L’autocompassion améliore la régulation des émotions et les résultats en matière de santé mentale : étude pilote d’un programme d’autocompassion en ligne destiné aux adultes autistes

Titre original en anglais : Self-compassion improves emotion regulation and mental health outcomes: A pilot study of an online self-compassion program for autistic adults

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Cai, R. Y., Edwards, C., Love, A. M., Brown, L., & Gibbs, V. (2024). Self-compassion improves emotion regulation and mental health outcomes: A pilot study of an online self-compassion program for autistic adults. Autism, 28(10), 2572-2585. https://doi.org/10.1177/13623613241235061

Date de publication: 07/04/2024 Ajout dans AutiHub: 05/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
5
Auteur·ices de la publication identifié·es comme autistes
1 / 5 (20,0 %)
  1. Ru Ying Cai
  2. Chris Edwards *
  3. Abigail M.A. Love
  4. Lydia Brown
  5. Vicki Gibbs

Résumé

Les personnes s’épanouissent dans des environnements empreints de compassion. Pour les personnes autistes, leurs environnements ne sont souvent pas propices aux soins et au soutien. Nous proposons que le développement de l’autocompassion chez les personnes autistes puisse être un antidote aux difficultés de santé mentale découlant de causes environnementales. La présente étude visait à évaluer à titre pilote un programme d’autocompassion en ligne autoguidé destiné aux adultes autistes afin d’en évaluer la faisabilité, l’acceptabilité et les résultats associés à l’achèvement de ce programme. Le programme a été coproduit avec des personnes autistes. Trente-neuf adultes autistes âgés de 20 à 77 ans (âge moyen = 45,28, ET âge = 11,92) ont achevé le programme en ligne. Ils ont également fourni chaque semaine des commentaires sur leurs pratiques d’autocompassion. Ils ont rempli des questionnaires en ligne avant et après l’intervention mesurant l’autocompassion, les symptômes d’anxiété et de dépression, les affects positifs et négatifs, les difficultés de régulation des émotions et le bien-être psychologique. Comme prévu, des améliorations significatives ont été observées dans le groupe pour toutes les mesures de résultat. Les résultats préliminaires suggèrent que le programme est faisable et accepté par les participants. Environ la moitié des participants autistes ont rapporté des expériences de backdraft, qui sont des réactions indésirables associées aux pratiques d’autocompassion. Sur la base de nos résultats, nous avons formulé des recommandations cliniques sur la manière dont l’autocompassion peut être enseignée aux adultes autistes. Résumé grand public L’autocompassion consiste à être conscient de nos sentiments et de nos pensées, à être bienveillant envers nous-mêmes et à comprendre que tout le monde ressent de la douleur et commet des erreurs. L’autocompassion est associée à une meilleure santé mentale et à un meilleur bien-être chez les personnes autistes et non autistes. Cependant, nous ne savons pas si l’autocompassion des personnes autistes peut être améliorée grâce à la psychoéducation et à des pratiques d’autocompassion. Nous avons coproduit un programme d’autocompassion en ligne autoguidé, fondé sur des pratiques d’autocompassion étayées par des données probantes, destiné aux adultes autistes et appelé le Programme d’autocompassion pour adultes autistes. Ce programme comprenait des vidéos d’expériences vécues dans lesquelles des adultes autistes réfléchissaient à leurs expériences d’autocompassion et d’autocritique. Cette étude a évalué le programme à titre pilote auprès de 39 adultes autistes. Nous voulions déterminer si l’autocompassion, la régulation des émotions, la santé mentale et le bien-être psychologique de ces adultes autistes s’amélioraient après avoir achevé ce programme. Nous avons constaté que l’autocompassion, la régulation des émotions, la santé mentale et le bien-être psychologique des participants autistes se sont améliorés de manière significative après l’achèvement du programme sur 5 semaines. Nous avons également constaté qu’un peu plus de la moitié des participants ont déclaré avoir éprouvé des réactions négatives associées aux pratiques d’autocompassion. Nous avons suggéré certaines implications cliniques, notamment une recommandation selon laquelle les interventions de régulation des émotions devraient intégrer l’autocompassion afin de contribuer à favoriser l’accès au système affiliatif. En outre, les adultes autistes psychologiquement vulnérables pourraient devoir travailler avec des professionnels de la santé mentale pendant le développement de leur autocompassion afin d’aider à gérer les éventuelles réactions négatives associées à certaines pratiques d’autocompassion.

People thrive in compassionate environments. For autistic people, their environments are often non-conducive to care and support. We propose that cultivating autistic people’s self-compassion may be an antidote to the mental health difficulties arising from environmental causes. The current study aimed to pilot a self-guided online self-compassion program for autistic adults to assess its feasibility, acceptability, and outcomes related to completing this program. The program was co-produced with autistic individuals. Thirty-nine autistic adults aged 20–77 years ( M age = 45.28, SD age = 11.92) completed the online program. They also provided feedback about their self-compassion practices every week. They completed pre- and post-intervention online surveys measuring self-compassion, symptoms of anxiety and depression, positive and negative affect, emotion regulation difficulties, and psychological well-being. As hypothesized, there were significant group improvements in all outcome measures. Preliminary results suggest that the program is feasible and accepted by participants. Approximately half of the autistic participants reported experiences of backdraft, which are adverse reactions associated with self-compassion practices. Based on our findings, we provided clinical recommendations on how self-compassion can be taught to autistic adults. Lay abstract Self-compassion is when we are aware of our feelings and thoughts, are friendly toward ourselves, and realize everyone feels pain and makes mistakes. Self-compassion is associated with having better mental health and well-being in autistic and non-autistic people. But we do not know if autistic people’s self-compassion can be improved through psychoeducation and self-compassion practices. We co-produced an online self-guided self-compassion program based on evidence-based self-compassion practices for autistic adults called the Self-compassion Program for Autistic Adults. This program included live-experiences videos of autistic adults reflecting on their self-compassion and self-critical experiences. This study piloted the program with 39 autistic adults. We wanted to see if these autistic adults’ self-compassion, emotion regulation, mental health, and psychological well-being improved after completing this program. We found that the autistic participants’ self-compassion, emotion regulation, mental health, and psychological well-being improved significantly after completing the program over 5 weeks. We also found that just over half of the participants reported experiencing negative reactions associated with self-compassion practices. We suggested some clinical implications, including a recommendation for emotion regulation interventions to incorporate self-compassion to help promote access to the affiliative system. In addition, autistic adults who are psychologically vulnerable may need to work with mental health professionals while developing self-compassion to help manage the possible negative reactions associated with some self-compassion practices.

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Vue d’ensemble de l’inclusion dans la bibliographie

Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:30.

Références citées
68
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
4 / 68 (5,9 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
8 / 286 (2,8 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 8 / 73 (11,0 %). Auteurices cité·es distinct·es identifié·es comme autistes : 8 / 251 (3,2 %).
Occurrences citées rattachées à la base AutiHub
73 / 286 (25,5 %)
Auteurices cité·es distinct·es rattaché·es : 49 / 251 (19,5 %)
Occurrences rattachées, non identifiées comme autistes
65 / 73 (89,0 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 65 / 286 (22,7 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 41 / 49 (83,7 %).
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