Dover Shannon, Clements Fiona
The Oxfordshire Adult Community Eating Disorders Service, Oxford Health Foundation Trust, The Warneford Hospital Warneford Lane, Headington, Marston, Oxford, OX3 7JX, UK.
J Eat Disord. 2025 Jul 21;13(1):145. doi: 10.1186/s40337-025-01292-0.
Despite Cognitive-Behavioural Therapy (CBT) being the gold standard for treating eating disorders (ED), approximately 50% of patients do not see significant results. Increased body-related stigma in society, driven by a pursuit of thinness for peer acceptance, has led to substantial rises in body image dissatisfaction, which is closely linked with EDs like Anorexia Nervosa (AN), Bulimia Nervosa (BN), and Binge Eating Disorder (BED). This issue needs addressing in treatment as societal pressures cause individuals to internalise stigma. Compassion Focused Therapy (CFT), which emphasises a compassionate self-approach, might be a suitable alternative to CBT, focusing more on body image acceptance and potentially breaking the shame-cycle caused by stigma. This study compiled current literature on CFT's role in addressing body image dissatisfaction and stigma in ED patients. 8 studies with 637 female and 14 male participants were reviewed. Results showed that CFT-combined approaches reduced body image dissatisfaction and ED pathology, particularly in young adult females with BED. Participants noted that stigma and fear of judgement hindered ED treatment but recognised that increased self-compassion could mitigate these effects. The study highlighted the need for more diverse and broader participant samples, and standalone CFT studies, to enhance the generalisability of results and expand upon the current research pool of CFT uses for body image in eating disorders. In conclusion, CFT shows promise as an alternative method to reduce stigma and treat body image dissatisfaction in ED populations.
尽管认知行为疗法（CBT）是治疗饮食失调（ED）的金标准，但仍有大约50%的患者未见显著疗效。社会上对瘦的追求导致与身体相关的污名化加剧，以获得同伴认可，这使得身体形象不满大幅上升，而这与神经性厌食症（AN）、神经性贪食症（BN）和暴饮暴食症（BED）等饮食失调密切相关。由于社会压力导致个体内化污名，这一问题在治疗中需要得到解决。以同情为中心的疗法（CFT）强调一种富有同情心的自我方法，可能是CBT的一种合适替代方法，它更关注身体形象的接受，并有可能打破由污名导致的羞耻循环。本研究汇编了关于CFT在解决饮食失调患者身体形象不满和污名方面作用的现有文献。对8项研究进行了综述，这些研究共有637名女性和14名男性参与者。结果表明，CFT联合方法可降低身体形象不满和饮食失调症状，尤其是在患有暴饮暴食症的年轻成年女性中。参与者指出，污名和对评判的恐惧阻碍了饮食失调的治疗，但认识到增强自我同情可以减轻这些影响。该研究强调需要更多样化和更广泛的参与者样本以及独立的CFT研究，以提高结果的普遍性，并扩大目前关于CFT在饮食失调中用于身体形象的研究范围。总之，CFT作为一种减少污名和治疗饮食失调人群身体形象不满的替代方法显示出了前景。
