Self-compassion and fear of self-compassion interact to predict response to eating disorders treatment: A preliminary investigation

Kelly, Allison C.; Carter, Jacqueline C.; Zuroff, David C.; Borairi, Sahar

doi:10.1080/10503307.2012.717310

Cited by 129 publications

(103 citation statements)

References 43 publications

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“…It would be interesting to know whether these persistently low levels of self-compassion contribute to the poorer outcomes AN patients tend to experience during and after treatment for their eating disorder. Indeed, there is growing evidence that deficits in self-compassion are associated with more severe and prolonged eating disorder pathology in eating disorder patients [45]. …”

Section: Discussionmentioning

confidence: 99%

Eating disorder subtypes differ in their rates of psychosocial improvement over treatment

Kelly

Carter

2014

J Eat Disord

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BackgroundIndividuals with Anorexia Nervosa (AN) are renowned for their poor short- and long-term treatment outcomes. To gain more insight into the reasons for these poor outcomes, the present study compared patients with AN-R (restrictive subtype), AN-BP (binge-purge subtype), bulimia nervosa (BN), and eating disorder not otherwise specified (EDNOS) over 12 weeks of specialized eating disorders treatment.Eighty-nine patients completed the Eating Disorder Examination- Questionnaire (EDE-Q) and various measures of psychosocial functioning at baseline, and again after weeks 3, 6, 9, and 12 of treatment.ResultsMultilevel modeling revealed that, over the 12 weeks, patients with AN-BP and AN-R had slower improvements in global eating disorder pathology, shape concerns, and self-compassion than those with EDNOS and BN. Patients with AN-BP had slower improvements in shame, social safeness (i.e., feelings of warmth in one’s relationships), and received social support compared to those with AN-R, BN, and EDNOS.ConclusionsThese findings support the need for more effective and comprehensive clinical interventions for patients with AN and especially AN-BP. Results also highlight not-yet studied processes that might contribute to the poor outcomes AN patients often face during and after treatment.

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Section: Discussionmentioning

confidence: 99%

Eating disorder subtypes differ in their rates of psychosocial improvement over treatment

Kelly

Carter

2014

J Eat Disord

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“…The 2-week self-compassionate letter-writing intervention appeared to be acceptable, feasible, and efficacious. a p < .10; *p < .05; **p < .01; ***p < .001. have more severe symptoms and poorer treatment outcomes (Kelly et al, 2013(Kelly et al, , 2014. These numbers are quite remarkable given that roughly half the sample did not self-identify as having an eating disorder.…”

Section: Discussionmentioning

confidence: 99%

“…Preliminary results suggest that over 2 weeks, working on the development of self-compassion may help these individuals feel less ashamed and more open to, and capable of, self-compassion, all of which have been associated with reduced eating pathology over time (Kelly et al, 2013(Kelly et al, , 2014. Preliminary results suggest that over 2 weeks, working on the development of self-compassion may help these individuals feel less ashamed and more open to, and capable of, self-compassion, all of which have been associated with reduced eating pathology over time (Kelly et al, 2013(Kelly et al, , 2014.…”

Section: Limitations Future Research and Conclusionmentioning

confidence: 98%

“…Given the broader psychosocial benefits associated with the development of self-compassion, a final objective was to examine the impact of the intervention on actual symptoms of AN (i.e., eating pathology, BMI) and on self-compassion and fear of self-compassion, both of which have been implicated in the maintenance/remission of eating disorders (Braun, Park, & Gorin, 2016;Kelly et al, 2013). A second objective was to assess the impact of this intervention on established barriers to treatment seeking: shame, low motivation for treatment, and low readiness for change.…”

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confidence: 99%

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A feasibility study of a 2‐week self‐compassionate letter‐writing intervention for nontreatment seeking individuals with typical and atypical anorexia nervosa

Kelly

Waring

2018

Intl J Eating Disorders

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“…A preliminary investigation showed that low self-compassionate individuals with higher fear of self-compassion presented more shame and ED pathology [107].…”

Section: Self-compassionmentioning

confidence: 99%

Psychological risk factors, cognitive-contextual approaches and neural correlates in eating disorders: an integrative review

Marques¹,

Almeida²,

Santos³

et al. 2017

IJCNMH

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Eating disorders (ED) are a significant source of physical and psychosocial impairment, mainly amongst women in adolescence and early adulthood. The development and progression of ED are influenced by a large set of environmental and social factors, but it has also been recognized that ED have important biological and psychological determinants.This article reviews the literature on ED concerning defensive emotion and psychological processes involved in the development and maintenance of ED, but also their neuroimaging/electrophysiological correlates. Furthermore, it also reviews treatment approaches that focused on the improvement of ED patients' symptomatology.An extensive literature exists regarding neuroimaging/electrophysiological studies associated with clinical features of ED patients in terms of body image and food processing and reward/inhibition processes. However, studies addressing the neural correlates of psychological processes, such as rumination, experiential avoidance, cognitive fusion and self-criticism, and the defensive emotion of shame, which are key components for the development and maintenance of ED, are still scarce if not lacking. In the context of this cognitive set, cognitive-contextual approaches for ED patients, such as mindfulness, acceptance-and compassion-based interventions are promising to change the way individuals relate to their aversive experiences, but still requires a deeper understanding of the mechanisms by which it operates and further testing of its therapeutic efficacy.This review highlights the lack of neuroimaging/electrophysiological studies in ED patients in which concerns shame and other relevant psychological processes, but also the scarce evidence in terms of brain modifications associated with therapeutic efficacy of cognitive-contextual approaches that help to change the way individuals relate to their body, weight and food concerns, reduce maladaptive emotion regulation strategies and improve well-being in patients suffering from ED.

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Self-compassion and fear of self-compassion interact to predict response to eating disorders treatment: A preliminary investigation

Cited by 129 publications

References 43 publications

Eating disorder subtypes differ in their rates of psychosocial improvement over treatment

Eating disorder subtypes differ in their rates of psychosocial improvement over treatment

A feasibility study of a 2‐week self‐compassionate letter‐writing intervention for nontreatment seeking individuals with typical and atypical anorexia nervosa

Psychological risk factors, cognitive-contextual approaches and neural correlates in eating disorders: an integrative review

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