Fear of self-compassion and psychological inflexibility interact to predict PTSD symptom severity

• We examined predictors of PTSD symptoms among students with trauma exposure.
• A fear of self-compassion x psychological inflexibility interaction was tested.
• Inflexibility moderated the relation between fear of self-compassion and PTSD.
• High inflexibility and fear of self-compassion increased PTSD symptom severity.
• Clinical strategies that undermine fear of self-compassion may be warranted.

Evidence suggests that increasing self-compassion is a worthwhile therapeutic target and may be adaptive in the context of trauma recovery. Recently, researchers have noted that particular individuals respond to self-compassion with fear and resistance, a phenomenon known as fear of self-compassion. We argue that fear of self-compassion may increase post-trauma suffering, particularly for individuals who routinely attempt to control difficult private experiences. The present study investigated relations among fear of self-compassion, psychological inflexibility, and posttraumatic stress symptoms (PTSS) in a sample of trauma-exposed undergraduates (N=201). Hierarchical regression analyses revealed a significant interaction between fear of self-compassion and psychological inflexibility (B=1.22, p<.05), controlling for negative affect. Follow-up simple effects indicated that psychological inflexibility moderated the relationship between fear of self-compassion and PTSS, such that there was a significant positive association between fear of self-compassion and PTSS among participants with higher psychological inflexibility (B=3.81, p<.01), but not for those with lower psychological inflexibility. The prospect of fear of self-compassion as a contextual-behavioral treatment target is discussed.