OBJECTIVE The aim of this naturalistic process study was to investigate the relationship between self-compassion, fear of compassion from others, and depressive symptoms over the course of psychotherapy in patients with chronic depression. METHOD A sample of 226 patients with chronic depression who received inpatient short-term psychodynamic psychotherapy (STPP) provided weekly self-report measures of self-compassion, fear of compassion, and depressive symptoms (Patient Health Questionnaire-9). Trivariate latent curve modeling with structured residuals was applied to investigate the between- and within-patient relationships among the variables. RESULTS At the between-patient level, a significant positive correlation was found between slope of depression and the slope of fear of compassion. At the within-patient level, a lower than expected level of fear of compassion predicted a subsequent lower than expected level of depression (mean weekly effect size = 0.12), with a smaller reciprocal relationship (mean weekly effect size = 0.08). There was no significant within-patient effect of self-compassion predicting subsequent depression, but a significant effect of a lower than expected level of depression predicting a subsequent higher than expected level of self-compassion (mean weekly effect size = -0.13). No within-patient effect between self-compassion and fear of compassion was found. CONCLUSIONS In the context of this study, it appears that fear of compassion may be a putative mechanism of change involved in alleviating depressive symptoms in patients with chronic depression treated with STPP. On the other hand, self-compassion appears to be an outcome of psychotherapy. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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慢性抑郁症治疗中的自我慈悲和对慈悲的恐惧：改变的机制？

目的 这项自然过程研究的目的是调查慢性抑郁症患者心理治疗过程中的自我慈悲、害怕他人慈悲与抑郁症状之间的关系。方法 226 名接受住院短期心理动力学心理治疗 (STPP) 的慢性抑郁症患者样本提供了每周自我报告的自我慈悲、对慈悲的恐惧和抑郁症状的测量（患者健康问卷-9）。应用具有结构化残差的三变量潜在曲线模型来研究变量之间的患者之间和患者内部的关系。结果在患者之间的水平上，发现抑郁的斜率和同情恐惧的斜率之间存在显着的正相关。在患者内部水平，对同情心的恐惧水平低于预期水平预示着随后的抑郁水平也低于预期水平（平均每周效应量 = 0.12），且相互关系较小（平均每周效应量 = 0.08）。自我慈悲在预测随后的抑郁症方面没有显着的患者内部效应，但低于预期的抑郁水平对预测随后高于预期的自我慈悲水平有显着影响（平均每周效应大小= -0.13）。没有发现自我慈悲和对慈悲的恐惧之间存在患者内部的影响。结论 在本研究中，对同情的恐惧似乎可能是一种推定的改变机制，涉及缓解接受 STPP 治疗的慢性抑郁症患者的抑郁症状。另一方面，自我同情似乎是心理治疗的结果。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。