Improve PTSD with Mindfulness and Self-Compassion

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By John M. de Castro, Ph.D.

 

“Mindful self-compassion is the foundation of emotional healing—being aware in the present moment when we’re struggling with feelings of inadequacy, despair, confusion, and other forms of stress. Mindful self-compassion also means holding difficult emotions—fear, anger, sadness, shame and self-doubt—and ourselves, in loving awareness, leading to greater ease and well-being in our daily lives.” – David Germer

 

Experiencing trauma is quite common. It has been estimated that 60% of men and 50% of women will experience a significant traumatic event during their lifetime. But, only a fraction will develop Post-Traumatic Stress Disorder (PTSD). But this still results in a frightening number of people with 7%-8% of the population developing PTSD at some point in their life. For military personnel, it’s much more likely for PTSD to develop with about 11%-20% of those who have served in a war zone developing PTSD.

 

PTSD involves a number of troubling symptoms including reliving the event with the same fear and horror in nightmares or with a flashback. PTSD sufferers avoid situations that remind them of the event this may include crowds, driving, movies, etc. and may avoid seeking help because it keeps them from having to think or talk about the event. They often experience negative changes in beliefs and feelings including difficulty experiencing positive or loving feelings toward other people, avoiding relationships, memory difficulties, or see the world as dangerous and no one can be trusted. Sufferers may feel hyperarousal, feeling keyed up and jittery, or always alert and on the lookout for danger. They may experience sudden anger or irritability, may have a hard time sleeping or concentrating, may be startled by a loud noise or surprise.

 

Obviously, these are troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat PTSD. One of which, mindfulness training has been found to be particularly effective. Another potential contributor to successful treatment of PTSD is self-compassion. It “refers to how one relates to oneself when the present moment is painful. . . Self-compassion involves acknowledging the difficulty of the experience, responding inward with kindness and support, and remembering that suffering is part of the shared human experience.” (Dahm et al., 2016). Obviously, having self-compassion would tend to assist a PTSD sufferer in coping with the aftermath of their traumatic experiences.

 

In today’s Research News article “Mindfulness, Self-Compassion, Posttraumatic Stress Disorder Symptoms, and Functional Disability in U.S. Iraq and Afghanistan War Veterans.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1435535836470338/?type=3&theater

or see summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5032647/

Dahm and colleagues study the relationships of mindfulness and self-compassion in coping with the symptoms of PTSD. They recruited war veterans who had experienced one or more traumatic events during their military service. The veterans then completed measures of PTSD symptom severity, functional disability, mindfulness, and self-compassion. They found strong negative relationships between mindfulness and self-compassion and the severity of PTSD symptoms and the amount of functional disability they produced, such that when either or both mindfulness and self-compassion were high PTSD symptom severity and functional disability were low.

 

These results suggest that the impact of traumatic events on the individual may be mitigated by both mindfulness and self-compassion. It appears that being able to view these events mindfully markedly reduces the emotional reactions to the experiences. Indeed, mindfulness if known to improve the individual’s ability to regulate emotions, to lower anger, anxiety, worry, and depression, and to decrease the individual’s physical and psychological responses to stress. In addition, being able to have compassion for oneself appear to produce an additional, additive, reduction in PTSD symptoms and disability. Being able to have kindness and understanding toward oneself appears to be also important in dealing with the aftermath of intense trauma.

 

So, improve PTSD with mindfulness and self-compassion.

 

“treating ourselves kindly can be quite a foreign concept. Giving ourselves some slack can be viewed as making excuses for ourselves, or encouraging self pity. Our critical thoughts judge our weaknesses and struggles in ways that we would never express toward a friend. We say things to ourselves that are quite shocking. Self hostility, just like abuse from others, impacts our ability to manage stress and is associated with a host of mental health problem.” – Kristin Neff

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

 

Study Summary

Dahm, K., Meyer, E. C., Neff, K., Kimbrel, N. A., Gulliver, S. B., & Morissette, S. B. (2015). Mindfulness, Self-Compassion, Posttraumatic Stress Disorder Symptoms, and Functional Disability in U.S. Iraq and Afghanistan War Veterans. Journal of Traumatic Stress, 28(5), 460–464. http://doi.org/10.1002/jts.22045

 

Abstract

Mindfulness and self-compassion are overlapping but distinct constructs that characterize how people relate to emotional distress. Both are associated with PTSD and may be related to functional disability. While self-compassion includes mindful awareness of emotional distress, it is a broader construct that also includes being kind and supportive to oneself and viewing suffering as part of the shared human experience – a powerful way of dealing with distressing situations. We examined the associations of mindfulness and self-compassion with PTSD symptom severity and functional disability in 115 trauma-exposed Iraq/Afghanistan war veterans. Mindfulness and self-compassion were each uniquely, negatively associated with PTSD symptom severity. After accounting for mindfulness, self-compassion accounted for unique variance in PTSD symptom severity (f2 = .25; medium ES). After accounting for PTSD symptom severity, mindfulness and self-compassion were each uniquely negatively associated with functional disability. The combined association of mindfulness and self-compassion with disability over and above PTSD was large (f2 = .41). After accounting for mindfulness, self-compassion accounted for unique variance in disability (f2 = .13; small ES). These findings suggest that interventions aimed at increasing mindfulness and self-compassion could potentially decrease functional disability in returning veterans with PTSD symptoms.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5032647/

 

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