Cognitive-Behavioural Research Centre (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.
Department of Clinical Psychology, School of Health in Social Sciences, University of Edinburgh, Edinburgh, UK.
J Clin Psychol. 2018 Dec;74(12):2094-2106. doi: 10.1002/jclp.22689. Epub 2018 Aug 13.
OBJECTIVE(S): The aim of this study was to test a theory driven model in which pain acceptance (both pain willingness [PW] and activity engagement [AE]) mediates the relationships of mindfulness and selfcompassion with depressive symptoms, while controlling for pain intensity.
A path analysis was conducted using AMOS software to test a meditational model in a sample of women with chronic musculoskeletal pain (N = 231).
Participants with higher levels of mindful awareness and selfcompassion presented lower levels of pain intensity and depressive symptoms, and higher levels of AE. PW did not significantly correlate with any variable in study. The mediation analysis showed that AE mediated the relationship between selfcompassion and depressive symptoms, independently from pain intensity.
These findings seem to corroborate the hypothesis that selfcompassion is rooted in a motivational system, as it seems to correlate with less depressive symptoms through increasing the engagement with valued actions despite experiencing pain.
本研究旨在检验一个理论驱动模型，该模型认为疼痛接受（包括疼痛意愿[PW]和活动参与[AE]）中介了正念和自我同情与抑郁症状之间的关系，同时控制了疼痛强度。
使用 AMOS 软件进行路径分析，以测试慢性肌肉骨骼疼痛女性样本中的中介模型（N=231）。
正念意识和自我同情水平较高的参与者疼痛强度和抑郁症状较低，AE 水平较高。PW 与研究中的任何变量均无显著相关性。中介分析表明，AE 独立于疼痛强度，中介了自我同情与抑郁症状之间的关系。
这些发现似乎支持了自我同情根植于动机系统的假设，因为它似乎通过在经历疼痛时增加对有价值行为的参与，与较少的抑郁症状相关。
