Compassion‐focused therapies for self‐esteem: A systematic review and meta‐analysis

Thomason, Sarah; Moghaddam, Nima

Abstract

Purpose
To identify whether compassion‐focused therapy (CFT) or compassion‐based interventions are effective in improving self‐esteem.

Methods
Databases (CINAHL, MEDLINE, and PsycINFO) were searched, along with OpenGrey literature. Experts were also contacted and handsearching of reference lists and citing articles undertaken. To be eligible, papers had to include an intervention identified as being compassion‐based and mention ‘self‐esteem’ as a variable or outcome. Papers were quality appraised using the Mixed Methods Appraisal Tool. Data were analysed using a random‐effects meta‐analysis model, with sensitivity analysis conducted in relation to the quality of studies.

Results
Ten eligible papers were identified. Within‐group analysis of data from eight studies demonstrated a medium, significant overall effect size (g = 0.56, 95% CI [0.19–0.93], z = 3.54, p [less than] .001), which increased slightly and remained significant (g = 0.61, 95% CI [0.05–1.17], z = 2.82, p = .005) when the lowest quality studies were removed.

Conclusions
Compassion‐focused therapy or compassion‐based interventions may be effective in improving self‐esteem. However, there is large clinical and methodological heterogeneity amongst studies making further conclusions difficult.

Citation

Thomason, S., & Moghaddam, N. (2021). Compassion‐focused therapies for self‐esteem: A systematic review and meta‐analysis. Psychology and Psychotherapy: Theory, Research and Practice, 94(3), 737-759. https://doi.org/10.1111/papt.12319

• Journal Article Type: Article
• Acceptance Date: Oct 15, 2020
• Online Publication Date: Nov 20, 2020
• Publication Date: 2021-09
• Deposit Date: Dec 2, 2020
• Publicly Available Date: Nov 21, 2021
• Journal: Psychology and Psychotherapy: Theory, Research and Practice
• Electronic ISSN: 2044-8341
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 94
• Issue: 3
• Pages: 737-759
• DOI: https://doi.org/10.1111/papt.12319
• Keywords: compassion-focused, compassion-focused therapy, meta-analysis, review, self-esteem, therapy
• Public URL: https://nottingham-repository.worktribe.com/output/5095566
• Publisher URL: https://bpspsychub.onlinelibrary.wiley.com/doi/abs/10.1111/papt.12319
• Additional Information: Received: 2020-02-27; Published: 2020-11-20