Abstract
近年,行動療法の「第三の波」とよばれるアクセプタンス&コミットメント・セラピーなどの心理療法による抑うつや不安の改善において,自分自身に対する思いやりであるとされるセルフ・コンパッションの向上が寄与しうることが指摘されている。しかしながら,セルフ・コンパッションは,思いやりの感情および苦痛を緩和しようという動機を含む包括的な概念であり,認知行動論的な予測と制御が可能であるとはいいがたい現状にある。そこで本研究では,抑うつおよび不安に対するセルフ・コンパッションの効果に関して,行動に随伴する正の強化の程度である報酬知覚の影響性を検討することを目的とした。私立大学の大学生など105名を対象に調査を実施した結果,セルフ・コンパッションから報酬知覚を介した抑うつあるいは特性不安への間接効果が有意であることが示された。そのため,抑うつや不安に対するセルフ・コンパッションの効果においては,部分的ではあるものの,報酬知覚によって予測と制御が可能であることが示唆された。今後は,報酬知覚に加えて,他の要因の影響性を検討することが必要であると考えられる。
Translated Abstract
It has recently been pointed out that improved self-compassion (i.e., compassion toward oneself) may contribute to improvement in depression and anxiety through the so-called “third wave” of behavioral therapies, such as Acceptance and Commitment Therapy. Self-compassion is, however, a comprehensive concept that includes feelings of compassion as well as the motivation to alleviate distress; therefore it is difficult to say that the improvement can be predicted and controlled from a cognitive-behavioral perspective. This study examined how perceived reward, the degree of accompanying positive reinforcement following behavior, can influence the improvement in the effects of self-compassion on depression and anxiety. The results of a survey of 105 university students at a private university indicated that self-compassion had a significant indirect effect on depression or trait anxiety via reward perception. Reward perception thus appears to be predicting and controlling the effects of self-compassion on depression and anxiety, albeit only partially. Further studies are needed to examine the influence of other factors.
引用文献
- Alasiri, E., Bast, D., & Kolts, R. L.(2019). Using the implicit relational assessment procedure(IRAP)to explore common humanity as a dimension of self-compassion. Journal of Contextual Behavioral Science, 14, 65-72. https://doi.org/10.1016/j.jcbs.2019.09.004
- 有光 興記(2014). セルフ・コンパッション尺度日本語版の作成と信頼性, 妥当性の検討 心理学研究, 85, 50-59. https://doi.org/10.4992/jjpsy.85.50
- Barlow, D. H., Farchione, T. J., Bullis, J. R., Gallagher, M. W., Murray-Latin, H., Sauer-Zavala, S., Bentley, K. H., Thompson-Hollands, J., Conklin, L. R., Boswell, J. F., Ametaj, A., Carl, J. R., Boettcher, H. T., & Cassiello-Robbins, C.(2017). The unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specifıc protocols for anxiety disorders: A randomized clinical trial. JAMA Psychiatry, 74(9), 875-884. https://doi.org/10.1001/jamapsychiatry.2017.2164
- Barnard, L. K., & Curry, J. F.(2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15, 289-303. https://doi.org/10.1037/a0025754
- Faul, F., Erdfelder, E., Lang, A-G., & Buchner, A.(2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/bf03193146
- Ferrari, M., Hunt, C., Harrysunker, A., Abbott, M. J., Beath, A. P., & Einstein, D. A.(2019). Self-compassion interventions and psychosocial outcomes: A meta-analysis of RCTs. Mindfulness, 10, 1455-1473. https://doi.org/10.1007/s12671-019-01134-6
- Gawrysiak, M., Nicholas, C., & Hopko, D. R.(2009). Behavioral activation for moderately depressed university students: Randomized controlled trial. Journal of Counseling Psychology, 56, 468-475. https://doi.org/10.1037/a0016383
- Gilbert, P.(Ed.). (2005). Compassion Conceptualisations, research and use in psychotherapy. Routledge.
- Hayes, S. C., Strosahl, K. D., & Wilson, K. G.(1999). Acceptance and commitment therapy: An experiential approach to behavior change. Guilford Press.
- Hofmann, S. G., & Gomez, A. F.(2017). Mindfulnessbased interventions for anxiety and depression. The Psychiatric Clinics of North America, 40, 739-749. https://doi.org/10.1016/j.psc.2017.08.008
- Ito, M., Horikoshi, M., Kato, N., Oe, Y., Fujisato, H., Nakajima, S., Kanie, A., Miyamae, M., Takebayashi, Y., Horita, R., Usuki, M., Nakagawa, A., & Ono, Y.(2016). Transdiagnostic and transcultural: Pilot study of unified protocol for depressive and anxiety disorders in Japan. Behavior Therapy, 47(3), 416-430. https://doi.org/10.1016/j.beth.2016.02.005
- 伊藤 正哉・加藤 典子・藤里 紘子(2019). うつと不安に対する診断横断的な認知行動療法の最前線 分子精神医学, 19(1), 23-27.
- 岩本 美江子・百々 栄徳・米田 純子・石居 房子・後藤 博・上田 洋一・森江 堯子(1989). 状態―特性不安尺度(STAI)の検討およびその騒音ストレスへの応用に関する研究 日本衛生学雑誌, 43, 1116-1123. https://doi.org/10.1265/jjh.43.1116
- Jacobson, N. S., Martell, C. R., & Dimidjian, S. (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology: Science and Practice, 8(3), 255-270. https://doi.org/10.1093/clipsy.8.3.255
- Kolts, R. L., Bell, T., Bennett-Levy, J., & Irons, C.(2018). Experiencing compassion-focused therapy from the inside out: A self-practice/ self-ref lection workbook for therapists. Guilford Publications.(コルツ, R. L., ベル, T., ベネット- レヴィ, J., アイロン, C. 浅野 憲一( 監訳)(2021). 体験的コンパッション・フォーカスト・セラピー 岩崎学術出版社)
- 国里 愛彦・高垣 耕企・岡島 義・中島 俊・石川 信一・金井 嘉宏・岡本 泰昌・坂野 雄二・山脇 成人(2011). 日本語版 Environmental Reward Observation Scale (EROS)の作成と信頼性・妥当性の検討行動療法研究, 37, 21-31. https://doi.org/10.24468/jjbt.37.1_21
- Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., Evans, A., Radford, S., Teasdale, J. D., & Dalgleish, T.(2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48, 1105-1112. https://doi.org/10.1016/j.brat.2010.08.003
- Lopez, A., Sanderman, R., Smink, A., Zhang, Y., van Sonderen, E., Ranchor, A., & Schroevers, M. J.(2015). A reconsideration of the self-compassion scale’s total score: Self-compassion versus selfcriticism. PLoS ONE, 10(7), e0132940 https://doi.org/10.1371/journal.pone.0132940
- MacBeth, A., & Gumley, A.(2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545-552. https://doi.org/10.1016/j.cpr.2012.06.003
- Mascaro, J. S., Florian, M. P., Ash, M. J., Palmer, P. K., Frazier, T., Condon, P., & Raison, C.(2020). Ways of knowing compassion: How do we come to know, understand, and measure compassion when we see it? Frontiers in Psychology, 11, 547241. https://doi.org/ 10.3389/fpsyg.2020.547241
- McFarland, B. R., Shankman, S. A., Tenke, C. E., Bruder, G. E., & Klein, D. N. (2006). Behavioral activation system deficits predict the six-month course of depression. Journal of Affective Disorders, 91(2-3), 229-234. https://doi.org/10.1016/j.jad.2006.01.012
- Muramoto, Y.(2003). An indirect self-enhancement in relationship among Japanese. Journal of Cross-Cultural Psychology, 34, 552-566. https://doi.org/10.1177/0022022103256478
- Neff, K. D.(2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223-250. https://doi.org/10.1080/15298860309027
- Neff, K. D, Toth-Kiraly, I., Yarnell, L. M., Arimitsu, K., Castilho, P., Ghorbani, N., Guo, H. X., Hirsch, J. K., Hupfeld, J., Hutz, C. S., Kotsou, I., Lee, W. K., Montero-Marin, J., Sirois, F. M., de Souza, L, K., Svendsen, J. L., Wilkinson, R. B., & Mantzios, M.(2019). Examining the factor structure of the Self-Compassion Scale in 20 diverse samples: Support for use of a total score and six subscale scores. Psychological Assessment, 31(1), 27-45. https://doi.org/10.1037/pas0000629
- 西山 佳子・坂井 誠(2009). 日本人大学生に対するうつ病評価尺度(日本版 BDI-II)適用の有用性 行動療法研究, 35, 145-154. https://doi.org/10.24468/jjbt.35.2_145
- Segal, Z. V., Williams, J. M. G., & Teasdale, J. D.(2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford Press.
- 高橋 雄介・山形 伸二・木島 伸彦・繁桝 算男・大野 裕・安藤 寿康(2007). Grayの気質モデル――BIS/BAS尺度日本語版の作成と双生児法による行動遺伝学的検討―― パーソナリティ研究, 15, 276-289. https://doi.org/10.2132/personality.15.276
- Tirch, D., Schoendorff, B., & Silberstein, L. R.(2014). The ACT practitioner’s guide to the science of compassion: Tools for fostering psychological flexibility. New Harbinger Publications.
- Yela, J. R., Crego, A., Buz, J., Sanchez-Zaballos, E., & Gomez-Martinez, M. A.(2022). Reductions in experiential avoidance explain changes in anxiety, depression and well-being after a mindfulness and self-compassion(MSC)training. Psychology and Psychotherapy: Theory, Research and Practice, 95, 402-422. https://doi.org/ 10.1111/papt.12375
- 山本 竜也・首藤 祐介・坂井 誠(2016). Reward Probability Index(RPI)日本語版の作成と信頼性・妥当性の検討 行動療法研究, 42, 247-256. https://doi.org/10.24468/jjbt.42.2_247