Emotion Regulation as a Mediator of Self-Compassion and Depressive Symptoms in Recurrent Depression

A key challenge for people who struggle with major depressive disorder (MDD) is the prevention of recurrence, given that the risk of recurrence increases significantly with each episode. Recently, it has been suggested that low levels of self-compassion may be an enduring risk factor for depression recurrence; however, surprisingly little research has examined the pathways through which self-compassion and recurrent depressive symptoms are linked. Thus, our study examined how self-compassion may be protective in the recurrence of depressive symptoms through four emotion regulation strategies associated with depression: brooding rumination, experiential avoidance, cognitive reappraisal, and acceptance. A sample of 100 participants with a history of recurrent depression were recruited using Amazon's Mechanical Turk (MTurk). Simple and multiple mediation analyses were conducted. Results from the simple mediation models indicated that higher levels of self-compassion were associated with lower depressive symptoms through brooding rumination, experiential avoidance, and acceptance, while cognitive reappraisal did not mediate the relation. The multiple mediation model revealed that brooding rumination was the only significant mediator, when controlling for other emotion regulation strategy variables. Theoretical implications are discussed.