A Systematic Review of the Efficacy of Interventions that Aim to Increase Self-Compassion on Nutrition Habits, Eating Behaviours, Body Weight and Body Image
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.
KeywordsSystematic review Self-compassion Nutrition behaviours Eating behaviour Obesity Body image
Special thanks to Natalie Reily for her helpful feedback on the manuscript.
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.
- American Dietetic Association. (2012). Evidence analysis manual: steps in the academy evidence analysis process. Chicago: American Dietetic Association.Google Scholar
- Australian Bureau of Statistics (2015). Overweight and obesity. National health survey: first results, 2014–15.Google Scholar
- 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
- DeVore, R. (2013). Analysis of gender differences in self-statements and mood disorders. McNair Scholars Research Journal, 9(1), 7.Google Scholar
- 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
- 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/10.1037/0022-35220.127.116.117.CrossRefPubMedGoogle Scholar
- 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
- 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
- Pratt, B. M., & Woolfenden, S. (2002). Interventions for preventing eating disorders in children and adolescents. Cochrane Database of Systematic Reviews, 2, CD002891.Google Scholar
- 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
- 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
- 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