Self-compassion and complete perinatal mental health in women at high risk for postpartum depression: The mediating role of emotion regulation difficulties.

Objectives: There is evidence suggesting that self-compassion is linked to key mechanisms in emotion regulation models of depression and anxiety. However, the majority of prior research has targeted community samples and overlooked the analysis of such mechanisms in relation to positive mental health. This study sought to examine the direct and indirect effects, via emotion regulation difficulties, of self-compassion on the complete mental health outcomes of women at high risk for postpartum depression (PPD).

Design: Cross-sectional, correlational study.

Methods: The sample for this study comprised 1053 postpartum women presenting high risk for PPD, as determined by the clinical cut-off score obtained through the Postpartum Depression Predictors Inventory-Revised. The assessment protocol further included self-report measures of self-compassion, depression and anxiety symptoms, flourishing and emotion regulation difficulties. Correlation analyses were conducted to ascertain associations between variables, and path analysis was performed to examine direct and indirect effects.

Results: Difficulties in emotion regulation mediated the links between self-compassion and negative (distress) and positive (flourishing) mental health outcomes. The overall mediation model explained 48% and 39% of variance for psychological distress and flourishing/positive mental health respectively.

Conclusions: These findings support the applicability of an emotion regulation model of self-compassion to women identified as being at high risk of developing PPD. Self-compassion interventions directed at these women are likely to decrease their levels of emotion dysregulation and to improve their complete mental health outcomes.