Effects of Compassion-Focused Therapy Training Program on Self-Compassion and Mental Health among University Students

Authors

  • Thitaporn Kaewboonchoo Behavioral Science Research Institute, Srinakarinwirot University, Thailand, Email, thitaporn.kae@mfu.ac.th
  • Narulmon Prayai Behavioral Science Research Institute, Srinakarinwirot University, Thailand, Email, narnimon@g.swu.ac.th
  • Pitchada Prasittichok Behavioral Science Research Institute, Srinakarinwirot University, Thailand, Email, pitchada@g.swu.ac.th

Keywords:

Compassion-focused therapy, Mental health, Dual-factor model, Self-compassion, Intervention

Abstract

Background: There has been a substantial increase in the concern regarding mental health among university students, with an increasing number of evidence that students are experiencing high level of psychological distress including stress, anxiety, and depression. Objective: This quasi-experimental study aimed to examine the effectiveness of the compassion focused therapy (CFT) training program for enhancing self-compassion and mental health among university students. Methods: The intervention sought to improve self-compassion as well as promote mental health using dual-factor model framework of Greenspoon and Saklofske. Undergraduate students from a university in Northern Thailand were recruited and randomly assigned to either experimental group (n = 30) or control group (n = 30). Assessments tools including Self-Compassion Scale (SCS), Flourishing Scale (FS) and Patient Health Questionnaire-9 (PHQ-9) were conducted at baseline, post-intervention, and one-week follow-up. Results: The repeated measures multivariate analysis revealed a significant increase of self-compassion and psychological well-being as well as significant decrease of psychopathology in the experimental group compared to the control group. Conclusion: These findings indicate that CFT training program was effective in improving both positive and negative dimensions of mental health for university students. Integrating compassion-based practices into mental health program may offer sustainable approach to enhance well-being and reducing psychological distress. Future research should examine the long-term effects and broader application in more diverse populations.

References

Li Q, Li J, Fan Y. Addressing mental health in university students: a call for action. Front Public Health [Internet]. 2025 Jun 18 [cited 2026 Apr 24]; 13: 1614999. Available from: https://www.frontiersin.org/journals/publichealth/articles/10.3389/fpubh.2025.1614999/full, accessed 24 April, 2026. DOI: 10.3389/fpubh.2025.1614999

Mason A, Rapsey C, Sampson N, Lee S, Albor Y, Al-Hadi AN, et al. Prevalence, age-of-onset, and course of mental disorders among 72,288 first-year university students from 18 countries in the World Mental Health International College Student (WMH-ICS) initiative. J Psychiatr Res. 2025 Mar; 183: 225-36. Available from: doi.org

Bruffaerts R, Mortier P, Kiekens G, Auerbach RP, Cuijpers P, Demyttenaere K, Green JG, Nock MK, Kessler RC. Mental health problems in college freshmen: prevalence and academic functioning. J Affect Disord [Internet]. 2018 Jan 1; 225:97–103. Available from: https://pubmed.ncbi.nlm.nih.gov/28802728/. accessed 24 April, 2026, DOI: 10.1016/j.jad.2017.07.044

Verger P, Guagliardo V, Gilbert F, Rouillon F, Kovess-Masfety V. Psychiatric disorders in students in six French universities: 12-month prevalence, comorbidity, impairment and help-seeking. Soc Psychiatry Psychiatr Epidemiol [Internet]. 2010 Feb; 45(2): 189–99. Available from: https://pubmed.ncbi.nlm.nih.gov/19381424/, accessed 24 April, 2026, DOI: 10.1007/s00127-009-0055-z

Suldo SM, Shaffer EJ. Looking beyond psychopathology: the dual-factor model of mental health in youth. Sch Psychol Rev [Internet]. 2008 Mar; 37(1): 52–68. Available from: https://www.researchgate.net/publication/228656864, accessed 24 April, 2026, DOI: 10.1080/02796015.2008.12087908

Neff K. Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self Identity [Internet]. 2003 [cited 2026 Apr 24]; 2(2): 85–101. Available from: https://www.tandfonline.com/doi/abs/10.1080/15298860309032, accessed 24 April, 2026, DOI: 10.1080/15298860309032

Lee KJ, Lee SM. The role of self-compassion in the academic stress model. Curr Psychol [Internet]. 2020. Available from: https://self-compassion.org/wp-content/uploads/2020/09/Lee-Lee2020.pdf, accessed 24 April, 2026, DOI: 10.1007/s12144-020-00843-9

Lee KJ, Lee SM. Self-compassion among university students as a personal resource in the job demand-resources model. Educ Psychol [Internet]. 2022 Sep 9; 42(9): 1160–79. Available from: https://www.tandfonline.com/doi/full/10.1080/01443410.2022.2120600, accessed 24 April, 2026, DOI: 10.1080/01443410.2022.2120600

Yong FL, Uie LLL. An empirical study on the self-compassion among college students in Sabah, Malaysia. Jesselton J Educ Sch [Internet]. 2026; 3(1): rticle 1. Available from: https://digitalcommons.jjesjournal.com/journal/vol3/iss1/1, accessed 24 April, 2026.

Andersson C, Jakobsson Støre S, Säldebjer H, Gunnarsson M, Lindert Bergsten K, Osika W. Compassionate mind training for university students: a randomized controlled trial. Acta Psychol (Amst) [Internet]. 2025 Feb 1 [cited 2026 Apr 24];253:104678. Available from: https://www.sciencedirect.com/science/article/pii/S0001691824005560, accessed 24 April, 2026, DOI: 10.1016/j.actpsy.2024.104678

Gilbert P. Introducing compassion-focused therapy. Adv Psychiatr Treat [Internet]. 2009 May; 15(3): 199–208. Available from: https://www.cambridge.org/core/journals/advances-in-psychiatric-treatment/article/introducing-compassionfocused-therapy/ECBC8B7B87E90ABB58C4530CDEE04088, accessed 24 April, 2026, DOI: 10.1192/apt.bp.107.005264

Priyadharshini V, Nagalakshmi K. Effect of compassion focused therapy on self compassion among college students. Nanotechnol Percept [Internet]. 2024; 20(S14): 2220–5. Available from: https://www.nano-ntp.com, accessed 24 April, 2026.

Brown N, Ashcroft K. The effectiveness of compassion focused therapy for the three flows of compassion, self-criticism, and shame in clinical populations: a systematic review. Behav Sci (Basel) [Internet]. 2025 Jul 29; 15(8): 1031. Available from: https://www.mdpi.com/2076-328X/15/8/1031, accessed 24 April, 2026, DOI: 10.3390/bs15081031

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates; 1988.

Pisitsungkagarn K, Taephant N, Attasaranya P. Body image satisfaction and self-esteem in Thai female adolescents: the moderating role of self-compassion. Int J Adolesc Med Health. 2014; 26(3): 333-8. DOI: 10.1515/ijamh-2013-0307

Sakunpong N, Ritkumrop K. Psychometric properties of the Thai version psychological well-being scale and the factors related to among Thai patients with major depressive disorder. J Behav Sci. 2021; 16(1): 1-14.

Lotrakul M, Sumrithe S, Saipanish R. Reliability and validity of the Thai version of the PHQ-9. BMC Psychiatry. 2008; 8: 46. DOI: 10.1186/1471-244X-8-46

Karakasidou E, Komninou A. Enhancing mental health in emerging adults through self-compassion: results from a randomized controlled group counseling intervention. Eur J Couns Psychol. 2025; 13(1): 146057. Available from: https://ejcop.scholasticahq.com/article/146057-enhancing-mental-health-in-emerging-adults-through-self-compassion-results-from-a-randomized-controlled-group-counseling-intervention, accessed 24 April, 2026. DOI: 10.46853/001c.146057

Kaur J, Junnarkar M, Singh K. Milestones in mindfulness development over the last decade. Mindfulness. 2019;10(9):1723-1743. DOI: 10.1007/s12671-019-01134-6. Available from: https://link.springer.com/article/10.1007/s12671-019-01134-6, accessed 24 April, 2026, DOI: 10.46853/001c.146057

Benu KM, Wibowo ME, Mulawarman M. Effectiveness of compassion-focused group therapy to increase self-compassion and forgiveness in high school students. Jurnal Kajian Bimbingan dan Konseling. 2024;9(3):227-237. Available from: https://www.researchgate.net/publication/389873263_Effectiveness_of_Compassion-focused_Group_Therapy_to_Increase_Self-compassion_and_Forgiveness_in_High_School_ Students, accessed 24 April, 2026, DOI: 10.17977/um001v9i32024p227-237

Störe S, Stenfors C, Jansson-Fröjmark M, Kaldo V, Rickardsson J. Compassionate mind training for university students - A randomized controlled trial. Acta Psychol (Amst). 2024;252:104678. Available from: https://pubmed.ncbi.nlm.nih.gov/39701000/, accessed 24 April, DOI: 10.1016/j.actpsy.2024.104678

Additional Files

Published

2026-06-30