Revisión sistemática de la eficacia de la Terapia Centrada en la Compasión en trastornos de la conducta alimentaria [Systematic Review of the Efficacy of Compassion-Focused Therapy in Eating Disorders]

• Autores: Sandra García Cartagena, Yolanda Quiles Marcos
• Localización: International journal of psychology and psychological therapy, ISSN 1577-7057, Vol. 21, Nº. 2, 2021, págs. 241-252
• Idioma: español
• Enlaces
  • Texto completo (pdf)
• Resumen

  • Eating Disorders (ED) are disorders characterized by pathological behavior in eating and an obsession with weight control. These patients have high levels of shame, self-criticism and low self-compassion, so Compassion Focused Therapy (CFT) is proposed as a therapeutic alternative. This study aimed to conduct a systematic review on the efficacy of CFT-based interventions in treating people with an ED. To do this, the PRISMA guidelines were followed and the existing literature from 2010 to 2020 was analyzed through a search carried out in the Scopus, Sciencedirect, PubMed, Embase, Web of Science and PsycINFO databases. The results suggest that CFT can generate positive changes in these patients, reducing the symptoms of the disorder, as well as levels of shame, self-criticism and increasing levels of self-compassion. The results of this study show that CFT can be effective in the treatment of eating disorders. However, it is still a developing field, made up of studies with methodological limitations, which requires more research to obtain more conclusive results.

• Referencias bibliográficas
  • American Psychiatric Association (2013). Manual diagnóstico y estadístico de los trastornos mentales. 5a ed. Madrid: Editorial Médica Panamericana.
  • Arcelus J, Mitchell A, Wales J & Nielsen S (2011). Mortality Rates in Patients with Anorexia Nervosa and Other Eating Disorders A Meta-analysis...
  • Ashworth F, Clarke A, Jones L, Jennings C & Longworth C (2015). An exploration of compassion focused therapy following acquired brain...
  • Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S, Walsh E, Duggan D & Williams JM (2008). Construct validity of the five...
  • Braehler C, Gumley A, Harper J, Wallace S, Norrie J & Gilbert P (2013). Exploring change processes in compassion focused therapy in psychosis:...
  • Costa J & Pinto Gouveia J (2011). Acceptance of pain, self-compassion and psychopathology: using the Chronic Pain Acceptance Questionnaire...
  • Devilly GJ & Borkovec TD (2000). Psychometric properties of the credibility/expectancy questionnaire. Journal of Behavior Therapy and...
  • Evans C, Mellor-Clark J, Margison F, Barkham M, Audin K, Connell J, & McGrath G (2000). Clinical outcomes in routine evaluation: The CORE-OM....
  • Fairburn CG & Beglin SJ (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating...
  • Fairburn CG, Cooper Z & O’Connor ME (2008). Eating Disorder Examination (16.0D) In: Fairburn C.G., editor. Cognitive behavior therapy...
  • Feliu-Soler A, Pascual JC, Elices M, Martín-Blanco A, Carmona C, Cebolla A, Simón V & Soler J (2016). Fostering self-compassion and loving-kindness...
  • Fennig S, Hadas A, Itzhaky L, Roe D, Apter A & Shahar G (2008). Self-Criticism is a Key Predictor of Eating Disorder Dimensions among...
  • Ferreira C, Pinto-Gouveia J & Duarte C (2013). Self-compassion in the face of shame and body image dissatisfaction: Implications for eating...
  • Fitcher MM & Quadflieg N (2016). Mortality in eating disorders: results of a large prospective clinical longitudinal study. International...
  • *Gale C, Gilbert P, Read N & Goss K (2014). An evaluation of the impact of introducing compassion focused therapy to a standard treatment...
  • García Perdomo HA (2015). Conceptos fundamentales de las revisiones sistemáticas/metaanálisis. Urología Colombiana, 24, 28-34. Doi: 10.1016/j.uroco.2015.03.005
  • Garner DM, Olmsted MP, Bohr Y, & Garfinkel PE (1982). The Eating Attitudes Test: psychometric features and clinical correlates. Psychological...
  • Gilbert P (2010). An Introduction to Compassion Focused Therapy in Cognitive Behavior Therapy. International Journal of Cognitive Therapy....
  • Gilbert P (Ed) (2005). Compassion: Conceptualisations, research and use in psychotherapy. London: Routledge.
  • Gilbert P, McEwan K, Matos M & Rivis A (2011). Fears of compassion: Development of threeself-report measures. Psychology and Psychotherapy:...
  • Goodwin H, Arcelus J, Geach N & Meyer C (2014). Perfectionism and eating psychopathology among dancers: the role of high standards and...
  • Grupo de Trabajo de la Guía de Práctica Clínica sobre Trastornos de la Conducta Alimentaria (2009). Guía de práctica clínica sobre trastornos...
  • Hayes SC, Strosahl KD & Wilson K.G (1999). Acceptance and commitment therapy: An experiential approach to behavior change. Guilford Press.
  • Hayes SC, Luoma JB, Bond FW, Masuda A & Lillis J (2006). Acceptance and Commitment Therapy: Model, Processes and Outcomes. Behavioral...
  • Held P & Owens GP (2015). Effects of self-compassion workbook training on trauma-related guilt in a sample of homeless veterans: a pilot...
  • Homan KJ & Tylka TL (2015). Self-compassion moderates body comparison and appearance self-worth’s inverse relationships with body appreciation....
  • *Horcajo L, Quiles Y & Quiles MJ (2019). Aplicación de la terapia centrada en la compasión en pacientes con un trastorno de la conducta...
  • Jáuregui I & Bolaños P (2011). Body image and quality of life in a Spanish population. International Journal of General Medicine, 4, 63-72....
  • Kabat-Zinn J (2003). Mindfulness-based intervention in context: Past, present and future. Clinical Psychology Science, 10, 144-56. Doi: 10.1093/clipsy/bpg016
  • Kelly AC & Tasca GA (2016). Within-persons predictors of change during eating disorders treatment: an examination of self-compassion,...
  • *Kelly AC, Carter JC & Borairi S (2014). Are improvements in shame and self-compassion early in eating disorders treatment associated...
  • Kelly AC, Carter JC, Zuroff DC & Borairi S (2013). Self-compassion and fear of self-compassion interact to predict response to eating...
  • *Kelly AC, Wisniewski L, Martin-Wagar C & Hoffman E (2017). Group-Based Compassion-Focused Therapy as an Adjunct to Outpatient Treatment...
  • Leaviss J & Uttley L (2015). Psychotherapeutic benefits of compassion-focused therapy: an early systematic review. Psychological Medicine,...
  • Lovibond PF & Lovibond SH (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS)...
  • Moher D, Liberati A, Tetzlaff J, Altman DG & The PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses:...
  • Moñivas A, García-Diex G & García-de-Silva R (2012). Mindfulness (atención plena): concepto y teoría. Portularia: Revista de Trabajo Social,...
  • National Guideline Alliance (2017). Eating Disorders: Recognition and Treatment. London: National Institute for Health and Care Excellence.
  • Neff KD (2003). The development and validation of a scale to measure self-compassion. Self and identity, 2, 223-250. Doi: 10.1080/15298860390209035
  • Nordbø RH, Espeset EM, Gulliksen KS, Skårderud F, Geller J & Holte A (2012). Reluctance to recover in anorexia nervosa. European Eating...
  • Roberts ME, Tchanturia K & Treasure JL (2010). Exploring the neurocognitive signature of poor set-shifting in anorexia and bulimia nervosa....
  • Rosenberg M (1965). Society and the adolescent child. New Jersey: Princeton University Press. Smink FR, Van Hoeken D & Hoek HW (2012)....
  • Troop NA & Redshaw C (2012). General shame and bodily shame in eating disorders: a 2.5-year longitudinal study. European Eating Disorders...
  • Troop NA, Allan S, Serpell L & Treasure JL (2008). Shame in women with a history of eating disorders. European Eating Disorders Review,...
  • Turk F & Waller G (2020). Is self-compassion relevant to the pathology and treatment of eating and body image concerns? A systematic review...
  • Wasylkiw L, MacKinnon AL & MacLellan AM (2012). Exploring the link between self-compassion and body image in university women. Body Image,...
  • *Williams MO, Tsivos Z, Brown S, Whitelock NS & Sampson M (2017). Compa-ssion-focused therapy for bulimia nervosa and bulimic presentations:...
  • Williams GJ, Power KG, Miller HR & Freeman CP (1994). Development and validation of the Stirling Eating Disorder Scales. International...