The Effects of Mindfulness on Shame: Exploring Mediation by Cognitive Flexibility and Self-Compassion in a Chinese Adult Population

Abstract

To examine the effects of mindfulness on shame and the mechanisms mediated by cognitive flexibility and self-compassion in a Chinese adult population in daily life, we conducted two studies. Study 1 was a cross-sectional study using the Five-Factor Mindfulness Questionnaire, the Cognitive Flexibility Inventory, the Self-Compassion Scale, and the Self-Conscious Affect-3, which were administered to 481 adults in Beijing and Chengdu. For Study 2, an 8-month follow-up study was conducted on 128 of the adults. The results of Study 1 showed that (1) the awareness of action and nonjudgment dimensions, and the total score of mindfulness were significantly correlated with shame; (2) cognitive flexibility and self-compassion could fully mediate the prediction of mindfulness on shame. The Study 2 showed that (1) mindfulness and shame were significantly negatively correlated in both phases of measurement; (2) controlling for T1 shame, T1 mindfulness was able to negatively predict T2 shame; controlling for T1 mindfulness, T1 shame was not able to predict T2 mindfulness. There is a longitudinal association between mindfulness and shame, and only mindfulness scores are predictive of the shame and not vice-versa; both cognitive flexibility and self-compassion can provide explanations for the prediction of shame by mindfulness. Enhancing levels of mindfulness can help alleviate individuals' shame levels.

Keywords

cognitive flexibility / mindfulness / self-compassion / shame

References

[1] Baer, R. A., G. T. Smith, J. Hopkins, J. Krietemeyer, and L. Toney. 2006. “Using Self-Report Assessment Methods to Explore Facets of Mindfulness.” Assessment 13, no. 1: 27-45. https://doi.org/10.1177/1073191105283504.

[2] Barnard, L. K., and J. F. Curry. 2011. “Self-Compassion: Conceptualizations, Correlates, & Interventions.” Review of General Psychology 15, no. 4: 289-303. https://doi.org/10.1037/a0025754.

[3] Beshai, S., J. L. Prentice, and V. Huang. 2018. “Building Blocks of Emotional Flexibility: Trait Mindfulness and Self-Compassion Are Associated With Positive and Negative Mood Shifts.” Mindfulness 9: 939-948. https://doi.org/10.1007/s12671-017-0833-8.

[4] Bishop, S. R., M. Lau, S. Shapiro, et al. 2004. “Mindfulness: A Proposed Operational Definition.” Clinical Psychology: Science and Practice 11, no. 3: 230-241. https://doi.org/10.1093/clipsy.bph077.

[5] Brem, M. J., R. C. Shorey, S. Anderson, and G. L. Stuart. 2017. “Dispositional Mindfulness, Shame, and Compulsive Sexual Behaviors Among Men in Residential Treatment for Substance Use Disorders.” Mindfulness 8, no. 6: 1552-1558. https://doi.org/10.1007/s12671-017-0723-0.

[6] Candea, D.-M., and A. Szentagotai-Tata. 2018. “Shame-Proneness, Guilt-Proneness and Anxiety Symptoms: A Meta-Analysis.” Journal of Anxiety Disorders 58: 78-106. https://doi.org/10.1016/j.janxdis.2018.07.005.

[7] Ceclan, A.-A., and D.-M. Nechita. 2021. “The Effects of Self-Compassion Components on Shame-Proneness in Individuals With Depression: An Exploratory Study.” Clinical Psychology & Psychotherapy 28, no. 5: 1103-1110. https://doi.org/10.1002/cpp.2560.

[8] Cenkner, D. P., P. Held, and A. K. Zalta. 2024. “A Latent Profile Analysis of Moral Emotions Following Moral Transgressions.” Journal of Clinical Psychology 80: 1754-1766. https://doi.org/10.1002/jclp.23691.

[9] Cenkner, D. P., H. Usman, and A. K. Zalta. 2023. “Differential Associations of Rumination and Cognitive Flexibility With Guilt and Shame Following Potentially Morally Injurious Events.” Journal of Affective Disorders 325: 135-140. https://doi.org/10.1016/j.jad.2022.12.165.

[10] Chen, J., L. Yan, and L. Zhou. 2011. “Reliability and Validity of Chinese Version of Self-Compassion Scale.” Chinese Journal of Clinical Psychology 19, no. 6: 734-736. https://doi.org/10.16128/j.cnki.1005-3611.2011.06.006.

[11] China Internet Network Information Center. 2024. “The 53rd Statistical Report on China's Internet Development.” https://www.cnnic.net.cn/n4/2024/0321/c208-10962.html.

[12] Daneshvar, S., S. Basharpoor, and M. Shafiei. 2022. “Self-Compassion and Cognitive Flexibility in Trauma-Exposed Individuals With and Without PTSD.” Current Psychology 41: 2045-2052. https://doi.org/10.1007/s12144-020-00732-1.

[13] Dearing, R. L., J. Stuewig, and J. P. Tangney. 2005. “On the Importance of Distinguishing Shame From Guilt: Relations to Problematic Alcohol and Drug Use.” Addictive Behaviors 30, no. 7: 1392-1404. https://doi.org/10.1016/j.addbeh.2005.02.002.

[14] Dennis, J. P., and J. S. Vander Wal. 2010. “The Cognitive Flexibility Inventory: Instrument Development and Estimates of Reliability and Validity.” Cognitive Therapy and Research 34, no. 3: 241-253. https://doi.org/10.1007/s10608-009-9276-4.

[15] Fink-Lamotte, J., J. Hoyer, P. Platter, C. Stierle, and C. Exner. 2023. “Shame on Me? Love Me Tender! Inducing and Reducing Shame and Fear in Social Anxiety in an Analogous Sample.” Clinical Psychology in Europe 5, no. 3: e7895. https://doi.org/10.32872/cpe.7895.

[16] Fioravanti, G., S. B. Benucci, V. Vinciarelli, and S. Casale. 2023. “Body Shame and Problematic Social Networking Sites Use: The Mediating Effect of Perfectionistic Self-Presentation Style and Body Image Control in Photos.” Current Psychology 43: 4073-4084. https://doi.org/10.1007/s12144-023-04644-8.

[17] Galhardo, A., M. Cunha, and J. Pinto-Gouveia. 2013. “Mindfulness-Based Program for Infertility: Efficacy Study.” Fertility and Sterility 100, no. 4: 1059-1067. https://doi.org/10.1016/j.fertnstert.2013.05.036.

[18] Gilbert, P.1998. “What Is Shame? Some Core Issues and Controversies.” In Series in Affective Science. Shame: Interpersonal Behavior, Psychopathology, and Culture, 3-38. New York, US: Oxford University Press.

[19] Gilbert, P.2009. “Introducing Compassion-Focused Therapy.” Advances in Psychiatric Treatment 15, no. 3: 199-208. https://doi.org/10.1192/apt.bp.107.005264.

[20] Gioia, F., M. D. Griffiths, and V. Boursier. 2020. “Adolescents' Body Shame and Social Networking Sites: The Mediating Effect of Body Image Control in Photos.” Sex Roles 83, no. 11-12: 773-785. https://doi.org/10.1007/s11199-020-01142-0.

[21] Goffnett, J., J. M. Liechty, and E. Kidder. 2020. “Interventions to Reduce Shame: A Systematic Review.” Journal of Behavioral and Cognitive Therapy 30, no. 2: 141-160. https://doi.org/10.1016/j.jbct.2020.03.001.

[22] Goldsmith, R. E., J. I. Gerhart, S. A. Chesney, J. W. Burns, B. Kleinman, and M. M. Hood. 2014. “Mindfulness-Based Stress Reduction for Posttraumatic Stress Symptoms: Building Acceptance and Decreasing Shame.” Journal of Evidence-Based Complementary & Alternative Medicine 19, no. 4: 227-234. https://doi.org/10.1177/2156587214533703.

[23] González-Martín, A. M., A. Aibar-Almazán, Y. Rivas-Campo, and Y. Castellote-Caballero. 2023. “Mindfulness to Improve the Mental Health of University Students. A Systematic Review and Meta-Analysis.” Frontiers in Public Health 11: 1284632. https://doi.org/10.3389/fpubh.2023.1284632.

[24] Hofmann, S. G., A. T. Sawyer, A. A. Witt, and D. Oh. 2010. “The Effect of Mindfulness-Based Therapy on Anxiety and Depression: A Meta-Analytic Review.” Journal of Consulting and Clinical Psychology 78, no. 2: 169-183. https://doi.org/10.1037/a0018555.

[25] Kabat-Zinn, J.2003. “Mindfulness-Based Interventions in Context: Past, Present, and Future.” Clinical Psychology: Science and Practice 10, no. 2: 144-156. https://doi.org/10.1093/clipsy.bpg016.

[26] Kelly, A. C., and J. C. Carter. 2013. “Why Self-Critical Patients Present With More Severe Eating Disorder Pathology: The Mediating Role of Shame.” British Journal of Clinical Psychology 52, no. 2: 148-161. https://doi.org/10.1111/bjc.12006.

[27] Kelly, A. C., and S. V. Waring. 2018. “A Feasibility Study of a 2-Week Self-Compassionate Letter-Writing Intervention for Nontreatment Seeking Individuals With Typical and Atypical Anorexia Nervosa.” International Journal of Eating Disorders 51, no. 8: 1005-1009. https://doi.org/10.1002/eat.22930.

[28] Keng, S.-L., M. J. Smoski, and C. J. Robins. 2011. “Effects of Mindfulness on Psychological Health: A Review of Empirical Studies.” Clinical Psychology Review 31, no. 6: 1041-1056. https://doi.org/10.1016/j.cpr.2011.04.006.

[29] Kim, S., R. Thibodeau, and R. S. Jorgensen. 2011. “Shame, Guilt, and Depressive Symptoms: A Meta-Analytic Review.” Psychological Bulletin 137, no. 1: 68-96. https://doi.org/10.1037/a0021466.

[30] Kim, S. Y., Y. S. Seo, and K. Y. Baek. 2014. “Face Consciousness Among South Korean Women: A Culture-Specific Extension of Objectification Theory.” Journal of Counseling Psychology 61, no. 1: 24-36. https://doi.org/10.1037/a0034433.

[31] Lao, S.-A., D. Kissane, and G. Meadows. 2016. “Cognitive Effects of MBSR/MBCT: A Systematic Review of Neuropsychological Outcomes.” Consciousness and Cognition 45: 109-123. https://doi.org/10.1016/j.concog.2016.08.017.

[32] Lewis, H. B.1971. “Shame and Guilt in Neurosis.” Psychoanalytic Review 58, no. 3: 419-438.

[33] Lewis, M.1995. “Self-Conscious Emotions.” American Scientist 83, no. 1: 68-78.

[34] Lewis M., J. M. Haviland-Jones, and L. F. Barrett, eds. 2008. Handbook of Emotions. 3rd ed. New York: Guilford Press.

[35] Lindsay, E. K., and J. D. Creswell. 2017. “Mechanisms of Mindfulness Training: Monitor and Acceptance Theory (MAT).” Clinical Psychology Review 51: 48-59. https://doi.org/10.1016/j.cpr.2016.10.011.

[36] Liu, X., W. Xu, Y. Wang, et al. 2015. “Can Inner Peace Be Improved by Mindfulness Training: A Randomized Controlled Trial.” Stress and Health 31, no. 3: 245-254. https://doi.org/10.1002/smi.2551.

[37] Liu, Z., Y. Jia, M. Li, et al. 2022. “Effectiveness of Online Mindfulness-Based Interventions for Improving Mental Health in Patients With Physical Health Conditions: Systematic Review and Meta-Analysis.” Archives of Psychiatric Nursing 37: 52-60. https://doi.org/10.1016/j.apnu.2021.10.001.

[38] Ma, H., H. Liu, Y. Zhai, and G. Li. 2019. “Revision and Verification of the Test of Self-Conscious Affect for Adolescents.” Studies of Psychology and Behavior 17, no. 2: 240-245.

[39] Marshall, E.-J., and R. N. Brockman. 2016. “The Relationships Between Psychological Flexibility, Self-Compassion, and Emotional Well-Being.” Journal of Cognitive Psychotherapy 30, no. 1: 60-72. https://doi.org/10.1891/0889-8391.30.1.60.

[40] Martin, M. M., and R. B. Rubin. 1995. “A New Measure of Cognitive Flexibility.” Psychological Reports 76, no. 2: 623-626. https://doi.org/10.2466/pr0.1995.76.2.623.

[41] Martin, M. M., S. M. Staggers, and C. M. Anderson. 2011. “The Relationships Between Cognitive Flexibility With Dogmatism, Intellectual Flexibility, Preference for Consistency, and Self-Compassion.” Communication Research Reports 28, no. 3: 275-280. https://doi.org/10.1080/08824096.2011.587555.

[42] Mohajeri, M., A. Alfooneh, and M. Imani. 2023. “Studying the Mediating Role of Psychological Flexibility and Self-Compassion in the Relationship Between Traumatic Memories of Shame and Severity of Depression and Anxiety Symptoms.” International Journal of Body, Mind & Culture (2345-5802) 10, no. 1: 41-50. https://doi.org/10.22122/ijbmc.v10i1.467.

[43] Moore, A., and P. Malinowski. 2009. “Meditation, Mindfulness and Cognitive Flexibility.” Consciousness and Cognition 18, no. 1: 176-186. https://doi.org/10.1016/j.concog.2008.12.008.

[44] Mosewich, A. D., K. C. Kowalski, C. M. Sabiston, W. A. Sedgwick, and J. L. Tracy. 2011. “Self-Compassion: A Potential Resource for Young Women Athletes.” Journal of Sport and Exercise Psychology 33, no. 1: 103-123. https://doi.org/10.1123/jsep.33.1.103.

[45] Nechita, D.-M., and D. David. 2023. “The Longitudinal Links Between Shame, Eating Disorders and Social Anxiety Symptoms: A Cross-Lagged Panel Analysis.” Current Psychology 42, no. 28: 24260-24274. https://doi.org/10.1007/s12144-022-03513-0.

[46] Neff, K. D.2003a. “Self-Compassion: An Alternative Conceptualization of a Healthy Attitude Toward Oneself.” Self and Identity 2, no. 2: 85-101. https://doi.org/10.1080/15298860309032.

[47] Neff, K. D.2003b. “The Development and Validation of a Scale to Measure Self-Compassion.” Self and Identity 2, no. 3: 223-250. https://doi.org/10.1080/15298860309027.

[48] Neff, K. D.2023. “Self-Compassion: Theory, Method, Research, and Intervention.” Annual Review of Psychology 74, no. 1: 193-218. https://doi.org/10.1146/annurev-psych-032420-031047.

[49] Neff, K. D., and C. K. Germer. 2013. “A Pilot Study and Randomized Controlled Trial of the Mindful Self-Compassion Program.” Journal of Clinical Psychology 69, no. 1: 28-44. https://doi.org/10.1002/jclp.21923.

[50] Neff, K. D., and P. McGehee. 2010. “Self-Compassion and Psychological Resilience Among Adolescents and Young Adults.” Self and Identity 9, no. 3: 225-240. https://doi.org/10.1080/15298860902979307.

[51] Okan Er, Y., and M. E. Deni̇Z. 2022. “The Mediating Role of Self-Compassion and Cognitive Flexibility in the Relationship Between Differentiation of Self and Subjective Well-Being.” Cukurova University Faculty of Education Journal 51, no. 3: 1642-1680. https://doi.org/10.14812/cufej.1074927.

[52] Oren-Schwartz, R., A. Aizik-Reebs, K. Yuval, Y. Hadash, and A. Bernstein. 2022. “Effect of Mindfulness-Based Trauma Recovery for Refugees on Shame and Guilt in Trauma Recovery Among African Asylum-Seekers.” Emotion 23: 622-632. https://doi.org/10.1037/emo0001126.

[53] Pallant, J.2020. SPSS Survival Manual: A Step by Step Guide to Data Analysis Using IBM SPSS. 6th ed. London: Routledge. https://doi.org/10.4324/9781003117407.

[54] Proeve, M., R. Anton, and M. Kenny. 2018. “Effects of Mindfulness-Based Cognitive Therapy on Shame, Self-Compassion and Psychological Distress in Anxious and Depressed Patients: A Pilot Study.” Psychology and Psychotherapy: Theory, Research and Practice 91, no. 4: 434-449. https://doi.org/10.1111/papt.12170.

[55] Qian, M., X. Liu, and R. Zhu. 2001. “Phenomenological Research of Shame Among College Students.” Chinese Mental Health Journal 2: 73-75.

[56] Schoemann, A. M., A. J. Boulton, and S. D. Short. 2017. “Determining Power and Sample Size for Simple and Complex Mediation Models.” Social Psychological and Personality Science 8, no. 4: 379-386. https://doi.org/10.1177/1948550617715068.

[57] Sedighimornani, N.2019. “Is Shame Managed Through Mind-Wandering?” European Journal of Psychotraumatology 15, no. 4: 717-732. https://doi.org/10.5964/ejop.v15i4.1787.

[58] Shapero, B. G., J. Greenberg, D. Mischoulon, P. Pedrelli, K. Meade, and S. W. Lazar. 2018. “Mindfulness-Based Cognitive Therapy Improves Cognitive Functioning and Flexibility Among Individuals With Elevated Depressive Symptoms.” Mindfulness 9, no. 5: 1457-1469. https://doi.org/10.1007/s12671-018-0889-0.

[59] Shapiro, S. L., L. E. Carlson, J. A. Astin, and B. Freedman. 2006. “Mechanisms of Mindfulness.” Journal of Clinical Psychology 62, no. 3: 373-386. https://doi.org/10.1002/jclp.20237.

[60] Sheehy, K., A. Noureen, A. Khaliq, et al. 2019. “An Examination of the Relationship Between Shame, Guilt and Self-Harm: A Systematic Review and Meta-Analysis.” Clinical Psychology Review 73: 101779. https://doi.org/10.1016/j.cpr.2019.101779.

[61] Shi, K., G. Feng, Q. Huang, M. Ye, and H. Cui. 2023. “Mindfulness and Negative Emotions Among Chinese College Students: Chain Mediation Effect of Rumination and Resilience.” Frontiers in Psychology 14: 1280663. https://doi.org/10.3389/fpsyg.2023.1280663.

[62] Sun, T., Y. Yan, Y. Jin, and J. An. 2021. “Effects of Mindfulness-Based Interventions on Self-Compassion: A Meta-Analysis.” Advances in Psychological Science 29, no. 10: 1808-1828. https://doi.org/10.3724/sp.j.1042.2021.01808.

[63] Swee, M. B., C. C. Hudson, and R. G. Heimberg. 2021. “Examining the Relationship Between Shame and Social Anxiety Disorder: A Systematic Review.” Clinical Psychology Review 90: 102088. https://doi.org/10.1016/j.cpr.2021.102088.

[64] Swee, M. B., K. Klein, S. Murray, and R. G. G. Heimberg. 2023. “A Brief Self-Compassionate Letter-Writing Intervention for Individuals With High Shame.” Mindfulness 14, no. 4: 854-867. https://doi.org/10.1007/s12671-023-02097-5.

[65] Tangney, J. P., and R. L. Dearing. 2002. Shame and Guilt. New York: Guilford Press. https://doi.org/10.4135/9781412950664.n388.

[66] Tangney, J. P., P. Wagner, and R. Gramzow. 1992. “Proneness to Shame, Proneness to Guilt, and Psychopathology.” Journal of Abnormal Psychology 101, no. 3: 469-478. https://doi.org/10.1037/0021-843X.101.3.469.

[67] Teasdale, J. D., Z. Segal, and J. M. G. Williams. 1995. “How Does Cognitive Therapy Prevent Depressive Relapse and Why Should Attentional Control (Mindfulness) Training Help?” Behaviour Research and Therapy 33, no. 1: 25-39. https://doi.org/10.1016/0005-7967(94)E0011-7.

[68] Vliet, K. J. V.2008. “Shame and Resilience in Adulthood: A Grounded Theory Study.” Journal of Counseling Psychology 55, no. 2: 233-245. https://doi.org/10.1037/0022-0167.55.2.233.

[69] Wang, Y., Y. Yang, W. Xiao, and Q. Su. 2016. “Validity and Reliability of the Chinese Version of the Cognitive Flexibility Inventory in College Students.” Chinese Mental Health Journal 30, no. 1: 58-63.

[70] Weiner, B.1985. “An Attributional Theory of Achievement Motivation and Emotion.” Psychological Review 4, no. 92: 548-573. https://doi.org/10.1037/0033-295X.92.4.548.

[71] Wen, X., Q. Zhang, X. Liu, J. Du, and W. Xu. 2021. “Momentary and Longitudinal Relationships of Mindfulness to Stress and Anxiety Among Chinese Elementary School Students: Mediations of Cognitive Flexibility, Self-Awareness, and Social Environment.” Journal of Affective Disorders 293: 197-204. https://doi.org/10.1016/j.jad.2021.06.038.

[72] Westerman, G., E. McCann, and E. Sparkes. 2020. “Evaluating the Effectiveness of Mindfulness and Compassion-Based Programs on Shame and Associated Psychological Distress With Potential Issues of Salience for Adult Survivors of Childhood Sexual Abuse: A Systematic Review.” Mindfulness 11, no. 8: 1827-1847. https://doi.org/10.1007/s12671-020-01340-7.

[73] Woods, H., and M. Proeve. 2014. “Relationships of Mindfulness, Self-Compassion, and Meditation Experience With Shame-Proneness.” Journal of Cognitive Psychotherapy 28, no. 1: 20-33. https://doi.org/10.1891/0889-8391.28.1.20.

[74] Xu, W., Y. Wang, and X. Liu. 2015. “Effectiveness of 8-Week Mindfulness Training Improving Negative Emotions.” Chinese Mental Health Journal 29, no. 7: 497-502.

[75] Yousefi Afrashteh, M., and F. Hasani. 2022. “Mindfulness and Psychological Well-Being in Adolescents: The Mediating Role of Self-Compassion, Emotional Dysregulation and Cognitive Flexibility.” Borderline Personality Disorder and Emotion Dysregulation 9, no. 1: 22. https://doi.org/10.1186/s40479-022-00192-y.

[76] Zeidan, F., N. M. Emerson, S. R. Farris, et al. 2015. “Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia.” Journal of Neuroscience 35, no. 46: 15307-15325. https://doi.org/10.1523/JNEUROSCI.2542-15.2015.

[77] Zhang, J., Z. Hu, S. Zheng, and Y. Liu. 2023. “A Chain Mediation Model Reveals the Association Between Mindfulness and Depression of College Students.” Scientific Reports 13, no. 1: 16830. https://doi.org/10.1038/s41598-023-43984-0.

[78] Zhong, B., C. Zhang, G. Si, and J. Liu. 2016. “Structural Validity Test of the Simplified Chinese Five-Dimensional Mindfulness Questionnaire in College Students and Athletes.” Chinese Journal of Sports Medicine 35, no. 1: 53-62. https://doi.org/10.16038/j.1000-6710.2016.01.011.

[79] Zhou, H., and L. Long. 2004. “Statistical Remedies for Common Method Biases.” Advances in Psychological Science 12, no. 6: 942.

[80] Zou, Y., P. Li, S. G. Hofmann, and X. Liu. 2020. “The Mediating Role of Non-reactivity to Mindfulness Training and Cognitive Flexibility: A Randomized Controlled Trial.” Frontiers in Psychology 11: 1053. https://doi.org/10.3389/fpsyg.2020.01053.

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