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. 2022 Mar 7:13:798914.
doi: 10.3389/fpsyg.2022.798914. eCollection 2022.

Self-Compassion and Its Association With Ruminative Tendencies and Vagally Mediated Heart Rate Variability in Recurrent Major Depression

Julie Lillebostad Svendsen  1 , Elisabeth Schanche  2 , Jon Vøllestad  2 , Endre Visted  2 , Sebastian Jentschke  3 , Anke Karl  4 , Per-Einar Binder  2 , Berge Osnes  1   5 , Lin Sørensen  5
Affiliations

Self-Compassion and Its Association With Ruminative Tendencies and Vagally Mediated Heart Rate Variability in Recurrent Major Depression

Julie Lillebostad Svendsen et al. Front Psychol. .

Abstract

Background: Recurrent Major Depressive Disorder (MDD) is one of the most disabling mental disorders in modern society. Prior research has shown that self-compassion protects against ruminative tendencies, a key feature of recurrent MDD. In addition, self-compassion has been found to be positively related to higher psychophysiological flexibility (indexed by a higher vagally mediated heart rate variability; vmHRV) in young, healthy adults. To our knowledge, there is a lack of studies on how self-compassion relates to vmHRV in patients with recurrent MDD. The aim of the current study was to investigate whether higher self-compassion would associate with (1) lower ruminative tendencies and (2) higher vmHRV in a sample of adults with recurrent MDD.

Methods: We included a sample of 63 patients (46 females) between 20 and 71 years old (M = 40.24, SD = 12.8) with a history of three or more depressive episodes. They filled out the Self-Compassion Scale (SCS), Beck Depression Inventory (BDI), and Rumination Rating Scale (RRS). ECG (used to derive vmHRV) was acquired while resting and the square root of the mean squared differences of successive RR interval values (RMSSD) was calculated as measure of vmHRV.

Results: As hypothesized, self-compassion was associated with lower ruminative tendencies. However, self-compassion was not associated with level of vmHRV. Several confounding variables were controlled for in the statistical analyses, and higher age predicted lower vmHRV across all statistical analyses.

Conclusion: The results confirmed our hypothesis that higher self-compassion would be associated with lower ruminative tendencies in recurrent MDD. Contrary to our expectation, we did not find that the tendency to be more self-compassionate was associated with higher vmHRV. As such, higher self-compassion seems to relate with a lower tendency to ruminate about past mistakes and events but does not seem to relate to a flexible autonomic stress response (as indexed by higher vmHRV). Other potential explanatory factors for lower vmHRV in recurrent MDD is suggested as focus for exploration in future studies.

Keywords: recurrent depression; rumination; self-compassion; vagal (parasympathetic) reactivity; vagally mediated heart rate variability.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

    1. Aasen H. (2001). An empirical investigation of depression symptoms: norms, psychometric characteristics and factor structure of the Beck depression inventory II. Bergen: University of Bergen.
    1. Agorastos A., Heinig A., Stiedl O., Hager T., Sommer A., Muller J. C., et al. (2019). Vagal effects of endocrine HPA axis challenges on resting autonomic activity assessed by heart rate variability measures in healthy humans. Psychoneuroendocrinology 102 196–203. 10.1016/j.psyneuen.2018.12.017 - DOI - PubMed
    1. Agorastos A., Stiedl O., Heinig A., Sommer A., Hager T., Freundlieb N., et al. (2020). Inverse autonomic stress reactivity in depressed patients with and without prior history of depression. J. Psychiat. Res. 131 114–118. 10.1016/j.jpsychires.2020.09.016 - DOI - PubMed
    1. Antelmi I., De Paula R. S., Shinzato A. R., Peres C. A., Mansur A. J., Grupi C. J. (2004). Influence of age, gender, body mass index, and functional capacity on heart rate variability in a cohort of subjects without heart disease. Am. J. Card. 93 381–385. 10.1016/j.amjcard.2003.09.065 - DOI - PubMed
    1. Appelhans B. M., Luecken L. J. (2006). Heart rate variability as an index of regulated emotional responding. Rev. Gen. Psychol. 10 229–240. 10.1037/1089-2680.10.3.229 - DOI