, Volume 6, Issue 4, pp 824–835 | Cite as

Exploring Mindfulness and Mindfulness with Self-Compassion-Centered Interventions to Assist Weight Loss: Theoretical Considerations and Preliminary Results of a Randomized Pilot Study

  • Michail MantziosEmail author
  • Janet Clare Wilson


This research explored whether developing mindfulness and self-compassion through meditation supports weight loss. The research addressed if (a) mindfulness meditation and (b) mindfulness with self-compassion Meditation (through loving kindness meditation and psycho-educational material to develop self-compassion) aid weight loss and maintenance. Sixty-three soldiers followed independent diet plans and were randomly assigned to a control group, or, one of the two meditation interventions for 5 weeks. Participants lost weight in both experimental groups, while the control group gained weight during the initial 5 weeks. Six months of subsequent, self-motivated and unguided meditative practice, revealed that only the mindfulness with self-compassion meditation group continued losing weight, while the mindfulness meditation group showed no significant weight differences. At a 1-year follow-up, both experimental groups regained some weight, while the control group paradoxically lost weight. Overall, however, the mindfulness with self-compassion meditation group lost significantly more weight than either of the two remaining groups (which did not significantly differ). The findings suggest that developing both mindfulness and self-compassion appears more promising for weight loss than developing mindfulness alone or simply dieting; nevertheless, weight maintenance requires more attention in future research.


Self-compassion Mindfulness Mindfulness meditation Loving kindness meditation Weight loss Obesity 


  1. 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(10), 1120–1144.CrossRefGoogle Scholar
  2. Alberts, H. J. E. M., Thewissen, R., & Raes, L. (2012). Dealing with problematic eating behavior. The effects of a mindfulness-based intervention on eating behavior, food cravings, dichotomous thinking and body image concern. Appetite, 58(3), 847–851.PubMedCrossRefGoogle Scholar
  3. Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143.Google Scholar
  4. Baer, R. A. (2010). Self-compassion as a mechanism of change in mindfulness- and acceptance-based treatments. In R. A. Baer (Ed.), Assessing mindfulness & acceptance processes in clients (pp. 135–154). Oakland: New Harbinger.Google Scholar
  5. Birnie, K., Speca, M., & Carlson, L. E. (2010). Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR). Stress and Health, 26(5), 359–371.CrossRefGoogle Scholar
  6. Blair, A. J., Lewis, V. J., & Booth, D. A. (1990). Does emotional eating interfere with success in attempts at weight control? Appetite, 15(2), 151–157.PubMedCrossRefGoogle Scholar
  7. Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.PubMedCrossRefGoogle Scholar
  8. Chernyak, Y., & Lowe, M. R. (2010). Motivations for dieting: drive for thinness is different from drive for objective thinness. Journal of Abnormal Psychology, 119(2), 276–281.PubMedCrossRefGoogle Scholar
  9. Chödrön, P. (1996). Awakening loving-kindness. Boston: Shambhala.Google Scholar
  10. Chödrön, P., & Otro, T. (2001). Tonglen: the path of transformation. Halifax: Vajradhatu.Google Scholar
  11. Cohen, D. A., & Farley, T. A. (2008). Eating as an automatic behavior. Preventing Chronic Disease, 5(1), A23.PubMedCentralPubMedGoogle Scholar
  12. Conradt, M., Dierk, J. M., Schlumberger, P., Rauh, E., Hebebrand, J., & Rief, W. (2008). Who copes well? Obesity‐related coping and its associations with shame, guilt, and weight loss. Journal of Clinical Psychology, 64(10), 1129–1144.PubMedCrossRefGoogle Scholar
  13. Dalen, J., Smith, B. W., Shelley, B. M., Lee Sloan, A., Leahigh, L., & Begay, D. (2010). Pilot study: mindful eating and living (MEAL): weight, eating behavior, and psychological outcomes associated with a mindfulness-based intervention for people with obesity. Complementary Therapies in Medicine, 18, 260–264.PubMedCrossRefGoogle Scholar
  14. Daubenmier, J., Kristeller, J., Hecht, F. M., Maninger, N., Kuwata, M., Jhaveri, K., & Epel, E. (2011). Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: an exploratory randomized controlled study. Journal of Obesity, 2011, 1–13.CrossRefGoogle Scholar
  15. Davidson, R. (2007). Changing the brain by transforming the mind. The impact of compassion training on the neural systems of emotion. Paper presented at the 13th Annual Mind and Life Institute Conference, Atlanta, GA.Google Scholar
  16. Elfhag, K., & Morey, L. C. (2008). Personality traits and eating behavior in the obese: poor self-control in emotional and external eating but personality assets in restrained eating. Eating Behaviors, 9(3), 285–293.PubMedCrossRefGoogle Scholar
  17. 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, 14(2), 207–210.PubMedCrossRefGoogle Scholar
  18. Forman, E. M., Butryn, M. L., Hoffman, K. L., & Herbert, J. D. (2009). An open trial of an acceptance-based behavioural intervention for weight loss. Cognitive and Behavioral Practice, 16(2), 223–235.CrossRefGoogle Scholar
  19. Friedman, K. E., Reichmann, S. K., Costanzo, P. R., Zelli, A., Ashmore, J. A., & Musante, G. J. (2005). Weight stigmatization and ideological beliefs: relation to psychological functioning in obese adults. Obesity, 13(5), 907–916.CrossRefGoogle Scholar
  20. Gavin, A. R., Simon, G. E., & Ludman, E. J. (2010). The association between obesity, depression, and educational attainment in women: the mediating role of body image dissatisfaction. Journal of Psychosomatic Research, 69(6), 573–581.PubMedCentralPubMedCrossRefGoogle Scholar
  21. Gilbert, P. (2009). The compassionate mind. London: Constable.Google Scholar
  22. Gilbert, P., & Choden. (2013). Mindful compassion. London: Constable & Robinson.Google Scholar
  23. Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10(1), 83–91.PubMedCentralPubMedCrossRefGoogle Scholar
  24. Greeno, C. G., & Wing, R. R. (1994). Stress-induced eating. Psychological Bulletin, 115(3), 444–464.PubMedCrossRefGoogle Scholar
  25. Grossman, P. (2013). Kindness and compassion as integral to mindfulness—experiencing the knowable in a special way. In T. Singer & M. Bolz (Eds.), Compassion: bridging practice and science (pp. 192–207). Munich: Max Planck Society.Google Scholar
  26. Grossman, P., & Van Dam, N. T. (2011). Mindfulness, by any other name…: trials and tribulations of sati in western psychology and science. Contemporary Buddhism, 12(01), 219–239.CrossRefGoogle Scholar
  27. Heffner, M., Sperry, J., Eifert, G. H., & Detweiler, M. (2002). Acceptance and commitment therapy in the treatment of an adolescent female with anorexia nervosa: a case example. Cognitive and Behavioral Practice, 9(3), 232–236.CrossRefGoogle Scholar
  28. Herman, C. P., & Mack, D. (1975). Restrained and unrestrained eating. Journal of Personality, 43(4), 647–660.PubMedCrossRefGoogle Scholar
  29. Hofmann, S. G., Grossman, P., & Hinton, D. E. (2011). Loving-kindness and compassion meditation: potential for psychological interventions. Clinical Psychology Review, 31(7), 1126–1132.PubMedCentralPubMedCrossRefGoogle Scholar
  30. Hofmann, W., Rauch, W., & Gawronski, B. (2007). And deplete us not into temptation: automatic attitudes, dietary restraint, and self-regulatory resources as determinants of eating behavior. Journal of Experimental Social Psychology, 43(3), 497–504.CrossRefGoogle Scholar
  31. Hollis-Walker, L., & Colosimo, K. (2011). Mindfulness, self-compassion, and happiness in non-meditators: a theoretical and empirical examination. Personality and Individual Differences, 50(2), 222–227.CrossRefGoogle Scholar
  32. Jeffery, R. W., Epstein, L. H., Wilson, G. T., Drewnowski, A., Stunkard, A. J., & Wing, R. R. (2000). Long-term maintenance of weight loss: current status. Health Psychology, 19(1), 5–16.PubMedCrossRefGoogle Scholar
  33. Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33–47.PubMedCrossRefGoogle Scholar
  34. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacourt.Google Scholar
  35. Kabat Zinn, J. (2003). Mindfulness based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156.Google Scholar
  36. Kabat-Zinn, J. (2006). Coming to our senses: healing ourselves and the world through mindfulness. New York: Hyperion.Google Scholar
  37. Kabat-Zinn, J. et al. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149(7), 936–943.Google Scholar
  38. Katterman, S. N., Kleinman, B. M., Hood, M. M., Nackers, L. M., & Corsica, J. (2014). Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: a systematic review. Eating Behaviors, 15(2), 197–204.PubMedCrossRefGoogle Scholar
  39. Kearney, D. J., Milton, M. L., Malte, C. A., McDermott, K. A., Martinez, M., & Simpson, T. L. (2012). Participation in mindfulness-based stress reduction is not associated with reductions in emotional eating or uncontrolled eating. Nutrition Research, 32(6), 413–420.PubMedCrossRefGoogle Scholar
  40. Kristeller, J. L., & Hallett, C. B. (1999). An exploratory study of a meditation-based intervention for binge eating disorder. Journal of Health Psychology, 4(3), 357–363.PubMedCrossRefGoogle Scholar
  41. Kristeller, J. L., & Wolever, R. Q. (2010). Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual foundation. Eating Disorders, 19(1), 49–61.CrossRefGoogle Scholar
  42. Kristeller, J., Wolever, R. Q., & Sheets, V. (2013). Mindfulness-based eating awareness training (MB-EAT) for binge eating: a randomized clinical trial. Mindfulness, 5(3), 282–297.CrossRefGoogle Scholar
  43. Lakey, C. E., Campbell, W. K., Brown, K. W., & Goodie, A. S. (2007). Dispositional mindfulness as a predictor of the severity of gambling outcomes. Personality and Individual Differences, 43(7), 1698–1710.PubMedCentralPubMedCrossRefGoogle Scholar
  44. Lattimore, P., Fisher, N., & Malinowski, P. (2011). A cross-sectional investigation of trait disinhibition and its association with mindfulness and impulsivity. Appetite, 56(2), 241–248.PubMedCrossRefGoogle Scholar
  45. Levesque, C., & Brown, K. W. (2007). Mindfulness as a moderator of the effect of implicit motivational self-concept on day-to-day behavioral motivation. Motivation and Emotion, 31(4), 284–299.CrossRefGoogle Scholar
  46. Ludwig, D. S., & Kabat-Zinn, J. (2008). Mindfulness in Medicine. Journal of the American Medical Association, 300(11), 1350–1352.Google Scholar
  47. Levine, N. (2007). Against the stream: a Buddhist manual for spiritual revolutionaries. New York: HarperOne.Google Scholar
  48. Mantzios, M. & Giannou, K. (2014). Group vs. single mindfulness meditation: exploring avoidance, impulsivity and weight management in two separate mindfulness meditation settings. Applied Psychology: Health and Well-Being, 1–19.Google Scholar
  49. Mantzios, M., & Wilson, C. J. (2013). How concrete construals can become mindful: a novel approach of developing mindfulness and self-compassion to assist weight loss. Psychology & Health, 1–21.Google Scholar
  50. Mantzios, M., Wilson, J. C., Linnell, M., & Morris, P. (2014). The role of negative cognitions, intolerance of uncertainty, mindfulness, and self-compassion in weight regulation among male army recruits. Mindfulness, 1–8.Google Scholar
  51. Miller, C. K., Kristeller, J. L., Headings, A., Nagaraja, H., & Miser, F. (2012). Comparative effectiveness of a mindful eating intervention to a diabetes self-management intervention among adults with type 2 diabetes: a pilot study. Journal of the Academy of Nutrition and Dietetics, 112, 1835–1842.PubMedCentralPubMedCrossRefGoogle Scholar
  52. Nederkoorn, C., Smulders, F. T. Y., Havermans, R. C., Roefs, A., & Jansen, A. (2006). Impulsivity in obese women. Appetite, 47(2), 253–256.PubMedCrossRefGoogle Scholar
  53. Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250.CrossRefGoogle Scholar
  54. Neff, K. D. (2003b). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101.CrossRefGoogle Scholar
  55. Neff, K. D., & Dahm, K. A. (2014). Self-compassion: what it is, what it does, and how it relates to mindfulness. In M. Robinson, B. Meier, & B. Ostafin (Eds.), Mindfulness and self-regulation. New York: Springer.Google Scholar
  56. 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(1), 28–44.PubMedCrossRefGoogle Scholar
  57. Neff, K. D. (2011). Self‐compassion, self‐esteem, and well‐being. Social and Personality Psychology Compass, 5(1), 1–12.CrossRefGoogle Scholar
  58. Robinson, E., Aveyard, P., Daley, A., Jolly, K., Lewis, A., Lycett, D., & Higgs, S. (2013). Eating attentively: a systematic review and meta-analysis of the effect of food intake memory and awareness on eating. The American Journal of Clinical Nutrition, 97(4), 728–742.PubMedCentralPubMedCrossRefGoogle Scholar
  59. Rogge, M., Greenwald, M., & Golden, A. (2004). Obesity, stigma and civilized oppression. Advances in Nursing Science, 27(4), 301–315.PubMedCrossRefGoogle Scholar
  60. Romero-Corral, A., Lopez-Jimenez, F., Sierra-Johnson, J., & Somers, V. K. (2008). Differentiating between body fat and lean mass—how should we measure obesity? Nature Clinical Practice Endocrinology & Metabolism, 4(6), 322–323.Google Scholar
  61. Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomized trial. International Journal of Stress Management, 12(2), 164–176.CrossRefGoogle Scholar
  62. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.Google Scholar
  63. Sloan, D. M. (2004). Emotion regulation in action: emotional reactivity in experiential avoidance. Behaviour Research and Therapy, 42(11), 1257–1270.PubMedCrossRefGoogle Scholar
  64. Tapper, K., Shaw, C., Ilsley, J., Hill, A. J., Bond, F. W., & Moore, L. (2009). Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite, 52(2), 396–404.PubMedCrossRefGoogle Scholar
  65. Timmerman, G. M., & Brown, A. (2012). The effect of a mindful restaurant eating intervention on weight management in women. Journal of Nutrition Education and Behavior, 44, 22–28.PubMedCentralPubMedCrossRefGoogle Scholar
  66. Van Dam, N. T., Sheppard, S. C., Forsyth, J. P., & Earleywine, M. (2011). Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. Journal of Anxiety Disorders, 25(1), 123–130.PubMedCrossRefGoogle Scholar
  67. Wansink, B., & Sobal, J. (2007). Mindless eating: the 200 daily food decisions we overlook. Environment and Behaviour, 39(1), 106–123.CrossRefGoogle Scholar
  68. Weibel, D. T. (2007). A loving-kindness intervention: boosting compassion for self and others. Retrieved from the Ohio University Theses database (Document number: ohiou1190652251):
  69. Wenk-Sormaz, H. (2005). Meditation can reduce habitual responding. Advances in Mind-Body Medicine, 21(3–4), 33–49.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of PortsmouthPortsmouthUK

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