Mental Health Research Unit, Kingsway, Derby, UK.
Clin Psychol Psychother. 2014 Jan-Feb;21(1):1-12. doi: 10.1002/cpp.1806. Epub 2012 Jun 28.
This study explored the outcome of introducing Compassion Focused Therapy (CFT) into a standard treatment programme for people with eating disorders. In particular, the aim was to evaluate the principle that CFT can be used with people with eating disorders and improve eating disorder symptomatology.
Routinely collected questionnaire data were used to assess cognitive and behavioural aspects of eating disorders and social functioning/well being (n = 99).
There were significant improvements on all questionnaire measures during the programme. An analysis by diagnosis found that people with bulimia nervosa improved significantly more than people with anorexia nervosa on most of the subscales. Also, in terms of clinical significance, 73% of those with bulimia nervosa were considered to have made clinically reliable and significant improvements at the end of treatment (compared with 21% of people with anorexia nervosa and 30% of people with atypical eating disorders).
This study demonstrates the potential benefits of using CFT with people with eating disorders and highlights the need for further research on this new approach.
CFT offers new ways to conceptualize and formulate some of the self-critical and shame-based difficulties associated with eating disorders. CFT offers a framework that can enable people with eating disorders to conceptualize their difficulties in different ways. CFT can be combined with standard therapies especially cognitive behavioural therapy. CFT can be especially useful in a group context where the relationships between members can become increasingly compassionate, validating, supportive and encouraging.
本研究探讨了将同情焦点疗法（CFT）引入饮食障碍标准治疗方案的结果。特别是，旨在评估 CFT 可用于治疗饮食障碍并改善饮食障碍症状的原则。
使用常规收集的问卷数据评估了饮食障碍的认知和行为方面以及社会功能/幸福感（n=99）。
在治疗计划期间，所有问卷测量均有显著改善。通过诊断分析发现，神经性贪食症患者在大多数子量表上的改善明显大于神经性厌食症患者。此外，就临床意义而言，神经性贪食症患者中有 73%被认为在治疗结束时取得了临床可靠和显著的改善（相比之下，神经性厌食症患者为 21%，非典型饮食障碍患者为 30%）。
本研究证明了 CFT 在治疗饮食障碍患者中的潜在益处，并强调了对此新方法进行进一步研究的必要性。
CFT 为与饮食障碍相关的自我批判和羞耻感等一些困难提供了新的概念化和制定方法。CFT 提供了一个框架，可以使饮食障碍患者以不同的方式概念化他们的困难。CFT 可以与标准疗法（尤其是认知行为疗法）结合使用。CFT 在团体环境中特别有用，在这种环境中，成员之间的关系可以变得越来越富有同情心、有价值、支持和鼓励。
