Compassion-Focused Therapy as Guided Self-Help for Enhancing Public Mental Health: A Randomized Controlled Trial

M.P.J. Sommers-Spijkerman (Corresponding Author), H.R. Trompetter, K.M.G. Schreurs, E.T. Bohlmeijer

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Abstract

Objective: Despite promising results for compassion-focused therapy (CFT) as self-help, larger-scale trials including long-term follow-up data are needed to establish its effectiveness in the context of public mental health. Empirical evidence supporting its effectiveness in improving well-being is lacking. In arandomized controlled trial, the effects of CFT as guided self-help on well-being were evaluated.

Method: Adults (mean age = 52.87, SD = 9.99, 74.8% female) with low to moderate levels of well-being were recruited in the Dutch population and randomized to CFT (n = 120) or a waitlist control group (n = 122). Participants completed the Mental Health Continuum–Short Form (well-being), Hospital Anxiety and Depression Scale (depression and anxiety), Perceived Stress Scale (stress), Self-Compassion Scale–Short Form (self-compassion), Forms of Self-Criticizing/Attacking and Reassurance Scale (self-criticism and self-reassurance), Positive and Negative Affect Schedule (positive/negative affect), and Gratitude questionnaire (gratitude) at baseline, postintervention (3 months), 3- and 9-month follow-up.

Results: Compared with the waitlist control group, the CFT group showed superior improvement on well-being at postintervention, d = .51, 95% CI [.25, .77], p < .001, and 3-month follow-up, d = .39, 95% CI [.13, .65], p < .001. No significant moderators were found. On all secondary outcome measures but positive affect, the intervention group showed significantly greater improvements up to 3-month follow-up. At 9-month follow-up, improvements on all measures were retained or amplified among CFT participants.

Conclusions: CFT as guided self-help shows promise as a public mental health strategy for enhancing well-being and reducing psychological distress.

Original languageEnglish
Pages (from-to)101-115
Number of pages15
JournalJournal of Consulting and Clinical Psychology
Volume86
Issue number2
DOIs
Publication statusPublished - 1 Feb 2018

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Mental Health
Randomized Controlled Trials
Public Health
Therapeutics
Anxiety
Depression
Control Groups
Group Psychotherapy
Appointments and Schedules
Outcome Assessment (Health Care)
Psychology
Population

Keywords

  • Compassion
  • Mental health
  • Psychological distress
  • Self-help
  • Randomized controlled trial

Cite this

@article{8b8c9d370e6848b3bce07eeab390708f,
title = "Compassion-Focused Therapy as Guided Self-Help for Enhancing Public Mental Health: A Randomized Controlled Trial",
abstract = "Objective: Despite promising results for compassion-focused therapy (CFT) as self-help, larger-scale trials including long-term follow-up data are needed to establish its effectiveness in the context of public mental health. Empirical evidence supporting its effectiveness in improving well-being is lacking. In arandomized controlled trial, the effects of CFT as guided self-help on well-being were evaluated.Method: Adults (mean age = 52.87, SD = 9.99, 74.8{\%} female) with low to moderate levels of well-being were recruited in the Dutch population and randomized to CFT (n = 120) or a waitlist control group (n = 122). Participants completed the Mental Health Continuum–Short Form (well-being), Hospital Anxiety and Depression Scale (depression and anxiety), Perceived Stress Scale (stress), Self-Compassion Scale–Short Form (self-compassion), Forms of Self-Criticizing/Attacking and Reassurance Scale (self-criticism and self-reassurance), Positive and Negative Affect Schedule (positive/negative affect), and Gratitude questionnaire (gratitude) at baseline, postintervention (3 months), 3- and 9-month follow-up.Results: Compared with the waitlist control group, the CFT group showed superior improvement on well-being at postintervention, d = .51, 95{\%} CI [.25, .77], p < .001, and 3-month follow-up, d = .39, 95{\%} CI [.13, .65], p < .001. No significant moderators were found. On all secondary outcome measures but positive affect, the intervention group showed significantly greater improvements up to 3-month follow-up. At 9-month follow-up, improvements on all measures were retained or amplified among CFT participants.Conclusions: CFT as guided self-help shows promise as a public mental health strategy for enhancing well-being and reducing psychological distress.",
keywords = "Compassion, Mental health, Psychological distress, Self-help, Randomized controlled trial",
author = "M.P.J. Sommers-Spijkerman and H.R. Trompetter and K.M.G. Schreurs and E.T. Bohlmeijer",
year = "2018",
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volume = "86",
pages = "101--115",
journal = "Journal of Consulting and Clinical Psychology",
issn = "0022-006X",
publisher = "American Psychological Association",
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TY - JOUR

T1 - Compassion-Focused Therapy as Guided Self-Help for Enhancing Public Mental Health

T2 - A Randomized Controlled Trial

AU - Sommers-Spijkerman, M.P.J.

AU - Trompetter, H.R.

AU - Schreurs, K.M.G.

AU - Bohlmeijer, E.T.

PY - 2018/2/1

Y1 - 2018/2/1

N2 - Objective: Despite promising results for compassion-focused therapy (CFT) as self-help, larger-scale trials including long-term follow-up data are needed to establish its effectiveness in the context of public mental health. Empirical evidence supporting its effectiveness in improving well-being is lacking. In arandomized controlled trial, the effects of CFT as guided self-help on well-being were evaluated.Method: Adults (mean age = 52.87, SD = 9.99, 74.8% female) with low to moderate levels of well-being were recruited in the Dutch population and randomized to CFT (n = 120) or a waitlist control group (n = 122). Participants completed the Mental Health Continuum–Short Form (well-being), Hospital Anxiety and Depression Scale (depression and anxiety), Perceived Stress Scale (stress), Self-Compassion Scale–Short Form (self-compassion), Forms of Self-Criticizing/Attacking and Reassurance Scale (self-criticism and self-reassurance), Positive and Negative Affect Schedule (positive/negative affect), and Gratitude questionnaire (gratitude) at baseline, postintervention (3 months), 3- and 9-month follow-up.Results: Compared with the waitlist control group, the CFT group showed superior improvement on well-being at postintervention, d = .51, 95% CI [.25, .77], p < .001, and 3-month follow-up, d = .39, 95% CI [.13, .65], p < .001. No significant moderators were found. On all secondary outcome measures but positive affect, the intervention group showed significantly greater improvements up to 3-month follow-up. At 9-month follow-up, improvements on all measures were retained or amplified among CFT participants.Conclusions: CFT as guided self-help shows promise as a public mental health strategy for enhancing well-being and reducing psychological distress.

AB - Objective: Despite promising results for compassion-focused therapy (CFT) as self-help, larger-scale trials including long-term follow-up data are needed to establish its effectiveness in the context of public mental health. Empirical evidence supporting its effectiveness in improving well-being is lacking. In arandomized controlled trial, the effects of CFT as guided self-help on well-being were evaluated.Method: Adults (mean age = 52.87, SD = 9.99, 74.8% female) with low to moderate levels of well-being were recruited in the Dutch population and randomized to CFT (n = 120) or a waitlist control group (n = 122). Participants completed the Mental Health Continuum–Short Form (well-being), Hospital Anxiety and Depression Scale (depression and anxiety), Perceived Stress Scale (stress), Self-Compassion Scale–Short Form (self-compassion), Forms of Self-Criticizing/Attacking and Reassurance Scale (self-criticism and self-reassurance), Positive and Negative Affect Schedule (positive/negative affect), and Gratitude questionnaire (gratitude) at baseline, postintervention (3 months), 3- and 9-month follow-up.Results: Compared with the waitlist control group, the CFT group showed superior improvement on well-being at postintervention, d = .51, 95% CI [.25, .77], p < .001, and 3-month follow-up, d = .39, 95% CI [.13, .65], p < .001. No significant moderators were found. On all secondary outcome measures but positive affect, the intervention group showed significantly greater improvements up to 3-month follow-up. At 9-month follow-up, improvements on all measures were retained or amplified among CFT participants.Conclusions: CFT as guided self-help shows promise as a public mental health strategy for enhancing well-being and reducing psychological distress.

KW - Compassion

KW - Mental health

KW - Psychological distress

KW - Self-help

KW - Randomized controlled trial

U2 - 10.1037/ccp0000268

DO - 10.1037/ccp0000268

M3 - Article

VL - 86

SP - 101

EP - 115

JO - Journal of Consulting and Clinical Psychology

JF - Journal of Consulting and Clinical Psychology

SN - 0022-006X

IS - 2

ER -