Relação das cognições com a autoestima

Cognitions as mediators in the relationship between self-compassion
and affect
Kohki Arimitsu a,⇑
, Stefan G. Hofmann b
a
Komazawa University, Department of Psychology, 1-23-1 Komazawa, Setagaya, Tokyo 154-8525, Japan
b
Boston University, Department of Psychological and Brain Sciences, USA
a r t i c l e i n f o
Article history:
Received 7 August 2014
Received in revised form 29 September
2014
Accepted 1 October 2014
Keywords:
Self-compassion
Self-esteem
Automatic thoughts
Anxiety
Depression
Life satisfaction
a b s t r a c t
Previous studies suggest that self-compassion is related to numerous facets of mental health, but the role
of cognitions in this relationship remains unknown. To examine the mediating role of cognitions in the
relationship between self-compassion and anxiety, depression, and life satisfaction when controlling
for self-esteem in Japanese people, we conducted two studies. Study 1 (N = 231) examined the relation-
ship between self-compassion and affect by modeling negative automatic thoughts as a mediator; Study
2 (N = 233) tested whether positive and negative automatic thoughts meditate this relationship. Results
suggested that both self-compassion and self-esteem increased positive automatic thoughts and
decreased trait anxiety, whereas only self-esteem increased life satisfaction and decreased depression
directly. Positive automatic thoughts increased life satisfaction and decreased depression and trait anx-
iety, and positive automatic thoughts mediated the relationship between self-compassion and negative
affect. These findings suggest that both positive and negative automatic thoughts mediate the relation-
ship between self-compassion and affect in Japanese people.
Ó 2014 Elsevier Ltd. All rights reserved.
1. Introduction
Compassion refers to one’s desire to alleviate another’s suffering,
and loving-kindness denotes one’s wish for happiness to replace
another’s unhappiness (Salzberg, 1995). Neff (2003) combined the
concepts of compassion and loving-kindness into the single concept
of self-compassion. Self-compassion comprises three components:
self-kindness versus self-judgment, common humanity versus iso-
lation, and mindfulness versus over-identification (Neff, 2003).
Self-compassion is defined as ‘being open to and moved by one’s
own suffering, experiencing feelings of caring and kindness toward
oneself, taking an understanding, non-judgmental attitude toward
one’s inadequacies and failures, and recognizing that one’s own
experience is part of the common human experience’ (Neff, 2003,
p. 224).
1.1. Self-compassion and self-esteem
While self-compassion is often confused with self-esteem, the
concepts are distinct (Neff, 2003). Self-compassion is based on
feelings of concern and non-judgmental understanding, whereas
self-esteem is based on positive self-evaluation. Self-esteem
represents an evaluation of superiority/inferiority that helps one
establish social rank stability and pursue goals (Gilbert & Irons,
2005). Neff and Vonk (2009) revealed that, compared to global
self-esteem, self-compassion had a stronger negative association
with social comparison, public self-consciousness, self-rumination,
anger, and need for cognitive closure. The study also found that
self-compassion and self-esteem were statistically equivalent pre-
dictors of happiness, optimism, and positive affect. Leary, Tate,
Adams, Allen, and Hancock (2007) showed that participants high
in self-compassion experienced fewer negative emotions than did
participants high in self-esteem after receiving unflattering
feedback.
1.2. Self-compassion and mental health
Over the last decade, much evidence has emerged that self-
compassion is positively associated with positive affect, well-
being, and psychological adjustment; and negatively related to
negative affect and psychological disorders. Similarly, Neff, Rude,
and Kirkpatrick (2007) found that self-compassion is positively
associated with happiness, optimism, positive affect, wisdom, per-
sonal initiative, curiosity and exploration, agreeableness, extrover-
sion, and conscientiousness; and negatively with negative affect
and neuroticism. Finally, Barnard and Curry (2011) reviewed a
variety of studies and concluded that self-compassion is positively
http://dx.doi.org/10.1016/j.paid.2014.10.008
0191-8869/Ó 2014 Elsevier Ltd. All rights reserved.
⇑ Corresponding author. Tel.: +81 33418 9660; fax: +81 33418 9303.
E-mail address: arimitsu@komazawa-u.ac.jp (K. Arimitsu).
Personality and Individual Differences 74 (2015) 41–48
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related to well-being and happiness and negatively associated with
negative affect, depression, and anxiety.
1.2.1. Cognition as mediators between self-compassion and negative
mental health
However, the factors that mediate the relationship between
mental health and self-compassion are less well understood. As
for the relationship between self-compassion and negative emo-
tion, Gilbert and Procter (2006) proposed a model that explains
shame and self-criticism, which are the opposite of self-compas-
sion, in terms of threat and safety. This model provides evidence
that self-criticizing thought mediates the relationship between
self-correction, self-persecution, and depression (Gilbert, Clarke,
Hempel, Miles, & Irons, 2004); that self-criticizing thought influ-
ences the association between parental rejection and depression
(Irons, Gilbert, Baldwin, Baccus, & Palmer, 2006); and that self-crit-
icism increases loneliness via self-silencing, which is the tendency
to inhibit one’s self-expression and action to avoid conflict and the
possible loss of a relationship (Besser, Flett, & Davis, 2003). Self-
criticizing thoughts have been shown to increase with rumination
(Lyubomirsky, Tucker, Caldwell, & Berg, 1999), and self-compas-
sion has been shown to be negatively associated with rumination
and thought suppression (Neff, 2003). Raes (2010) examined the
mediating effects of rumination and worry in the relationship
between self-compassion, depression, and anxiety, and showed
that rumination, but not worry, emerged as a significant mediator
between self-compassion and anxiety and depression. Johnson and
O’Brien (2013) showed that rumination, self-esteem, and shame
were significant mediators between self-compassion and depres-
sion. In a study of outpatients with depression, Krieger,
Altenstein, Baettig, Doerig, and Holtforth (2013) found that rumi-
nation and avoidance mediate the relationship between self-com-
passion and depressive symptoms. Specifically, results showed
that symptom-focused rumination and cognitive and behavioral
avoidance mediated the relationship between self-compassion
and depressive symptoms. Thus, the abovementioned studies show
that self-compassionate individuals tend to be less ruminative
than those who lack self-compassion. However, the relationship
between negative automatic thoughts and self-compassion has
not been examined. Negative automatic thinking is a broader con-
cept than self-criticizing thoughts because it includes not only neg-
ative thoughts about oneself, but also of threats posed by others,
future expectations, and other factors (Fukui, 1998). Nolen-
Hoeksema and Plomin (2004) suggest that rumination may contain
negative themes similar to those of automatic thoughts. These
studies suggest that negative automatic thoughts may also medi-
ate the relations among self-compassion, depression, and anxiety.
The present study examines whether negative thinking serves as
a mediator in the relationship between self-compassion, anxiety,
and depression.
1.2.2. Self-compassion and positive mental health
As for the relationship between self-compassion and positive
mental health, self-compassion is believed to increase positive
affect and well-being through its association with three traits:
self-kindness, common humanity, and mindfulness (Neff, 2003).
There is some evidence that one’s life satisfaction, which is an indi-
cator of subjective well-being, would increase following the adop-
tion of a compassionate and mindful perspective (Neff & Germer,
2013). Similarly, Allen and Leary (2010) showed that self-compas-
sion increases the likelihood that one will employ a non-avoidance
coping strategy, such as positive cognitive reframing or problem
solving, to address negative events, and such a coping style may
facilitate well-being. Breines and Chen (2013) showed that people
with high self-compassion are more motivated than people with
high self-esteem to improve personal weaknesses, rectify moral
transgressions, and challenge themselves. These results suggest
that self-compassion promotes healthy coping behaviors and
self-improvement, which protect against negative emotions and
facilitate well-being. Another way in which self-compassion may
cultivate positive affect and well-being is related to Loving Kind-
ness Meditation (LKM; Hofmann, Grossman, & Hinton, 2011). The
concept of loving-kindness overlaps with the concept of self-com-
passion. This practice has been demonstrated to enhance positive
emotions, increase life satisfaction, increase psychological
resources for dealing with negative emotions, and promote psy-
chological recovery (Fredrickson, Cohn, Coffey, Pek, & Finkel,
2008; Johnson et al., 2009). In particular, Fredrickson’s research
showed that compassion toward oneself could increase positive
emotions and resources that weaken negative emotions, and this
cycle results in increased well-being.
1.2.3. Cognition as mediators between self-compassion and positive
mental health
Finally, another possible mediator between self-compassion
and well-being may be positive automatic thoughts. Positive auto-
matic thoughts have been found to be inversely related to negative
automatic thoughts, depression, and negative affect; and positively
related to positive affect and life satisfaction (Burgess & Haaga,
1994; Ingram, Kendall, Siegle, Guarino, & McLaughlin, 1995;
Ingram & Wisnicki, 1988; Jolly & Wiesner, 1996). Positive auto-
matic thoughts were unrelated to anxiety when depression was
controlled, but significantly related to depression when anxiety
was controlled (Boelen, 2007; Burgess & Haaga, 1994; Jolly &
Wiesner, 1996). These results are consistent with hypotheses
about the relationship between positive and negative affect and
their role in psychopathology (Hofmann, Sawyer, Fang, &
Asnaani, 2012). It can also be hypothesized that self-compassion
increases positive automatic thoughts, which augment positive
affect and life satisfaction, by allowing one to focus on both good
and bad things in a non-judgmental way and perceive one’s posi-
tive qualities, thus increasing the likelihood of positive automatic
thoughts. However, there has been no research on the potential
pathways through which self-compassion may lead to or increase
life satisfaction. Recently, research suggests that self-compassion
is effective in the treatment of mental health problems such as
depression. Compassion-Focused Therapy (CFT; Gilbert & Procter,
2006) has been shown to reduce negative affect, and the Mindful
Self-Compassion program (MSC; Neff & Germer, 2013) may pro-
mote positive affect and enhance well-being. However, despite
the success of these treatments, it is still unclear how self-compas-
sion influences positive automatic thoughts and how positive auto-
matic thoughts mediate the relationship between self-compassion
and mental health. Uncovering the ways in which self-compassion
and positive automatic thoughts enhance well-being and reduce
depression and anxiety will facilitate our understanding of the
clinical effects of self-compassion training on anxiety and depres-
sion. Thus, the present study focuses on positive automatic
thoughts as a mediator.
1.3. The present study
The first aim of the present study was to test the hypothesis of
whether negative automatic thoughts mediate the relationship
between self-compassion, anxiety, and depression when control-
ling for self-esteem (Hypothesis 1). The aims of the second study
were to replicate the results of the first and to expand the range
of instruments employed by including measures of positive auto-
matic thoughts and life satisfaction. We predicted that both posi-
tive and negative automatic thoughts would mediate the
relationship between self-compassion and affect as well life-satis-
faction when controlling for self-esteem (Hypothesis 2).
42 K. Arimitsu, S.G. Hofmann / Personality and Individual Differences 74 (2015) 41–48

2. Study 1
2.1. Methods
2.1.1. Participants
Participants were 231 Japanese undergraduate students (99
women and 130 men; 2 unknown) who completed the consent
form and questionnaires in a classroom setting and outside of class
in exchange for extra credit. It took participants between 20 and
35 min to complete all the questionnaires. The mean age of the
sample was 19.11 years (SD = .88).
2.1.2. Measurement
2.1.2.1. Self-Compassion Scale (Neff, 2003). The Self-Compassion
Scale (SCS) has 26 items and consists of six sub-scales: self-kind-
ness, self-judgment, awareness of common humanity, isolation,
mindfulness, and over-identification. Each item is rated on a 5-
point scale (1 = almost never to 5 = almost always). Higher scores
indicate greater self-compassion. The Japanese Version of the SCS
was developed by Arimitsu (2014), and was used in the present
study. The scale demonstrated excellent internal consistency in
the current sample (Cronbach’s a = .83).
2.1.2.2. Rosenberg Self-Esteem Scale (RSS; Rosenberg, 1965). The RSS
is a 10-item measure rated on a 5-point scale (1 = strongly disagree
to 5 = strongly agree). The RSS measures global self-esteem. The
Japanese Version of the RSS was developed by Yamamoto,
Matsui, and Yamanari (1982), and was used in the present study.
The scale demonstrated good internal consistency in the current
sample (Cronbach’s a = .84).
2.1.2.3. Depression Anxiety Cognition Scale (DACS; Fukui, 1998). The
DACS is a 50-item measure of negative automatic thoughts in Jap-
anese and consists of five sub-scales: future denial, threat predic-
tion, self-criticism, past denial, and fear of rejection. Respondents
rate each item on a 5-point scale (1 = strongly disagree to
5 = strongly agree) based on the extent to which they experienced
the particular thought in the preceding two or three days. In the
present study, the five subscales were summed to yield a total
score. The DACS has good test–retest reliability and internal con-
sistency, and the scale demonstrated excellent internal consistency
in the current sample (Cronbach’s a = .97).
2.1.2.4. Spielberger Trait Anxiety Inventory (STAI; Spielberger,
Gorsuch, & Lushene, 1970). The STAI-T form is a 20-item measure
of trait anxiety. Each item is rated on a 4-point scale (from
1 = almost never to 4 almost always). The Japanese Version of the
STAI-T form was developed by Koga (1980) and used in the present
study. The scale demonstrated excellent internal consistency in the
current sample (Cronbach’s a = .88).
2.1.2.5. Beck Depression Inventory-II (BDI-II; Beck, Steer, & Brown,
1996). The BDI-II is a well-known 21-item measure of depression.
The Japanese Version of the BDI-II was developed by Kojima et al.
(2002), and was used in the present study. The test–retest reliabil-
ity, internal consistency, and validity of the Japanese Version of the
BDI-II are well established. The scale demonstrated strong internal
consistency in the current sample (Cronbach’s a = .91).
2.1.3. Statistical analyses
The analyses were conducted using SPSS and AMOS. To test the
mediational role of negative automatic thoughts, structural equa-
tion modeling was used. Model fit was assessed using the goodness
of fit index (GFI), comparative fit index (CFI), and root mean square
error of approximation (RMSEA), based on the recommendations of
Hu and Bentler (1999). Good fit is indicated by values greater than
or equal to .95 for the GFI, CFI, and NNFI, and less than or equal to
.06 for the RMSEA (Hu & Bentler, 1999).
2.2. Results
2.2.1. Correlation analyses
Table 1 presents means, standard deviations, and intercorrela-
tions for all variables. As expected, self-compassion was negatively
associated with negative automatic thoughts, anxiety, and depres-
sion (p < .01). The correlation pattern was very similar to that of
self-esteem (p < .01).
2.2.2. Mediational analyses
Structural equation modeling was used to study how negative
automatic thoughts meditate the relationship among self-compas-
sion, self-esteem, anxiety, and depression. Figure 1 illustrates the
model and its structural paths. There was an overall direct and
indirect effect from self-compassion and self-esteem to negative
automatic thoughts, anxiety, and depression. All paths were signif-
icant (range = À.14 to À.53 and .29 to 42, all p < .05). The estimated
model was a perfect fit to the data [v2
(df = 0) = .00; CFI = 1.00;
GFI = 1.00] because it was a recursive model.
The analysis showed that negative automatic thoughts signifi-
cantly meditate the relationship among self-compassion, self-
esteem, anxiety, and depression. These paths remained significant
even though the covariance between self-compassion and self-
esteem and their direct effects were removed. Negative automatic
thoughts were positively associated with anxiety and depression.
Self-compassion was shown to directly decrease anxiety and
depression, as was self-esteem.
2.3. Discussion
In Study 1, it was examined whether negative automatic
thoughts mediate the relationship between self-compassion, anxi-
ety, and depression controlling self-esteem. Results indicated the
following: (1) self-compassion and self-esteem directly decreased
anxiety and depression; (2) negative automatic thoughts increased
anxiety and depression; and (3) negative automatic thoughts
played a mediating role between self-compassion, self-esteem,
anxiety, and depression. These results are concordant with previ-
ous findings that suggested an association between negative auto-
matic thoughts, depression, and anxiety (Hallion & Ruscio, 2011),
and a mediational role of rumination between self-compassion
and depression (Johnson & O’Brien, 2013; Krieger et al., 2013;
Raes, 2010) and low self-esteem and depression (Kuster, Orth, &
Meier, 2012).
Structural equation modelling (SEM) revealed direct and indi-
rect effects of self-compassion on anxiety and depression, even
after controlling for the effects of self-esteem, suggesting that
Table 1
Intercorrelations, means, and standard deviations for scores on the SCS, RSS, DACS,
STAI, and BDI-II.
Measure Means (SD) 1 2 3 4 5
1. SCS 17.35 (3.04) –
2. RSS 30.23 (7.46) .63*
–
3. DACS 140.18 (35.67) À.61*
À.70*
–
4. STAI 51.65 (10.30) À.72*
À.70*
.71*
–
5. BDI-II 13.94 (9.87) À.50*
À.54*
.62*
.64*
–
Note. SD, standard deviation; SCS, Self-Compassion Scale; RSS, Rosenberg Self-
Esteem Scale; DACS, Depression and Anxiety Cognition Scale; STAI, State Trait
Anxiety Inventory-Trait form; BDI-II, Beck Depression Inventory-II.
*
p < .01.
K. Arimitsu, S.G. Hofmann / Personality and Individual Differences 74 (2015) 41–48 43

self-compassion has adaptive functions that are independent of
self-esteem. This possibility was hypothesized and demonstrated
in the present study; thus, the present findings contribute to a the-
ory of self-compassion. Traditional Buddhist LKM theory states
that people will be able to feel connectedness to other human
beings and experience more positive and less negative affect if they
extend kindness to all beings, including oneself (Salzberg, 1995).
The unique variance of self-compassion to negative automatic
thought demonstrated that happiness is likely achieved through
means other than increasing self-esteem. To confirm this possibil-
ity, Study 2 examined the mediating influence of positive auto-
matic thought and well-being.
3. Study 2
The second aim of the present study is to reveal the mediating
status of positive and negative automatic thoughts (Hypothesis 2).
Based on the results of Study 1 and previous studies (Burgess &
Haaga, 1994; Hofmann et al., 2012; Ingram et al., 1995; Jolly &
Wiesner, 1996), it is assumed that positive automatic thoughts
mediate the relationship between self-compassion, anxiety,
depression, and life satisfaction when controlling for self-esteem.
3.1. Methods
3.1.1. Participants
Participants were 233 Japanese undergraduate students (66
women and 167 men) who completed the consent form and ques-
tionnaires in a classroom setting and outside of class in exchange
for extra credit. It took participants between 30 and 45 min to
complete all the questionnaires. The mean age of the sample was
19.00 years (SD = .97).
3.1.2. Measurement
3.1.2.1. Self-Compassion Scale (Neff, 2003). The structure of the SCS
is described in the Section 2.1 of Study 1. The scale demonstrated
excellent internal consistency in the current sample (Cronbach’s
a = .89).
3.1.2.2. Rosenberg Self-Esteem Scale (RSS; Rosenberg, 1965). The
structure of the RSS is described in the Section 2.1 of Study 1.
The scale demonstrated good internal consistency in the current
3.1.2.3. Depression Anxiety Cognition Scale (DACS; Fukui, 1998). The
structure of the DACS is described in the Section 2.1 of Study 1. This
scale demonstrated excellent internal consistency in the current
3.1.2.4. The Positive Automatic Thought Scale (PATS; Fukui,
2005). The PATS is a 29-item self-report inventory in Japanese
and consists of six sub-scales: reliance on positive evaluation, posi-
tive evaluation of life, reliance on others, amount of spare time,
high motivation, and positive inclination. Respondents rate each
item on a 5-point scale (1 = strongly disagree to 5 = strongly agree)
based on the extent to which they experienced the particular
thought in the preceding two or three days. In the present study,
the five subscales were summed to create a total score. The PATS
has good test–retest reliability and internal consistency, and the
scale demonstrated excellent internal consistency in the current
3.1.2.5. Spielberger Trait Anxiety Inventory (STAI; Spielberger et al.,
1970). The STAI is described in the Section 2.1 of Study 1 and dem-
onstrated excellent internal consistency in the current sample
(Cronbach’s a = .84).
3.1.2.6. Beck Depression Inventory-II (BDI-II; Beck et al., 1996). The
BDI-II is described in the Section 2.1 of Study 1 and demonstrated
strong internal consistency in the current sample (Cronbach’s
a = .89).
3.1.2.7. The Satisfaction with Life Scale (SWLS; Diener, Emmons,
Larsen, & Griffin, 1985). The SWLS is a short 5-item instrument
designed to measure global cognitive judgments of satisfaction
with one’s life. The scale demonstrated excellent internal consis-
tency in the current sample (Cronbach’s a = .79).
3.2. Results
3.2.1. Correlation analyses
Table 2 presents means, standard deviations, and intercorrela-
tions for all variables. As expected, self-compassion was negatively
associated with negative automatic thoughts, anxiety and depres-
sion, and positively associated with positive automatic thoughts
and life satisfaction (p < .01). The pattern of correlations was very
similar to that of self-esteem (p < .01).
3.2.2. Mediational analyses
SEM was used to study how positive and negative automatic
thoughts meditate the relationships among self-compassion, self-
esteem, anxiety, depression, and life satisfaction. Figure 2 illus-
trates the model and its structural paths. Results indicated an over-
all direct and indirect effect of self-compassion and self-esteem on
positive and negative automatic thoughts, anxiety, depression, and
life satisfaction. The model includes covariance between self-com-
passion and self-esteem, positive and negative automatic thoughts,
and anxiety and depression. The estimated model was an adequate
fit to the data [v2
(df = 2) = .639, p = .72; RMSEA = .000 (90%
CI = .00–.09, p-value for test of close fit = .83); CFI = 1.00;
GFI = .999]. The path between self-compassion and negative auto-
matic thoughts was significant and negative (À.29, p < .01). Nega-
tive automatic thoughts were significantly associated with
anxiety and depression (.15 and .32, respectively, p < .01). Positive
automatic thought was inversely related to anxiety and depression
(À.27 and À.25, respectively, p < .01), and positively associated
with life satisfaction (.35, p < .01). Self-compassion was only
directly associated with anxiety (À.26, p < .01), although self-
esteem was directly associated with anxiety, depression, and life
satisfaction (À.29, À.26, .34, respectively, p < .01). The significant
paths differed from those of Study 1: self-compassion was not
directly related to depression.
3.3. Discussion
The aim of the present study was to explore the direct and indi-
rect effects of self-compassion on anxiety, depression, and life sat-
Self-compassion
Negative
Automatic Thoughts
Self-esteem Anxiety
Depression
.63**
.31**
-.38**
-.16**
.42**
-.24**
-.14*
-.28**
-.53**
.34
.58
.29*
.46
Fig. 1. Standardized parameter estimates of the structural equation model that
negative automatic thoughts meditate the relationship between self-compassion,
self-esteem, anxiety, and depression. ⁄
p < .05, ⁄⁄
p < .01.

isfaction by modeling automatic thoughts as a mediator. Positive
automatic thoughts were shown to mediate the relationship
between self-compassion and affect, as measured by anxiety,
depression, and life satisfaction, even when controlling for self-
esteem. Negative automatic thinking remained a mediator
between self-compassion and anxiety and depression when the
effects of positive automatic thoughts were partialed out. These
results are consistent with those of previous studies (Johnson &
O’Brien, 2013; Krieger et al., 2013; Neff, 2003; Raes, 2010).
The relationships between self-compassion and other con-
structs were spurious because self-compassion was highly corre-
lated with self-esteem (Arimitsu, 2014; Leary et al., 2007; Neff,
2003, 2011; Neff & Vonk, 2009; Petersen, 2014). Thus, in the pres-
ent study, level of self-esteem was controlled to determine
whether self-compassion still had a significant relationship with
automatic thoughts and mental health. SEM revealed that positive
and negative automatic thoughts still mediated the relationships
among self-compassion, anxiety, depression, and life satisfaction
when controlling the covariance between self-compassion and
self-esteem (r = .67, p < .01). These findings support the notion that
self-compassion is not identical to self-esteem (Neff, 2003) and
suggest that increasing both self-compassion and self-esteem
would lead us to experience more positive and fewer negative
automatic thoughts. The path from self-esteem to positive auto-
matic thoughts supports findings from previous studies suggesting
a relationship among self-esteem, negative automatic thoughts,
depression, and anxiety (Hallion & Ruscio, 2011; Kuster et al.,
2012). This relationship is consistent with the theory of self-com-
passion (Neff, 2003, 2011; Neff & Vonk, 2009). Self-esteem can
increase subjective well-being because it reflects the positive
self-view derived from achievement or acquisition. At the same
time, self-compassion can increase subjective well-being because
it reflects a perspective in which both good and bad aspects of
the self are accepted. Moreover, self-compassion leads people to
feel more connected with others and consequently less isolated
(Neff, 2003).
It is noteworthy that self-compassion was not directly related
to depression, but it was directly related to anxiety when positive
and negative automatic thoughts were included as mediators, as
shown in Study 2. The results of Study 1 showed that self-compas-
sion has a significant direct path to both anxiety and depression
when negative automatic thinking is the only mediator. This direct
path could be explained because self-compassion encompasses
strategies such as mindfulness and the employment of psycholog-
ical resources other than the control of automatic thoughts to cul-
tivate happiness and decrease depression. Study 1 replicated the
previous finding that self-compassion has a significant direct effect
on depression and anxiety when controlling for rumination as a
mediating variable in undergraduate students (Raes, 2010). How-
ever, these results were inconsistent with those of Study 2 and
Krieger et al. (2013) regarding the direct effect of self-compassion
on depression. In depressive patients, it was revealed that self-
compassion had no direct effect on depression when rumination
and avoidant behavior were the meditating variables (Krieger
et al., 2013). These results suggest that the direct relationship
between self-compassion and depression would disappear upon
the inclusion of positive automatic thought as a mediator in a
research sample of patients with depression. Since this is just an
assumption, further work is needed to determine factors that affect
the relationship between self-compassion and depression.
It is also noteworthy that positive automatic thoughts medi-
tated the relationship between self-compassion and life satisfac-
tion, and self-compassion did not directly relate to life
satisfaction. This is a unique contribution of the present study
because previous studies have shown a positive correlation
between self-compassion and well-being (Neff, 2003; Neff &
Vonk, 2009), but have not focused on the direct and indirect effects
of self-compassion on life satisfaction. These results suggest that
there are other mediators between self-compassion and well-
being. For example, self-regulation has been proposed as a media-
tor in previous studies (Neff, Hsieh, & Dejitterat, 2005; Neff,
Kirkpatrick, & Rude, 2007). These studies revealed that self-com-
passion facilitates disengagement from unproductive health-
related goals because self-compassionate people set goals that
directly promote their well-being. Although the relationship
between self-regulation and well-being has not been revealed in
those studies, it could be considered that self-regulation mediates
the relationship between self-compassion and well-being. As for
negative automatic thoughts, several studies also suggest that
emotion regulation is a mediator between self-compassion and
health measures. Since self-compassionate people accept both
the positive and negative aspects of life, when they encounter trou-
Table 2
Intercorrelations, means, and standard deviations for scores on the SCS, RSS, DACS, PATS, STAI, BDI-II, and SWLS.
Means (SD) 1 2 3 4 5 6 7
1. SCS 17.10 (3.66) –
2. RSS 31.15 (6.99) .65*
–
3. DACS 131.29 (29.76) À.58*
À.64*
–
4. PATS 90.53 (17.90) .62*
.60*
À.54*
–
5. STAI 48.45 (8.82) À.72*
À.73*
.64*
À.71*
–
6. BDI-II 10.54 (7.85) À.45*
À.57*
.58*
À.53*
.59*
–
7. SWLS 19.06 (6.06) .50*
.59*
À.43*
.59*
À.54*
À.37*
–
Note. SD, standard deviation; SCS, Self-Compassion Scale; RSS, Rosenberg Self-Esteem Scale; DACS, Depression and Anxiety Cognition Scale; PATS, Positive Automatic Thought
Scale; STAI, State Trait Anxiety Inventory-trait form; BDI-II, Beck Depression Inventory-II; SWLS, Satisfaction With Life Scale.
*
p < .01.
Self-compassion
Positive
Automatic Thoughts
Self-esteem
Anxiety
Depression
Life
Satisfaction
.15*
-.27*
-.29*
.32*
Negative
Automatic Thoughts
.65*
-.29*
.41*
-.45*
.36*
.34*
.35*
-.25*
.02
.06
-.26*
-.26*
.05
-.17*
.30
.57
.56
.16*
.55
.55
Fig. 2. Standardized parameter estimates of the structural equation model that
positive and negative automatic thoughts meditate the relationship between self-
compassion, self-esteem, anxiety, depression, and life satisfaction. ⁄
p < .01.

bles such as personal rejection, unfavourable evaluations, aca-
demic difficulties, illness, and homesickness, they consider their
situation with equanimity and can consequently regulate negative
affect (Allen & Leary, 2010; Leary et al., 2007; Neff, 2011; Terry,
Leary, & Mehta, 2013). Diedrich, Gran, Hofmann, Hiller, and
Berking (2014) showed that self-compassion was more effective
than acceptance, but not reappraisal, in patients with high
depressed mood. These studies suggest that self-compassion as
an emotion regulation skill leads one to replace negative automatic
thoughts with compassionate thoughts before a reduction in
depression occurs.
The present results are also consistent with previous findings
that positive automatic thoughts are inversely related to negative
automatic thoughts, depression, and negative affect; and positively
related to positive affect and life satisfaction (Burgess & Haaga,
1994; Ingram et al., 1995; Jolly & Wiesner, 1996). However, the
present study showed a negative association between positive
automatic thoughts and anxiety, even after controlling for depres-
sion, which is inconsistent with previous studies (Boelen, 2007;
Burgess & Haaga, 1994; Jolly & Wiesner, 1996). This difference
may have been due to the use of different questionnaires to assess
anxiety [STAI (present study), Symptom Check List (Boelen, 2007),
Beck Anxiety Inventory (Burgess & Haaga, 1994; Jolly & Wiesner,
1996)]. Moreover, positive automatic thinking was assessed using
the PATS (Fukui, 2005) in the present study, whereas previous
studies used the ATQ-P (Burgess & Haaga, 1994; Ingram et al.,
1995; Jolly & Wiesner, 1996). These different procedures may have
resulted in the distinct causal relationships observed between anx-
iety and positive automatic thoughts.
The direct effects of self-esteem on anxiety, depression, and life
satisfaction remained significant when controlling for self-compas-
sion, and positive and negative automatic thoughts. These results
are consistent with previous reports (Diener & Diener, 1995;
Kuster et al., 2012; Neff, 2003; Neff & Vonk, 2009; Sowislo &
Orth, 2013) showing that self-esteem is a strong predictor of anx-
iety, depression, and well-being. However, while high self-esteem
has been shown to promote personal growth and expansion, it also
leads people to avoid activities and situations that threaten the ego
(Pyszczynski, Greenberg, & Goldevnberg, 2003). To maintain a high
level of self-evaluation, people with high self-esteem tend to
excessively attend to others’ evaluations and feel anxious or
attacked when they are evaluated poorly. Neff (2003) showed that
self-esteem had a stronger negative association with social com-
parison, self-evaluative anxiety, anger, and closed-mindedness
compared to self-compassion. While the negative aspects of self-
esteem should be considered in future studies, the present study
showed that self-esteem directly enhances subjective well-being.
However, there is a possibility that self-esteem actually does not
predict negative automatic thoughts. Leary et al. (2007) found that
when controlling for self-esteem and narcissism, high self-compas-
sion predicted less catastrophizing, less personalizing, greater
equanimity, and fewer extreme behavioral inclinations. By con-
trast, self-esteem did not account for unique variance when con-
trolling for self-compassion and narcissism. This issue should be
examined in future research. Self-compassion, on the other hand,
refers to the acceptance of both the positive and negative aspects
of the self, which does not require personal success or social com-
parison. Thus, self-compassion has been shown to be associated
with stable feelings of self-worth and self-acceptance (Neff,
2003; Neff & Vonk, 2009). This evidence suggests that self-accep-
tance should be included in the relationship between self-compas-
sion, self-esteem, and positive and negative aspects of mental
health. Moreover, some research suggests that positive emotion
tends to be unstable in those with high self-esteem, but stable in
those with high self-worth (Kernis, 2005) or self-compassion
(Neff & Vonk, 2009). The differential effects of self-compassion
and self-esteem might emerge through a longitudinal study that
includes variables pertaining to the stability or instability of self
and affect.
4. General discussion
The results of the present study have significant theoretical and
clinical implications, as they suggest that both positive and nega-
tive automatic thoughts mediate the relationship between self-
compassion, anxiety, depression, and life satisfaction. According
to the proposed model by Hofmann et al. (2012), positive affect
decreases the influence of negative affect, encourages new behav-
ior, facilitates social relationships, and lowers the risk for emo-
tional disorders. The present study suggests that positive
cognitions should be added to this model and offers evidence of
self-compassion as an affective style. This model predicts that
increased self-compassion would result in increased positive
affect, decreased negative affect, and fewer mental disorders. Evi-
dence suggests that LKM enhances positive affect and well-being,
and decreases depression in a normal population (Fredrickson
et al., 2008; Neff & Germer, 2013); decreases posttraumatic stress
disorder (PTSD) and depressive symptoms in veterans with PTSD
(Kearney et al., 2013); and effectively treats psychosis (Johnson
et al., 2011; Laithwaite et al., 2009). However, these studies did
not demonstrate that enhanced self-compassion and compassion
for others are associated with increased positive and decreased
negative thoughts. The present study advances previous studies
because it provides evidence for the role of positive thoughts.
The results of the present study have important clinical implica-
tions, as they suggest that both enhancing self-compassion and
increasing positive automatic thoughts and positive affect might
improve the efficacy of treatment for anxiety and depression.
Assessing positive automatic thoughts and positive affect might
reveal how well self-compassion training works for patients. If
both therapist and patient regularly monitor the patient’s degree
of self-compassion and positive thought, they will be able to detect
an ineffective strategy and explore other means of cultivating self-
compassion, if needed. Future research should assess positive and
negative thoughts as potential mediators in treatment focused on
self-compassion and explore the contribution of self-compassion
to the process of reducing anxiety and depression and enhancing
well-being through thought modification.
The present study showed that SCS scores only predicted 13–
42% of the variance in anxiety, depression, and life satisfaction.
Thus, automatic thoughts are not the only means in which to
enhance well-being. For example, kindness toward oneself and
others has been shown to increase positive affect and enhance
resources for life satisfaction (Fredrickson et al., 2008). Engaging
in kind acts toward others has been shown to increase positive
affect and improve relationship satisfaction in socially anxious
people (Alden & Trew, 2013). The present findings suggest that
positive affect and kind behavior toward others may be potential
mediators in the relationship between self-compassion and life
satisfaction, but further study is necessary.
The present study offers support for the relationship between
self-compassion and automatic thoughts, and mental health-
related factors, such as anxiety, depression, and life satisfaction,
in individuals residing outside of the USA and UK. The relationship
between self-compassion and depression (Arimitsu, 2014;
Yamaguchi, Kim, & Akutsu, 2014), and between automatic
thoughts and depression (Nishikawa, Matsunaga, & Furutani,
2014; Takano & Tanno, 2009), were replicated in the present study.
These results suggest that there might be no cultural differences in
the relationships among self-compassion, positive and negative
thought, and mental health, even though self-compassion in the

Japanese population was lower than in the United States (Arimitsu,
2014). This suggests the concept of self-compassion (Neff, 2003)
and the emotion dysregulation model of mood and anxiety disor-
ders (Hofmann et al., 2012) can be applied to both the US and
Japan. In contrast to American culture, the Japanese culture is
highly interdependent (Kitayama & Karasawa, 1997). There are
considerable issues concerning the relationship between the inter-
dependent self, happiness, and well-being. Hitokoto and Uchida
(2014) proposed the concept of interdependent happiness, which
would be attained interdependently, and revealed that interdepen-
dent happiness had a significantly larger effect size than did self-
esteem on subjective well-being in Japanese students, but not in
American students. Moreover, East–West cultural differences in
dialectical emotions have been demonstrated: both positive and
negative emotions were experienced more moderately by Japanese
individuals than by Americans (Miyamoto & Ryff, 2011). These
results suggest that the amount of variance in happiness and
well-being that is explained by self-esteem or self-compassion
might differ between the two cultures.
4.1. Limitations
There were several limitations of the present study. First, partic-
ipants of the present study were all nonclinical and undergraduate
students. Participants of other psychological interventions were
from geographically diverse areas and typically middle-aged adults
(Jazaieri et al., 2013; Neff & Germer, 2013). Compassion-focused
psychotherapy has also been used to treat patients with psychosis
or PTSD (Braehler et al., 2013; Gilbert & Procter, 2006; Kearney
et al., 2013). Clinical populations are also likely to yield data that
differ from that of a normal population, such as an observed direct
effect of self-compassion on depression in depressed patients
(Krieger et al., 2013). Thus, the present sample might limit the gen-
eralizability of the results and the implications for psychological
interventions. Moreover, undergraduate students are in no way
representative of the average human being. The relationship
between self-compassion and subjective well-being has been
found in adolescents, adults (Neff & McGeehee, 2010; Wei, Liao,
Ku, & Shaffer, 2011), and older adults (Phillips & Ferguson, 2013).
However, differences in the association between self-compassion
and compassion for humanity, empathetic concern, and altruism
have been found among adults, but not undergraduates (Neff &
Pommier, 2013). Further, the relationship between self-compas-
sion and well-being is not significant in old adults with poorer
physical health (Allen, Goldwasser, & Leary, 2012). These results
suggest a possible role of development in the relationship between
self-compassion and well-being. Thus, future studies should
explore the relationship between self-compassion and mental
health from a developmental perspective. Second, since the pres-
ent study was a correlational design, interpretations of the SEM
results should be considered carefully, as this method does not
precisely assess causality. The present study confirmed the postu-
lated relationship between self-compassion, thought, and affect,
but the results do not guarantee an empirical relationship. Replica-
tion of the present findings in a clinical population and middle-
aged sample is necessary; further, a longitudinal research design
should be employed. Third, the choice of measures made it difficult
to compare the present results with those of previous studies. The
DACS and the PATS, which assess automatic thoughts, were admin-
istered because these questionnaires are based on experiences
common to the participants’ own culture, were standardized with
the native language, and have good reliability and validity. How-
ever, it is possible that different questionnaires assessing the same
concepts might have impacted the results. Thus, efforts should be
made to standardize questionnaires that assess automatic
thoughts so that cross-cultural differences in the relationship
between self-compassion, thought, and affect can be adequately
assessed.
4.2. Conclusion
These limitations notwithstanding, the present study extends
the findings of previous studies. It is revealed that both positive
and negative automatic thoughts meditate the relationship
between self-compassion and positive and negative affect. Self-
compassion might serve a regulatory function to reduce anxiety
and depression and enhance well-being. A therapeutic implication
of the present study is that cultivating self-compassion might
decrease the severity of anxiety and depression symptoms by
increasing positive thought and decreasing negative thoughts.
Ethical considerations
The institutional review board of Komazawa University
reviewed and approved the protocol of this study. This study was
carried out in accordance with the ethical standards outlined by
the American Psychological Association (APA) and Japanese Psy-
chological Association (JPA). Informed consent was obtained from
all participants before the initial assessment, and all relevant eth-
ical safeguards were met in relation to subject rights and
protection.
Acknowledgments
This research was supported by Grants-in-Aid for Scientific
Research (C) awarded by the Ministry of Education, Culture, Sports,
Science and Technology (MEXT - Japan) (Numbers 22530758 and
25380944). Dr. Hofmann receives support from NIH/NCCAM
(R01AT007257), NIH/NIMH (R01MH099021, R34MH099311,
R34MH086668, R21MH102646, R21MH101567, K23MH100259),
and the Department of the Army for work unrelated to the studies
reported in this article. He also serves on the Advisory Board of
Otsuka America Pharmaceutical, Inc., and receives financial com-
pensation for his participation as an advisor.
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