Skip to main content

Advertisement

Log in

Self-Compassion and Body Dissatisfaction in Women: A Randomized Controlled Trial of a Brief Meditation Intervention

  • ORIGINAL PAPER
  • Published:
Mindfulness Aims and scope Submit manuscript

Abstract

Body dissatisfaction is a major source of suffering among women of all ages. One potential factor that could mitigate body dissatisfaction is self-compassion, a construct that is garnering increasing research attention due to its strong association with psychological health. This study investigated whether a brief 3-week period of self-compassion meditation training would improve body satisfaction in a multigenerational group of women. Participants were randomized either to the meditation intervention group (N = 98; M age = 38.42) or to a waitlist control group (N = 130; M age = 36.42). Results suggested that compared to the control group, intervention participants experienced significantly greater reductions in body dissatisfaction, body shame, and contingent self-worth based on appearance, as well as greater gains in self-compassion and body appreciation. All improvements were maintained when assessed 3 months later. Self-compassion meditation may be a useful and cost-effective means of improving body image in adult women.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Adams, C. E., & Leary, M. R. (2007). Promoting self-compassionate attitudes toward eating among restrictive and guilty eaters. Journal of Social and Clinical Psychology, 26, 1120–1144.

    Article  Google Scholar 

  • Adams, C. E., Benitez, L., Kinsaul, J., McVay, M. A., Barbry, A., Thibodeaux, A., & Copeland, A. L. (2013). Effects of brief mindfulness instructions on reactions to body image stimuli among female smokers: An experimental study. Nicotine & Tobacco Research, 15, 376–384.

    Article  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th edn, text revision. Washington: American Psychiatric Association.

    Google Scholar 

  • Avalos, L., Tylka, T. L., & Wood-Barcalow, N. (2005). The Body Appreciation Scale: Development and psychometric evaluation. Body Image, 2, 285–297.

    Article  PubMed  Google Scholar 

  • Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of general psychology, 15, 289.

    Article  Google Scholar 

  • Brach, T. (2003). Radical acceptance: Embracing your life with the heart of a Buddha. New York: Bantam.

    Google Scholar 

  • Breen, W. E., Kashdan, T. B., Lenser, M. L., & Fincham, F. D. (2010). Gratitude and forgiveness: Convergence and divergence on self-report and informant ratings. Personality and Individual Differences, 49, 932–937.

    Article  PubMed Central  PubMed  Google Scholar 

  • Breines, J. G., Crocker, J., & Garcia, J. A. (2008). Self-objectification and well-being in women’s daily lives. Personality and Social Psychology Bulletin, 34, 583–597.

    Article  PubMed  Google Scholar 

  • Britton, W. B., Bootzin, R. R., Cousins, J. C., Hasler, B. P., Peck, T., & Shapiro, S. L. (2010). The contribution of mindfulness practice to a multicomponent behavioral sleep intervention following substance abuse treatment in adolescents: a treatment-development study. Substance Abuse, 31, 86–97.

    Article  PubMed  Google Scholar 

  • Cash, T. F., & Szymanski, M. L. (1995). The development and validation of the Body-Ideals Questionnaire. Journal of Personality Assessment, 64, 466–477.

    Article  PubMed  Google Scholar 

  • Christensen, H., Griffiths, K. M., & Jorm, A. F. (2004). Delivering interventions for depression by using the internet: randomized controlled trial. BMJ, 328, 265. doi:10.1136/bmj.37945.566632.EE.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences, 2nd edn. Hillsdale: Erlbaum.

    Google Scholar 

  • Cooper, P. J., Taylor, M. J., Cooper, Z., & Fairbum, C. G. (1987). The development and validation of the Body Shape Questionnaire. International Journal of eating disorders, 6, 485–494.

    Article  Google Scholar 

  • Costa, J., & Pinto-Gouveia, J. (2011). Acceptance of pain, self-compassion and psychopathology: Using the chronic pain acceptance questionnaire to identify patients’ subgroups. Clinical Psychology and Psychotherapy, 18, 292–302.

    Article  PubMed  Google Scholar 

  • Crocker, J., & Wolfe, C. T. (2001). Contingencies of self-worth. Psychological Review, 108, 593–623.

    Article  PubMed  Google Scholar 

  • Crocker, J., Luhtanen, R. K., Cooper, M. L., & Bouvrette, A. (2003). Contingencies of self- worth in college students: Theory and measurement. Journal of Personality and Social Psychology, 85, 894.

    Article  PubMed  Google Scholar 

  • Dekeyser, M., Raes, F., Leijssen, M., Leysen, S., & Dewulf, D. (2008). Mindfulness skills and interpersonal behaviour. Personality and Individual Differences, 44, 1235–1245.

    Article  Google Scholar 

  • Delinsky, S. S., & Wilson, G. T. (2006). Mirror exposure for the treatment of body image disturbance. International Journal of Eating Disorders, 39, 108–116.

    Article  PubMed  Google Scholar 

  • Evans, C., & Dolan, B. (1993). Body Shape Questionnaire: derivation of shortened “alternate forms”. International Journal of Eating Disorders, 13, 315–321.

    Google Scholar 

  • Eysenbach, G. (2005). The law of attrition. Journal of medical Internet Research, 7. doi:10.2196/jmir.7.1.e11.

  • Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2013). Self-compassion in the face of shame and body image dissatisfaction: Implications for eating disorders. Eating Behaviors, 114, 207–210.

    Article  Google Scholar 

  • Finely-Straus, A. D. (2011). The relationship between self-compassion and disordered eating behaviors: Body dissatisfaction, perfectionism, and contingent self worth as mediators. Unpublished doctoral dissertation. The University of Texas at Austin.

  • Fredrickson, B. L., & Roberts, T. (1997). Objectification theory: Toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21, 173–206.

    Article  Google Scholar 

  • Gale, C., Gilbert, P., Read, N., & Goss, K. (2012). An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders. Clinical Psychology & Psychotherapy. doi:10.1002/cpp.1806.

    Google Scholar 

  • Ganem, P. A., Heer, H. D., & Morera, O. F. (2009). Does body dissatisfaction predict mental health outcomes in a sample of predominantly Hispanic college students? Personality and Individual Differences, 46, 557–561.

    Article  Google Scholar 

  • Germer, C. K. (2009). The mindful path to self-compassion: Freeing yourself from destructive thoughts and emotions. New York: Guilford.

    Google Scholar 

  • Gilbert, P. (2010). Compassion focused therapy: Distinctive features. London: Routledge.

    Google Scholar 

  • Gilbert, P., & Miles, J. (2002). Body shame: Conceptualization, research, and treatment. New York: Routledge.

    Google Scholar 

  • Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy, 13, 353–379.

    Article  Google Scholar 

  • Glück, T. M., & Maercker, A. (2011). A randomized controlled pilot study of a brief web-based mindfulness training. BMC psychiatry, 11, 175.

    Article  PubMed Central  PubMed  Google Scholar 

  • Grippo, K. P., & Hill, M. S. (2008). Self-objectification, habitual body monitoring, and body dissatisfaction in older European American women: Exploring age and feminism as moderators. Body Image, 5, 173–182.

    Article  PubMed  Google Scholar 

  • Grogan, S. (2008). Body image: Understanding body dissatisfaction in men, women, and children (2nd ed.). New York: Rutledge.

    Google Scholar 

  • Grossbard, J. R., Lee, C. M., Neighbors, C., & Larimer, M. E. (2009). Body image concerns and contingent self-esteem in male and female college students. Sex Roles, 60, 198–207.

    Article  Google Scholar 

  • Harter, S. (1999). The construction of the self: A developmental perspective. New York: Guilford.

    Google Scholar 

  • Heffernan, M., Griffin, M., McNulty, S., & Fitzpatrick, J. J. (2010). Self-compassion and emotional intelligence in nurses. International Journal of Nursing Practice, 16, 366–373.

    Article  PubMed  Google Scholar 

  • Hofmann, S. G., Grossman, P., & Hinton, D. E. (2011). Loving-kindness and compassion meditation: Potential for psychological interventions. Clinical Psychology Review, 31, 1126–1132.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hollis-Walker, L., & Colosimo, K. (2011). Mindfulness, self-compassion, and happiness in non-meditators: A theoretical and empirical examination. Personality and Individual Differences, 50, 222–227.

    Article  Google Scholar 

  • Jarry, J. L., & Berardi, K. (2004). Characteristics and effectiveness of stand-alone body image treatments: A review of the empirical literature. Body Image, 1, 319–333.

    Article  PubMed  Google Scholar 

  • King, T. K., Matacin, M., White, K., & Marcus, B. H. (2005). A prospective examination of body image and smoking cessation in women. Body Image: An International Journal of Research, 2, 19–28.

    Article  Google Scholar 

  • Lewis, D. M., & Cachelin, F. M. (2001). Body image, body dissatisfaction, and eating attitudes in mid-life and elderly women. Eating Disorders: The Journal of Treatment and Prevention, 9, 29–39.

    Article  Google Scholar 

  • MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552.

    Article  PubMed  Google Scholar 

  • McKinley, N. M., & Hyde, J. S. (1996). The objectified body consciousness scale Development and Validation. Psychology of Women Quarterly, 20, 181–215.

    Article  Google Scholar 

  • McLaren, L., & Kuh, D. (2004). Body dissatisfaction in midlife women. Journal of Women & Aging, 16, 35–54.

    Article  Google Scholar 

  • Mosewich, A. D., Kowalski, K. C., Sabiston, C. M., Sedgwick, W. A., & Tracy, J. L. (2011). Self-compassion: a potential resource for young women athletes. Journal of Sport and Exercise Psychology, 33, 103–123.

    Google Scholar 

  • Neely, M. E., Schallert, D. L., Mohammed, S. S., Roberts, R. M., & Chen, Y. J. (2009). Self- kindness when facing stress: The role of self-compassion, goal regulation, and support in college students’ well-being. Motivation and Emotion, 33, 88–97.

    Article  Google Scholar 

  • Neff, K. D. (2003a). Development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250.

    Article  Google Scholar 

  • Neff, K. D. (2003b). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–102.

    Article  Google Scholar 

  • Neff, K. D. (2011). Self-compassion: Stop beating yourself up and leave insecurity behind. New York: HarperCollins.

    Google Scholar 

  • Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the Mindful Self-Compassion Program. Journal of Clinical Psychology, 69, 28–44.

    Article  PubMed  Google Scholar 

  • Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: Two different ways of relating to oneself. Journal of Personality, 77, 23–50.

    Article  PubMed  Google Scholar 

  • Neff, K. D., Hseih, Y., & Dejitthirat, K. (2005). Self-compassion, achievement goals, and coping with academic failure. Self and Identity, 4, 263–287.

    Article  Google Scholar 

  • Neff, K. D., Rude, S. S., & Kirkpatrick, K. (2007). An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality, 41, 908–916.

    Article  Google Scholar 

  • Neff, K. D., Pisitsungkagarn, K., & Hseih, Y. (2008). Self-compassion and self-construal in the United States, Thailand, and Taiwan. Journal of Cross-Cultural Psychology, 39, 267–285.

    Article  Google Scholar 

  • Overstreet, N. M., & Quinn, D. M. (2012). Contingencies of self-worth and appearance concerns: Do domains of self-worth matter? Psychology of Women Quarterly, 36, 314–325.

    Article  Google Scholar 

  • Pearson, A. N., Follette, V. M., & Hayes, S. C. (2012). A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice, 19, 181–197.

    Article  Google Scholar 

  • Przezdziecki, A., Sherman, K. A., Gaillie, A., Taylor, A., Foley, E., & Stalgis-Bilinski, K. (2012). My changed body: breast cancer, body image, distress and self-compassion. Psycho-Oncology, 22, 1872–1879.

    Article  PubMed  Google Scholar 

  • Ransdell, L. B., Wells, C. L., Manore, M. M., Swan, P. D., & Corbin, C. B. (1998). Social physique anxiety in postmenopausal women. Journal of Women & Aging, 10, 19–39.

    Article  Google Scholar 

  • Rodin, J., Silberstein, L., & Striegel-Moore, R. (1985). Women and weight: A normative discontent. In T. Sonderegger (Ed.), Psychology and gender: Nebraska symposium on motivation (pp. 267–307). Lincoln: University of Nebraska Press.

    Google Scholar 

  • Salzberg, S. (1997). Lovingkindness: The revolutionary art of happiness. Boston: Shambala.

    Google Scholar 

  • Sbarra, D. A., Smith, H. L., & Mehl, M. R. (2012). When leaving your ex, love yourself observational ratings of self-compassion predict the course of emotional recovery following marital separation. Psychological Science, 23, 261–269.

    Article  PubMed  Google Scholar 

  • Shapira, L. B., & Mongrain, M. (2010). The benefits of self-compassion and optimism exercises for individuals vulnerable to depression. The Journal of Positive Psychology, 5, 377–389.

    Article  Google Scholar 

  • Striegel-Moore, R. H., & Franko, D. L. (2002). Body image issues among girls and women. Body image: A handbook of theory, research, and clinical practice, 183–191.

  • Szymanski, D. M., & Henning, S. L. (2007). The role of self-objectification in women’s depression: A test of objectification theory. Sex Roles, 56, 45–53.

    Article  Google Scholar 

  • Tang, Y. Y., Ma, Y., Wang, J., Fan, Y., Feng, S., Lu, Q., & Posner, M. I. (2007). Short- term meditation training improves attention and self-regulation. Proceedings of the National Academy of Sciences, 104, 17152–17156.

    Article  Google Scholar 

  • Telch, C. F., Agras, S. W., & Linehan, M. M. (2001). Dialectical behavior therapy for Binge eating disorder. Journal of Consulting and Clinical Psychology, 69, 1061–1065.

    Article  PubMed  Google Scholar 

  • Tiggemann, M. (2004). Body image across the adult life span: Stability and change. Body Image, 1, 29–41.

    Article  PubMed  Google Scholar 

  • Tiggemann, M., & Lynch, J. E. (2001). Body image across the life span in adult women: The role of self-objectification. Developmental Psychology, 37, 243–253.

    Article  PubMed  Google Scholar 

  • Van den Berg, P., Paxton, S. J., Keery, H., Wall, M., Guo, J., & Neumark-Sztainer, D. (2007). Body dissatisfaction and body comparison with media images in males and females. Body Image, 4, 257–268.

    Article  PubMed  Google Scholar 

  • Wasylkiw, L., MacKinnon, A. L., & MacLellan, A. M. (2012). Exploring the link between self-compassion and body image in university women. Body Image, 9, 236–245.

    Article  PubMed  Google Scholar 

  • Webb, J. B., & Forman, M. J. (2013). Evaluating the indirect effect of self-compassion on binge eating severity through cognitive–affective self-regulatory pathways. Eating Behaviors, 14, 224–228.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ellen R. Albertson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Albertson, E.R., Neff, K.D. & Dill-Shackleford, K.E. Self-Compassion and Body Dissatisfaction in Women: A Randomized Controlled Trial of a Brief Meditation Intervention. Mindfulness 6, 444–454 (2015). https://doi.org/10.1007/s12671-014-0277-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12671-014-0277-3

Keywords

Navigation