Evidence map›Paper›PMID 33880832›Full record

ArticleClinical psychology & psychotherapy2021

Fears of compassion magnify the harmful effects of threat of COVID-19 on mental health and social safeness across 21 countries.

Marcela Matos, Kirsten McEwan, Martin Kanovský, Júlia Halamová, Stanley R Steindl, Nuno Ferreira, Mariana Linharelhos, Daniel Rijo, Kenichi Asano, Sónia Gregório and 34 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical psychology & psychotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Kindness as a public health action.Communications medicine · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
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  10. Improvements in Compassion and Fears of Compassion throughout the COVID-19 Pandemic: A Multinational Study.International journal of environmental research and public health · 2023
    Article
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  12. Review
  13. Article
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  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors at 20 institutions in 17 countries.

Marcela MatosUniversity of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, Coimbra, Portugal.ORCID https://orcid.org/0000-0001-7320-7107
Kirsten McEwanCollege of Health, Psychology and Social Care, Centre for Compassion Research and Training, University of Derby, Derby, UK.ORCID https://orcid.org/0000-0002-0945-0521
Martin KanovskýInstitute of Social Anthropology, Faculty of Social and Economic Sciences, Comenius University, Bratislava, Slovakia.ORCID https://orcid.org/0000-0001-6055-6551
Júlia HalamováInstitute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University, Bratislava, Slovakia.ORCID https://orcid.org/0000-0002-2655-2327
Stanley R SteindlSchool of Psychology, Compassionate Mind Research Group, University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0001-8934-5096
Nuno FerreiraDepartment of Social Sciences, University of Nicosia, Nicosia, Cyprus.ORCID https://orcid.org/0000-0002-5787-904X
Mariana LinharelhosUniversity of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, Coimbra, Portugal.ORCID https://orcid.org/0000-0002-7778-8612
Daniel RijoUniversity of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, Coimbra, Portugal.ORCID https://orcid.org/0000-0002-5368-0770
Kenichi AsanoDepartment of Psychological Counseling, Faculty of Psychology, Mejiro University, Tokyo, Japan.ORCID https://orcid.org/0000-0003-3839-5733
Sónia GregórioUniversity of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, Coimbra, Portugal.ORCID https://orcid.org/0000-0002-8638-4927
Margarita G MárquezDepartment of Psychology, Faculty of Biomedical and Health Sciences, Behavior, Emotions, and Health Research Group, Universidad Europea de Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0002-2783-9004
Sara P VilasDepartment of Psychology, Faculty of Biomedical and Health Sciences, Behavior, Emotions, and Health Research Group, Universidad Europea de Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0002-1594-9345
Gonzalo Brito-PonsEscuela de Psicología, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID https://orcid.org/0000-0002-5002-3863
Paola Lucena-SantosUniversity of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, Coimbra, Portugal.ORCID https://orcid.org/0000-0003-3023-0715
Margareth da Silva OliveiraEvaluation and Treatment in Cognitive and Behavioral Psychotherapies-Research Group (GAAPCC), Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.ORCID https://orcid.org/0000-0002-6490-5170
Erika Leonardo de SouzaConectta: Mindfulness & Compassion, São Paulo, Brazil.
Lorena LlobenesMotivación Compasiva, Buenos Aires, Argentina.
Natali GumiyMotivación Compasiva, Buenos Aires, Argentina.
Maria Ileana CostaMotivación Compasiva, Buenos Aires, Argentina.
Noor HabibNeuroscience Department, section of Psychiatry and Psychology, King Faisal Specialist Hospital and Research Centre (KFSH&RC), Jeddah, Saudi Arabia.
Reham HakemNeuroscience Department, section of Psychiatry and Psychology, King Faisal Specialist Hospital and Research Centre (KFSH&RC), Jeddah, Saudi Arabia.
Hussain KhradNeuroscience Department, section of Psychiatry and Psychology, King Faisal Specialist Hospital and Research Centre (KFSH&RC), Jeddah, Saudi Arabia.
Ahmad AlzahraniNeuroscience Department, section of Psychiatry and Psychology, King Faisal Specialist Hospital and Research Centre (KFSH&RC), Jeddah, Saudi Arabia.ORCID https://orcid.org/0000-0001-5465-346X
Simone CheliSchool of Human Health Sciences, University of Florence, Florence, Italy.ORCID https://orcid.org/0000-0002-0432-3769
Nicola PetrocchiDepartment of Economics and Social Sciences, John Cabot University, Rome, Italy.ORCID https://orcid.org/0000-0002-7210-2319
Elli TholouliCenter for Qualitative Research in Psychology and Psychosocial Well-being, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-8984-5696
Philia IssariCenter for Qualitative Research in Psychology and Psychosocial Well-being, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-8043-5180
Gregoris SimosDepartment of Educational and Social Policy, University of Macedonia, Thessaloniki, Greece.ORCID https://orcid.org/0000-0003-4033-2010
Vibeke Lunding-GregersenMindwork Psycological Center, Copenhagen, Denmark.
Ask ElklitDepartment of Psychology, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-8469-7372
Russell KoltsDepartment of Psychology, Eastern Washington University, Cheney, Washington, USA.ORCID https://orcid.org/0000-0002-1803-8002
Allison C KellyDepartment of Psychology, University of Waterloo, Waterloo, Ontario, Canada.ORCID https://orcid.org/0000-0001-5956-1396
Catherine BortolonLaboratoire Inter-universitaire de Psychologie : Personnalité, Cognition et Changement Social, Grenoble Alpes University, Grenoble, France.ORCID https://orcid.org/0000-0002-5118-7827
Pascal DelamillieureService de Psychiatrie Adulte, CHU de Caen, Caen, France.ORCID https://orcid.org/0000-0003-0215-2430
Marine PaucsikLaboratoire Inter-universitaire de Psychologie : Personnalité, Cognition et Changement Social, Grenoble Alpes University, Grenoble, France.ORCID https://orcid.org/0000-0002-9751-4985
Julia E WahlThe Mind Institute Poland, Warsaw, Poland.ORCID https://orcid.org/0000-0002-6388-3395
Mariusz ZiebaSWPS University of Social Sciences and Humanities, Warsaw& Poznań, Poland.ORCID https://orcid.org/0000-0002-3492-2236
Mateusz ZatorskiSWPS University of Social Sciences and Humanities, Warsaw& Poznań, Poland.ORCID https://orcid.org/0000-0002-0043-0815
Tomasz KomendzińskiDepartment of Cognitive Science, Nicolaus Copernicus University, Torún, Poland.ORCID https://orcid.org/0000-0003-3273-0764
Shuge ZhangSchool of Human Sciences, University of Derby, Derby, UK.ORCID https://orcid.org/0000-0002-6935-8831
Jaskaran BasranCollege of Health, Psychology and Social Care, Centre for Compassion Research and Training, University of Derby, Derby, UK.ORCID https://orcid.org/0000-0002-8640-2953
Antonios KagialisDepartment of Social Sciences, University of Nicosia, Nicosia, Cyprus.ORCID https://orcid.org/0000-0002-9211-0455
James KirbySchool of Psychology, Compassionate Mind Research Group, University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-0703-1534
Paul GilbertCollege of Health, Psychology and Social Care, Centre for Compassion Research and Training, University of Derby, Derby, UK.ORCID https://orcid.org/0000-0001-8431-9892
University of Coimbra · PTKing Faisal Specialist Hospital & Research Centre · SAUniversity of Derby · GBUniwersytet SWPS · PLComenius University Bratislava · SKLaboratoire de Psychologie Sociale et Cognitive · FRNational and Kapodistrian University of Athens · GRThe University of Queensland · AUUniversidad Europea de Madrid · ESUniversity of Nicosia · CYCentre Hospitalier Universitaire de Caen Normandie · FRCompass (Brazil) · BRDet Danske Sprog- og Litteraturselskab (Denmark) · DKEastern Washington University · USJohn Cabot University · ITMejiro University · JPNicolaus Copernicus University · PLPontificia Universidad Católica de Chile · CLPontifícia Universidade Católica do Rio Grande do Sul · BRUniversity of Florence · IT

Funding

Brazilian National Council for Scientific and Technological DevelopmentPortuguese Foundation for Science and Technology SFRH/BD/130677/2017Portuguese Foundation for Science and Technology UID/PSI/00730/2020Slovak Research and Development Agency PP-COVID-20-0074Social Sciences and Humanities Research Council Insight Grant 435-2017-0062Vedecká grantová agentúra MšVVaš SR a SAV 1/0075/19
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic is a massive global health crisis with damaging consequences to mental health and social relationships. Exploring factors that may heighten or buffer the risk of mental health problems in this context is thus critical. Whilst compassion may be a protective factor, in contrast fears of compassion increase vulnerability to psychosocial distress and may amplify the impact of the pandemic on mental health. This study explores the magnifying effects of fears of compassion on the impact of perceived threat of COVID-19 on depression, anxiety and stress, and social safeness.

methodsAdult participants from the general population (N = 4057) were recruited across 21 countries worldwide, and completed self-report measures of perceived threat of COVID-19, fears of compassion (for self, from others, for others), depression, anxiety, stress and social safeness.

resultsPerceived threat of COVID-19 predicted increased depression, anxiety and stress. The three flows of fears of compassion predicted higher levels of depression, anxiety and stress and lower social safeness. All fears of compassion moderated (heightened) the impact of perceived threat of COVID-19 on psychological distress. Only fears of compassion from others moderated the effects of likelihood of contracting COVID-19 on social safeness. These effects were consistent across all countries.

conclusionsFears of compassion have a universal magnifying effect on the damaging impact of the COVID-19 pandemic on mental health and social safeness. Compassion focused interventions and communications could be implemented to reduce resistances to compassion and promote mental wellbeing during and following the pandemic.

Indexed as

COVID-19AdultAnxietyDepressionEmpathyFearHumansMental HealthPandemicsSARS-CoV-2COVID-19 pandemicfears of compassionmental healthmoderator effectmultinational studysocial safeness

Identifiers

PMID33880832
PMCPMC8251194
OpenAlexW3155587763

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.