{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T19:14:50Z","timestamp":1770491690355,"version":"3.49.0"},"reference-count":23,"publisher":"Walter de Gruyter GmbH","issue":"4","license":[{"start":{"date-parts":[[2020,8,25]],"date-time":"2020-08-25T00:00:00Z","timestamp":1598313600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"FCT","award":["SFRH\/BD\/112833\/2015"],"award-info":[{"award-number":["SFRH\/BD\/112833\/2015"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_sjpain-2020-0082_s_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Studies have shown that self-compassion plays a protective role against depression in women with chronic pain (CP). However, the majority of studies in CP have used the total score of the self-compassion scale (SCS), which have raised concerns due to potential overlap, not only between the uncompassionate self-responding factors and psychopathology, but also between self-compassion as a whole and other well-known psychological processes (e.g., mindfulness, acceptance, psychological flexibility). This calls for a more nuanced understanding of which components of (un)compassionate self-responding adds to better mental health in CP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2020-0082_s_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study explores the unique contribution of compassionate and uncompassionate self-responding to depressive symptoms in women with CP undergoing pain consultation (n\u00a0=\u00a049).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2020-0082_s_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Correlation analyses suggest that compassionate self-responding only significantly correlates with progress in valued living, while the uncompassionate self-responding significantly correlates with pain fusion, pain avoidance, obstructions to valued living and depression. Multiple regression analysis showed that self-compassion contributes to depressive symptoms (R\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a08%) above and beyond pain intensity and disability (R\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a012%) and psychological (in) flexibility processes (R\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a031%), and uncompassionate (but not compassionate) self-responding uniquely contributes to depressive symptoms (\n                      <jats:italic>sr<\/jats:italic>\n                      <jats:sup>\n                        <jats:italic>2<\/jats:italic>\n                      <\/jats:sup>\n                      \u00a0=\u00a018%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2020-0082_s_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings suggest that uncompassionate self-responding is a stronger contributor to depression in CP than compassionate self-responding. Clinical implications are further discussed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/sjpain-2020-0082","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T15:58:38Z","timestamp":1598630318000},"page":"853-857","source":"Crossref","is-referenced-by-count":12,"title":["Above and beyond emotional suffering: the unique contribution of compassionate and uncompassionate self-responding in chronic pain"],"prefix":"10.1515","volume":"20","author":[{"given":"S\u00e9rgio A.","family":"Carvalho","sequence":"first","affiliation":[{"name":"CINEICC, Faculdade de Psicologia e de Ci\u00eancias da Educa\u00e7\u00e3o da Universidade de Coimbra , Rua do Col\u00e9gio Novo, Apartado 6153, 3001-802, Coimbra , Portugal"}]},{"given":"Jos\u00e9","family":"Pinto-Gouveia","sequence":"additional","affiliation":[{"name":"Cognitive-Behavioural Research Centre (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra , Coimbra , Portugal"}]},{"given":"David","family":"Gillanders","sequence":"additional","affiliation":[{"name":"School of Health in Social Sciences, University of Edinburgh , Edinburgh , UK"}]},{"given":"Teresa","family":"Lapa","sequence":"additional","affiliation":[{"name":"Anaesthesiology Service, Coimbra Hospital and University Centre , Coimbra , Portugal"}]},{"given":"Ana","family":"Valentim","sequence":"additional","affiliation":[{"name":"Anaesthesiology Service, Coimbra Hospital and University Centre , Coimbra , Portugal"}]},{"given":"Elsa","family":"Santos","sequence":"additional","affiliation":[{"name":"Anaesthesiology Service, Coimbra Hospital and University Centre , Coimbra , Portugal"}]},{"given":"Juliana","family":"Paci\u00eancia","sequence":"additional","affiliation":[{"name":"Anaesthesiology Service, Coimbra Hospital and University Centre , Coimbra , Portugal"}]},{"given":"Paula","family":"Castilho","sequence":"additional","affiliation":[{"name":"Cognitive-Behavioural Research Centre (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra , Coimbra , Portugal"}]}],"member":"374","published-online":{"date-parts":[[2020,8,25]]},"reference":[{"key":"2025120910011386031_j_sjpain-2020-0082_ref_001","unstructured":"Merksey, H, Bogduk, N. 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