A pilot feasibility and acceptability study of an online compassion-focused group therapy intervention to treat comorbid eating disorders and PTSD symptoms

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science Pub Date : 2025-09-19 DOI:10.1016/j.jcbs.2025.100946

Inge Gnatt , Jessica L. Mackelprang , Andrea Phillipou , Maja Nedeljkovic

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引用次数: 0

Abstract

Objective

Eating disorders (EDs) and posttraumatic stress disorder (PTSD) commonly co-occur but existing treatments do not effectively address these conditions concurrently. This pilot study describes outcomes of an online compassion-focused group therapy intervention that was adapted for adults experiencing EDs and posttraumatic stress symptoms.

Method

Twenty women and one non-binary person with an ED and PTSD symptoms (age 35.68 ± 13.61 years) completed a 10-week group-based (five groups) outpatient compassion-focused therapy (CFT) intervention. CFT was delivered online using video conferencing. In addition to ED symptoms and symptoms of PTSD, measures of self-compassion, fears of compassion, compassionate engagement and action, shame, depression, anxiety and stress were administered at baseline (the week prior to commencement), Week 6, endpoint (Week 10), and at 3-month follow up.

Results

Across all groups, uptake and attendance was high and completion rates across the five groups averaged 86.7 %. Significant improvement was evident for all variables between baseline and endpoint, with the exception of dietary restraint and anxiety. Symptoms were largely stable or demonstrated further improvement across measures at the 3-month follow-up. All participants stated that they would recommend the intervention to others.

Discussion

This study provides preliminary evidence of the feasibility and acceptability of compassion-focused group therapy delivered in an outpatient setting via video conferencing. Results suggest that CFT may be an effective transdiagnostic treatment for reducing aspects of ED and PTSD symptoms. Larger trials are needed to build the evidence base for this novel, telehealth intervention.

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一项以同情为中心的在线团体治疗干预共病饮食失调和创伤后应激障碍症状的试点可行性和可接受性研究

饮食失调（EDs）和创伤后应激障碍（PTSD）通常同时发生，但现有的治疗方法并不能有效地同时解决这些问题。这项初步研究描述了一种以同情为中心的在线团体治疗干预的结果，该干预适用于经历急症和创伤后应激症状的成年人。方法20名女性和1名具有ED和PTSD症状的非二元患者（年龄35.68±13.61岁）完成了为期10周的以组为基础（5组）的门诊同情治疗（CFT）干预。CFT是通过视频会议在线交付的。除了ED症状和PTSD症状外，还在基线（开始前一周）、第6周、终点（第10周）和3个月随访时进行自我同情、同情恐惧、同情参与和行动、羞耻、抑郁、焦虑和压力的测量。结果所有组的入学率和出勤率都很高，五组的平均完成率为86.7%。除了饮食限制和焦虑外，基线和终点之间的所有变量都有明显的改善。在3个月的随访中，症状基本稳定或进一步改善。所有参加者都表示会向其他人推荐这项干预措施。本研究提供了初步的证据，证明了通过视频会议在门诊进行以同情为中心的团体治疗的可行性和可接受性。结果表明，CFT可能是一种有效的跨诊断治疗方法，可减少ED和PTSD的症状。需要更大规模的试验来为这种新颖的远程医疗干预建立证据基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.