O impacto das experiências emocionais positivas precoces e das competências autocompassivas na sintomatologia depressiva: O papel mediador de diferentes processos de regulação emocional
DOI:
https://doi.org/10.31211/rpics.2019.5.1.101Palavras-chave:
Competências autocompassivas, Evitamento experiencial, Experiências precoces, Ligação ao outro, Sintomatologia depressivaResumo
Contexto: A literatura tem documentado que as experiências emocionais precoces e as competências autocompassivas desempenham um papel central na regulação emocional adaptativa e na saúde mental. Adicionalmente, crescente evidência suporta que diferentes processos de regulação emocional exercem um papel mediador significativo na relação entre experiências emocionais e sintomatologia depressiva. Métodos e Objetivo: Este estudo foi conduzido numa amostra da população geral constituída por 389 participantes, com idades entre os 18 e os 50 anos (M = 31,84; DP = 10,97). Os participantes completaram um protocolo de medidas de autorresposta que avalia memórias precoces de calor e segurança, autocompaixão, proximidade e conexão aos outros, evitamento experiencial e sintomatologia depressiva. O estudo examinou um modelo integrador no qual foi colocado como hipótese que a relação entre memórias afiliativas positivas e sintomatologia depressiva é mediada pela proximidade e conexão aos outros e o evitamento experiencial. Resultados: Os resultados confirmaram a adequabilidade do modelo testado, o qual explica 34% da variância da sintomatologia depressiva. Os resultados revelaram que experiências precoces de calor, afeto e segurança e as competências autocompassivas se associam a menores níveis de sintomatologia depressiva, através de níveis superiores de sentimentos de segurança e proximidade ao outro e menor adoção de estratégias de evitamento experiencial. Conclusões: Este estudo contribui para a clarificação do impacto das vivências emocionais precoces e das competências autocompassivas na saúde mental. Os dados sublinham a importância das competências sociais e afiliativas e de aceitação, enquanto mecanismos mediadores na explicação da saúde mental.
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Referências
Akin, A., & Akin, U. (2015). The mediating role of social safeness on the relationship between Facebook® use and life satisfaction. Psychological Reports, 117(2), 341–353. https://doi.org/10.2466/18.07.pr0.117c20z9
Arbuckle, J. L. (2014). Amos (Version 23.0) [Computer Program]. Chicago: IBM SPSS.
Batten, S. V., Follette, V. M., & Aban, I. B. (2002). Experiential avoidance and high-risk sexual behavior in survivors of child sexual abuse. Journal of Child Sexual Abuse, 10(2), 101–120. https://doi.org/10.1300/J070v10n02_06
Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529. https://doi.org/10.1037/0033-2909.117.3.497
Beck, A. T., & Bredemeier, K. (2016). A unified model of depression: Integrating clinical, cognitive, biological, and evolutionary perspectives. Clinical Psychological Science, 4(4), 596–619. https://doi.org/10.1177/2167702616628523
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., … & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological flexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007
Cacioppo, J. T., & Patrick, W. (2008). Loneliness: Human nature and the need for social connection. New York, NY: W.W. Norton & Co.
Carvalho, S., Dinis, A., Pinto‐Gouveia, J., & Estanqueiro, C. (2015). Memories of shame experiences with others and depression symptoms: The mediating role of experiential avoidance. Clinical Psychology & Psychotherapy, 22(1), 32–44. https://doi.org/10.1002/cpp.1862
Chapman, A. L., Gratz, K. L., & Brown, M. Z. (2006). Solving the puzzle of deliberate self-harm: The experiential avoidance model. Behaviour Research and Therapy, 44(3), 371–394. https://doi.org/10.1016/j.brat.2005.03.005
Chawla, N., & Ostafin, B. (2007). Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review. Journal of Clinical Psychology, 63(9), 871–890. https://doi.org/10.1002/jclp.20400
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Erlbaum.
Dalai Lama. (2001). The compassionate life. Boston: Wisdom Publications.
DeHart, T., Pelham, B. W., & Tennen, H. (2006). What lies beneath: Parenting style and implicit self-esteem. Journal of Experimental Social Psychology, 42(1), 1–17. https://doi.org/10.1016/j.jesp.2004.12.005
Depue, R. A., & Morrone-Strupinsky, J. V. (2005). A neurobehavioral model of affiliative bonding: Implications for conceptualizing a human trait of affiliation. Behavioral and Brain Sciences, 28(3), 313–395. https://doi.org/10.1017/s0140525x05000063
Gilbert, P. (2001). Evolutionary approaches to psychopathology: The role of natural defences. Australian and New Zealand Journal of Psychiatry, 35(1), 17–27. https://doi.org/10.1046/j.1440-1614.2001.00856.x
Gilbert, P. (2005). Compassion and cruelty: A biopsychosocial approach. In P. Gilbert (Ed.), Compassion: Conceptualization, research and use in psychotherapy (pp. 9–74). London: Routledge.
Gilbert, P. (2007). The evolution of shame as a marker for relationship security. In J. Tracy, R. Robins, & J. Tangney (Eds.), The self-conscious emotions: Theory and research (pp. 283–309). New York, NY: Guilford Press.
Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15(3), 199–208. https://doi.org/10.1192/apt.bp.107.005264
Gilbert, P. (2010). The compassionate mind: A new approach to life's challenges. Oakland: New Harbinger Publications.
Gilbert, P. (2015). The evolution and social dynamics of compassion. Social and Personality Psychology Compass, 9(6), 239–254. https://doi.org/10.1111/spc3.12176
Gilbert, P., Baldwin, M. W., Irons, C., Baccus, J. R., & Palmer, M. (2006). Self-criticism and self-warmth: An imagery study exploring their relation to depression. Journal of Cognitive Psychotherapy, 20(2), 183–200. https://doi.org/10.1891/088983906780639817
Gilbert, P., Catarino F., Duarte C., Matos M., Kolts R., Stubbs J., … Basran, J. (2017). The development of compassionate engagement and action scales for self and others. Journal of Compassionate Health Care, 4(1), 1–24. https://doi.org/10.1186/s40639-017-0033-3
Gilbert, P., Cheung, M. S-P., Grandfield, T., Campey, F., & Irons, C. (2003). Recall of threat and submissiveness in childhood: Development of a new scale and its relationship with depression, social comparison and shame. Clinical Psychology & Psychotherapy, 10(2), 108–115. https://doi.org/10.1002/cpp.359
Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011). Fears of compassion: Development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice, 84(3), 239–255. https://doi.org/10.1348/147608310X526511
Gilbert, P., McEwan, K., Mitra, R., Richter, A., Franks, L., Mills, A., … Gale, C. (2009). An exploration of different types of positive affect in students and in patients with bipolar disorder. Clinical Neuropsychiatry: Journal of Treatment Evaluation, 6(4), 135–143. https://psycnet.apa.org/record/2009-22495-001
Gratz, K. L., Bornovalova, M. A., Delany-Brumsey, A., Nick, B., & Lejuez, C. W. (2007). A laboratory-based study of the relationship between childhood abuse and experiential avoidance among inner-city substance users: The role of emotional nonacceptance. Behavior Therapy, 38(3), 256–268. https://doi.org/10.1016/j.beth.2006.08.006
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York, NY: Guilford Press.
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(6), 1152–1168. https://doi.org/10.1037/0022-006x.64.6.1152
Hu, L., & Bentler, P. (1999). Cut-off criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Irons, C., Gilbert, P., Baldwin, M. W., Baccus, J. R., & Palmer, M. (2006). Parental recall, attachment relating and self-attacking/self-reassurance: Their relationship with depression. British Journal of Clinical Psychology, 45(3), 297–308. https://doi.org/10.1348/014466505X68230
Kashdan, T. B., Barrios, V., Forsyth, J. P., & Steger, M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotion regulation strategies. Behaviour Research and Therapy, 44(9), 1301–1320. https://doi.org/10.1016/j.brat.2005.10.003
Kashdan, T. B., Goodman, F. R., Machell, K. A., Kleiman, E. M., Monfort, S. S., Ciarrochi, J., & Nezlek, J. B. (2014). A contextual approach to experiential avoidance and social anxiety: Evidence from an experimental interaction and daily interactions of people with social anxiety disorder. Emotion, 14(4), 769–781. https://doi.org/10.1037/a0035935
Kelly, A. C., & Dupasquier, J. (2016). Social safeness mediates the relationship between recalled parental warmth and the capacity for self-compassion and receiving compassion. Personality and Individual Differences, 89, 157–161. https://doi.org/10.1016/j.paid.2015.10.017
Kelly, A. C., Zuroff, D. C., Leybman, M. J., & Gilbert, P. (2012). Social safeness, received social support, and maladjustment: Testing a tripartite model of affect regulation. Cognitive Therapy and Research, 36(6), 815–826. https://doi.org/10.1007/s10608-011-9432-5
Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York, NY: Guilford Press.
Leary, M. R. (2004). Bringing out the best in the self. In M. Leary (Ed.), The curse of the self: Self-awareness, egotism, and the quality of human life (pp. 185–197). Oxford: Oxford University Press.
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Sydney: Psychology Foundation.
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. https://doi.org/10.1016/j.cpr.2012.06.003
MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. Mahwah, NJ: Erlbaum.
Marta-Simões, J., Ferreira, C., & Mendes, A. L. (2018). Self-compassion: An adaptive link between early memories and women’s quality of life. Journal of Health Psychology, 23(7), 929–938. https://doi.org/10.1177/1359105316656771
Matos, M., Pinto-Gouveia, J., & Duarte, C. (2014). Psychometric properties of the Portuguese version of the Early Memories of Warmth and Safeness Scale. Manuscript submitted for publication.
Mikulincer, M., & Shaver, P. R. (2005). Attachment security, compassion, and altruism. Current Directions in Psychological Science, 14(1), 34–38. https://doi.org/10.1111/j.0963-7214.2005.00330.x
Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101. https://doi.org/10.1080/15298860309032
Neff, K. D. (2012). The science of self-compassion. In C. Germer & R. Siegel (Eds.), Compassion and wisdom in psychotherapy (pp. 79–92). New York, NY: Guilford Press.
Pais-Ribeiro, J. L., Honrado, A., & Leal, I. (2004). Contribuição para o estudo da adaptação portuguesa das escalas de ansiedade, depressão e stress (EADS) de 21 itens de Lovibond e Lovibond [Contribution to the adaptation study of the Portuguese adaptation of the Lovibond and Lovibond Depression Anxiety Stress Scales (EADS) with 21 items]. Psicologia, Saúde & Doenças, 5(2), 229–239. http://hdl.handle.net/10400.12/1058
Pinto-Gouveia, J., Gregório, S., Dinis, A., & Xavier, A. (2012). Experiential avoidance in clinical and non-clinical samples: AAQ-II Portuguese version. International Journal of Psychology & Psychological Therapy, 12(2), 139–156. https://www.ijpsy.com/volumen12/num2/323.html
Pinto-Gouveia, J., Matos, M., & Dinis, A. (2008). Portuguese version of the Social Safeness and Pleasure Scale. Unpublished manuscript, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, Portugal.
Richter, A., Gilbert, P., & McEwan, K. (2009). Development of an early memories of warmth and safeness scale and its relationship to psychopathology. Psychology and Psychotherapy: Theory, Research and Practice, 82(2), 171–184. https://doi.org/10.1348/147608308x395213
Rothstein, B., & Uslaner, E. M. (2005). All for all: Equality, corruption, and social trust. World Politics, 58(1), 41–72. https://doi.org/10.1353/wp.2006.0022
Schore, A. N. (2001). Effects of a secure attachment relationship on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal, 22(1-2), 7–66. https://doi.org/10.1002/1097-0355(200101/04)22:1<7::aid-imhj2>3.0.co;2-n
Spinhoven, P., Drost, J., De Rooij, M., Van Hemert, A. M., & Penninx, B. W. (2016). Is experiential avoidance a mediating, moderating, independent, overlapping, or proxy risk factor in the onset, relapse and maintenance of depressive disorders? Cognitive Therapy and Research, 40(2), 150–163. https://doi.org/10.1007/s10608-015-9747-8
Yadavaia, J. E., Hayes, S. C., & Vilardaga, R. (2014). Using acceptance and commitment therapy to increase self-compassion: A randomized controlled trial. Journal of Contextual Behavioral Science, 3(4), 248–257. https://doi.org/10.1016/j.jcbs.2014.09.002
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Direitos de Autor (c) 2019 Maria João Varela, Cláudia Ferreira
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