{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:07:44Z","timestamp":1778922464040,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"abstract":"<jats:p>\n                    Postpartum depression (PPD) is associated with low self-esteem, heightened rumination, and loneliness, which represent key cognitive-emotional vulnerability factors perpetuating symptoms, especially in primiparous women. This randomized controlled trial aimed to evaluate the efficacy of an 8-week group Compassion-Focused Therapy (CFT) in enhancing self-esteem and reducing rumination and loneliness among primiparous women diagnosed with PPD. Forty-eight participants in a large city in Iran were randomly allocated to CFT (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200924) or waitlist control (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200924) using a pretest-posttest design with 2-month follow-up. Outcomes were measured with the Rosenberg Self-Esteem Scale, Ruminative Response Scale, and UCLA Loneliness Scale; data were analyzed via repeated-measures ANOVA. The CFT group showed significant improvements relative to controls (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001 for Group\u2009\u00d7\u2009Time interactions; \u03b7\n                    <jats:sup>2<\/jats:sup>\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.59\u20130.63), with higher self-esteem and lower rumination and loneliness maintained at follow-up. These results suggest CFT effectively targets core vulnerabilities in PPD, supporting its potential role in perinatal mental health care.\n                  <\/jats:p>","DOI":"10.1177\/13591053261442607","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T08:16:22Z","timestamp":1778487382000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Healing through self-kindness: Efficacy of compassion-based intervention in enhancing self-esteem, reducing rumination, and alleviating loneliness in primiparous women with postpartum depression"],"prefix":"10.1177","author":[{"given":"Sajedeh","family":"Heydari","sequence":"first","affiliation":[{"name":"Ahv.C., Islamic Azad University, Ahvaz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6802-4151","authenticated-orcid":false,"given":"Zahra","family":"Dasht Bozorgi","sequence":"additional","affiliation":[{"name":"Ahv.C., Islamic Azad University, Ahvaz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Aghebati A Joekar S Alimoradi H et al. 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