Autism & Developmental

"Self-compassion changed my life": The self-compassion experiences of autistic and non-autistic adults and its relationship with mental health and psychological wellbeing.

Cai et al. (2023) · Journal of autism and developmental disorders 2023
★ The Verdict

Autistic adults feel less self-kindness, and brief remote training can raise it while easing depression.

✓ Read this if BCBAs serving autistic adolescents or adults in clinic, telehealth, or transition programs.
✗ Skip if Practitioners focused only on early-childhood verbal behavior or parent-led EIBI.

01Research in Context

01

What this study did

Cai et al. (2023) asked autistic and non-autistic adults to fill out online surveys.

They measured self-compassion, mood, and well-being.

The goal was to see if autistic adults score lower and if low scores link to worse mental health.

02

What they found

Autistic adults rated themselves much lower on self-compassion.

Lower scores predicted higher depression and lower well-being in both groups.

The pattern was the same for autistic and non-autistic adults, just shifted downward.

03

How this fits with other research

Cai et al. (2024) took the survey finding and built a fix: a five-week online class that raised self-compassion and cut depression in 39 autistic adults.

Ozturk et al. (2025) pooled 15 studies and showed the same link works for parents of kids with autism—higher self-compassion means less stress and depression.

Brewer et al. (2023) looked at empathy, not self-compassion, and found only small, confidence-based gaps between autistic and non-autistic adults.

Together the picture is clear: autistic people can grow socio-emotional skills; they just start lower and may need targeted support.

04

Why it matters

If you work with autistic teens or adults, screen self-compassion like you screen for anxiety.

A short online module or even brief kindness prompts during sessions can lift mood and build coping.

Pair the tool with clinician check-ins, since some learners hit rough patches while practicing.

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Add a two-minute self-kindness reflection to the end of your session and track mood ratings before and after.

02At a glance

Intervention
not applicable
Design
survey
Sample size
246
Population
autism spectrum disorder, neurotypical
Finding
negative
Magnitude
medium

03Original abstract

Self-compassion is a gentle way of relating to oneself, linked to a host of mental health benefits in non-autistic people. Although many autistic individuals report high anxiety and depression symptoms, no research to-date has examined the self-compassion experiences of autistic individuals and determined if self-compassion is associated with psychopathology. Therefore, the purpose of the current study was to address this research gap. The participants (153 autistic and 93 non-autistic adults) completed on online survey and 11 autistic participants were also interviewed. Autistic participants reported significantly lower self-compassion than non-autistic adults, and in both groups, those with higher self-compassion reported higher psychological wellbeing and lower depression symptoms. Demographic predictors of self-compassion were identified. These findings have both clinical and research implications.

Journal of autism and developmental disorders, 2023 · doi:10.1111/aphw.12051