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Open AccessOriginalarbeit

Selbstmitgefühl mediiert den Zusammenhang zwischen dysfunktionalen Persönlichkeitsstilen und der mentalen Gesundheit depressiver Patient_innen

Published Online:July 14, 2022https://doi.org/10.1026/1616-3443/a000649

Abstract

Zusammenfassung.Theoretischer Hintergrund: Ein selbstunsicherer und Borderline-Persönlichkeitsstil scheinen positiv mit Symptomschwere und negativ mit Lebenszufriedenheit bei depressiven Personen zusammenzuhängen. Selbstmitgefühl könnte hierbei eine vermittelnde Rolle spielen. Fragestellung: Die vorliegende Studie untersuchte, ob ein geringeres Selbstmitgefühl den Zusammenhang eines selbstunsicheren bzw. Borderline-Persönlichkeitsstils mit geringerer Lebenszufriedenheit und höherer Symptomschwere vermittelt. Methode: In einer Querschnitts-Erhebung beantworteten 78 ambulante Patient_innen mit Majorer Depression Fragebögen zu Selbstmitgefühl, Lebenszufriedenheit, depressiver Symptomschwere und Persönlichkeitsstilen. Anschließend wurden Mediationsanalysen berechnet. Ergebnisse: Die Ergebnisse implizieren, dass ein geringeres Selbstmitgefühl den Zusammenhang zwischen einem selbstunsicheren Stil und depressiver Symptomschwere vermittelt. Insbesondere eine ausgeprägtere Selbstverurteilung vermittelte den Zusammenhang zwischen einem selbstunsicheren bzw. Borderline-Stil und geringerer Lebenszufriedenheit. Schlussfolgerungen: Selbstmitgefühl zu stärken und insbesondere Selbstverurteilung zu reduzieren könnte bei depressiven Patient_innen mit selbstunsicherem oder Borderline-Stil ein Ansatzpunkt zur Verbesserung der mentalen Gesundheit sein, was in Interventionsstudien untersucht werden sollte. Limitationen der Studie sind das querschnittliche Design und die geringe interne Konsistenz einzelner Selbstmitgefühls-Facetten.


Self-Compassion Mediates the Relationship Between Dysfunctional Personality Styles and Mental Health in Depressive Outpatients

Abstract.Background: Avoidant and borderline personality styles seem to negatively affect the mental health of depressive individuals. Self-compassion may play an important mediating role in this regard. Objective: The present study investigated whether lower self-compassion mediates the association of an avoidant or borderline personality style with lower life satisfaction and higher symptom severity. Methods: In a cross-sectional survey, 78 outpatients with Major Depression answered questionnaires on self-compassion, life satisfaction, symptom severity, and personality styles. We then calculated mediation analyses. Results: The results indicate that self-compassion mediates the relationship between an avoidant style and symptom severity. Particularly stronger self-judgment mediated the association of avoidant and Borderline styles with lower life satisfaction. Conclusions: Increasing self-compassion and particularly reducing self-judgment in depressive outpatients with avoidant and borderline styles may be a way to improve mental health, something intervention studies should investigate further. Limitations lie in the cross-sectional design and the low internal consistency of some self-compassion facets.

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