developmental perspectives on resistance, recovery, and transformation. In J. Reich (Ed.), Handbook of adult resilience. New York: Guilford Books.

    Google Scholar 

  • Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2002). Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice, 9, 85–90.

    Article  Google Scholar 

  • Neff, K. D. (2003a). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–102.

    Article  Google Scholar 

  • Neff, K. D. (2003b). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250.

    Article  Google Scholar 

  • Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9(3), 225–240. First published on: 24 June 2009 (iFirst).

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: two different ways of relating to oneself. Journal of Personality, 77, 23–50.

    Article  PubMed  Google Scholar 

  • Neumann, A., van Lier, P. A., Gratz, K. L., & Koot, H. M. (2010). Multidimensional assessment of emotion regulation difficulties in adolescents using the difficulties in emotion regulation scale. Assessment, 17(1), 138–149.

    Article  PubMed  Google Scholar 

  • Nisenbaum, R., Links, P. S., Eynan, R., & Heisel, M. J. (2010). Variability and predictors of negative mood intensity in patients with borderline personality disorder and recurrent suicidal behavior: multilevel analyses applied to experience sampling methodology. Journal of Abnormal Psychology, 119(2), 433–439.

    Article  PubMed  Google Scholar 

  • Potter-Efron, R. (2002). Shame, guilt, and alcoholism: Treatment issues in clinical practice (2nd ed.). New York: Haworth.

    Google Scholar 

  • Ravndal, E., Lauritzen, G., Frank, O., Jansson, I., & Larsson, J. (2001). Childhood maltreatment among norwegian drug abusers in treatment. International Journal of Social Welfare, 10(2), 142–147.

    Article  Google Scholar 

  • Shipman, K., Zeman, J., Penza, S., & Champion, K. (2000). Emotion management skills in sexually maltreated and nonmaltreated girls: a developmental psychopathology perspective. Developmental Psychopathology, 12, 47–62.

    Article  CAS  Google Scholar 

  • Simpson, T. L., & Miller, W. R. (2002). Concomitance between childhood sexual and physical abuse and substance use problems. A review. Clinical Psychology Review, 22, 27–77.

    Article  PubMed  Google Scholar 

  • Singer, L. T., Linares, T. J., Ntiri, S., Henry, R., & Minnes, S. (2004). Psychosocial profiles of older adolescent MDMA users. Drug and Alcohol Dependence, 74, 245–252.

    Article  PubMed  Google Scholar 

  • Sobell, L., & Sobell, M. (1992). Timeline follow-back: A technique for assessing self-reported alcohol consumption. In R. Litten & J. Allen (Eds.), Measuring alcohol consumption: Psychological and biological methods (pp. 41–72). Totowa: Humana.

    Chapter  Google Scholar 

  • Tangney, J. P., & Dearing, R. L. (2002). Shame and guilt. New York: Guilford.

    Google Scholar 

  • Thompson, R. A. (2004). Social support and the prevention of child maltreatment. In G. B. Melton & F. D. Barry (Eds.), Protecting children from abuse and neglect: Foundations of a new strategy (pp. 40–130). NY: The Guildford.

    Google Scholar 

  • Thompson, R. A., Flood, M. F., & Goodvin, R. (2006). Social support and developmental psychopathology. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology: Risk, disorder, and adaptation (Vol. 3, pp. 1–37). Hoboken: John Wiley & Sons Inc.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Weinberg, A., & Klonsky, D. (2009). Measurement of emotion dysregulation in adolescents. Psychological Assessment, 21(4), 616–621.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This research was supported by a Canadian Institutes of Health Research (CIHR) fellowship (L. Vettese, PI) and CIHR Institute of Gender and Health New Emerging Team grant (C. Wekerle, PI; Sponsor # VGH-63212). Dr. Wekerle acknowledges career support from CIHR IGH and the Ontario Women’s Health Council, and a Public Health Agency of Canada Interchange Canada contract. Our deepest gratitude is extended to the participants in this research, the youth addictions treatment program, and others who provided consultation at various parts of this project, including Dr. Tony Toneatto, Dr. Shelley McMain, Dr. Bruce Ballon, Joanne Shenfeld, Lawren Taylor, and Dr. Russell Callaghan, or assisted with screening or data collection for this project, including Jenny Wang, Chani Dedunupitiya, Julia Lecce, Tu Luu, Kristin Chong, and Nigel Kingwell.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lisa C. Vettese.

Additional information

Lisa C. Vettese was affiliated to Department of Psychology, Ryerson University, Toronto, ON, Canada at the time the paper was done.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vettese, L.C., Dyer, C.E., Li, W.L. et al. Does Self-Compassion Mitigate the Association Between Childhood Maltreatment and Later Emotion Regulation Difficulties? A Preliminary Investigation. Int J Ment Health Addiction 9, 480–491 (2011). https://doi.org/10.1007/s11469-011-9340-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11469-011-9340-7

Keywords

Navigation