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Compassion focused therapy: a systematic review of its effectiveness and acceptability in clinical populations
Open accessAbstract
Introduction: Compassion focused therapy (CFT) is an increasingly popular therapeutic modality. Its holistic and integrative approach to universal human suffering means that it is well placed as a transdiagnostic therapy. Research into its effectiveness and acceptability has increased over the previous 10 years as the therapy has evolved, and to help consider its status as an evidence-based therapy research concerning its treatment outcomes needs evaluating.Areas covered: This paper reviews research investigating the effectiveness of CFT in clinical populations.Expert opinion: CFT shows promise for a range of mental health problems, especially when delivered in a group format over at least 12 hours. This is important for funding bodies and commissioning groups to consider as they allocate healthcare resources in light of current evidence-based practice. CFT is demonstrably well accepted by clients and clinicians and there is now a clear need for an updated, universally deployed, standard manual to direct future research. This will be critical in enabling widespread implementation and further adoption into mainstream clinical practice, will address the lack of standardization in the current research, and pave the way for further randomized control trials aimed at reducing existing methodological limitations.
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“A systematic review published after initiation of the present study found that the efficacy of CFT was asso ciated with the number of treatment sessions, namely that minimally 12 sessions seemed to be required to achieve positive change across various populations (Craig et al., 2020).”
From Group-based compassion-focused therapy for prolonged grief symptoms in adults – Results from a randomized controlled trial (2022) · cites this paper as Craig et al., 2020
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“This growing body of literature has been synthesized in several systematic reviews, which generally conclude that CFT appears efficacious in treating a range of clinical populations, although the existing studies vary considerably in terms of study quality and content of the therapeutic intervention and -format (Beaumont and Martin, 2015; Craig et al., 2020; Leaviss and Uttley, 2015).”
From Group-based compassion-focused therapy for prolonged grief symptoms in adults – Results from a randomized controlled trial (2022) · cites this paper as Craig et al., 2020
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“Craig et al. (2020) also found more empirical support for group-based CFT compared to individually delivered CFT.”
From Group-based compassion-focused therapy for prolonged grief symptoms in adults – Results from a randomized controlled trial (2022) · cites this paper as Craig et al., 2020
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“Despite the limitations, this service evaluation utilised a mixed methods approach which provided rich and useful insight into clients' experiences of the CMT group intervention, strengthening the overall evaluation (Craig et al. 2020; NHS Institute for Innovation and Improvement 2005).”
From A Mixed Methods Evaluation of a Compassionate Mind Training Group Intervention for Adults in a Primary Mental Health Service. (2026) · cites this paper as Craig et al. 2020
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Treating emotional neglect: polyvagal and trauma-informed compassion focused therapy
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“…been highly influential in bridging research and clinical practice, underpinning Com-passion-Focused Therapy (CFT), a well-established therapeutic approach with a robust evidence base for addressing a range of psychological challenges (Craig et al., 2020; Gil-bert, 2014; Leaviss & Uttley, 2015).”
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“…in which self-criticism is higher and self-reassurance lower (Navarrete et al., 2021), have also been shown in a recent systematic review of Craig et al. (2020) to benefit from Compassion Focused Therapy (Gilbert, 2014), in which self-reassurance is cultivated to counter the negative…”
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“…therapy, which was specifically developed to decrease shame in patients with mental health problems, has been found to increase self-compassion (Craig et al. 2020), and to give clinical populations strength to stand up for themselves instead of feeling ashamed of one’s mental health problems…”
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“…helpful for individuals with a range of mental health difficulties including depression, personality disorders, posttraumatic stress disorder, social anxiety and obsessive-compulsive disorder over other treatments in reducing feelings of self-criticism (Craig et al. 2020; Leaviss and Uttley 2015).”
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“78 79-81 Despite its effectiveness in non-autistic populations, researchers have yet to examine the potential for CFT to reduce mental health symptoms in autistic individuals.”
Gnatt, I., Mackelprang, J. L., Phillipou, A., & Nedeljkovic, M. (2025) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2025.100946
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Hamarat, H., Fidantek, H., Özdem, M., & Ertürk, İ. Ş. (2025) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1636688
“…found that it leads to clinical improvements in conditions such as major depression, anxiety, psychosis, schizophrenia spectrum disorders, post - traumatic stress disorder, eating disorders, and personality disorders (Beaumont and Hollins - Martin 2015, Leaviss and Uttley 2015, Craig et al. 2020).”
Hunter, R., Pilling, A., Warren, H., Fox, K., & McCormack, M. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1642423
“A growing body of evidence indicates that CFT may be helpful for treating a wide range of mental health conditions (32).”
Applications of compassion-focused therapy in forensic settings: the development of forensic-CFT
Taylor, J. (2025) · Journal of Forensic Practice · doi:10.1108/jfp-06-2025-0057
Developing a multidimensional scale of healing tourism experiences based on a mixed methods approach
Xie, J., Li, H., Chen, Z., Wang, H., & Hua, H. (2026) · Scientific Reports · doi:10.1038/s41598-025-34286-8 · Cited by 2
Introduction to Compassion Focused Therapy
Kotera, Y., Beaumont, J., Colman, R. D., Rushforth, A., & Asano, K. (2026) · Advances in mental health and addiction · doi:10.1007/978-3-032-12438-8_1
Future Directions and Recommendations
Kotera, Y., Beaumont, J., Colman, R. D., Rushforth, A., & Asano, K. (2026) · Advances in mental health and addiction · doi:10.1007/978-3-032-12438-8_10
Nabi, F., Yousefi, H., Babaee, S., & Shaygannejad, V. (2026) · Trials · doi:10.1186/s13063-026-09547-0
“We chose this timing frame because the strongest effects in previous interventions have been associated with programs with durations over 12 h [46].”
Pipkin, A., Rodriguez, L., Wambeek, L., & Dickens, A. (2026) · The Journal for Specialists in Group Work · doi:10.1080/01933922.2026.2647738
“The accessibility and acceptability of compassion-focused therapy for inpatients and prior research highlighting that compas-sion-focused group programs in community settings can improve PTSD symptoms (Craig et al., 2020), elements were chosen to be integrated.”
Participant experiences of a compassion-focussed group intervention for compulsive sexual behaviours
Yates, M., Hampson, C., Langmans, T., & McCormack, C. F. (2026) · Sexual & Relationship Therapy · doi:10.1080/14681994.2026.2639314
Adapting compassionate mind training into guided self‐help for parents of autistic children
Kemp, F. G., Hudson, M., Schroder, T. A., & Gale, C. (2026) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.70060 · Cited by 1
“…the vast majority of CFT randomised controlled trials are facilitated as group interventions rather than guided and unguided self-help, although there is evidence that brief, self-help compassion interventions can show promise when used within complex clinical populations (Craig et al., 2020).”
Hsiao, F., Lo, C., Kuo, W., Hsieh, C., & Huang, C. (2026) · Internet Interventions · doi:10.1016/j.invent.2026.100947
“Previous studies have provided evidence of the effects of mindfulness and compassion training programs on psychosocial outcomes (Austin et al., 2021; Craig et al., 2020; Fan et al., 2023; Ferrari et al., 2019).”
A Theoretical Framework and Model for Standardizing Yoga Interventions in Healthcare – MOSI
Wahlström, M., Krutzén, P., Krutzén, J., & Hägglund, E. (2026) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130261446906
Heydari, S., & Bozorgi, Z. D. (2026) · Journal of Health Psychology · doi:10.1177/13591053261442607
Guo, M., Zhang, X., Liu, A., Wang, P., Gu, L., Zhang, S., Jia, O., & Kirby, J. N. (2026) · Mindfulness · doi:10.1007/s12671-026-02859-x
“…meta-analyses on CFT interventions — one in clinical and one in non-clinical populations — indicate that CFT achieves a medium effect size on most of negative and positive mental health variables compared to the control group (Hedges’ g , 0.50) (Craig et al., 2020; Petroc-chi et al., 2024).”
InfluentialMorasse-Bégis, M., Trottier-Duclos, F., & Ngô, T.-L. (2026) · L Encéphale · doi:10.1016/j.encep.2026.02.017
Tainsh, G., & Baughan, K. (2026) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.2602020
Healing through compassion: a bibliometric analysis of the evolution of compassion-focused therapy
Fernandez, J. A., & Taha, M. (2026) · Clinical Psychologist · doi:10.1080/13284207.2026.2679448
Saidel, S., Robinson, K., Donovan, H., Evans, R., Khatwa, M., & Spector, A. E. (2026) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000002826
Selbstmitgefühl als wichtiger Resilienzfaktor im Umgang mit Schmerz
Guth, A. (2026) · rheuma plus · doi:10.1007/s12688-026-00993-x
Compassion focused therapy for psychosis: Group intervention within secure inpatient services
Smyth, E., & Johnson, S. J. (2026) · Forensic Update · doi:10.53841/bpsfu.2026.1.152.21
Mitgefühl in der Psychotherapie
Aguilar‐Raab, C. (2026) · Die Psychotherapie · doi:10.1007/s00278-026-00868-8
Susman, E. S., Chen, S., Keltner, D. J., & Harvey, A. G. (2026) · Scientific Reports · doi:10.1038/s41598-026-63457-4
Ghráda, Á. N., Larkin, F., Tothová, K., & Dempsey, M. (2026) · Journal of Health Psychology · doi:10.1177/13591053261487118
Healing the Heart: Attachment, Intimacy, and Rebuilding Emotional Safety
Powell, A. (2026) · Springer eBooks · doi:10.1007/978-3-032-37725-8_6
Metadata
- Authors
- Craig, C., Hiskey, S., & Spector, A.
- Affiliations
- Oxford Health NHS Foundation Trust (GB)
- Oaks Hospital (GB)
- University College London (GB)
- Corresponding author
- Craig, Catriona
- Venue
- Expert Review of Neurotherapeutics
- Publisher
- Informa UK Limited
- Published
- 2020-04-02
- Volume
- 20
- Issue
- 4
- Pages
- 385-400
- ISSN
- 1473-7175 (ISSN-L)
- 1744-8360
- OpenAlex
- W3011072785
- Cited by
- 201
- References
- 58
- Citations by year
- 2026: 29 · 2025: 36 · 2024: 37 · 2023: 36 · 2022: 35 · 2021: 24 · 2020: 3
- FWCI
- 1.92
- Type
- journal article
- Language
- en
- Open access
- green
- discovery.ucl.ac.uk
- Locations
- Expert Review of Neurotherapeutics (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- compassion-focused therapy, treatment effectiveness, acceptability, transdiagnostic treatment, group therapy, mental illness, evidence-based practice, healthcare resource allocation
- MeSH terms
- Empathy, Humans, Patient Acceptance of Health Care, Psychotherapy, Outcome Assessment, Health Care
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