JOURNAL ARTICLE

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

Allison C Kelly, Jacqueline C Carter, David C Zuroff, Sahar Borairi
Psychotherapy Research: Journal of the Society for Psychotherapy Research 2013, 23 (3): 252-64
22917037
Gilbert (2005) proposed that the capacity for self-compassion is integral to overcoming shame and psychopathology. We tested this model among 74 individuals with an eating disorder admitted to specialized treatment. Participants completed measures assessing self-compassion, fear of self-compassion, shame, and eating disorder symptoms at admission and every 3 weeks during treatment. At baseline, lower self-compassion and higher fear of self-compassion were associated with more shame and eating disorder pathology. Multilevel modeling also revealed that patients with combinations of low self-compassion and high fear of self-compassion at baseline had significantly poorer treatment responses, showing no significant change in shame or eating disorder symptoms over 12 weeks. Results highlight a new subset of treatment-resistant eating disorder patients.

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