This systematic review aims to estimate the extent to which childhood maltreatment influences self-compassion in later life.
Method:
Four English databases (Web of Science, PsycINFO, PubMed, and PsycARTICLES) and three Chinese databases (China National Knowledge Infrastructure, Wanfang, and Weipu) were systematically searched. We extracted data related to the associations between child maltreatment and self-compassion and pooled them using random effect models.
Findings:
A total of 20 eligible studies were included involving 6,877 participants in the analyses. Overall child maltreatment was negatively related to self-compassion (r = −.28, p < .001); emotional abuse and neglect were negatively related to self-compassion (r = −.28, p < .01; r = −.31, p < .01, respectively) at a moderate level; and physical abuse, sexual abuse, and physical neglect were negatively related to self-compassion (r = −.12, p < .01; r = −.10, p < .01; and r = −.22, p < .001, respectively) at a small level.
Conclusion:
The results indicate that overall and subtypes of maltreatment are associated with decreased self-compassion, and child intervention programs focused on self-compassion should be designed to protect the well-being of individuals with a history of childhood maltreatment.
BenjaminL. S. (2003). Interpersonal reconstructive therapy: Promoting change in nonresponders. Guilford.
3.
BernsteinD. P.SteinJ. A.NewcombM. D.WalkerE.PoggeD.AhluvaliaT.StokesJ.HandelsmanL.MedranoM.DesmondD.ZuleW. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27(2), 169–190.
4.
BluthK.Eisenlohr-MoulT. A. (2017). Response to a mindful self-compassion intervention in teens: A within-person association of mindfulness, self-compassion, and emotional well-being outcomes. Journal of Adolescence, 57, 108–118.
5.
BowlbyJ. (1988). A secure base: Parent–child attachment and healthy human development. Basic Books.
6.
ChenQ.SunX.XieQ.LiJ.ChanK. L. (2019). The impacts of internal migration on child victimization in China: A meta-analysis. Trauma, Violence, & Abuse, 20(1), 40–50.
7.
CoatesA. A.Messman-MooreT. L. (2014). A structural model of mechanisms predicting depressive symptoms in women following childhood psychological maltreatment. Child Abuse & Neglect, 38(1), 103–113.
8.
CohenR.MenonS. V.ShoreyR. C.LeV. D.TempleJ. R. (2017). The distal consequences of physical and emotional neglect in emerging adults: A person-centered, multi-wave, longitudinal study. Child Abuse & Neglect, 63, 151–161.
9.
CuiN.LiuJ. (2020). Physical abuse, emotional abuse, and neglect and childhood behavior problems: A meta-analysis of studies in mainland China. Trauma, Violence, & Abuse, 21(1), 206–224.
10.
DuvalS.TweedieR. (2000). Trim and fill: A simple funnel-plot based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56(2), 455–463.
11.
FangX.FryD. A.JiK.FinkelhorD.ChenJ.LannenP.DunneM. P. (2015). The burden of child maltreatment in China: A systematic review. Bulletin of the World Health Organization, 93(3), 176–185.
12.
*GengF.DongY.HANL.XieJ.XieS.LiuH. (2018). Relationship between self-compassion and childhood trauma in schizophrenia. Journal of Psychiatry, 31(1), 6–10.
13.
GibbB. E.BenasJ. S.CrossettS. E.UhrlassD. J. (2007). Emotional maltreatment and verbal victimization in childhood: Relation to adults’ depressive cognitions and symptoms. Journal of Emotional Abuse, 7(2), 59–73.
14.
GilbertP. (2005). Compassion and cruelty: A biopsychosocial approach. In GilbertP. (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 9–74). Routledge.
GilbertP. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6–41.
18.
GilbertP.ProcterS. (2006). Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13(6), 353–379.
19.
GilbertR.WidomC. S.BrowneK.FergussonD.WebbE.JansonS. (2009). Burden and consequences of child maltreatment in high-income countries. The Lancet, 373(9657), 68–81.
20.
HankinB. J. (2005). Childhood maltreatment and psychopathology: Prospective tests of attachment, cognitive vulnerability, and stress as mediating processes. Cognitive Therapy and Research, 29, 645–671.
21.
HigginsJ.ThompsonS. G.DeeksJ. J.AltmanD. G. (2003). Measuring inconsistency in meta-analyses. British Medical Journal, 327 (7414), 557–560.
22.
*HouX. L.BianX. H.ZuoZ. H.XiJ. Z.MaW. J.OwensL. D. (2020). Childhood maltreatment on young adult depression: A moderated mediation model of negative automatic thoughts and self-compassion. Journal of Health Psychology. https://doi.org/10.1177/1359105320918351
23.
HuhH. J.KimK. H.LeeH. K.ChaeJ. H. (2017). The relationship between childhood trauma and the severity of adulthood depression and anxiety symptoms in a clinical sample: The mediating role of cognitive emotion regulation strategies. Journal of Affective Disorders, 213, 44–50.
24.
JardimG. B. G.NoveloM.SpanembergL.GuntenA.EngroffP.NogueiraE. L.NetoA. C. (2018). Influence of childhood abuse and neglect subtypes on late-life suicide risk beyond depression. Child Abuse & Neglect, 80, 249–256.
25.
KaltonG. (1983). Introduction to survey sampling (Vol. 35). SAGE.
26.
KennyM. C.McEachernA. G. (2000). Racial, ethnic, and cultural factors of childhood sexual abuse: A selected review of the literature. Clinical Psychology Review, 20(7), 905–922.
27.
KlumparendtA.NelsonJ.BarenbrüggeJ.EhringT. (2019). Associations between childhood maltreatment and adult depression: A mediation analysis. BMC Psychiatry, 19(1), 36.
28.
*KoteraY.RhodesC. (2019). Pathways to sex addiction: Relationships with adverse childhood experience, attachment, narcissism, self-compassion and motivation in a gender-balanced sample. Sexual Addiction & Compulsivity, 26(1/2), 54–76.
29.
LipseyM. W.WilsonD. B. (2001). Practical meta-analysis (Vol. 49). SAGE.
30.
LuomaJ. B.VillatteJ. L. (2012). Mindfulness in the treatment of suicidal individuals. Cognitive and Behavioral Practice, 19(2), 265–276.
31.
MacBethA.GumleyA. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552.
32.
MandelliL.PetrelliC.SerrettiA. (2015). The role of specific early trauma in adult depression: A meta-analysis of published literature on childhood trauma and adult depression. European Psychiatry, 30(6), 665–680.
33.
MarshI. C.ChanS. W. Y.MacbethA. (2018). Self-compassion and psychological distress in adolescents-a meta-analysis. Mindfulness, 9, 1011–1027.
34.
*Messman-MooreT. L.BhuptaniP. H. (2020). Self-compassion and fear of self-compassion: Mechanisms underlying the link between child maltreatment severity and psychological distress in college women. Mindfulness, 11(6), 1446–1459.
35.
MinhA.MathesonF. I.DaoudN.Hamilton-WrightS.PedersenC.BorensteinH.O’CampoP. (2013). Linking childhood and adult criminality: Using a life course framework to examine childhood abuse and neglect, substance use and adult partner violence. International Journal of Environmental Research and Public Health, 10(11), 5470–5489.
36.
*MironL. R.OrcuttH. K.HannanS. M.ThompsonK. L. (2014). Childhood abuse and problematic alcohol use in college females: The role of self-compassion. Self and Identity, 13(3), 364–379.
37.
*MironL. R.SeligowskiA. V.BoykinD. M.OrcuttH. K. (2016). The potential indirect effect of childhood abuse on posttrauma pathology through self-compassion and fear of self-compassion. Mindfulness, 7, 596–605.
38.
Montero-MarinJ.KuykenW.CraneC.GuJ.BaerR.Al-AwamlehA. A.AkutsuS.Araya-VelizC.GhorbaniN.ChenZ. J.KimM. S.MantziosM.Rolim dos SantosD. N.Serramo LopezL. C.TelebA. A.WatsonP. J.YamaguchiA.YangE.Garcia-CampayoJ. (2018). Self-compassion and cultural values: A cross-cultural study of self-compassion using a multitrait-multimethod analytical procedure. Frontiers in Psychology, 9, 2638.
39.
*NaismithI.Zarate GuerreroS.FeigenbaumJ. (2019). Abuse, invalidation, and lack of early warmth show distinct relationships with self-criticism, self-compassion, and fear of self-compassion in personality disorder. Clinical Psychology & Psychotherapy, 26(3), 350–361.
40.
NeffK. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250.
41.
NeffK. D.McGeheeP. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9(3), 225–240.
42.
*PohlS.SteuweC.MainzV.DriessenM.BebloT. (2020). Borderline personality disorder and childhood trauma: Exploring the buffering role of self-compassion and self-esteem. Journal of Clinical Psychology, 77(3), 837–845.
43.
*QuinlanH. M.HaddenK. L.StoreyD. P. (2021). The relationship between self-compassion, childhood maltreatment and attachment orientation in high-risk adolescents. Youth & Society. https://doi.org/10.1177/0044118X211002857
44.
RaesF. (2011). The effect of self-compassion on the development of depression symptoms in a non-clinical sample. Mindfulness, 2(1), 33–36.
45.
Raque-BogdanT. L.EricsonS. K.JacksonJ.MartinH. M.BryanN. A. (2011). Attachment and mental and physical health: Self-compassion and mattering as mediators. Journal of Counseling Psychology, 58(2), 272–278.
46.
*ReffiA. N.BoykinD. M.OrcuttH. K. (2019). Examining pathways of childhood maltreatment and emotional dysregulation using self-compassion. Journal of Aggression Maltreatment & Trauma, 28(10), 1269–1285.
47.
RosenthalR. (1979). The file drawer problem and tolerance for null results. Psychological Bulletin, 86(3), 638–641.
48.
*RossN. D.KaminskiP. L.HerringtonR. (2019). From childhood emotional maltreatment to depressive symptoms in adulthood: The roles of self-compassion and shame. Child Abuse & Neglect, 92, 32–42.
49.
*RostamiM.SaadatiN.AbdiM. (2017). Relationship between childhood abuse and self-compassion with stress-coping strategies in women. Journal of Research & Health, 7(4), 962–970.
50.
*SaticiS. A.UysalR.AkinA. (2015). Early life experiences and self-compassion: A structural equation modelling. Estudios De Psicologia, 36(2), 343–365.
51.
ScoglioA. A. J.RudatD. A.GarvertD.JarmolowskiM.JacksonC.HermanJ. L. (2018). Self-compassion and responses to trauma: The role of emotion regulation. Journal of Interpersonal Violence, 33 (13), 2016–2036.
52.
ShenkC. E.NollJ. G.CassarlyJ. A. (2010). A multiple mediational test of the relationship between childhood maltreatment and non-suicidal self-injury. Journal of Youth and Adolescence, 39(4), 335–342.
53.
ShonkoffJ. P.BoyceW. T.McEwenB. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: Building a new framework for health promotion and disease prevention. JAMA, 301(21), 2252–2259.
54.
SteichenT. J. (2001). Nonparametric trim and fill analysis of publication bias in meta-analysis. Stata Technical Bulletin, 10(57), 8–14.
55.
SterneJ. A.EggerM. (2001). Funnel plots for detecting bias in meta-analysis: Guidelines on choice of axis. Journal of Clinical Epidemiology, 54(10), 1046–1055.
56.
StoltenborghM.Bakermans-KranenburgM. J.AlinkL. R. A.Van IjzendoornM. H. (2015). The prevalence of child maltreatment across the globe: Review of a series of meta-analyses. Child Abuse Review, 24(1), 37–50.
57.
*TanakaM.WekerleC.SchmuckM. L.Paglia-BoakA., & MAP Research Team. (2011). The linkages among childhood maltreatment, adolescent mental health, and self-compassion in child welfare adolescents. Child Abuse & Neglect, 35(10), 887–898.
van HarmelenA. L.de JongP. J.GlashouwerK. A.SpinhovenP.PenninxB. W.ElzingaB. M. (2010). Child abuse and negative explicit and automatic self-associations: The cognitive scars of emotional maltreatment. Behaviour Research and Therapy, 48(6), 486–494.
60.
Van DamN. T.SheppardS. C.ForsythJ. P.EarleywineM. (2011). Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. Journal of Anxiety Disorders, 25(1), 123–130.
61.
*VetteseL. C.DyerC. E.LiW. L.WekerleC. (2011). Does self-compassion mitigate the association between childhood maltreatment and later emotion regulation difficulties? A preliminary investigation. International Journal of Mental Health and Addiction, 9(5), 480–491.
62.
*WangJ. M. (2020). The relationship between emotional neglect and children’s depression: The role of self-compassion and gratitude [M.A. Thesis]. Shandong Normal University.
63.
WeberS.JudA.LandoltM. A. (2016). Quality of life in maltreated children and adult survivors of child maltreatment: A systematic review. Quality of Life Research, 25(2), 237–255.
64.
WilsonD. B.LipseyM. W. (2001). The role of method in treatment effectiveness research: Evidence from meta-analysis. Psychological Methods, 6 (4), 413–429.
65.
WolfgangV. (2007). Publication bias in meta-analysis: Prevention, assessment and adjustments. Psychometrika, 72 (2), 269–271.
66.
WrightM. O.CrawfordE.CastilloD. D. (2009). Childhood emotional maltreatment and later psychological distress among college students: The mediating role of maladaptive schemas. Child Abuse & Neglect, 33(1), 59–68.
67.
*WuQ.ChiP.LinX.DuH. (2018). Child maltreatment and adult depressive symptoms: Roles of self-compassion and gratitude. Child Abuse & Neglect, 80, 62–69.
ZhangH.LiuM.LongH. (2021). Child maltreatment and suicide ideation in rural China: The roles of self-compassion and school belonging. Child and Adolescent Social Work Journal, 38, 325–335.
