Changes in the semantic construction of compassion after the cognitively-based compassion training (cbct®) in women breast cancer survivors

  1. Edgar González-Hernández 1
  2. Daniel Campos 2
  3. Rebeca Diego-Pedro 1
  4. Rocío Romero 3
  5. Rosa Baños 4
  6. Lobsang Tenzin Negi 5
  7. Ausias J. Cebolla 4
  1. 1 Universidad de las Américas Puebla
    info

    Universidad de las Américas Puebla

    San Andrés Cholula, México

    ROR https://ror.org/01s1km724

  2. 2 Universidad de Zaragoza
    info

    Universidad de Zaragoza

    Zaragoza, España

    ROR https://ror.org/012a91z28

  3. 3 Instituto Valenciano de Oncologia
    info

    Instituto Valenciano de Oncologia

    Valencia, España

    ROR https://ror.org/01fh9k283

  4. 4 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

  5. 5 Emory University
    info

    Emory University

    Atlanta, Estados Unidos

    ROR https://ror.org/03czfpz43

Journal:
The Spanish Journal of Psychology

ISSN: 1138-7416

Year of publication: 2021

Issue: 24

Type: Article

DOI: 10.1017/SJP.2021.31 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: The Spanish Journal of Psychology

Sustainable development goals

Abstract

The growing body of research on compassion has demonstrated its benefits for healthcare and wellbeing. However, there is no clear agreement about a definition for compassion, given the novelty of the research on this construct and its religious roots. The aim of this study is to analyze the mental semantic construction of compassion in Spanishspeaking women breast cancer survivors, and the effects of the Cognitively-Based Compassion Training (CBCT®) on the modification of this definition, compared to treatment-as-usual (TAU), at baseline, post-intervention, and six-month follow-up. Participants were 56 women breast cancer survivors from a randomized clinical trial. The Osgood’s Semantic Differential categories (evaluative, potency, and activity scales) were adapted to assess the semantic construction of compassion. At baseline, participants had an undefined idea about compassion. The CBCT influenced subjects’ semantic construction of what it means to be compassionate. Findings could lead to future investigations and compassion programs that adapt to a specific culture or population.

Bibliographic References

  • Arambasic, J., Sherman, K. A., Elder, E., & Breast Cancer Network Australia. (2019). Attachment styles, self- compassion, and psychological adjustment in long-term breast cancer survivors. Psycho-Oncology, 28(5), 1134–1141. http://doi.org/10.1002/pon.5068.
  • Arch, J. J., Brown, K. W., Dean, D. J., Landy, L. N., Brown, K. D., & Laudenslager, M. L. (2014). Selfcompassion training modulates alpha-amylase, heart rate variability, and subjective responses to social evaluative threat in women. Psychoneuroendocrinology, 42, 49–58. http://doi.org/10.1016/j.psyneuen.2013.12.018.
  • Campos, D., Cebolla, A., Quero, S., Bretón-López, J., Botella, C., Soler, J., García-Campayo, J., Demarzo, M., & Baños, R.M. (2016). Meditation and happiness: Mindfulness and self-compassionmaymediate themeditation–happiness relationship. Personality and Individual Differences, 93, 80–85. http://doi.org/10.1016/j.paid.2015.08.040.
  • Curry, O. S., Rowland, L. A., van Lissa, C. J., Zlotowitz, S., McAlaney, J., & Whitehouse, H. (2018). Happy to help? A systematic review and meta-analysis of the effects of performing acts of kindness on the well-being of the actor. Journal of Experimental Social Psychology, 76, 320–329. http:// doi.org/10.1016/j.jesp.2018.02.014.
  • Dalai Lama. (2012). Beyond religion: Ethics for a whole world. Random House.
  • Real Academia Española. (2014). Diccionario de la lengua española [Dictionary of the Spanish language]. (23rd Ed.). Espasa Libros, S. L. U.
  • Dodds, S. E., Pace, T. W.W., Bell, M. L., Fiero, M., Negi, L. T., Raison, C. L., & Weihs, K. L. (2015). Feasibility of cognitively-based compassion training (CBCT) for breast cancer survivors: A randomized, wait list controlled pilot study. Supportive Care in Cancer, 23(12), 3599–3608. http:// doi.org/10.1007/s00520-015-2888-1.
  • Dunbar, R. (2014). Human evolution: A pelican introduction. Penguin.
  • Feliu-Soler, A., Pascual, J. C., Elices, M., Martín-Blanco, A., Carmona, C., Cebolla, A., Simón, V., & Soler, J. (2017). Fostering self-compassion and loving-kindness in patients with borderline personality disorder: A randomized pilot study. Clinical Psychology & Psychotherapy, 24(1), 278–286. http://doi.org/10.1002/cpp.2000.
  • García-Campayo, J., Cebolla, A., & Demarzo, M. (2016). La ciencia de la compasión [The Science of Compassion]. (1ª Ed.). Alianza.
  • García-Campayo, J., Demarzo, M., Shonin, E., & van Gordon, W. (2017). How do cultural factors influence the teaching and practice of mindfulness and compassion in Latin countries? Frontiers in Psychology, 8, Article 1161. http://doi.org/10.3389/fpsyg.2017.01161.
  • Gerdes, K. E. (2011). Empathy, sympathy, and pity: 21stcentury definitions and implications for practice and research. Journal of Social Service Research, 37(3), 230–241. http://doi.org/10.1080/01488376.2011.564027.
  • Gilbert, P. (2017). Compassion: Concepts, research and applications. Routledge. https://doi.org/10.4324/ 9781315564296.
  • Gilbert, P., Basran, J., MacArthur, M., & Kirby, J. N. (2019). Differences in the semantics of prosocial words: An exploration of compassion and kindness. Mindfulness, 10(11), 2259–2271. http://doi.org/10.1007/s12671-019- 01191-x.
  • Gilbert, P.,&Mascaro, J. (2017). Compassion, fears, blocks and resistances: An evolutionary investigation. In E. M. Seppälä, E. Simon-Thomas, S. L. Brown, M. C. Worline, C. D. Cameron, & J. R. Doty (Eds.), The Oxford handbook of compassion science (pp. 399–420). Oxford University Press.
  • Gladkova, A. (2010). Sympathy, compassion, and empathy in English and Russian: A linguistic and cultural analysis. Culture & Psychology, 16(2), 267–285. http://doi.org/ 10.1177/1354067X10361396.
  • Goetz, J. L., & Simon-Thomas, E. (2017). The landscape of compassion: Definitions and scientific approaches. In J. R. Doty (Ed.), The Oxford handbook of compassion science (pp. 3–16). Oxford University Press.
  • Gonzalez-Hernandez, E., Romero, R., Campos, D., Burichka, D., Diego-Pedro, R., Baños, R., Negi, L.T., & Cebolla, A. (2018). Cognitively-based compassion training (CBCT®) in breast cancer survivors: A randomized clinical trial study. Integrative Cancer Therapies, 17(3), 684–696. http://doi.org/10.1177/1534735418772095.
  • Gu, J., Cavanagh, K., Baer, R., & Strauss, C. (2017). An empirical examination of the factor structure of compassion. PLOSONE, 12(2), Article e0172471. http://doi.org/10.1371/ journal.pone.0172471.
  • Homan, K. J., & Sirois, F. M. (2017). Self-compassion and physical health: Exploring the roles of perceived stress and health-promoting behaviors. Health Psychology Open, 4(2). http://doi.org/10.1177/2055102917729542.
  • Kelly, A. C., &Carter, J. C. (2015). Self-compassion training for binge eating disorder: A pilot randomized controlled trial. Psychology and Psychotherapy: Theory, research and practice, 88 (3), 285–303. http://doi.org/10.1111/papt.12044.
  • Kemeny, M. E., Foltz, C., Cavanagh, J. F., Cullen, M., GieseDavis, J., Jennings, P., Rosenberg, E. L., Gillath, O., Shaver, P. R.,Wallace, B. A., & Ekman, P. (2012). Contemplative/ emotion training reduces negative emotional behavior and promotes prosocial responses. Emotion, 12(2), 338–350. http://doi.org/10.1037/a0026118.
  • Kirby, J. N., Tellegen, C. L., & Steindl, S. R. (2017). A metaanalysis of compassion-based interventions: Current state of knowledge and future directions. Behavior Therapy, 48(6), 778–792. http://doi.org/10.1016/j.beth.2017.06.003.
  • Klimecki, O. M., Leiberg, S., Ricard, M., & Singer, T. (2013). Differential pattern of functional brain plasticity after compassion and empathy training. Social Cognitive and Affective Neuroscience, 9(6), 873–879. http://doi.org/ 10.1093/scan/nst060.
  • Leaviss, J., & Uttley, L. (2015). Psychotherapeutic benefits of compassion-focused therapy: An early systematic review. Psychological Medicine, 45(5), 927–945. http://doi.org/ 10.1017/S0033291714002141.
  • Mascaro, J. S., Kelley, S., Darcher, A., Negi, L. T., Worthman, C., Miller, A., & Raison, C. (2018). Meditation buffers medical student compassion from the deleterious effects of depression. The Journal of Positive Psychology, 13(2), 133–142. http://doi.org/10.1080/17439760.2016.1233348.
  • Negi, L. T. (2013). Emory compassion meditation protocol: Cognitively-based compassion training manual. Emory University.
  • Neely, M. E., Schallert, D. L., Mohammed, S., Roberts, R. M., & Chen, Y. (2009). Self-kindness when facing stress: The role of self-compassion, goal regulation, and support in college students’ wellbeing. Motivation and Emotion, 3(1), 88–97. http://doi.org/10.1007/s11031-008-9119-8.
  • Osgood, C. E.,May,W.H., &Miron,M. S. (1975).Cross-cultural universals of affective meaning. University of Illinois Press.
  • Osgood, C. E. (1964). Semantic differential technique in the comparative study of cultures. American Anthropologist, 66(3), 171–200. https://doi.org/10.1525/ aa.1964.66.3.02a00880.
  • Pace, T. W. W., Negi, L. T., Dodson-Lavelle, B., Ozawa-de Silva, B., Reddy, S. H., Cole, S. P., Danese, A., Craighead, L. W., & Raison, C. L. (2013). Engagement with cognitivelybased compassion training is associated with reduced salivary C-reactive protein from before to after training in foster care program adolescents. Psychoneuroendocrinology, 38(2), 294–299. http://doi.org/10.1016/ j.psyneuen.2012.05.019.
  • Pauley, G., & McPherson, S. (2010). The experience and meaning of compassion and self-compassion for individuals with depression or anxiety. Psychology and Psychotherapy: Theory, Research and Practice, 83(2), 129–143. http://doi.org/ 10.1348/147608309X471000.
  • Shantideva. (2007). The way of the bodhisattva. Shambhala Publications.
  • Sinclair, S., Beamer, K., Hack, T. F., McClement, S., Raffin Bouchal, S., Chochinov, H. M., & Hagen, N. A. (2017). Sympathy, empathy, and compassion: A grounded theory study of palliative care patients’ understandings, experiences, and preferences. Palliative Medicine, 31(5), 437–447. http://doi.org/10.1177/0269216316663499.
  • Strauss, C., Taylor, B. L., Gu, J., Kuyken, W., Baer, R., Jones, F., & Cavanagh, K. (2016). What is compassion and how can wemeasure it? A reviewof definitions andmeasures.Clinical Psychology Review, 47, 15–27. http://doi.org/10.1016/ j.cpr.2016.05.004.
  • van Dam, N. T., Sheppard, S. C., Forsyth, J. P., & Earleywine, M. (2011). Selfcompassion is a better predictor than mindfulness of symptom severity and quality of life inmixed anxiety and depression. Journal of Anxiety Disorders, 25(1), 123–130. http://doi.org/10.1016/j.janxdis.2010.08.011.
  • Weng, H. Y., Fox, A. S., Shackman, A. J., Stodola, D. E., Caldwell, J. Z. K., Olson,M. C., Rogers, G.M., &Davidson, R. J. (2013). Compassion training alters altruism and neural responses to suffering.Psychological Science, 24(7), 1171–1180. http://doi.org/10.1177/0956797612469537.
  • Williams, P. B., Poljacik, G., Decety, J., & Nusbaum, H. C. (2017). Loving-kindness language exposure leads to changes in sensitivity to imagined pain. The Journal of Positive Psychology, 13(4), 429–434.
  • WorldMedical Association. (2001).WorldMedical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bulletin of the World Health Organization, 79(4), 373–374.
  • Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self-compassion and well-being: A meta-analysis.Applied Psychology: Health andWell-Being, 7(3), 340–364. http://doi.org/10.1111/aphw.12051.