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Compassion-Focused Intervention for Highly Self-Critical Individuals: Pilot Study

Published online by Cambridge University Press:  13 June 2018

Alexandra Rose ,
Ruth McIntyre  and
Katharine A. Rimes
Alexandra Rose
Affiliation:
King's College London, Institute of Psychiatry, Psychology and Neuroscience
Ruth McIntyre
Affiliation:
King's College London, Institute of Psychiatry, Psychology and Neuroscience
Katharine A. Rimes*
Affiliation:
King's College London, Institute of Psychiatry, Psychology and Neuroscience
*
*Correspondence to Katharine A. Rimes, Department of Psychology, Henry Wellcome Building, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF. E-mail: [email protected]
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Abstract

Self-criticism is a transdiagnostic process associated with a range of psychological problems. This uncontrolled pilot study evaluated the feasibility and acceptability of a six-session intervention using methods from compassion-focused therapy to reduce self-criticism, as well as investigating changes in a range of outcome measures. Twenty-three university student participants with significant impaired functioning associated with high levels of self-criticism received six individual weekly treatment sessions and a 2-month follow-up appointment. Acceptability was assessed through participant feedback. The intervention appeared to be feasible in terms of recruitment and retention of participants, and participant feedback indicated that overall the intervention seemed acceptable. There were statistically significant improvements between pre- and post-intervention for self-criticism, functional impairment, mood, self-esteem and maladaptive perfectionism with medium to large effect sizes at both post-intervention and follow-up. Gains were maintained or increased between post-treatment and 2-month follow-up. The study showed preliminary evidence of effectiveness of a compassion-focused intervention for self-critical students which appeared to be a feasible and acceptable treatment approach. This intervention now requires investigation in a randomized controlled trial.

Keywords

self-criticismself-compassioncompassion-focused therapystudents
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 46 , Issue 5 , September 2018 , pp. 583 - 600
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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References

Braehler, C., Gumley, A., Harper, J., Wallace, S., Norrie, J. and Gilbert, P. (2013). Exploring change processes in compassion focused therapy in psychosis: results of a feasibility randomized controlled trial. British Journal of Clinical Psychology, 52, 199–214. doi: 10.1111/bjc.12009Google Scholar
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd edn). Hillsdale, NJ: Lawrence Earlbaum Associates.Google Scholar
Dunkley, D. M. and Kyparissis, A. (2008). What is DAS self-critical perfectionism really measuring? Relations with the five-factor model of personality and depressive symptoms. Personality and Individual Differences, 44, 1295–1305. doi: 10.1016/j.paid.2007.11.022Google Scholar
Dunkley, D. M., Sanislow, C. A., Grilo, C. M. and McGlashan, T. H. (2009). Self-criticism versus neuroticism in predicting depression and psychosocial impairment for 4 years in a clinical sample. Comprehensive Psychiatry, 50, 335–346. doi: 10.1016/j.comppsych.2008.09.004Google Scholar
Dunkley, D. M., Zuroff, D. C. and Blankstein, K. R. (2006). Specific perfectionism components versus self-criticism in predicting maladjustment. Personality and Individual Differences, 40, 665–676. doi: 10.1016/j.paid.2005.08.008Google Scholar
Fennell, M. J. (1998). Cognitive therapy in the treatment of low self-esteem. Advances in Psychiatric Treatment, 4, 296–304.Google Scholar
Fennell, M. (2013). Cognitive Therapy for Low Self-Esteem: A Transdiagnostic Perspective. Workshop Handouts for University of Bath Clinical Psychology Doctorate.Google Scholar
Fennig, S., Hadas, A., Itzhaky, L., Roe, D., Apter, A. and Shahar, G. (2008). Self‐criticism is a key predictor of eating disorder dimensions among inpatient adolescent females. International Journal of Eating Disorders, 41, 762–765. doi: 10.1002/eat.20573Google Scholar
Fox‐Wasylyshyn, S. M. and El‐Masri, M. M. (2005). Handling missing data in self‐report measures. Research in Nursing and Health, 28, 488–495. doi: 10.1002/nur.20100Google Scholar
Frost, R. O., Marten, P., Lahart, C. and Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14, 449–468. doi: 10.1007/BF01172967Google Scholar
Gale, C., Gilbert, P., Read, N. and Goss, K. (2014). An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders. Clinical Psychology and Psychotherapy, 21, 1–12. doi: 10.1002/cpp.1806Google Scholar
Gilbert, P. (2005). Compassion: Conceptualisations, Research and Use in Psychotherapy. East Sussex: RoutledgeGoogle Scholar
Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15, 199–208. doi: 10.1192/apt.bp.107.005264Google Scholar
Gilbert, P. (2010a). An introduction to compassion focused therapy in cognitive behavior therapy. International Journal of Cognitive Therapy, 3, 97–112. doi: 10.1521/ijct.2010.3.2.97Google Scholar
Gilbert, P. (2010b). Compassion Focused Therapy: The CBT Distinction Features Series. East Sussex: RoutledgeGoogle Scholar
Gilbert, P. and Procter, S. (2006). Compassionate mind training for people with high shame and self‐criticism: overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13, 353–379. doi: 10.1002/cpp.507Google Scholar
Hertzog, M. A. (2008). Considerations in determining sample size for pilot studies. Research in Nursing and Health, 31, 180–191. doi: 10.1002/nur.20247Google Scholar
Hunt, J. and Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46, 3–10. doi: 10.1016/j.jadohealth.2009.08.008Google Scholar
James, K., Verplanken, B. and Rimes, K. (2015). Self-criticism as a mediator in the relationship between unhealthy perfectionism and distress. Personality and Individual Differences, 79, 123–128. doi: 10.1016/j.paid.2015.01.030Google Scholar
Jacobson, N. S. and Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12.Google Scholar
Judge, L., Cleghorn, A., McEwan, K. and Gilbert, P. (2012). An exploration of group-based compassion focused therapy for a heterogeneous range of clients presenting to a community mental health team. International Journal of Cognitive Therapy, 5, 420–429. doi: 10.1521/ijct.2012.5. 4.420Google Scholar
Kroenke, K., Spitzer, R. and Williams, J. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. doi: 10.3928/0048-5713-20020901-06Google Scholar
Statistics, Laerd (2017, October). ANOVA with repeated measures using SPSS Statistics. Available at: https://statistics.laerd.com/spss-tutorials/one-way-anova-repeated-measures-using-spss-statistics.php (accessed 16 May 2018).Google Scholar
Lucre, K. M. and Corten, N. (2013). An exploration of group compassion‐focused therapy for personality disorder. Psychology and Psychotherapy: Theory, Research and Practice, 86, 387–400. doi: 10.1111/j.2044-8341.2012.02068Google Scholar
Luyten, P., Sabbe, B., Blatt, S. J., Meganck, S., Jansen, B., De Grave, C., Maes, F. and Corveleyn, J. (2007). Dependency and self‐criticism: relationship with major depressive disorder, severity of depression, and clinical presentation. Depression and Anxiety, 24, 586–596. doi: 10.1002/da.20272Google Scholar
Mayhew, S. L. and Gilbert, P. (2008). Compassionate mind training with people who hear malevolent voices: a case series report. Clinical Psychology and Psychotherapy, 15, 113–138. doi: 10.1002/cpp.566Google Scholar
Mayring, P. (2000). Qualitative content analysis. Forum: Qualitative Social Research, 1, 1–10. doi: http://nbn-resolving.de/urn:nbn:de:0114-fqs0002204.Google Scholar
Mundt, J. C., Marks, I. M., Shear, M. K. and Greist, J. M. (2002). The Work and Social Adjustment Scale: a simple measure of impairment in functioning. The British Journal of Psychiatry, 180, 461–464. doi: 10.1192/bjp.180.5.461Google Scholar
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. doi: 10.1080/15298860390209035Google Scholar
Rimes, K.A. and Chalder, T. (2010). The Beliefs about Emotions Scale: validity, reliability and sensitivity to clinical change. Journal of Psychosomatic Research, 68, 295–282. doi: 10.1016/j.jpsychores.2009.09.014Google Scholar
Rosenberg, M. (1965). Society and the Adolescent Self-Image. Princeton, Princeton University Press.Google Scholar
Shahar, B., Szsepsenwol, O., Zilcha‐Mano, S., Haim, N., Zamir, O., Levi‐Yeshuvi, S., and Levit‐Binnun, N. (2015a). A wait‐list randomized controlled trial of Loving‐Kindness meditation programme for self‐criticism. Clinical Psychology and Psychotherapy, 22, 346–356. doi: 10.1002/cpp.1893Google Scholar
Shahar, B., Doron, G. and Szepsenwol, O. (2015b). Childhood maltreatment, shame‐proneness and self‐criticism in social anxiety disorder: a sequential mediational model. Clinical Psychology and Psychotherapy, 22, 570–579. doi: 10.1002/cpp.1918Google Scholar
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, M. S., Hergueta, T., Baker, R. and Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59 (suppl 20), 22–33.Google Scholar
Sinclair, S. J., Blais, M. A., Gansler, D. A., Sandberg, E., Bistis, K. and LoCicero, A. (2010). Psychometric properties of the Rosenberg Self-Esteem Scale: overall and across demographic groups living within the United States. Evaluation and the Health Professions, 33, 56–80. doi: 10.1177/0163278709356187Google Scholar
Smart, L. M., Peters, J. R. and Baer, R. A. (2015). Development and validation of a measure of self-critical rumination. Assessment, 1–12. doi: 10.1177/1073191115573300Google Scholar
Spitzer, R., Kroenke, K., Williams, J. and Löwe, B. (2006). A brief measure for assessing generalised anxiety disorder: the GAD-7. Archives of Internal Medicine, 166, 1092–1097. doi:10.1001/archinte.166.10.1092.Google Scholar
Stumpf, H. and Parker, W. D. (2000). A hierarchical structural analysis of perfectionism and its relation to other personality characteristics. Personality and Individual Differences, 28, 837–852. doi: http://dx.doi.org/10.1016/S0191-8869(99)00141-5Google Scholar
Thompson, R. and Zuroff, D. C. (2004). The Levels of Self-Criticism Scale: comparative self-criticism and internalized self-criticism. Personality and Individual Differences, 36, 419–430. doi:10.1016/S0191-8869(03)00106-5Google Scholar
Verplanken, B., Friborg, O., Wang, C. E., Trafimow, D. and Woolf, K. (2007). Mental habits: metacognitive reflection on negative self-thinking. Journal of Personality and Social Psychology, 92, 526. doi: 10.1037/0022-3514.92.3.526Google Scholar
Williams, M. J., Dalgleish, T., Karl, A. and Kuyken, W. (2014). Examining the factor structures of the five facet mindfulness questionnaire and the self-compassion scale. Psychological Assessment, 26, 407. http://dx.doi.org/10.1037/a0035566Google Scholar
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