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Online Compassion Focused Therapy for overeating: Feasibility and acceptability pilot study.

Cristiana C Marques1,2,3, Lara Palmeira1,4, Paula Castilho1

  • 1Faculty of Psychology and Educational Sciences, Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), University of Coimbra, Coimbra, Portugal.

The International Journal of Eating Disorders
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PubMed
Summary

Online Compassion Focused Therapy for overeating (CFT-OE) is a feasible and acceptable intervention for women with overeating difficulties. This pilot study showed CFT-OE improved self-compassion and reduced eating disorder symptoms, shame, and self-criticism.

Keywords:
compassion focused therapyonline therapyovereatingpilot studywomen

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Area of Science:

  • Clinical Psychology
  • Eating Disorders
  • Digital Health Interventions

Background:

  • Overeating is a significant concern for many women, often linked to psychological factors like shame and self-criticism.
  • Traditional therapies may have accessibility limitations, highlighting the need for alternative treatment modalities.
  • Compassion Focused Therapy (CFT) has shown promise in addressing psychological distress, but its application to overeating via online platforms is less explored.

Purpose of the Study:

  • To evaluate the feasibility and acceptability of an online Compassion Focused Therapy for overeating (CFT-OE) program.
  • To explore the potential effectiveness of CFT-OE in improving psychological well-being and reducing overeating symptoms.
  • To gather preliminary data for a future randomized controlled trial.

Main Methods:

  • A pilot, single-arm study involving 18 Portuguese women with overeating difficulties.
  • Participants completed an online CFT-OE program, with assessments at pre-intervention, post-intervention, and 3-month follow-up.
  • Measures included binge eating, eating psychopathology, shame, self-criticism, and self-compassion.

Main Results:

  • A low attrition rate of 16.7% suggests good feasibility for the online intervention.
  • Participants reported positive feedback and willingness to recommend the program.
  • Significant improvements were observed in self-compassion, alongside reductions in eating psychopathology, shame, self-criticism, and fears of self-compassion.

Conclusions:

  • Online CFT-OE is a feasible and acceptable intervention for women experiencing overeating difficulties.
  • Preliminary findings suggest CFT-OE is beneficial, demonstrating improvements in key psychological and eating-related outcomes.
  • Further investigation through a randomized controlled trial is warranted to confirm the effectiveness of online CFT-OE.