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

Abstract

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.

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References

  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.

    Article  Google 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.

    PubMed  Article  Google 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.

    Article  Google 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.

    PubMed  Article  Google 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.

    PubMed  Article  Google 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.

    PubMed  Article  Google 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.

    PubMed Central  PubMed  Google 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.

    PubMed  Article  Google 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.

    PubMed  Article  Google 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.

    Article  Google 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.

  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.

    PubMed  Article  Google 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.

    PubMed  Article  Google 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.

    Article  Google 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.

    Article  Google 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.

    PubMed Central  PubMed  Article  Google 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.

    PubMed Central  PubMed  Article  Google Scholar 

  24. Greeno, C. G., & Wing, R. R. (1994). Stress-induced eating. Psychological Bulletin, 115(3), 444–464.

    PubMed  Article  Google 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.

    Article  Google 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.

    Article  Google Scholar 

  28. Herman, C. P., & Mack, D. (1975). Restrained and unrestrained eating. Journal of Personality, 43(4), 647–660.

    PubMed  Article  Google 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.

    PubMed Central  PubMed  Article  Google 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.

    Article  Google 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.

    Article  Google 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.

    PubMed  Article  Google 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.

    PubMed  Article  Google 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.

  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.

    PubMed  Article  Google 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.

    PubMed  Article  Google 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.

    PubMed  Article  Google 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.

    Article  Google 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.

    Article  Google 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.

    PubMed Central  PubMed  Article  Google 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.

    PubMed  Article  Google 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.

    Article  Google Scholar 

  46. Ludwig, D. S., & Kabat-Zinn, J. (2008). Mindfulness in Medicine. Journal of the American Medical Association, 300(11), 1350–1352.

  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.

  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.

  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.

  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.

    PubMed Central  PubMed  Article  Google 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.

    PubMed  Article  Google Scholar 

  53. Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250.

    Article  Google Scholar 

  54. Neff, K. D. (2003b). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101.

    Article  Google 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.

    PubMed  Article  Google Scholar 

  57. Neff, K. D. (2011). Self‐compassion, self‐esteem, and well‐being. Social and Personality Psychology Compass, 5(1), 1–12.

    Article  Google 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.

    PubMed Central  PubMed  Article  Google Scholar 

  59. Rogge, M., Greenwald, M., & Golden, A. (2004). Obesity, stigma and civilized oppression. Advances in Nursing Science, 27(4), 301–315.

    PubMed  Article  Google 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.

    Article  Google 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.

    PubMed  Article  Google 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.

    PubMed  Article  Google 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.

    PubMed Central  PubMed  Article  Google 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.

    PubMed  Article  Google Scholar 

  67. Wansink, B., & Sobal, J. (2007). Mindless eating: the 200 daily food decisions we overlook. Environment and Behaviour, 39(1), 106–123.

    Article  Google 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): http://etd.ohiolink.edu/view.cgi?acc_num=ohiou1190652251

  69. Wenk-Sormaz, H. (2005). Meditation can reduce habitual responding. Advances in Mind-Body Medicine, 21(3–4), 33–49.

    PubMed  Google Scholar 

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Mantzios, M., Wilson, J.C. Exploring Mindfulness and Mindfulness with Self-Compassion-Centered Interventions to Assist Weight Loss: Theoretical Considerations and Preliminary Results of a Randomized Pilot Study. Mindfulness 6, 824–835 (2015). https://doi.org/10.1007/s12671-014-0325-z

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Keywords

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