The Impact of a Self-Compassion Intervention on Shame and Mental Health Treatment-Seeking

NCT ID: NCT05284123

Last Updated: 2024-06-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

265 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-12

Study Completion Date

2024-05-31

Brief Summary

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Untreated mental health problems can cause lasting harm to self-esteem, relationships, academics, productivity, and health. It is thus highly worrisome that only 18-36% of university students with significant mental health problems seek help. Many university campuses have responded to this mental health crisis by trying to increase students' mental health literacy (MHL), defined as "knowledge and beliefs about mental disorders which aid their recognition, management, or prevention''. Increasing MHL appears to increase knowledge about mental health services, but it does not increase actual treatment-seeking desire or action. One problem with this approach is that it falsely assumes that students struggling with their mental health will want to pursue services once they have learned more about mental disorders and the associated treatments available. However, most people with mental disorders do not initially recognize that they have a disorder and may dismiss information about mental disorders and mental health treatment as irrelevant. Feelings of shame are elevated in individuals with psychological disorders, and these feelings act as one of the strongest barriers to mental health treatment-seeking.Given the low rate of treatment-seeking on university campuses, research is needed to explore how best to facilitate mental health treatment seeking among distressed students, including those who may not self-identity as having a mental health problem. Research has yet to examine the potential role of self-compassion in relation to treatment-seeking behaviours. Self-compassion (SC) is conceptualized as responding to personal distress with gentleness and kindness in order to alleviate it, and it is negatively associated with shame. However, research has not yet explored whether the perceived benefits of SC in mitigating shame can affect mental health treatment-seeking outcomes. We propose that cultivating SC amongst psychologically distressed students will subsequently decrease shame, and thus, indirectly elevate willingness to seek mental health treatment. Thus, this study will examine the effects of a one-session SC workshop/intervention compared to a one-session MHL intervention on shame and mental health treatment-seeking. Participants will be distressed students recruited from the University of Waterloo, and will be randomly assigned to the SC intervention, MHL intervention, or control intervention.

Detailed Description

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The study will consist of four online surveys. During the first survey (Part 1; baseline), participants will answer a set of questionnaires. During the second survey (Part 2; 1-4 days after Part 1), participants will first answer a set of questionnaires. Then, they will be randomized to a self-compassion intervention, a mental health literacy intervention, or a control intervention. Then, participants will answer more questionnaires immediately after completing the intervention. During the third survey (Part 3; 14-17 days after Part 2) and fourth survey (Part 4; 3 months-3 months+7 days after Part 2), participants will answer a set of questionnaires.

Conditions

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Psychological Distress

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

1/3 of the study participants (anticipated n=100) will be randomly assigned to the self-compassion intervention group, 1/3 of the participants (anticipated n=100) will be placed into the mental health literacy intervention group, and 1/3 of the study participants (anticipcated n=100) will be placed into the control group.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
The participant will not know prior to their study participation that there are three different study conditions, and they will not find out which condition they were randomized to until the end of their study participation.

Study Groups

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Self-compassion intervention

Brief (20-minute) workshop with a self-compassion writing exercise and information about mental health resources available to students.

Group Type EXPERIMENTAL

Self-compassion workshop

Intervention Type OTHER

The self-compassion workshop instructs participants to reflect on a source of shame, connect with their suffering related to it, and then direct feelings of support and understanding towards their suffering via a few brief writing tasks. This workshop also provides participants with basic information about mental health resources.

Mental health literacy intervention

Brief (20-minute) workshop with information and a written reflection about common mental disorders, and information about mental health resources available to students.

Group Type EXPERIMENTAL

Mental health literacy workshop

Intervention Type OTHER

The mental health literacy workshop provides participants with information about the symptoms and treatment of common mental disorders, and asks participants to reflect on what they learned through a couple brief writing tasks. This workshop also provides participants with basic information about mental health resources.

Control

Brief (7-minute) workshop with information about mental health resources available to students.

Group Type ACTIVE_COMPARATOR

Control workshop

Intervention Type OTHER

The control workshop provides participants with basic information about mental health resources.

Interventions

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Self-compassion workshop

The self-compassion workshop instructs participants to reflect on a source of shame, connect with their suffering related to it, and then direct feelings of support and understanding towards their suffering via a few brief writing tasks. This workshop also provides participants with basic information about mental health resources.

Intervention Type OTHER

Mental health literacy workshop

The mental health literacy workshop provides participants with information about the symptoms and treatment of common mental disorders, and asks participants to reflect on what they learned through a couple brief writing tasks. This workshop also provides participants with basic information about mental health resources.

Intervention Type OTHER

Control workshop

The control workshop provides participants with basic information about mental health resources.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Undergraduate student at University of Waterloo with a SONA account
* Scored 8+ on Kessler Psychological Distress Scale (K6; screener scale)

Exclusion Criteria

* None
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Waterloo

OTHER

Sponsor Role lead

Responsible Party

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Allison Kelly

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Allison Kelly, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Waterloo

Locations

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University of Waterloo

Waterloo, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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42483

Identifier Type: -

Identifier Source: org_study_id

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