{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:48:04Z","timestamp":1790804884214,"version":"4.1.0"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,1,18]],"date-time":"2018-01-18T00:00:00Z","timestamp":1516233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The tendency to experience shame or guilt is associated differentially with anxiety and depression, with shame being associated with greater psychopathology. Correlational studies have shown self\u2010compassion to be related to lower shame and rumination, and mindfulness\u2010based interventions increase self\u2010compassion. Therefore, mindfulness\u2010based interventions may decrease shame. This pilot study aimed to assess the association of shame, rumination, self\u2010compassion, and psychological distress and the effects of a mindfulness\u2010based intervention on these measures in a clinical sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Single\u2010group design with pre\u2010test and post\u2010test measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Thirty\u2010two service users who experienced clinically diagnosed depressive or anxiety disorders in a mindfulness\u2010based cognitive therapy programme were assessed before and twenty\u2010two after therapy with measures of shame\u2010proneness, external shame, rumination, self\u2010compassion, and psychological distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Shame\u2010proneness and external shame were positively correlated with self\u2010coldness, and external shame was positively correlated with stress and depressive symptoms. Self\u2010compassion increased and self\u2010coldness decreased, while shame\u2010proneness, rumination, anxiety, and stress symptoms decreased from pre\u2010 to post\u2010treatment. There was no significant reduction in depressive symptoms, guilt\u2010proneness, or external shame.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our preliminary findings suggest that mindfulness\u2010based approaches may be helpful in increasing self\u2010compassion and reducing shame\u2010proneness in mixed groups of anxious and depressed patients. Controlled studies of the effects of mindfulness\u2010based interventions on shame in clinical populations are warranted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Shame\u2010proneness and external shame showed different patterns of relationship with depressive and stress symptoms and with self\u2010compassion.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            Shame\u2010proneness decreased to a greater extent than external shame decreased following participation in an\n                            <jats:styled-content style=\"fixed-case\">MBCT<\/jats:styled-content>\n                            group.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Mindfulness\u2010based interventions may benefit shame\u2010proneness to a greater extent than external shame.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12170","type":"journal-article","created":{"date-parts":[[2018,1,18]],"date-time":"2018-01-18T11:29:49Z","timestamp":1516274989000},"page":"434-449","source":"Crossref","is-referenced-by-count":49,"title":["Effects of mindfulness\u2010based cognitive therapy on shame, self\u2010compassion and psychological distress in anxious and depressed patients: A pilot study"],"prefix":"10.1111","volume":"91","author":[{"given":"Michael","family":"Proeve","sequence":"first","affiliation":[{"name":"School of Psychology The University of Adelaide South Australia 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