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Learning to Be Kind to Me: A Compassion‐Focused Group for Adolescents With Anorexia Nervosa

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European Eating Disorders Review

Published online on

Abstract

["European Eating Disorders Review, EarlyView. ", "\nABSTRACT\n\nBackground\nAnorexia nervosa (AN) is often characterised by high levels of shame and self‐criticism. Compassion‐Focused Therapy (CFT) is a transdiagnostic intervention targeting these emotional vulnerabilities, yet its application in adolescent eating disorder services remains underexplored.\n\n\nMethods\nThis project examined a group‐based CFT intervention delivered within an Intensive Day Treatment Programme at a specialist, outpatient child and adolescent eating disorder service. Quantitative outcomes were assessed using the Self‐Compassion Scale (SCS) and Adolescent Shame‐Proneness Scale (ASPS). Qualitative feedback was also collected and analysed using conversational content analysis.\n\n\nResults\nTwenty‐eight adolescents with restrictive eating disorders completed a brief CFT group between April 2024 and February 2025. Statistically significant improvements were observed in self‐compassion (particularly reductions in uncompassionate self‐responding) and subscales related to self‐judgement, isolation, and over‐identification (all p < 0.001). No significant changes were found in shame‐proneness (p = 0.107). Qualitative analysis identified themes of increased emotional insight, reduced self‐criticism, and appreciation for the group's sensory and reflective elements. Some participants reported challenges related to session length and the application of self‐compassion in daily life.\n\n\nConclusions\nFindings suggest that CFT may enhance self‐compassion in adolescents with AN and may serve as a valuable adjunct to existing treatment pathways. Further controlled trials are recommended to evaluate long‐term outcomes and optimise integration into routine care.\n\n"]