Kotera Yasuhiro, Beaumont Julie, Edwards Ann-Marie, Cotterill Matthew, Kirkman Ann, Tofani Aiesha Carew, McPhilbin Merly, Takhi Simran, Barnes Kristian, Todowede Olamide, Ingall Benjamin-Rose, Asano Kenichi, Arimitsu Kohki
Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK.
Center for Infectious Disease Education and Research, Osaka University, Suita 565-0871, Japan.
Behav Sci (Basel). 2024 Jul 25;14(8):643. doi: 10.3390/bs14080643.
Compassion-focused therapy (CFT) has been attracting attention in mental health practice and research. CFT is effective in reducing a variety of negative mental health symptoms. Positive mental health (PMH) focuses on an individual's functioning, quality of life, and well-being, aiming to achieve fulfilment. A need for PMH has been increasingly recognised such as national policies incorporating recovery-oriented approaches. However, how effective CFT is for PMH outcomes remains to be investigated. This narrative review aimed to identify the literature that reports evidence on CFT used against PMH outcomes.
Our research questions (RQs) were as follows: RQ1. What PMH outcomes are targeted in CFT intervention research? RQ2. Is CFT effective for PMH?" Medline, Embase, and PsycINFO were searched on the Ovid platform. All studies that mentioned "compassion focused therapy" and "compassion-focused therapy" were searched.
Sixteen RCTs were included published since 2012. Nine studies were from Europe, four from Asia, two from Northern America, and one from Australia and New Zealand. CFT was used for diverse PMH outcomes, and the effects were overall positive. Self-compassion and compassion were the most frequently evaluated outcomes.
The mechanism of action for CFT on PMH needs to be evaluated. CFT can be used as part of personal recovery in mental health. More evidence from non-WEIRD countries including LMICs is needed.
以同情为焦点的疗法（CFT）在心理健康实践和研究中一直备受关注。CFT在减轻各种负面心理健康症状方面有效。积极心理健康（PMH）关注个体的功能、生活质量和幸福感，旨在实现满足感。人们越来越认识到对积极心理健康的需求，例如国家政策采用以康复为导向的方法。然而，CFT对积极心理健康结果的有效性仍有待研究。本叙述性综述旨在识别报告CFT用于积极心理健康结果证据的文献。
我们的研究问题（RQs）如下：问题1. CFT干预研究针对哪些积极心理健康结果？问题2. CFT对积极心理健康有效吗？在Ovid平台上检索了Medline、Embase和PsycINFO。检索了所有提及“以同情为焦点的疗法”和“同情聚焦疗法”的研究。
纳入了自2012年以来发表的16项随机对照试验。9项研究来自欧洲，4项来自亚洲，2项来自北美，1项来自澳大利亚和新西兰。CFT用于多种积极心理健康结果，效果总体呈阳性。自我同情和同情是最常评估的结果。
CFT对积极心理健康的作用机制需要评估。CFT可作为心理健康个人康复的一部分使用。需要来自包括中低收入国家在内的非西方、工业化、富裕、民主国家的更多证据。
