Exploring the role of shame and self-compassion on the link between fibromyalgia symptoms and depression
Insights from mediation and moderation analyses
Bibliographic Data
| ID | 4897937 |
|---|---|
| Authors | Judite Fortuna (University of Coimbra), Ana M Pinto (0000-0001-7137-1202, University of Coimbra), José António Pereira Da Silva (0000-0002-2782-6780), Rinie Geenen (0000-0002-6615-6708, Utrecht University, the Netherlands), Paula Castilho (0000-0003-1864-3146, University of Coimbra) |
| Year | 2025 |
| Pages | 13591053251331286-13591053251331286 |
| Publication date | 2025-04-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Health Psychology (JOURNAL) |
| Journal identifiers | ISSN: 1359-1053 • E-ISSN: 1461-7277 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/13591053251331286 |
| PMID | 40231702 |
| OpenAlex | W4409458186 |
| Language | EN |
| References cited | 93 |
The intricacies of the fibromyalgia-depression link accentuate the need to further explore underlying psychosocial mechanisms. External shame resulting from fibromyalgia's nature and associated impairment may increase the risk for depression. We explored whether being supportive and compassionate toward one's perceived shortcomings would potentially weaken this association. This cross-sectional study comprised 138 women with fibromyalgia. Participants were recruited via patient associations and invited to complete an online survey. Descriptive, correlational, mediation and moderation analyses were performed to test the driving hypotheses. Both mediation and moderation analyses accounted for approximately 40% of the variance in depressive symptoms. Fibromyalgia severity was directly and indirectly- through external shame- associated with depressive symptoms. The shame-depressive symptoms link was weaker in participants with greater self-compassion skills. Findings point to the importance of shame and self-compassion and the need to address them in research and clinical contexts
Cognition · Depression (economics · Depressive symptoms · Fibromyalgia · Mediation · Mindfulness · Moderated mediation · Moderation · Psychiatry · Psychosocial · Self-compassion · Shame · Fibromyalgia and Chronic Fatigue Syndrome Research · Mindfulness and Compassion Interventions · Musculoskeletal pain and rehabilitation · Psychology · Clinical Psychology · Social Psychology
Compassion Focused Therapy
Attachment Security, Compassion, and Altruism
Chronic illness – a disruption in life
Validation study of a Portuguese version of the Hospital Anxiety and Depression Scale
Psychotherapeutic benefits of compassion-focused therapy
Health complaints, stress, and distress
Self-Compassion
Revisions to the 2010/2011 fibromyalgia diagnostic criteria
Protection or Vulnerability? A Meta‐Analysis of the Relations Between the Positive and Negative Components of Self‐Compassion and Psychopathology
A Meta-Analysis of Compassion-Based Interventions
What is compassion and how can we measure it? A review of definitions and measures
Exploring compassion
Evaluating the Multifactor Structure of the Long and Short Versions of the Self-Compassion Scale in a Clinical Sample
Statistical notes for clinical researchers
The Hospital Anxiety and Depression Scale
Construction and factorial validation of a short form of the Self‐Compassion Scale
The Oxford Handbook of Compassion Science
Compassion
Compassion-based interventions for people with long-term physical conditions
Shame, guilt, and depressive symptoms
Efficacy of “Attachment-Based Compassion Therapy” in the Treatment of Fibromyalgia
Attachment-Based Compassion Therapy for Reducing Anxiety and Depression in Fibromyalgia
Self-Compassion, Stress, and Coping in the Context of Chronic Illness
Individual Differences in Self-Compassion
Meta-Analysis of Gender Differences in Self-Compassion
Shame and the vulnerable self in medical contexts
External shame and its association with depression and anxiety
Relationship between Future Orientation and Pain Severity in Fibromyalgia Patients
Self-Compassion
Compassion
The role of defeat and entrapment in depression, anxiety, and suicide
| Citation velocity | historical |
|---|---|
| Highly cited | No |