Department of Psychology, University of Southampton, Southampton, UK.
Balanced Mind, London, UK.
Psychol Psychother. 2023 Mar;96(1):148-171. doi: 10.1111/papt.12431. Epub 2022 Oct 31.
Practising compassion increases well-being and reduces depression, anxiety, and psychological distress among clinical and non-clinical populations. There is a rapid increase in compassion-based interventions within the past two decades. However, the reviews are limited to predominantly Western cultures. Therefore, this meta-analysis aimed to evaluate the literature attempting to promote and increase compassion in Asian communities.
Eight randomised controlled trials (RCTs) conducted between 2016 to 2021 were included in the meta-analysis with data from 1012 participants across Thailand, Japan, China and Hong Kong. Effect sizes were calculated to test the efficacy of the compassion-based interventions on the self-compassion outcome. Intervention efficacy was tested by comparing the intervention groups against control groups (wait-list control and active control groups) at pre- and post-interventions.
Significant between-group differences in change scores were found on self-report measures of self-compassion with large effect sizes in interventions with wait-list control groups (d = .86) and small effect sizes in interventions with active-control groups (d = .19).
Although compassion-based interventions are heterogeneous in nature and limited in scope, there is promising evidence of improving self-compassion in Asian communities. This supports for the cross-cultural applicability of compassion-based interventions. However, research within the Asian context is limited and at an infancy stage, signifying the importance of conducting further compassion-based interventions in clinical and non-clinical groups living in the Asian communities.
实践同情心可以增加幸福感，减少临床和非临床人群的抑郁、焦虑和心理困扰。在过去的二十年中，基于同情心的干预措施迅速增加。然而，这些综述主要局限于西方文化。因此，本荟萃分析旨在评估试图在亚洲社区中促进和增强同情心的文献。
纳入了 2016 年至 2021 年间进行的 8 项随机对照试验（RCT），共有来自泰国、日本、中国和中国香港的 1012 名参与者的数据。计算效应量以测试基于同情心的干预措施对自我同情心结果的疗效。通过比较干预组与对照组（等待名单对照组和积极对照组）在干预前后的自我报告的自我同情心措施上的组间差异来测试干预的疗效。
在等待名单对照组（d =.86）和积极对照组（d =.19）的干预中，基于同情心的干预措施在自我报告的自我同情心措施上的变化分数存在显著的组间差异，具有较大的效应量。
尽管基于同情心的干预措施性质各异，范围有限，但有有希望的证据表明，这些干预措施可以改善亚洲社区的自我同情心。这支持了基于同情心的干预措施在跨文化环境中的适用性。然而，亚洲背景下的研究有限，处于起步阶段，这表明在亚洲社区中生活的临床和非临床群体中进一步开展基于同情心的干预措施的重要性。
