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An Evaluation of the Impact of Introducing Compassion Focused Therapy to a Standard Treatment Programme for People with Eating Disorders

Corinne Gale · Paul Gilbert · Natalie Read · Ken Goss

221 citations0/0 files storedClinical Psychology & Psychotherapy

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Eating Disorders and Behaviors Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Personality Disorders and Psychopathology

Abstract

OBJECTIVE: This study explored the outcome of introducing Compassion Focused Therapy (CFT) into a standard treatment programme for people with eating disorders. In particular, the aim was to evaluate the principle that CFT can be used with people with eating disorders and improve eating disorder symptomatology. METHOD: Routinely collected questionnaire data were used to assess cognitive and behavioural aspects of eating disorders and social functioning/well being (n = 99). RESULTS: There were significant improvements on all questionnaire measures during the programme. An analysis by diagnosis found that people with bulimia nervosa improved significantly more than people with anorexia nervosa on most of the subscales. Also, in terms of clinical significance, 73% of those with bulimia nervosa were considered to have made clinically reliable and significant improvements at the end of treatment (compared with 21% of people with anorexia nervosa and 30% of people with atypical eating disorders). CONCLUSION: This study demonstrates the potential benefits of using CFT with people with eating disorders and highlights the need for further research on this new approach. KEY PRACTITIONER MESSAGE: CFT offers new ways to conceptualize and formulate some of the self-critical and shame-based difficulties associated with eating disorders. CFT offers a framework that can enable people with eating disorders to conceptualize their difficulties in different ways. CFT can be combined with standard therapies especially cognitive behavioural therapy. CFT can be especially useful in a group context where the relationships between members can become increasingly compassionate, validating, supportive and encouraging.

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References

1991Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.1991Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.1994Assessment of eating disorders: Interview or self‐report questionnaire?2006Compassionate mind training for people with high shame and self‐criticism: overview and pilot study of a group therapy approach 1994Binge Eating: Nature, Assessment and Treatment 2010Fears of compassion: Development of three self‐report measures 2010Compassion Focused Therapy 2008Transdiagnostic Cognitive-Behavioral Therapy for Patients With Eating Disorders: A Two-Site Trial With 60-Week Follow-Up

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2020Compassion focused therapy: a systematic review of its effectiveness and acceptability in clinical populations 2017The effect of self-compassion on the self-regulation of health behaviors: A systematic review 2013Are improvements in shame and self‐compassion early in eating disorders treatment associated with better patient outcomes?2021Effectiveness of self‐compassion‐related interventions for reducing self‐criticism: A systematic review and meta‐analysis

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