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Psychological flexibility and self-compassion buffer the impact of shame on depression among adults with physical disabilities

Author

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  • Michael Christopher
  • Xander Kahle
  • Kaylia Pham

Abstract

Individuals with physical disabilities experience higher rates of depression relative to the general population. Shame is a central mechanism linking disability status to poor mental health outcomes, including depression. Psychological flexibility and self-compassion have been shown to change one’s relationship to negative self-evaluations such as shame. The goal of this study was to determine if psychological flexibility and self-compassion negatively predict depression and buffer the impact of shame on depression in adults with physical disabilities. Adults with physical disabilities (n = 207) completed self-report measures of psychological flexibility, self-compassion, shame, and depression. Consistent with prediction, a series of multiple regressions indicated that psychological flexibility and self-compassion negatively predicted depression over and beyond shame, and they both mitigated the impact of shame on depression among adults with physical disabilities (all p’s

Suggested Citation

  • Michael Christopher & Xander Kahle & Kaylia Pham, 2026. "Psychological flexibility and self-compassion buffer the impact of shame on depression among adults with physical disabilities," PLOS Mental Health, Public Library of Science, vol. 3(9), pages 1-8, September.
    • Handle: RePEc:plo:pmen00:0000707
    DOI: 10.1371/journal.pmen.0000707
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