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Mindfulness and self-compassion in trauma-related adjustment among adult women: a three-wave multi-regional study.

Siqun Zhan, Dingfan Zhang, Yifan Ou

Frontiers in Psychology May 29, 2026 DOI: 10.3389/fpsyg.2026.1716193 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort (three-wave online survey) Peer reviewed
Sample size 240
Population Trauma-exposed adult women from eastern and western China
Duration Three waves (T1 to T2 follow-up)
Topics Meditation
Keywords Dissociation Depressive symptoms Adult women Self-compassion PTSD Symptoms
Key findings Mindfulness and self-compassion were each negatively associated with PTSD symptoms, depressive symptoms, dissociation, and overall trauma symptoms, and independently predicted lower symptom levels, including at follow-up. Western participants reported higher PTSD and overall trauma symptoms than eastern participants. Although trauma severity interacted with both resources, the authors report that the interaction patterns did not support a classical buffering effect, suggesting these resources are meaningful but context-dependent.

Abstract

Trauma-related distress in adult women often extends beyond posttraumatic stress disorder (PTSD) to include depressive symptoms and dissociation, yet the roles of mindfulness and self-compassion across these symptom domains remain insufficiently clarified. This study examined mindfulness and self-compassion as psychological resources associated with trauma-related symptoms among trauma-exposed adult women using a three-wave online survey design. The final sample included 240 women from eastern and western China. Mindfulness was operationalized through observation, acting with awareness, and non-reactivity, whereas self-compassion was measured through self-kindness, common humanity, and reduced self-criticism. Trauma-related distress was assessed through PTSD symptoms, depressive symptoms, dissociation, and an overall trauma symptom index. Results showed that mindfulness and self-compassion were negatively associated with all three symptom domains and independently predicted lower PTSD symptoms, depressive symptoms, dissociation, and overall trauma symptoms. Baseline mindfulness and self-compassion also significantly predicted lower subsequent symptom levels at T2. Regional differences were more evident in symptom burden than in psychological resources, with western participants reporting higher PTSD and overall trauma symptoms. Although trauma severity significantly interacted with both mindfulness and self-compassion, the interaction patterns did not support a classical buffering effect. Overall, mindfulness and self-compassion appear to be meaningful but context-dependent psychological resources in women's trauma-related adjustment.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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