The purpose of this review was to systematically review the published research on the effect of self-compassion interventions on health behaviors. A self-regulation intervention was defined as participants engaged in goal-setting behavior, goal-directed behavior, monitoring, and/or adjusting health behavior. Seven studies met the inclusion criteria and were analyzed in this review. Self-compassion interventions were just as effective as other behavior change techniques at improving self-regulation of health behavior. The review discusses sample characteristics, study design, health behavior measures, self-compassion intervention implementation, and the theoretical frameworks of the studies, along with limitations of the research and suggestions for future researchers.
AdamsCELearyMR (2007) Promoting self–compassionate attitudes toward eating among restrictive and guilty eaters. Journal of Social and Clinical Psychology26(10): 1120–1144.
2.
AllenABGoldwasserERLearyMR (2012) Self-compassion and well-being among older adults. Self and Identity11(4): 428–453.
3.
BaumeisterRFHeathertonTF (1996) Self-regulation failure: An overview. Psychological Inquiry7(1): 1–15.
4.
BrugJOenemaAFerreiraI (2005) Theory, evidence and Intervention Mapping to improve behavior nutrition and physical activity interventions. International Journal of Behavioral Nutrition and Physical Activity2(1): 2.
5.
CarverCSScheierMF (1981) The self-attention-induced feedback loop and social facilitation. Journal of Experimental Social Psychology17(6): 545–568.
6.
CarverCSScheierMF (2001) On the Self-Regulation of Behavior. Cambridge: Cambridge University Press.
7.
ConnVSHafdahlARMehrDR (2011) Interventions to increase physical activity among healthy adults: Meta-analysis of outcomes. American Journal of Public Health101(4): 751–758.
8.
ConnVSHafdahlARCooperPS, et al. (2009) Meta-analysis of workplace physical activity interventions. American Journal of Preventive Medicine37(4): 330–339.
9.
DishmanRKBuckworthJ (1996) Increasing physical activity: A quantitative synthesis. Medicine & Science in Sport & Exercise28: 706–719.
10.
FairburnCGBeglinSJ (1994) Assessment of eating disorders: Interview or self-report questionnaire?International Journal of Eating Disorders16(4): 363–370.
11.
GaleCGilbertPReadN, et al. (2014) An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders. Clinical Psychology & Psychotherapy21(1): 1–12.
12.
GilbertPIronsC (2005) Therapies for shame and self-attacking, using cognitive, behavioural, emotional imagery and compassionate mind training. In: GilbertP (ed.) Compassion: Conceptualisations, Research and Use in Psychotherapy. New York: Routledge, pp. 263–325.
13.
GilbertPProcterS (2006) Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy13(6): 353–379.
14.
GossK (2011) The Compassionate-Mind Guide to Ending Overeating: Using Compassion-Focused Therapy to Overcome Bingeing and Disordered Eating. Oakland, CA: New Harbinger
15.
GossKAllanS (2011) An introduction to compassion focused therapy for eating disorders. In: FoxJGossK (eds) Eating and Its Disorders, Chichester, UK: Wiley-Blackwell, pp. 303–314.
16.
GossKAllanS (2014) The development and application of compassion-focused therapy for eating disorders (CFT-E). British Journal of Clinical Psychology53(1): 62–77.
17.
GourlanMBernardPBortolonC (2016) Efficacy of theory-based interventions to promote physical activity. A meta-analysis of randomised controlled trials. Health Psychology Review10(1): 50–66.
18.
GreesonJMTooheyMJPearceMJ (2015) An adapted, four-week mind–body skills group for medical students: Reducing stress, increasing mindfulness, and enhancing self-care. Explore: The Journal of Science and Healing11(3): 186–192.
19.
GroupPCR (2008) Patients’ preferences within randomised trials: Systematic review and patient level meta-analysis. The British Medical Journal337: a1864.
20.
HayesSC (2005) Get Out of Your Mind and into Your Life: The New Acceptance and Commitment Therapy. Oakland, CA: New Harbinger Publications.
21.
HermanCPPolivyJ (2004) The self-regulation of eating. In: BaumeisterRFVohs
22.
Kabat-ZinnJ (1994) Catalyzing movement towards a more contemplative/sacred-appreciating/non-dualistic society. In: Meeting of the Working Group.
23.
KellyACCarterJC (2015) Self-compassion training for binge eating disorder: A pilot randomized controlled trial. Psychology and Psychotherapy: Theory, Research and Practice88(3): 285–303.
24.
KellyACCarterJCBorairiS (2014) Are improvements in shame and self-compassion early in eating disorders treatment associated with better patient outcomes?International Journal of Eating Disorders47(1): 54–64.
25.
KellyACZuroffDCFoaCL, et al. (2010) Who benefits from training in self-compassionate self-regulation? A study of smoking reduction. Journal of Social and Clinical Psychology29(7): 727–755.
26.
KengSLSmoskiMJRobinsCJ (2011) Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review31(6): 1041–1056.
27.
KnoopsKTde GrootLCKromhoutD, et al. (2004) Mediterranean diet, lifestyle factors, and 10-year mortality in elderly European men and women: The HALE project. Journal of American Medical Association292(12): 1433–1439.
28.
LearyMRTateEBAdamsCE, et al. (2007) Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology92(5): 887–904.
29.
LinkeSEGalloLCNormanGJ (2011) Attrition and adherence rates of sustained vs. intermittent exercise interventions. Annals of Behavioral Medicine42(2): 197–209.
30.
LockardAJHayesJANeffK, et al. (2014) Self-compassion among college counseling center clients: An examination of clinical norms and group differences. Journal of College Counseling17(3): 249–259.
31.
MaherCALewisLKFerrarK, et al. (2014) Are health behavior change interventions that use online social networks effective? A systematic review. Journal of Medical Internet Research16(2): e40.
32.
MarcusBHForsythLH (2003) Motivating People to be Physically Active. Champaign, IL: Human Kinetics.
33.
MirowskyJRossCE (1992) Age and depression. Journal of Health and Social Behavior33: 187–205.
34.
NeelyMESchallertDLMohammedSS, et al. (2009) Self-kindness when facing stress: The role of self-compassion, goal regulation, and support in college students’ well-being. Motivation and Emotion33(1): 88–97.
35.
NeffKD (2003a) Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity2(2): 85–101.
36.
NeffKD (2003b) The development and validation of a scale to measure self-compassion. Self and Identity2(3): 223–250.
37.
NeffKDGermerCK (2013) A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology69(1): 28–44.
38.
NeffKDVonkR (2009) Self-compassion versus global self-esteem: Two different ways of relating to oneself. Journal of Personality77(1): 23–50.
39.
NeffKDHsiehYPDejitteratK (2005) Self-compassion, achievement goals, and coping with academic failure. Self and Identity4(3): 263–287.
40.
PainterJEBorbaCPHynesM, et al. (2008) The use of theory in health behavior research from 2000 to 2005: A systematic review. Annals of Behavioral Medicine35(3): 358–362.
41.
PrestwichASniehottaFFWhittingtonC, et al. (2014) Does theory influence the effectiveness of health behavior interventions? Meta-analysis. Health Psychology33(5): 465.
42.
PrinceSAAdamoKBHamelME, et al. (2008) A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. International Journal of Behavioral Nutrition and Physical Activity5(1): 56.
43.
ReinerMNiermannCJekaucD, et al. (2013) Long-term health benefits of physical activity—A systematic review of longitudinal studies. BMC Public Health13(1): 813.
44.
RothwellPM (2005) External validity of randomised controlled trials: “To whom do the results of this trial apply?”The Lancet365(9453): 82–93.
45.
SaundersPATractenbergREChaterjiR, et al. (2007) Promoting self-awareness and reflection through an experiential mind-body skills course for first year medical students. Medical Teacher29(8): 778–784.
46.
SchoenbornCAAdamsPFPeregoyJA (2013) Health behaviors of adults: United States, 2008–2010. Vital and Health Statistics. Series 10, Data from the National Health Survey257: 1–184.
47.
SiroisFM (2015) A self-regulation resource model of self-compassion and health behavior intentions in emerging adults. Preventive Medicine Reports2: 218–222.
48.
SiroisFMKitnerRHirschJK (2015) Self-compassion, affect, and health-promoting behaviors. Health Psychology34(6): 661–669.
49.
SkeltonJABeechBM (2011) Attrition in paediatric weight management: A review of the literature and new directions. Obesity Reviews12(5): e273–e281.
50.
SmithBJMarshallALHuangN (2005) Screening for physical activity in family practice. Evaluation of two brief assessment tools. American Journal of Preventive Medicine, 29(4): 256–264.
51.
TapperKShawCIlsleyJ, et al. (2009) Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite52(2): 396–404.
52.
TaylorNConnerMLawtonR (2012) The impact of theory on the effectiveness of worksite physical activity interventions: A meta-analysis and meta-regression. Health Psychology Review6(1): 33–73.
53.
TerryMLLearyMR (2011) Self-compassion, self-regulation, and health. Self and Identity10(3): 352–362.
54.
TerryMLLearyMRMehtaS, et al. (2013) Self-compassionate reactions to health threats. Personality and Social Psychology Bulletin39(7): 911–926.
55.
US Department of Health and Human Services (USDHHS) (2008) Physical Activity Guidelines Advisory Committee report. Available at: http://www.health.gov/paguidelines/ (accessed 1 September 2011).
56.
Van DamRMLiTSpiegelmanD, et al. (2008) Combined impact of lifestyle factors on mortality: Prospective cohort study in US women. British Medical Journal337: a1440.
57.
WebbTJosephJYardleyL, et al. (2010) Using the internet to promote health behavior change: A systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. Journal of Medical Internet Research12(1): e4.
58.
World Health Organization (WHO) (2010) Global Recommendations on Physical Activity for Health. Geneva: WHO.
59.
YarnellLMStaffordRENeffKD, et al. (2015) Meta-analysis of gender differences in self-compassion. Self and Identity14(5): 499–520.
