Cited by 14Eating Disorders and BehaviorsMindfulness and Compassion InterventionsBody Image and Dysmorphia Studies

Testing a Low-Intensity Single-Session Self-Compassion Intervention for State Body Shame in Adult Women: A Dismantling Randomized Controlled Trial.

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Turk, Fidan, Kellett, Stephen, Waller, Glenn·2023·Behavior Therapy

Abstract

State body shame is a risk factor for eating disorders, and self-compassion is emerging as a potentially effective treatment option in such cases. This study tested the efficacy of a brief (15-minute) self-compassion intervention in reducing state body shame. Using dismantling trial methodology, participants were randomly allocated to an active compassion condition (n = 23), an inactive control compassion condition (n = 23), or an educational control condition (n = 23). Measures of state body image and state shame were collected pre-intervention, immediately after the intervention, and a day after the intervention. Subjective units of state body shame (SUBS) were intensively measured during each invention. Self-compassion interventions were equally efficacious at protecting against deterioration of state body shame and were effective at reducing state shame compared to the educational control condition, with medium effect sizes (respectively – np2 = .07 and np2 = .08). Reductions in state shame were retained at follow-up. None of the interventions had an effect on body image (np2 = .04). Findings demonstrate the clinical promise of brief self-compassion interventions, particularly as evidenced-based “homework” exercises.

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Crossref · 10.1016/j.beth.2023.04.001

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  1. Cash, T. F., & Smolak, L. (Eds.). (2011). Body image: A handbook of science, practice, and prevention (2nd ed.. The Guilford Press. http://refhub.elsevier.com/S0005-7894(2300038-2/h0040)
  2. Goss, K., & Gilbert, P. (2002). Eating disorders, shame and pride. Body shame: Conceptualisation, research and treatment. In P. Gilbert & J. Miles (Eds.), Eating disorders, shame and pride: A cognitive-behavioural functional analysis (pp. 219-256). Brunner-Routledge. http://refhub.elsevier.com/S0005-7894(2300038-2/h0085)
  3. Marschall, D. E., Saftner, J., & Tangney, J. P. (1994). The state guilt and shame scale . George Mason University. http://refhub.elsevier.com/S0005-7894(2300038-2/h0110)

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Authors
Turk, F., Kellett, S., & Waller, G.
Affiliations
  • Humber Teaching NHS Foundation Trust (GB)
  • University of Sheffield (GB)
Venue
Behavior Therapy
Publisher
Elsevier BV
Published
2023-09
Volume
54
Issue
5
Pages
916-928
ISSN
0005-7894 (ISSN-L)
OpenAlex
W4375859241
Cited by
13
References
43
Citations by year
2026: 4 · 2025: 4 · 2024: 4 · 2023: 1
FWCI
3.79
Type
journal article
Language
en
Open access
Locations
  • Behavior Therapy (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Keywords
self-compassion, body image, eating disorders, brief intervention, single-session intervention, adult women, homework exercises
MeSH terms
Self-Compassion, Adult, Feeding and Eating Disorders, Body Image, Female, Humans, Shame, Exercise

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