A wait-list randomized controlled trial of loving-kindness meditation programme for self-criticism
Abstract
UNLABELLED: Self-criticism is a vulnerability risk factor for a number of psychological disorders, and it predicts poor response to psychological and pharmacological treatments. In the current study, we evaluated the efficacy of a loving-kindness meditation (LKM) programme designed to increase self-compassion in a sample of self-critical individuals. Thirty-eight individuals with high scores on the self-critical perfectionism subscale of the Dysfunctional Attitude Scale were randomized to an LKM condition (n = 19) or a wait-list (WL) condition (n = 19). Measures of self-criticism, self-compassion and psychological distress were administered before and immediately following the intervention (LKM or WL). WL participants received the intervention immediately after the waiting period. Both groups were assessed 3 months post-intervention. Intent-to-treat (n = 38) and per-protocol analyses (n = 32) showed significant reductions in self-criticism and depressive symptoms as well as significant increases in self-compassion and positive emotions in the LKM condition compared with the WL condition. A follow-up per-protocol analysis in both groups together (n = 20) showed that these gains were maintained 3 months after the intervention. These preliminary results suggest that LKM may be efficacious in alleviating self-criticism, increasing self-compassion and improving depressive symptoms among self-critical individuals. KEY PRACTITIONER MESSAGE: Self-criticism plays a major role in many psychological disorders and predicts poor response to brief psychological and pharmacological treatments for depression. The current study shows that loving-kindness meditation, designed to foster self-compassion, is efficacious in helping self-critical individuals become less self-critical and more self-compassionate. The study also suggests that practising loving-kindness may reduce depressive symptoms and increase positive emotions.
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Self-transcendent emotions generated through loving kindness meditation have been shown to increase social connectedness and reduce self-criticism.
“Self-transcendent emotions generated through loving kindness meditation have also been shown to increase social connectedness (117, 118) and reduce self-criticism (119).”
From MDMA-Assisted Therapy as a Means to Alter Affective, Cognitive, Behavioral, and Neurological Systems Underlying Social Dysfunction in Social Anxiety Disorder (2021) · cites this paper as [119]
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Does Loving-Kindness Meditation Reduce Anxiety? Results from a Randomized Controlled Trial
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“…discovered that an eight-session compassion intervention outperformed waitlist in reducing anxiety among healthy (non-clinical) participants, whereas Shahar et al. (2014) found that a seven-session LKM intervention did not outperform waitlist in reducing anxiety among self-critical participants.”
BackgroundResultInfluentialKirby, J. N., & Baldwin, S. (2017) · Journal of Child and Family Studies · doi:10.1007/s10826-017-0989-9 · Cited by 24 · see citing works
Compassion-Focused Intervention for Highly Self-Critical Individuals: Pilot Study
Rose, A., McIntyre, R., & Rimes, K. A. (2018) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246581800036x · Cited by 53 · see citing works
Szitás, D., Halamová, J., Ottingerová, L., & Schroevers, M. J. (2024) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2024.102372 · Cited by 22 · see citing works
Don, B. P., Cappellen, P. V., & Fredrickson, B. L. (2021) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000909 · Cited by 21 · see citing works
“At the heart of loving-kindness meditation is compassion: participants are trained to focus warm and compassionate feelings toward themselves and others (19).”
BackgroundKirby, J. N., & Laczko, D. (2017) · Journal of Child and Family Studies · doi:10.1007/s10826-017-0692-x · Cited by 21 · see citing works
Kauser, S., Keyte, R., Regan, A., Nash, E. F., Fitch, G., Mantzios, M., & Egan, H. H. (2021) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-021-09831-y · Cited by 20 · see citing works
“Previous literature demonstrated that self-compassion and mindfulness-based interventions are beneficial in reducing anxiety, depression, and stress symptoms, decreasing selfcriticism and improving quality of life (Chiesa & Serretti, 2009; Evans et al., 2008; Godfrin & Van Heeringen, 2010; Segal et al., 2002; Shahar e…”
BackgroundAsadollah, F., Nikfarid, L., Sabery, M., Varzeshnejad, M., & Hashemi, F. (2023) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000590 · Cited by 20 · see citing works
“Based on the scores, the amount of compassion fatigue is determined as very low (35-63), low (64-92), medium (121-93), high (150-122), and very high (175-151).”
BackgroundIn Eating‐Disordered Inpatient Adolescents, Self‐Criticism Predicts Nonsuicidal Self‐Injury
Itzhaky, L., Shahar, G., Stein, D. J., & Fennig, S. (2015) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12223 · Cited by 19 · see citing works
Don, B. P., Cappellen, P. V., & Fredrickson, B. L. (2022) · Mindfulness · doi:10.1007/s12671-022-01856-0 · Cited by 19 · see citing works
“However, loving-kindness meditation has been shown to enhance (a) average levels of affect and (b) the emotional regulation skills (e.g., self-compassion; Shahar et al., 2015; Germer & Neff, 2013) needed to reduce affective variability.”
BackgroundKeng, S., & Tan, J. X. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.07.004 · Cited by 19 · see citing works
“Of relevance to the present study, repeated sessions of LKM have been found to result in reductions in negative self-attitudes and depressive symptoms, as well as improvements in self-compassion among people with high levels of self-criticism (Shahar et al., 2015).”
BackgroundIncreasing Self-Compassion: Review of the Literature and Recommendations
Stutts, L. A. (2022) · Journal of Undergraduate Neuroscience Education · doi:10.59390/wszk3327 · Cited by 18 · see citing works
“In addition to MBSR and MBCL, loving kindness meditation is another intervention that can be used to increase self-compassion (Shahar et al., 2015; Mantzios et al., 2021).”
BackgroundStiegler, J. R., Molde, H., & Schanche, E. (2017) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2144 · Cited by 18 · see citing works
Self-criticism and attachment: A systematic review and meta-analysis
Rogier, G., Muzi, S., Morganti, W., & Pace, C. S. (2023) · Personality and Individual Differences · doi:10.1016/j.paid.2023.112359 · Cited by 19 · see citing works
Development and validation of the (inner) Strength-Based Inventory
Wongpakaran, N., Wongpakaran, T., & Kuntawong, P. (2020) · Mental Health Religion & Culture · doi:10.1080/13674676.2020.1744310 · Cited by 15 · see citing works
Loving-kindness language exposure leads to changes in sensitivity to imagined pain
Williams, P. B., Poljacik, G., Decety, J., & Nusbaum, H. C. (2017) · The Journal of Positive Psychology · doi:10.1080/17439760.2017.1315648 · Cited by 15 · see citing works
“…(Lutz, Brefczynski-Lewis, Johnstone, & Davidson, 2008), behavioral measures of prosociality (Condon, Desbordes, Miller, & DeSteno, 2013; Leiberg, Klimecki, & Singer, 2011) as well as in decreased intensity of personal feelings of distress among self-critical individuals (Shahar et al., 2015).”
BackgroundNavarrete, J., Herrero, R., Soler, J., Domínguez-Clavé, E., Baños, R., & Cebolla, A. (2021) · PLOS ONE · doi:10.1371/journal.pone.0252089 · Cited by 13 · see citing works
“As well, the Mindful Self-Compassion (MSC; [83]) and Loving-Kindness Meditation (LKM; [37]) programs teach people to be kinder and more compassionate toward themselves through meditation.”
BackgroundPsychedelic-Assisted Psychotherapy and Mindfulness-Based Cognitive Therapy: Potential Synergies
Chambers, R., Stoliker, D., & Simonsson, O. (2023) · Mindfulness · doi:10.1007/s12671-023-02206-4 · Cited by 13 · see citing works
“Consistent practice has been shown to lead to increased connection with self (Hutcherson et al., 2008) by counteracting mental habits such as aversion (Salzberg, 2011) and self-criticism (Feliu-Soler et al., 2017; Shahar et al., 2015).”
Zeng, X., Zheng, Y., Gu, X., Wang, R., & Oei, T. P. S. (2022) · Journal of Happiness Studies · doi:10.1007/s10902-022-00582-7 · Cited by 13 · see citing works
Spirituality and Meditative Practice: Research Opportunities and Challenges
Kristeller, J. L., & Jordan, K. D. (2017) · Psychological Studies · doi:10.1007/s12646-017-0391-0 · Cited by 13 · see citing works
Schanche, E., Vøllestad, J., Visted, E., Svendsen, J. L., Binder, P., Osnes, B., Franer, P., & Sørensen, L. (2021) · Counselling and Psychotherapy Research · doi:10.1002/capr.12381 · Cited by 12 · see citing works
Luoma, J., & Lear, M. K. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.733893 · Cited by 11 · see citing works
“Self-transcendent emotions generated through loving kindness meditation have also been shown to increase social connectedness (117, 118) and reduce self-criticism (119).”
BackgroundSelf-compassion among psychotherapy clients is in the details of negative, not positive, emotions
Galili‐Weinstock, L., Lazarus, G., Atzil–Slonim, D., Bar‐Kalifa, E., Rafaeli, E., & Peri, T. (2019) · The Journal of Positive Psychology · doi:10.1080/17439760.2019.1627396 · Cited by 11 · see citing works
Eaton, E. M., Capone, C., Shea, M. T., & Cameron, A. (2020) · International Journal of Group Psychotherapy · doi:10.1080/00207284.2020.1805617 · Cited by 11 · see citing works
Riley, K. E., Park, C. L., Wong, C. C. Y., & Russell, B. S. (2022) · International Journal of Cognitive Therapy · doi:10.1007/s41811-022-00142-0 · Cited by 10 · see citing works
“They also emphasized the importance of the inclusion of loving-kindness meditation, which cultivates selfcompassion (Shahar et al., 2015).”
BackgroundLiu, P., Liu, J., Li, Y., & Lu, J. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1408396 · Cited by 9 · see citing works
Academic Stress: What Is the Problem and What Can Educators and Parents Do to Help?
Maykel, C., deLeyer-Tiarks, J. M., & Bray, M. A. (2018) · Springer eBooks · doi:10.1007/978-981-13-0077-6_2 · Cited by 9 · see citing works
Paulson, J., & Kretz, L. (2018) · The Social Science Journal · doi:10.1016/j.soscij.2017.12.003 · Cited by 8 · see citing works
“Shahar et al. (2015) found that articipants practicing LKM over the course of seven weeks emonstrated decreases in measures of self-criticism and ymptoms of depression while increasing ratings of selfompassion over a waitlist control group, and that these ains were maintained at three months.”
BackgroundHalamová, J., Koróniová, J., & Baránková, M. (2019) · The Qualitative Report · doi:10.46743/2160-3715/2019.3891 · Cited by 7 · see citing works
Effectiveness of compassion-focused therapy on self-criticism of the women applying for divorce
Shavandi, H., & Veshki, S. K. (2021) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_495_20 · Cited by 7 · see citing works
“[7] Self‐criticism is a process of self‐assessment where the people judge themselves hard.[8] Self‐criticism is followed by low self‐esteem[9] and negative feelings,[10] and it approaches self‐criticism perfectionism.”
BackgroundManaging Mental Health in Pandemic COVID-19 and Movement Control Order
Khaiyom, J. H. A. (2020) · Malaysian Journal of Medical Sciences · doi:10.21315/mjms2020.27.4.14 · Cited by 8 · see citing works
Rushforth, A., Kotera, Y., & Kaluževičiūtė, G. (2022) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-022-00856-4 · Cited by 7 · see citing works
“Of the remaining three studies, all found significant improvements in depressive symptoms (Neff & Germer, 2013; Lee & Bang, 2010; Shahar et al., 2015).”
Jeong, Y., & Lee, Y. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19169806 · Cited by 8 · see citing works
“Self-criticism is a negative and harsh self-assessment process [31], in which repeated self-criticism makes an individual feel inadequate and progressively increases an adversarial and harsh manner toward oneself, which can worsen pathologically [32,33].”
BackgroundAkariya, O., Anholt, G. E., & Shahar, G. (2021) · International Journal of Cognitive Therapy · doi:10.1007/s41811-021-00121-x · Cited by 7 · see citing works
Positive Psychology and Buddhism
Segall, S. Z., & Kristeller, J. L. (2022) · Springer eBooks · doi:10.1007/978-3-031-10274-5_14 · Cited by 7 · see citing works
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“This idea is supported by empirical research demonstrating that practicing LKM can reduce self-criticism (Shahar et al., 2015), which is a key feature of guilt and shame.”
MethodGeller, S., Levy, S., & Avitsur, R. (2025) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2025.2511980 · Cited by 4 · see citing works
“Self-criticism, marked by harsh self-judgment and punitive internal dialogue (Blatt & Zuroff, 1992), involves negative self-evaluation across traits, appearance, and performance (Shahar et al., 2015).”
Xu, L., Goldberg, S. B., Zhang, L., & Hu, C. (2026) · Clinical Psychology Review · doi:10.1016/j.cpr.2026.102693 · Cited by 7 · see citing works
Fatollahzadeh, S., Kianimoghadam, A. S., Bahri, R., Khesali, M., Aghaei, Z. S. P. S., & Arani, A. M. (2023) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs-137483 · Cited by 5 · see citing works
“loving-kindness meditation as fostering self-compassion method can reduce self-criticism (56).”
The mind’s abyss: Exploring the adverse effects of distinct forms of meditation
Szaszkó, B., & Tran, U. S. (2025) · Academia Mental Health and Well-Being · doi:10.20935/mhealthwellb7666 · Cited by 6 · see citing works
Sinclair, V. M., & Saklofske, D. H. (2018) · Self and Identity · doi:10.1080/15298868.2018.1468354 · Cited by 5 · see citing works
“Compassion training or meditation techniques, such as loving-kindness meditation (Shahar et al., 2015), could be investigated as a possible method for attenuating beliefs about group dominance by expanding the definition of in-group and enhancing other-focused concern.”
MethodAsadollah, F., Nikfarid, L., Nourian, M., & Hashemi, F. (2024) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000657 · Cited by 4 · see citing works
Jomha, A., Sohn, M. N., Watson, M., Kopala‐Sibley, D. C., & McGirr, A. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.12.006 · Cited by 4 · see citing works
정혜경, cho-hyun-ju, & 노승혜 (2017) · Korean Journal of Health Psychology · doi:10.17315/kjhp.2017.22.2.003 · Cited by 4 · see citing works
Links, M. J., Ayling, T., Doran, J., Braganza, S., Martin, P., Clayton, J. M., & Hiremagalur, B. (2020) · Patient Education and Counseling · doi:10.1016/j.pec.2020.08.012 · Cited by 4 · see citing works
Qualitative Analysis of Chair Tasks in Emotion-Focused Therapy Video Sessions
Bailey, G., Halamová, J., & Gablíková, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191912942 · Cited by 5 · see citing works
Consensual Qualitative Analysis of Self-Criticizing Using the Two-Chair Technique
Halamová, J., Dvoranová, A., Zlúkyová, S., & Vráblová, V. (2021) · The Qualitative Report · doi:10.46743/2160-3715/2021.4750 · Cited by 3 · see citing works
“These results correspond to those obtained by Shahar et al. (2015), who perceive self-criticism as a process of self-assessment in which people negatively assess various aspects of themselves, such as their personality traits, appearance, and performance.”
ResultMarques, C., Macedo, A., Castilho, P., Goss, K., Castelo-Branco, M. S., & Pereira, A. T. (2024) · European Journal of Psychological Assessment · doi:10.1027/1015-5759/a000816 · Cited by 3 · see citing works
Ghanizadeh, A., Mirzaee, S., & Yousefzadeh, T. (2024) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-024-00548-z · Cited by 3 · see citing works
Self-Criticism: Conceptualization, Assessment and Interventions
Pekin, Z., & Güme, S. (2024) · Psikiyatride Guncel Yaklasimlar · doi:10.18863/pgy.1455185 · Cited by 1 · see citing works
“These improvements were sustained three months post-intervention (Shahar et al. 2015b).”
BackgroundInterpersonal Aspects of Mindfulness and Concentrative Meditations
Agrawal, J., & Sahota, P. B. K. (2021) · Advances in psychology, mental health, and behavioral studies (APMHBS) book series · doi:10.4018/978-1-7998-8682-2.ch015 · Cited by 3 · see citing works
Tittler, M. V., Chwyl, C., Lear, M. K., & Luoma, J. B. (2023) · Motivation and Emotion · doi:10.1007/s11031-023-10005-6 · Cited by 3 · see citing works
“Repeated exposure to controlled contexts meant to elicit positive emotions in response to affiliative cues, such as through compassion-focused or loving-kindness meditations (Shahar et al., 2014), may also dampen HSCs’ negative reaction and enhance positive reactions to this type of stimuli.”
BackgroundCebolla, A., Navarro-Siurana, J., Galante, J., Sarrión, P., Vidal, J., Fernández-Castilla, B., Lecuona, Ó., Vázquez, C., & Baños, R. M. (2025) · Applied Psychology: Health and Well-Being · doi:10.1111/aphw.70069 · Cited by 5 · see citing works
Kaleji, Z. S., Poursharifi, H., Dolatshahi, B., & Momeni, F. (2021) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs.114288 · Cited by 2 · see citing works
L’auto-compassion, trait de personnalité ou processus de pensée ?
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Clinical Implication of Meditation in Psychiatry : Focused on Mindfulness Meditation
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Lovingkindness Meditation in Psychology
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SPORCU DURUMLUK ÖZ ELEŞTİRİ ÖLÇEĞİ’NİN TÜRKÇEYE UYARLANMASI: GEÇERLİK VE GÜVENİRLİK ÇALIŞMASI
Tıngaz, E. O. (2021) · Ankara Üniversitesi Beden Eğitimi ve Spor Yüksekokulu SPORMETRE Beden Eğitimi ve Spor Bilimleri Dergisi · doi:10.33689/spormetre.937941 · Cited by 2 · see citing works
The Influence of Loving-Kindness Meditation on Mental Health—A Systematic Review
Zhao, Z. (2022) · Advances in Social Science, Education and Humanities Research/Advances in social science, education and humanities research · doi:10.2991/assehr.k.220105.176 · Cited by 2 · see citing works
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“seem to be of stable nature with gains maintained for 3 months (Shahar et al., 2015) and even up to 1-year follow-up (Totzeck et al.”
BackgroundResultInfluentialVoleybol Oyuncularında Öz Şefkat ile Öz Eleştiri Arasındaki İlişki
ŞENEL, E., KARAKUŞ, K., & ÇAKICI, H. A. (2023) · Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi · doi:10.37989/gumussagbil.1320168 · Cited by 2 · see citing works
- Authors
- Shahar, B., Szepsenwol, O., Zilcha‐Mano, S., Haim, N., Zamir, O., Levi‐Yeshuvi, S., & Levit‐Binnun, N.
- Affiliations
- Reichman University (IL)
- Corresponding author
- Shahar, Ben
- Venue
- Clinical Psychology & Psychotherapy
- Publisher
- Wiley
- Published
- 2014-03-16
- Volume
- 22
- Issue
- 4
- Pages
- 346-356
- ISSN
- 1063-3995 (ISSN-L)
- 1099-0879
- OpenAlex
- W1935560701
- Cited by
- 139
- References
- 60
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 12 · 2023: 10 · 2022: 14 · 2021: 20 · 2020: 16 · 2019: 6 · 2018: 15 · 2017: 13 · 2016: 6 · 2015: 6 · 2014: 2
- FWCI
- 10.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology & Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- loving-kindness meditation, self-criticism, self-compassion, self-critical perfectionism, depressive symptoms, positive emotions, psychological distress, meditation intervention, treatment efficacy
- MeSH terms
- Adult, Empathy, Female, Follow-Up Studies, Humans, Love, Male, Self-Assessment, Waiting Lists, Program Evaluation, Meditation
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