The Mediating Role of Self-Compassion in the Relationship Between Family Belonging and Healthy Lifestyle Behaviors

Abstract

The aim of this study was to evaluate the role of family belonging in the development of healthy lifestyle behaviours and to examine the mediating effect of self-compassion within this relationship. Ethical approval was obtained from the Trakya University Ethics Committee. Employing a descriptive and cross-sectional design, the study utilized the Family Belonging, Healthy Lifestyle Behaviours, and Self-Compassion Scales. Data were collected online via email from students of Trakya University and analysed using IBM SPSS 22.0 for descriptive statistics. Structural equation modelling was conducted with LISREL 8.80 to test the mediating effect. Results from the measurement model revealed a weak but significant positive relationship between family belonging, healthy lifestyle behaviours, and self-compassion. Additionally, a moderate positive relationship was identified between self-compassion and healthy lifestyle behaviours. Structural model analysis indicated that self-compassion partially mediated the relationship between family belonging and healthy lifestyle behaviours. These findings suggest that enhancing self-compassion may foster healthy lifestyle behaviours even among individuals with low levels of family belonging. However, the study has limitations: It was conducted exclusively online with a student sample, data were obtained through self-report measures, and the sample size was relatively limited. These factors should be taken into consideration when interpreting the results. The fact that the research was conducted exclusively online with students, that the data were collected through self-report scales, and that the study was carried out within a limited timeframe has restricted the generalizability of the findings. It is recommended to prioritize interventions, trainings, and practices aimed at enhancing self-compassion levels in order to promote healthy lifestyle behaviours in individuals.

Keywords

• Family Belonging
• Healthy Lifestyle Behaviors
• Mediator Role
• Self-compassion
• Psychological Behavior

Aile Aidiyeti ile Sağlıklı Yaşam Biçimi Davranışları Arasındaki İlişkide Öz-Anlayışın Aracılık Rolü

Abstract

Bu çalışmanın amacı, sağlıklı yaşam biçimi davranışlarının gelişiminde etkili olduğu düşünülen aile aidiyetini değerlendirmek ve öz-anlayışın bu ilişkideki aracılık etkisini incelemektir. Trakya Üniversitesi Etik Kurulu'ndan izin alınmıştır. Tanımlayıcı ve kesitsel nitelikteki bu çalışmada Aile Aidiyeti, Sağlıklı Yaşam Biçimi Davranışları ve Öz-Anlayış Ölçekleri kullanılmıştır. Trakya Üniversitesi öğrencilerinden e-posta yoluyla toplanan verilerin betimsel analizleri IBM SPSS 22.0 programı ile değerlendirilmiştir. Aile aidiyeti ile sağlıklı yaşam biçimi davranışları arasındaki ilişkide öz-anlayışın aracılık rolü LİSREL 8.80 ile incelenmiştir. Çalışmada, aile aidiyeti ile sağlıklı yaşam biçimi davranışları ve öz-anlayış arasında orta düzeyde pozitif anlamlı ilişki bulunmuştur. Ayrıca öz-anlayış ile sağlıklı yaşam biçimi davranışları arasında da orta düzeyde pozitif ilişki olduğu bulunmuştur. Yapısal model ile aile aidiyeti ve sağlıklı yaşam biçimi davranışları arasındaki ilişkide öz-anlayışın aracılık rolü incelendiğinde öz-anlayışın kısmı aracı etkisine sahip olduğu görülmüştür. Çalışma bulguları, yüksek öz-anlayış düzeyinin, aile aidiyeti düşük bireylerde sağlıklı yaşam biçimi davranışlarının oluşturulmasında umut verici bir etken olabileceğini ortaya koymuştur. Çalışma sonuçlarını yorumlarken dikkate alınması gereken sınırlamalar bulunmaktadır. Araştırmanın yalnızca öğrenciler üzerinde çevrim içi ortamda gerçekleştirilmiş olması, verilerin öz bildirim ölçekleri ile ve sınırlı bir sürede toplanmış olması bulguların genellenebilirliğini sınırlamıştır. Bireylerde sağlıklı yaşam biçimi davranışlarını artırmak için öz-anlayış düzeylerini artıracak çalışmalara, eğitimlere ve uygulamalara öncelik verilmesi önerilmektedir.

Keywords

• Aile Aidiyeti
• Sağlıklı Yaşam Biçimi Davranışları
• Aracı Rol
• Öz-anlayış
• Psikolojik Davranış

References

1. Adams, C. E., & Leary, M. R. (2007). Promoting self-compassionate attitudes toward eating among restrictive and guilty eaters. Journal of Social and Clinical Psychology, 26(10), 1120-1144. https://doi.org/10.1521/jscp.2007.26.10.1120
2. Adana, F., Türk, G., Yıldırım, B., & Yeşilfidan, D. (2019). Üniversite öğrencilerinin sağlıklı yaşam biçimi davranışları ve ilişkili faktörler. Medical Sciences, 14(1),11-21. http://doi.org https://doi.org/10.12739/NWSA.2019.14.1.1B0062
3. Alizadeh, S., Khanahmadi, S., Vedadhir, A., & Barjasteh, S. (2018). The relationship between resilience with self-compassion, social support and sense of belonging in women with breast cancer. Asian Pacific Journal of Cancer Prevention, 19(9), 2469-2474. https://doi.org/10.22034/APJCP.2018.19.9.2469
4. Bahar, Z., Beşer, A., Gördes, N., Ersin, F., & Kıssal, A. (2008). Sağlıklı yaşam biçimi davranışları ölçeği II’nin geçerlik ve güvenirlik çalışması. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi, 12 (1),1-13.
5. Baumeister, R. F., & Leary, M. R. (1995). The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497-529. https://doi.org/10.1037/0033-2909.117.3.497
6. Berg, S. J., Zaso, M. J., Biehler, K. M., & Read, J. P. (2024). Self-Compassion and Self-Forgiveness in alcohol risk, treatment and recovery: A systematic review. Clin Psychol Psychother, 31(3), e2987. https://doi.org/10.1002/cpp.2987
7. Bicaker, E., Schell, S. E., & Racine, S. E. (2023). The role of self-compassion in the relationship between rejection and unhealthy eating: An ecological momentary assessment study. Appetite, 186, Article 106568. https://doi.org/10.1016/j.appet.2023.106568
8. Bottorff, J. L., Johnson, J. L., Ratner, P.A., & Hayduk, L. A. (1996). The effects of cognitive-perceptual factors on health promotion behavior maintenance. Nursing Research, 45(1), 30-36. https://doi.org/10.1097/00006199-199601000-00006

9. Brophy, K., Brähler, E., Hinz, A., Schmidt, S., & Körner, A. (2020). The role of self-compassion in the relationship between attachment, depression, and quality of life. Journal of affective disorders, 260, 45-52. https://doi.org/10.1016/j.jad.2019.08.066
10. Carbonneau, N., Holding, A., Lavigne, G., & Robitaille, J. (2021). Feel good, eat Better: The role of Self-Compassion and Body Esteem in Mothers’ healthy eating behaviours. Nutrients, 13(11), 3907. https://doi.org/10.3390/nu13113907
11. Cavanagh, S. E. (2008). Family structure history and adolescent adjustment. Journal of Family Issues, 29(7), 944-80. https://doi.org/10.1177/0192513X07311232
12. Chen, M. Y. (1999). The effectiveness of health promotion counseling to family caregivers. Public Health Nursing,16(2), 125-32. https://doi.org/10.1046/j.1525-1446.1999.00125.x
13. Costa. J., Pinto-Gouveia, J. (2011). Acceptance of pain, self-compassion and psychopathology: using the chronic pain acceptance questionnaire to identify patients' subgroups. Clin Psychol Psychother. 18(4), 292-302. https://doi.org/10.1002/cpp.718
14. Coyne-Beasley, T. (2017). Cultivating connectedness and equity: a call to action for the global adolescent health community. Journal of Adolescent Health, 61(3), 392-5. https://doi.org/10.1016/j.jadohealth.2017.07.001
15. Crocker, J., & Canevello, A. (2008). Creating and undermining social support in communal relationships: The role of compassionate and self-image goals. Journal of Personality and Social Psychology, 95, 555-575. https://doi.org/10.1037/0022-3514.95.3.555
16. Crosnoe, R., & Elder, G. H. (2004). Family dynamics, supportive relationships, and educational resilience during adolescence. Journal of Family Issues, 25(5), 571-602. https://doi.org/10.1177/0192513X03258307
17. Demir, Z., Korkmaz, N. H., & Sevil, Ü. (2015). Spor yapan ve yapmayan üniversite öğrencilerinin sağlıklı yaşam biçimi davranışlarının incelenmesi. SSTB International Refereed Academic Journal of Sports, Health & Medical Sciences, 14 (5), 96-109.
18. Deniz, M. E., Kesici, Ş., & Sümer, A. S. (2008). The validity and reliability of the Turkish version of the SelfCompassion Scale. Social Behavior and Personality, 36(9), 1151-1160. https://psycnet.apa.org/doi/10.2224/sbp.2008.36.9.1151
19. Erözkan, S. (2020). Üniversite öğrencilerinde aile aidiyetinin sağlıklı yaşam biçimi davranışlarına etkisi [Tıpta uzmanlık tezi, Trakya Üniversitesi]. https://tez.yok.gov.tr/UlusalTezMerkezi/
20. Ersanlı, K., & Koçyiğit M. (2013). Ait Olma Ölçeği'nin psikometrik özellikleri. Electronic Turkish Studies, 8 (12), 751-64. https://doi.org/10.7827/TurkishStudies.6044
21. Fan, L., & Wang, Y. (2022). Healthy eating behaviors and self-control in scarcity: The protective effects of self-compassion. Appetite, 169, Article 105860. https://doi.org/10.1016/j.appet.2021.105860
22. Gedik, Z. (2018). Self-compassion and health-promoting lifestyle behaviors in college students, Psychology, Health & Medicine, 24(1),1-7, https://doi.org/10.1080/13548506.2018.1503692
23. Güçlü, N. (2001). Stres yönetimi. Gazi Üniversitesi Gazi Eğitim Fakültesi Dergisi, 21(1), 91-109.
24. House, J. S. (1987). Social support and social structure. Sociological Forum, 2(1), 135-46. https://doi.org/10.1007/BF01107897
25. İmamoğlu, S. E. (2009). Kişilerarası İlişki Boyutları Ölçeği'nin geliştirilmesi. Psikoloji Çalışmaları, 29,(29), 39-64.
26. Kelly, A. C., Zuroff, D. C., Foa, C. L., & Gilbert, P. (2010). Who benefits from training in selfcompassionate self-regulation? A study of smoking reduction. Journal of Social and Clinical Psychology, 29(7), 727-755. https://doi.org/10.1521/jscp.2010.29.7.727
27. King, V., & Boyd, L. M. (2016). Factors associated with perceptions of family belonging among adolescents. Journal of Marriage and Family, 78 (4), 1114-1130. https://doi.org/10.1111/jomf.12322
28. King, V., Boyd, L. M., & Thorsen, M. L. (2015). Adolescents' perceptions of family belonging in stepfamilies. Journal of Marriage and Family, 77(3), 761-74. https://doi.org/10.1111/jomf.12181
29. Koch, J. M., Ross, J. B., Karaffa, K. M., & Rosencrans, A. C. (2021). Self-compassion, healthy lifestyle behaviors, and psychological well-being in women. Journal of Prevention and Health Promotion, 2(2), 220-244. https://doi.org/10.1177/26320770211039214
30. Lambert, N. M., Stillman, T. F., Hicks, J. A., Kamble. S., Baumeister, R. F., & Fincham, F. (2013). To belong is to matter: Sense of belonging enhances meaning in life. Personality and Social Psychology Bulletin, 39(11), 1418-27. https://doi.org/10.1177/0146167213499186
31. Lathren, C. R., Rao, S. S., Park, J., & Bluth, K. (2021). Self-compassion and current close interpersonal relationships: A scoping literature review. Mindfulness, 12(5), 1078-1093. https://doi.org/10.1007/s12671-020-01566-5
32. Little, T. D., Cunningham, W. A., Shahar, G., & Widaman, K. F. (2002). To parcel or not to parcel: Exploring the question, weighing the merits. Structural Equation Modeling, 9(2), 151-173. https://doi.org/10.1207/S15328007SEM0902_1
33. Magnus, C. M, R., Kowalski, K., & McHugh, T. (2010). The role of self-compassion in women’s self-determined motives to exercise and exercise-related outcomes. Self and Identity, 9(4), 363-382. https://doi:10.1080/15298860903135073
34. Manyeswari Gayathri, R., Mahanta, P., Vigraanth Bapu, K. G., & Danasegaran, M. (2023). Relationship between Health Promoting Behaviors, Self-compassion and Health Value among Medical Students. International Journal of Indian Psychology, 11(3), 628-637.https://doi.org/ 10.25215/1103.060
35. Matsunaga, M. (2008). Item parceling in structural equation modeling: A primer. Communication Methods and Measures, 2(4), 260-293. https://doi.org/10.1080/19312450802458935
36. Mavili, A., Kesen, N. F., & Daşbaş, S. (2014). Aile aidiyeti ölçeği: bir ölçek geliştirme çalışması. Sosyal Politika Çalışmaları Dergisi, 33, 29-45. https://doi.org/10.21560/spcd.19507
37. Morgan, A., & Haglund, B. J. A. (2009). Social capital does matter for adolescent health: evidence from the English HBSC study. Health Promotion International, 24(4), 363-72. https://doi.org/10.1093/heapro/dap028
38. Neff, K. (2003). Self compassion: An alternative conceptualization of a healthy attitude toward oneself, Self and Identity, 2(2), 85-101. https://doi.org/10.1080/15298860309032
39. Neff, K. D., & Beretvas, S. N. (2012). The role of self-compassion in romantic relationships. Self and Identity. 12(1), 78–98. https://doi:10.1080/15298868.2011.639548
40. Neff, K. D., & Dahm, K. A. (2015). Self-compassion: What it is, what it does, and how it relates to mindfulness. B. D. Ostafin, M. D. Robinson, & B. P. Meier (Eds.), Handbook of mindfulness and self-regulation (pp. 121–137). Springer Science Business Media. https://doi.org/10.1007/978-1-4939-2263-5_10
41. Özdemir, H. D. (2020). Bağlanma stilleri ile partner şiddeti arasındaki ilişkide öz-anlayışın ve boyun eğici davranışın aracılık rolü [Doktora tezi, İstanbul Arel Üniversitesi]. https://tez.yok.gov.tr/UlusalTezMerkezi/
42. Pender, N. J. (2011). Health promotion model manual. University of Michigan Deep Blue, 1-17. http://hdl.handle.net/2027.42/85350
43. Pepping, C. A., Davis, P. J., O'Donovan, A., & Pal, J. (2015). Individual differences in self-compassion: The role of attachment and experiences of parenting in childhood. Self and Identity, 14(1), 104-117. https://doi.org/10.1080/15298868.2014.955050
44. Phelps, C. L., Paniagua, S. M., Willcockson, I. U., & Potter, J. S. (2018). The relationship between self-compassion and the risk for substance use disorder. Drug and alcohol dependence, 183, 78-81. https://doi.org/10.1016/j.drugalcdep.2017.10.026
45. Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., George, S. M., & Olson, R. D. (2018). The physical activity guidelines for Americans. Jama, 320(19), 2020-2028. https://doi.org/10.1001/jama.2018.14854
46. Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self‐compassion scale. Clinical Psychology & Psychotherapy, 18(3), 250-255. https://doi:10.1002/cpp.702
47. Rizalar, S., Ozbas, A., Akyolcu, N., & Gungor, B. (2014). Effect of perceived social support on psychosocial adjustment of Turkish patients with breast cancer. Asian Pacific Journal of Cancer Prevention, 15(8), 3429-34. https://doi: 10.7314/apjcp.2014.15.8.3429.
48. Sormunen, M., Goranskaya, S., Kirilina, V., Bykachev, K., & Tossavainen, K. (2018). Home and school responsibilities for children’s health literacy development: the views of Finnish and Russian parents and teachers. Russian Journal of Communication, 10(1), 70-90. https://doi.org/10.1080/19409419.2017.1381570
49. Şen, M. A., Ceylan, A., Kurt, M. E., Palancı, Y., & Adın, C. (2017). Sağlık hizmetleri meslek yüksekokulu öğrencilerinin sağlıklı yaşam biçimi davranışları ve etkileyen faktörler. Dicle Tıp Dergisi, 44(1), 1-11. https://doi.org/10.5798/dicletip.298567
50. T.C. Sağlık Bakanlığı (2014) Türkiye fiziksel aktivite rehberi. Ankara: Türkiye Halk Sağlığı Kurumu.
51. Tanaka, M. Wekerle, C. Schmuck, M. L. and Paglia-Boak, A. (2011). The linkages among childhood maltreatment, adolescent mental health, and self- compassion. Child Abuse & Neglect, 35(10), 887- 898. https://doi:10.1016/j.chiabu.2011.07.003
52. Terry, M. L., & Leary, M. R. (2011). Self-Compassion, Self-Regulation, and health. Self and Identity, 10(3), 352-362. https://doi.org/10.1080/15298868.2011.558404
53. Terry, M. L., Leary, M. R., Mehta, S., & Henderson, K. (2013). Self-compassionate reactions to health threats. Personality and Social Psychology Bulletin, 39(7), 911-926. https://doi: 10.1177/0146167213488213
54. Tomaka, J., Thompson, S., Palacios, R. (2006). The relation of social isolation, loneliness, and social support to disease outcomes among the elderly. Journal of Aging and Health,18(3), 359-84. https://doi: 10.1177/0898264305280993.
55. Toprak, İ., Şentürk, Ş., Yüksel, B., Özer, H., Çakır, B., & Bideci, A. E. (2002). Toplumun beslenmede bilinçlendirilmesi. Saha personeli için toplum beslenmesi programı eğitim materyali. T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü, Hacettepe Üniversitesi Beslenme ve Diyetetik Bölümü.
56. Uslu, F., & Gizir, S. (2017). School belonging of adolescents: The role of teacher–student relationships, peer relationships and family involvement. Educational Sciences: Theory & Practice 17(1), 63-82. https://doi.org/10.12738/estp.2017.1.0104
57. Wakefield, J. R. H., Sani, F., Herrera, M., Khan, S. S., & Dugard, P. (2016). Greater family identification-but not greater contact with family members leads to better health: Evidence from a Spanish longitudinal study. European Journal of Social Psychology, 46(4), 506-13. https://doi.org/10.1002/ejsp.2171
58. Walker, S. N., Volkan, K., Sechrist, K. R., & Pender, N. J. (1988). Health-promoting life styles of older adults: Comparisons with young and middle-aged adults, correlates and patterns. Advances in Nursing Science, 11(1), 76-90. https://doi.org/10.1097/00012272-198810000-00008
59. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987) The Health-Promoting Lifestyle Profile: Development and Psychometric Characteristics. Nursing Research, 36(2), 76-81. http://dx.doi.org/10.1097/00006199-198703000-00002
60. World Health Organization .(2024). Global status report on noncommunicable diseases.. Global status report on noncommunicable diseases. https://www.who.int/publications/i/item/9789240088146
61. Ying, K., & Hashim, I. H. M. (2016). Self-compassion, social connectedness and self-regulation of health behaviour: A preliminary study on local undergraduates in Malaysia. In 3rd KANITA Postgraduate International Conference on Gender Studies (pp. 16–17). Universiti Sains Malaysia. http://eprints.usm.my/id/eprint/31308