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An Internet-Based Compassion-Focused Intervention for Increased Self-Criticism: A Randomized Controlled Trial.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Digital Health

Background:

  • High self-criticism and low self-compassion are linked to psychological disorders.
  • Mindfulness-Based Compassionate Living (MBCL) is a compassion-focused intervention.
  • Online delivery offers accessible mental health support.

Purpose of the Study:

  • To evaluate the efficacy of an online MBCL intervention for individuals with high self-criticism.
  • To assess the intervention's impact on depressive, anxiety, and distress symptoms, and self-compassion.
  • To examine the maintenance of treatment effects and adherence predictors.

Main Methods:

  • 122 self-referred participants with high self-criticism were randomized to care as usual (CAU) or CAU + online MBCL.
  • Primary outcomes (DASS-21, SCS) and secondary outcomes were measured at 8 weeks.
  • Follow-up assessments were conducted at 6 months post-randomization.

Main Results:

  • The online MBCL group showed significant improvements in depressive, anxiety, and distress symptoms (Cohen's d = 0.79) and self-compassion (Cohen's d = -1.21) compared to controls.
  • Medium to large effect sizes were observed for primary and secondary outcomes.
  • Treatment gains were maintained at 6-month follow-up.

Conclusions:

  • Online MBCL is an effective transdiagnostic intervention for reducing psychological distress and enhancing self-compassion.
  • The intervention demonstrates significant and lasting benefits for individuals with elevated self-criticism.
  • Further research can explore adherence predictors for optimizing online mental health interventions.