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Mindfulness

, Volume 9, Issue 2, pp 388–400 | Cite as

A Systematic Review of the Efficacy of Interventions that Aim to Increase Self-Compassion on Nutrition Habits, Eating Behaviours, Body Weight and Body Image

  • Hania Rahimi-Ardabili
  • Rebecca Reynolds
  • Lenny R. Vartanian
  • Leigh Victoria Duyen McLeod
  • Nicholas Zwar
REVIEW

Abstract

Overweight and obesity are universal health challenges, with behavioural weight management often failing to produce long-term effects. Various psychological factors, including body dissatisfaction and disordered eating, have been linked to weight gain overtimes. However, the majority of weight loss interventions do not address these aspects. Additionally, there has been a growing interest in the potential benefits of self-compassion as a new approach to promoting both physical and mental health. This systematic review investigated the effects of interventions that aim to increase self-compassion on obesity and weight-related psychological conditions. Four electronic databases were searched using terms adapted from previous systematic reviews on nutrition and body weight, self-compassion, eating disorders and body image. This review was conducted using the PRISMA guidelines for systematic reviewers. The search identified six studies that met eligible criteria for the review. Results indicate that self-compassion can be beneficial for weight loss, nutrition behaviours, eating behaviours and body image. However, the number of studies is limited, and most of the studies have serious limitations. Further research using robust methodologies is needed to determine the efficacy of self-compassion on body weight and related behaviours.

Keywords

Systematic review Self-compassion Nutrition behaviours Eating behaviour Obesity Body image 

Notes

Acknowledgements

Special thanks to Natalie Reily for her helpful feedback on the manuscript.

Authors Contributions

RR and HR designed the systematic review methodology. HR searched the databases. LM and HR conducted the title/abstract screening and full-text verification stages, and any disagreements at these stages were reviewed by RR. HR extracted the data and did the critical appraisal. HR wrote the first draft of the manuscript and RR, LRV and NZ contributed to the final manuscript.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

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.CrossRefGoogle Scholar
  2. Albertson, E. R., Neff, K. D., & Dill-Shackleford, K. E. (2015). Self-compassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation intervention. Mindfulness, 6(3), 444–454.  https://doi.org/10.1007/s12671-014-0277-3.CrossRefGoogle Scholar
  3. American Dietetic Association. (2012). Evidence analysis manual: steps in the academy evidence analysis process. Chicago: American Dietetic Association.Google Scholar
  4. Arem, H., & Irwin, M. (2011). A review of web-based weight loss interventions in adults. Obesity Reviews, 12(5), e236–e243.CrossRefPubMedGoogle Scholar
  5. Australian Bureau of Statistics (2015). Overweight and obesity. National health survey: first results, 2014–15.Google Scholar
  6. Avalos, L., Tylka, T. L., & Wood-Barcalow, N. (2005). The body appreciation scale: development and psychometric evaluation. Body Image, 2(3), 285–297.CrossRefPubMedGoogle Scholar
  7. Avila, C., Holloway, A. C., Hahn, M. K., Morrison, K. M., Restivo, M., Anglin, R., et al. (2015). An overview of links between obesity and mental health. Current Obesity Reports, 4(3), 303–310.  https://doi.org/10.1007/s13679-015-0164-9.CrossRefPubMedGoogle Scholar
  8. Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303.CrossRefGoogle Scholar
  9. Bean, M. K., Stewart, K., & Olbrisch, M. E. (2008). Obesity in America: implications for clinical and health psychologists. Journal of Clinical Psychology in Medical Settings, 15(3), 214–224.  https://doi.org/10.1007/s10880-008-9124-9.CrossRefPubMedGoogle Scholar
  10. Berry, K. A., Kowalski, K. C., Ferguson, L. J., & McHugh, T. L. F. (2010). An empirical phenomenology of young adult women exercisers’ body self-compassion. Qualitative Research in Sport and Exercise, 2(3), 293–312.CrossRefGoogle Scholar
  11. Braun, T. D., Park, C. L., & Conboy, L. A. (2012). Psychological well-being, health behaviors, and weight loss among participants in a residential, Kripalu yoga-based weight loss program. International Journal of Yoga Therapy, 22(1), 9–22.Google Scholar
  12. Braun, T. D., Park, C. L., & Gorin, A. (2016). Self-compassion, body image, and disordered eating: a review of the literature. Body Image, 17, 117–131.  https://doi.org/10.1016/j.bodyim.2016.03.003.CrossRefPubMedGoogle Scholar
  13. Breines, J. G., & Chen, S. (2012). Self-compassion increases self-improvement motivation. Personality and Social Psychology Bulletin, 38(9), 1133–1143.  https://doi.org/10.1177/0146167212445599.CrossRefPubMedGoogle Scholar
  14. Byrne, S., Cooper, Z., & Fairburn, C. (2003). Weight maintenance and relapse in obesity: a qualitative study. International Journal of Obesity and Related Metabolic Disorders, 27(8), 955–962.  https://doi.org/10.1038/sj.ijo.0802305.CrossRefPubMedGoogle Scholar
  15. Calle, E. E., Thun, M. J., Petrelli, J. M., Rodriguez, C., & Heath Jr., C. W. (1999). Body-mass index and mortality in a prospective cohort of U.S. adults. New England Journal of Medicine, 341(15), 1097–1105.  https://doi.org/10.1056/NEJM199910073411501.CrossRefPubMedGoogle Scholar
  16. Cash, T. F., & Szymanski, M. L. (1995). The development and validation of the body-image ideals questionnaire. Journal of Personality Assessment, 64(3), 466–477.  https://doi.org/10.1207/s15327752jpa6403_6.CrossRefPubMedGoogle Scholar
  17. Crocker, J., Luhtanen, R. K., Cooper, M. L., & Bouvrette, A. (2003). Contingencies of self-worth in college students: theory and measurement. Journal of Personality Social Psychology, 85(5), 894–908.CrossRefPubMedGoogle Scholar
  18. Dallman, M. F. (2010). Stress-induced obesity and the emotional nervous system. Trends in Endocrinology & Metabolism, 21(3), 159–165.CrossRefGoogle Scholar
  19. DeVore, R. (2013). Analysis of gender differences in self-statements and mood disorders. McNair Scholars Research Journal, 9(1), 7.Google Scholar
  20. Dounchis, J. Z., Hayden, H. A., & Wilfley, D. E. (2001). Obesity, body image, and eating disorders in ethnically diverse children and adolescents. In J. K. Thompson & L. Smolak (Eds.), Body image, eating disorders, and obesity in youth: assessment, prevention, and treatment (pp. 67–98). Didcot: Taylor Francis.CrossRefGoogle Scholar
  21. Elfhag, K., & Rossner, S. (2005). Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obesity Reviews, 6(1), 67–85.  https://doi.org/10.1111/j.1467-789X.2005.00170.x.CrossRefPubMedGoogle Scholar
  22. Evans, C., & Dolan, B. (1993). Body shape questionnaire: derivation of shortened “alternate forms”. International Journal of Eating Disorders, 13(3), 315–321.CrossRefPubMedGoogle Scholar
  23. Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011). Fears of compassion: Development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice, 84(3), 239–255.CrossRefGoogle Scholar
  24. Godfrey, K. M., Gallo, L. C., & Afari, N. (2015). Mindfulness-based interventions for binge eating: a systematic review and meta-analysis. Journal of Behavioral Medicine, 38(2), 348–362.  https://doi.org/10.1007/s10865-014-9610-5.CrossRefPubMedGoogle Scholar
  25. Haines, J., & Neumark-Sztainer, D. (2006). Prevention of obesity and eating disorders: a consideration of shared risk factors. Health Education Research, 21(6), 770–782.CrossRefPubMedGoogle Scholar
  26. Haynos, A. F., & O'Donohue, W. T. (2012). Universal childhood and adolescent obesity prevention programs: review and critical analysis. Clinical Psychology Review, 32(5), 383–399.  https://doi.org/10.1016/j.cpr.2011.09.006.CrossRefPubMedGoogle Scholar
  27. Heatherton, T. F., & Baumeister, R. F. (1991). Binge eating as escape from self-awareness. Psychological Bulletin, 110(1), 86–108.CrossRefPubMedGoogle Scholar
  28. Jackson, B., Lynne Cooper, M., Mintz, L., & Albino, A. (2003). Motivations to eat: scale development and validation. Journal of Research in Personality, 37(4), 297–318.  https://doi.org/10.1016/S0092-6566(02)00574-3.CrossRefGoogle Scholar
  29. Jones, B. A., Haycraft, E., Murjan, S., & Arcelus, J. (2016). Body dissatisfaction and disordered eating in trans people: a systematic review of the literature. International Review of Psychiatry, 28(1), 81–94.  https://doi.org/10.3109/09540261.2015.1089217.CrossRefPubMedGoogle Scholar
  30. Lazzeretti, L., Rotella, F., Pala, L., & Rotella, C. M. (2015). Assessment of psychological predictors of weight loss: how and what for? World Journal of Psychiatry, 5(1), 56–67.CrossRefPubMedPubMedCentralGoogle Scholar
  31. Leadbeater, B. J., Kuperminc, G. P., Blatt, S. J., & Hertzog, C. (1999). A multivariate model of gender differences in adolescents’ internalizing and externalizing problems. Developmental Psychology, 35(5), 1268–1282.CrossRefPubMedGoogle Scholar
  32. Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of Personality Social Psychology, 92(5), 887–904.  https://doi.org/10.1037/0022-3514.92.5.887.CrossRefPubMedGoogle Scholar
  33. MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552.  https://doi.org/10.1016/j.cpr.2012.06.003.CrossRefPubMedGoogle Scholar
  34. Mantzios, M., & Egan, H. H. (2017). On the role of self-compassion and self-kindness in weight regulation and health behavior change. Frontiers in Psychology, 8, 229.  https://doi.org/10.3389/fpsyg.2017.00229.CrossRefPubMedPubMedCentralGoogle Scholar
  35. Mantzios, M., & Wilson, J. (2014). Making concrete construals mindful: a novel approach for developing mindfulness and self-compassion to assist weight loss. Psychology & Health, 29(4), 422–441.CrossRefGoogle Scholar
  36. Mantzios, M., & Wilson, J. (2015a). Exploring mindfulness and mindfulness with self-compassion-centered interventions to assist weight loss: theoretical considerations and preliminary results of a randomized pilot study. Mindfulness, 6(4), 824–835.  https://doi.org/10.1007/s12671-014-0325-z.CrossRefGoogle Scholar
  37. Mantzios, M., & Wilson, J. (2015b). Mindfulness, eating behaviours, and obesity: a review and reflection on current findings. Current Obesity Reports, 4(1), 141–146.  https://doi.org/10.1007/s13679-014-0131-x.CrossRefPubMedGoogle Scholar
  38. McKinley, N. M., & Hyde, J. S. (1996). The objectified body consciousness scale development and validation. Psychology of Women Quarterly, 20(2), 181–215.CrossRefGoogle Scholar
  39. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine, 151(4), 264–269.CrossRefPubMedGoogle Scholar
  40. Moradi, B., Dirks, D., & Matteson, A. V. (2005). Roles of sexual objectification experiences and internalization of standards of beauty in eating disorder symptomatology: a test and extension of objectification theory. Journal of Counseling Psychology, 52(3), 420–428.CrossRefGoogle Scholar
  41. Myers, T. A., & Crowther, J. H. (2007). Sociocultural pressures, thin-ideal internalization, self-objectification, and body dissatisfaction: could feminist beliefs be a moderating factor? Body Image, 4(3), 296–308.  https://doi.org/10.1016/j.bodyim.2007.04.001.CrossRefPubMedGoogle Scholar
  42. National Health and Medical Research Council (2000). How to review the evidence: systematic identification and review of the scientific literature. In NHMRC (Ed.). Canberra.Google Scholar
  43. Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250.CrossRefGoogle Scholar
  44. Neff, K. D. (2003b). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101.CrossRefGoogle Scholar
  45. Neff, K. D., Hsieh, Y.-P., & Dejitterat, K. (2005). Self-compassion, achievement goals, and coping with academic failure. Self and Identity, 4(3), 263–287.  https://doi.org/10.1080/13576500444000317.CrossRefGoogle Scholar
  46. Olson, K. L., & Emery, C. F. (2015). Mindfulness and weight loss: a systematic review. Psychosomatic Medicine, 77(1), 59–67.  https://doi.org/10.1097/psy.0000000000000127.CrossRefPubMedGoogle Scholar
  47. Pereira, R. F., & Alvarenga, M. (2007). Disordered eating: identifying, treating, preventing, and differentiating it from eating disorders. Diabetes Spectrum, 20(3), 141–148.  https://doi.org/10.2337/diaspect.20.3.141.CrossRefGoogle Scholar
  48. Pratt, B. M., & Woolfenden, S. (2002). Interventions for preventing eating disorders in children and adolescents. Cochrane Database of Systematic Reviews, 2, CD002891.Google Scholar
  49. Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: a cognitive–behavioural analysis. Behaviour Research and Therapy, 40(7), 773–791.CrossRefPubMedGoogle Scholar
  50. Sirois, F. M., Kitner, R., & Hirsch, J. K. (2015). Self-compassion, affect, and health-promoting behaviors. Health Psychology, 34(6), 661–669.  https://doi.org/10.1037/hea0000158.CrossRefPubMedGoogle Scholar
  51. Stunkard, A. J., & Allison, K. C. (2003). Two forms of disordered eating in obesity: binge eating and night eating. International Journal of Obesity and Related Metabolic Disorders, 27(1), 1–12.  https://doi.org/10.1038/sj.ijo.0802186.CrossRefPubMedGoogle Scholar
  52. Teixeira, P., Going, S., Houtkooper, L., Cussler, E., Metcalfe, L., Blew, R., et al. (2004). Pretreatment predictors of attrition and successful weight management in women. International Journal of Obesity, 28(9), 1124–1133.CrossRefPubMedGoogle Scholar
  53. Traverso, A., Ravera, G., Lagattolla, V., Testa, S., & Adami, G. (2000). Weight loss after dieting with behavioral modification for obesity: the predicting efficiency of some psychometric data. Eating and Weight Disorders, 5(2), 102–107.CrossRefPubMedGoogle Scholar
  54. Trottier, K., McFarlane, T., & Olmsted, M. P. (2013). A test of the weight-based self-evaluation schema in eating disorders: Understanding the link between self-esteem, weight-based self-evaluation, and body dissatisfaction. Cognitive Therapy and Research, 37(1), 122–126.  https://doi.org/10.1007/s10608-012-9446-7.CrossRefGoogle Scholar
  55. Urquhart, C. S., & Mihalynuk, T. V. (2011). Disordered eating in women: implications for the obesity pandemic. Canadian Journal of Dietetic Practice and Research, 72(1), e115–e125.CrossRefPubMedGoogle Scholar
  56. Walker, S., & Hill-Polerecky, D. (1996). Psychometric evaluation of the health-promoting lifestyle profile II. Unpublished manuscript, University of Nebraska Medical Center, 120–126.Google Scholar
  57. Weinberger, N. A., Kersting, A., Riedel-Heller, S. G., & Luck-Sikorski, C. (2016). Body dissatisfaction in individuals with obesity compared to normal-weight individuals: a systematic review and meta-analysis. Obesity Facts, 9(6), 424–441.CrossRefPubMedPubMedCentralGoogle Scholar
  58. Wing, R. R., Lang, W., Wadden, T. A., Safford, M., Knowler, W. C., Bertoni, A. G., et al. (2011). Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care, 34(7), 1481–1486.  https://doi.org/10.2337/dc10-2415.CrossRefPubMedPubMedCentralGoogle Scholar
  59. Yarnell, L. M., Stafford, R. E., Neff, K. D., Reilly, E. D., Knox, M. C., & Mullarkey, M. (2015). Meta-analysis of gender differences in self-compassion. Self and Identity, 14, 499–520.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Hania Rahimi-Ardabili
    • 1
  • Rebecca Reynolds
    • 1
  • Lenny R. Vartanian
    • 2
  • Leigh Victoria Duyen McLeod
    • 2
  • Nicholas Zwar
    • 1
    • 3
  1. 1.School of Public Health and Community MedicineUNSW SydneySydneyAustralia
  2. 2.School of PsychologyUNSW SydneySydneyAustralia
  3. 3.School of MedicineUniversity of WollongongWollongongAustralia

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