{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T18:09:00Z","timestamp":1788977340858,"version":"build-2803163510"},"reference-count":51,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008460","name":"National Center for Complementary and Integrative Health","doi-asserted-by":"publisher","award":["R01AT009841"],"award-info":[{"award-number":["R01AT009841"]}],"id":[{"id":"10.13039\/100008460","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosmentalhealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Ment Health"],"abstract":"<jats:p>\n                    Individuals with physical disabilities experience higher rates of depression relative to the general population. Shame is a central mechanism linking disability status to poor mental health outcomes, including depression. Psychological flexibility and self-compassion have been shown to change one\u2019s relationship to negative self-evaluations such as shame. The goal of this study was to determine if psychological flexibility and self-compassion negatively predict depression and buffer the impact of shame on depression in adults with physical disabilities. Adults with physical disabilities (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009207) completed self-report measures of psychological flexibility, self-compassion, shame, and depression. Consistent with prediction, a series of multiple regressions indicated that psychological flexibility and self-compassion negatively predicted depression over and beyond shame, and they both mitigated the impact of shame on depression among adults with physical disabilities (all\n                    <jats:italic>p<\/jats:italic>\n                    \u2019s\u2009&lt;\u2009.05). These results suggest that psychological flexibility and self-compassion enhancing treatments, such as mindfulness-based interventions and acceptance and commitment therapy may be helpful in improving the mental health and wellbeing of adults with physical disabilities.\n                  <\/jats:p>","DOI":"10.1371\/journal.pmen.0000707","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:36:36Z","timestamp":1788975396000},"page":"e0000707","update-policy":"https:\/\/doi.org\/10.1371\/journal.pmen.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological flexibility and self-compassion buffer the impact of shame on depression among adults with physical disabilities"],"prefix":"10.1371","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4657-4571","authenticated-orcid":true,"given":"Michael","family":"Christopher","sequence":"first","affiliation":[{"name":"Boise State University, 1910 University 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