Treating hoarding disorder with compassion‐focused therapy: A pilot study examining treatment feasibility, acceptability, and exploring treatment effects
Journal article
Chou, Chia‐Ying, Tsoh, Janice Y., Shumway, Martha, Smith, Lauren C., Chan, Joanne, Delucchi, Kevin, Tirch, Dennis, Gilbert, Paul and Mathews, Carol A. 2019. Treating hoarding disorder with compassion‐focused therapy: A pilot study examining treatment feasibility, acceptability, and exploring treatment effects. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12228
| Authors | Chou, Chia‐Ying, Tsoh, Janice Y., Shumway, Martha, Smith, Lauren C., Chan, Joanne, Delucchi, Kevin, Tirch, Dennis, Gilbert, Paul and Mathews, Carol A. |
|---|---|
| Abstract | Hoarding disorder (HD) was recognized as a psychiatric disorder in 2013. Existing literature suggests room for improvement in its treatment. The current pilot study aimed to provide an initial evaluation on the potential of compassion‐focused therapy (CFT) as an intervention for HD, with the primary aim being assessing its feasibility and acceptability, and the secondary being evaluating its effects. Both CFT and a second round of the current standard of treatment and cognitive behavioural therapy (CBT) were investigated in the current study as follow‐up treatment options for individuals who had completed CBT but were still significantly symptomatic. Forty eligible individuals were enrolled (20 in each treatment). Treatment feasibility and acceptability were assessed by quantitative and qualitative measures. To explore treatment effects, HD symptom severity, HD‐related dysfunctions, and their underlying mechanisms were assessed pre‐treatment and post‐treatment. Retention rates were 72% for CFT and 37% for CBT. All participants and 79% of the participants rated CFT and CBT, respectively, as good or excellent. After receiving CFT as a follow‐up treatment, HD symptom severity dropped below the cut‐off point for clinically significant HD for 77% of the treatment completers, and 62% achieved clinically significant reduction in symptom severity. In contrast, after completing a second course of CBT, 23% had HD symptom severity dropped below the cut‐off threshold, and 29% achieved clinically significant symptom reduction. The current study showed satisfactory feasibility and acceptability of CFT. Moreover, it also found promising effects of CFT in addressing hoarding‐related mechanisms that may not have been sufficiently addressed by CBT. The results suggest promising potential of CFT as a treatment for HD. Further investigation on this intervention is needed. CFT may be a promising treatment option, particularly for those who do not respond well to CBT. Improving emotion regulation and negative self‐perception by applying CFT interventions may help relieve hoarding symptoms. Generalization of the findings should be applied with caution given the small convenience sample of the current study. Statistical comparison on treatment effect measures between CFT and CBT as follow‐up treatments was not available due to small sample size. Therefore, the comparative conclusions based on this pilot study should be made with caution. |
| Keywords | Hoarding Disorder; Cognitive Behavioral Therapy; Compassion-Focused Therapy; Treatment Study |
| Year | 2019 |
| Journal | British Journal of Clinical Psychology |
| Publisher | Wiley Online Library |
| ISSN | 0144-6657 |
| 2044-8260 | |
| Digital Object Identifier (DOI) | https://doi.org/10.1111/bjc.12228 |
| Web address (URL) | http://hdl.handle.net/10545/624131 |
| http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | |
| hdl:10545/624131 | |
| Publication dates | 04 Jul 2019 |
| Publication process dates | |
| Deposited | 23 Aug 2019, 13:50 |
| Accepted | 18 Jun 2019 |
| Rights | Attribution-NonCommercial-NoDerivs 3.0 United States |
| Contributors | Department of Psychiatry, University of California, San Francisco, California, USA, Mental Health Association of San Francisco, California, USA, The Center for Compassion Focused Therapy, New York, USA, The Compassionate Mind Foundation, Centre for Compassion Research and Training, College of Health and Social Care, University of Derby, UK and Department of Psychiatry, University of Florida, Gainesville, Florida, USA |
| File | |
| File | File Access Level Open |
| File | File Access Level Open |
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Ribeiro da Silva, Diana, Rijo, Daniel, Salekin, Randall T., Paulo, Marlene, Miguel, Rita and Gilbert, Paul 2020. Clinical change in psychopathic traits after the PSYCHOPATHY.COMP program: preliminary findings of a controlled trial with male detained youth. Journal of Experimental Criminolgy. https://doi.org/10.1007/s11292-020-09418-xStressed, depressed, and rank obsessed: Individual differences in compassion and neuroticism predispose towards rank‐based depressive symptomatology
Kim, Jeffrey J., Gerrish, Ruby, Gilbert, Paul and Kirby, James N. 2020. Stressed, depressed, and rank obsessed: Individual differences in compassion and neuroticism predispose towards rank‐based depressive symptomatology. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12270The development of the Japanese version of the compassionate engagement and action scales
Asano, Kenichi, Kotera, Y., Tsuchiya, Masao, Ishimura, Ikuo, Lin, Shuzhen, Matsumoto, Yuki, Matos, Marcela, Basran, Jaskaran and Gilbert, Paul 2020. The development of the Japanese version of the compassionate engagement and action scales. PLos ONE. 15 (4), p. e0230875. https://doi.org/10.1371/journal.pone.0230875Exploring the international utility of progressing compassionate mind training in school settings: a comparison of implementation effectiveness of the same curricula in the UK and Portugal
Maratos, Frances A., Matos, Marcela, Alberquerque, Isabel, Wood, Wendy, Palmeira, Lara, Cuna, Marina, Lima, Margarida and Gilbert, Paul 2020. Exploring the international utility of progressing compassionate mind training in school settings: a comparison of implementation effectiveness of the same curricula in the UK and Portugal. The Psychology of Education Review.Differences in the semantics of prosocial words: an exploration of compassion and kindness
Gilbert, Paul, Basran, Jaskaran, MacArthur, Michael and Kirby, James N. 2019. Differences in the semantics of prosocial words: an exploration of compassion and kindness. Mindfulness. https://doi.org/10.1007/s12671-019-01191-xThe efficacy of a compassion-focused therapy–based intervention in reducing psychopathic traits and disruptive behavior: a clinical case study with a juvenile detainee
Ribeiro da Silva, Diana, Rijo, Daniel, Castilho, Paula and Gilbert, Paul 2019. The efficacy of a compassion-focused therapy–based intervention in reducing psychopathic traits and disruptive behavior: a clinical case study with a juvenile detainee. Clinical Case Studies. 18 (5), pp. 323-343. https://doi.org/10.1177/1534650119849491Distinguishing shame, humiliation and guilt: an evolutionary functional analysis and compassion focused Interventions
Gilbert, Paul 2019. Distinguishing shame, humiliation and guilt: an evolutionary functional analysis and compassion focused Interventions. in: Springer International Publishing.‘A definite feel-it moment’: Embodiment, externalization and emotion during chair-work in compassion-focused therapy
Bell, Tobyn, Montague, Jane, Elander, James and Gilbert, Paul 2019. ‘A definite feel-it moment’: Embodiment, externalization and emotion during chair-work in compassion-focused therapy. Counselling and Psychotherapy Research. https://doi.org/10.1002/capr.12248The role of compassionate and self-image goals in predicting psychological controlling and facilitative parenting styles.
Kirby, James, Grzazek, Olivia and Gilbert, Paul 2019. The role of compassionate and self-image goals in predicting psychological controlling and facilitative parenting styles. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2019.01041Multiple group IRT measurement invariance analysis of the forms of self-criticising/attacking and self-reassuring scale in thirteen international samples
Halamová, Júlia, Kanovský, Martin, Gilbert, Paul, Troop, Nicholas, Zuroff, David C., Petrocchi, Nicola, Hermanto, Nicola, Krieger, Tobias, Kirby, James, Asano, Kenichi, Matos, Marcela, Yu, FuYa, Sommers-Spijkerman, Marion, Shahar, Ben, Basran, Jaskaran and Kupeli, Nuriye 2019. Multiple group IRT measurement invariance analysis of the forms of self-criticising/attacking and self-reassuring scale in thirteen international samples. Journal of Rational-Emotive & Cognitive-Behavior Therapy. https://doi.org/10.1007/s10942-019-00319-1The development of the compassion focused therapy therapist competence rating scale
Horwood, Victoria, Allan, Steven, Goss, Kenneth and Gilbert, Paul 2019. The development of the compassion focused therapy therapist competence rating scale. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12230The evolution of prosocial and antisocial competitive behaviour and the emergence of prosocial and antisocial leadership styles
Gilbert, Paul and Basran, Jaskaran 2019. The evolution of prosocial and antisocial competitive behaviour and the emergence of prosocial and antisocial leadership styles. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2019.00610Human evolution and culture in relationship to shame in the parenting role: Implications for psychology and psychotherapy
Kirby, James N., Sampson, Hayley, Day, Jamin, Hayes, Alan and Gilbert, Paul 2019. Human evolution and culture in relationship to shame in the parenting role: Implications for psychology and psychotherapy. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12223Psychotherapy for the 21st century: An integrative, evolutionary, contextual, biopsychosocial approach
Gilbert, Paul 2019. Psychotherapy for the 21st century: An integrative, evolutionary, contextual, biopsychosocial approach. Psychology and Psychotherapy. 92 (2). https://doi.org/10.1111/papt.2019.92.issue-2Building an integrative science for psychotherapy for the 21st-century: Preface and introduction
Gilbert, Paul and Kirby, James 2019. Building an integrative science for psychotherapy for the 21st-century: Preface and introduction. Psychology and Psychotherapy. https://doi.org/10.1111/papt.12225Searching compassion in a crowd: Evaluation of a novel compassion visual search task to reduce self-criticism
McEwan, Kirsten, Dandeneau, Stephane, Gilbert, Paul, Maratos, Frances, Andrew, Lucy, Chotai, Shivani and Elander, James 2019. Searching compassion in a crowd: Evaluation of a novel compassion visual search task to reduce self-criticism. EC PSYCHOLOGY AND PSYCHIATRY.Imagining one's compassionate self and coping with life difficulties
Gilbert, Paul and Basran, Jaskaran 2018. Imagining one's compassionate self and coping with life difficulties. EC PSYCHOLOGY AND PSYCHIATRY.A proof‐of‐concept pilot randomized comparative trial of brief Internet‐based compassionate mind training and cognitive‐behavioral therapy for perinatal and intending to become pregnant women
Kelman, Alex, R., Evare, Benjamin, S., Barrera, Alinne, Z., Munoz, Ricardo, F. and Gilbert, Paul 2018. A proof‐of‐concept pilot randomized comparative trial of brief Internet‐based compassionate mind training and cognitive‐behavioral therapy for perinatal and intending to become pregnant women. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.2185Explorations into the nature and function of compassion
Gilbert, Paul 2018. Explorations into the nature and function of compassion. Current Opinion in Psychology. https://doi.org/10.1016/j.copsyc.2018.12.002Self-reassurance, not self-esteem, serves as a buffer between self-criticism and depressive symptoms
Petrocchi, Nicola, Dentale, Francesco and Gilbert, Paul 2018. Self-reassurance, not self-esteem, serves as a buffer between self-criticism and depressive symptoms. Psychology and Psychotherapy. https://doi.org/10.1111/papt.12186Compassionate faces: Evidence for distinctive facial expressions associated with specific prosocial motivations
Falconer, Caroline, J., Lobmaier, Janek, S., Cristoforou, Marina, Kamboj, Sunjeev, K., King, John, A., Gilbert, Paul and Brewin, Chris, R. 2018. Compassionate faces: Evidence for distinctive facial expressions associated with specific prosocial motivations. PLos ONE. https://doi.org/10.1371/journal.pone.0210283Commentary Regarding Wilson et al. (2018) 'Effectiveness of ‘Self-Compassion’ Related Therapies: a Systematic Review and Meta-analysis.” All Is Not as It Seems
Kirby, J and Gilbert, Paul 2019. Commentary Regarding Wilson et al. (2018) 'Effectiveness of ‘Self-Compassion’ Related Therapies: a Systematic Review and Meta-analysis.” All Is Not as It Seems. Mindfulness. https://doi.org/10.1007/s12671-018-1088-8Compassion Focused Approaches to Working With Distressing Voices
Heriot-Maitland, Charles, McCarthy-Jones, Simon, Longden, Eleanor and Gilbert, Paul 2019. Compassion Focused Approaches to Working With Distressing Voices. Frontiers in Psychology. 10. https://doi.org/10.3389/fpsyg.2019.00152Styles of leadership, fears of compassion, and competing to avoid inferiority.
Basran, Jaskaran, Pires, Claudia, Matos, Marcela, McEwan, Kirsten and Gilbert, Paul 2019. Styles of leadership, fears of compassion, and competing to avoid inferiority. Frontiers in Psychology. 9. https://doi.org/10.3389/fpsyg.2018.02460The factor structure of the Forms of Self-Criticising/Attacking & Self-Reassuring Scale in thirteen distinct populations.
Halamová, Júlia, Kanovský, Martin, Gilbert, Paul, Troop, Nicholas A., Zuroff, David C., Hermanto, Nicola, Petrocchi, Nicola, Sommers-Spijkerman, Marion, Kirby, James N., Shahar, Ben, Krieger, Tobias, Matos, Marcela, Asano, Kenichi, Yu, FuYa, Basran, Jaskaran and Kupeli, Nuriye 2018. The factor structure of the Forms of Self-Criticising/Attacking & Self-Reassuring Scale in thirteen distinct populations. Journal of Psychopathology and Behavioral Assessment. 40 (4), pp. 736-751. https://doi.org/10.1007/s10862-018-9686-2Effect of adding a compassion-focused intervention on emotion, eating and weight outcomes in a commercial weight management programme
Duarte, Cristiana, Gilbert, Paul, Stalker, C., Catarino, Francisca, Basran, Jaskaran, Scott, Sarah, Horgan, Graham and Stubbs, R James 2019. Effect of adding a compassion-focused intervention on emotion, eating and weight outcomes in a commercial weight management programme. Journal of Health Psychology. 26 (10), pp. 1-16. https://doi.org/10.1177/1359105319890019Evaluation of a compassionate mind training intervention with school teachers and support staff
Maratos, Frances, Montague, Jane, Ashra, Hajra, Welford, Mary, Wood, Wendy, Barnes, Christopher, Sheffield, David and Gilbert, Paul 2019. Evaluation of a compassionate mind training intervention with school teachers and support staff. Mindfulness. 10, p. 2245–2258. https://doi.org/10.1007/s12671-019-01185-9An exploration into depression-focused and anger-focused rumination in relation to depression in a student population.
Gilbert, Paul, Cheung, Mimi, Irons, Christopher Paul and McEwan, Kirsten 2005. An exploration into depression-focused and anger-focused rumination in relation to depression in a student population. Behavioural and Cognitive Psychotherapy. https://doi.org/10.1017/S1352465804002048The relation of entrapment, shame and guilt to depression, in carers of people with dementia.
Martin, Y., Gilbert, Paul, McEwan, Kirsten and Irons, Christopher Paul 2006. The relation of entrapment, shame and guilt to depression, in carers of people with dementia. Aging and Mental Health. https://doi.org/10.1080/13607860500311953Interpersonal sensitivities: their link to mood, anger and gender.
Gilbert, Paul, Irons, Christopher Paul, Olsen, K., Gilbert, Jean and McEwan, Kirsten 2006. Interpersonal sensitivities: their link to mood, anger and gender. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1348/147608305X43856Eating attitudes and striving to avoid inferiority.
Bellew, Rebecca, Gilbert, Paul, Mills, Alison, McEwan, Kirsten and Gale, Corinne 2006. Eating attitudes and striving to avoid inferiority. Eating Disorders. https://doi.org/10.1080/10640260600796242Investigating relationships between perfectionism, forms and functions of self-criticism, and sensitivity to put-down.
Gilbert, Paul, Durrant, R. and McEwan, Kirsten 2006. Investigating relationships between perfectionism, forms and functions of self-criticism, and sensitivity to put-down. Personality and Individual Differences. https://doi.org/10.1016/j.paid.2006.05.004Social rank and attachment in people with a bipolar disorder.
Gilbert, Paul, McEwan, Kirsten, Hay, J, Irons, Christopher Paul and Cheung, M. 2007. Social rank and attachment in people with a bipolar disorder. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.508Cultural differences in shame-focused attitudes towards mental health problems in Asian and Non-Asian student women.
Gilbert, Paul, Bhundia, Rakhee, Mitra, Ranjana, McEwan, Kirsten, Irons, Christopher Paul and Sanghera, Jasvinder 2007. Cultural differences in shame-focused attitudes towards mental health problems in Asian and Non-Asian student women. Mental Health Religion & Culture. https://doi.org/10.1080/13694670500415124Paranoid beliefs and self-criticism in students.
Mills, Alison, Gilbert, Paul, Bellew, Rebecca, McEwan, Kirsten and Gale, Corinne 2007. Paranoid beliefs and self-criticism in students. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.537Development of a striving to avoid inferiority scale.
Gilbert, Paul, Broomhead, Claire, Irons, Christopher Paul, McEwan, Kirsten, Bellew, Rebecca, Mills, Alison, Gale, Corinne and Knibb, Rebecca C. 2007. Development of a striving to avoid inferiority scale. British Journal of Social Psychology. https://doi.org/10.1348/014466606X157789A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery.
Rockliff, Helen, Gilbert, Paul, McEwan, Kirsten, Lightman, Stafford and Glover, David 2008. A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery. Clinical Neuropsychiatry: Journal of Treatment Evaluation.Feeling safe and content: A specific affect regulation system? Relationship to depression, anxiety, stress, and self-criticism.
Gilbert, Paul, McEwan, Kirsten, Mitra, Ranjana, Franks, Leigh, Richter, Anne and Rockliff, Helen 2008. Feeling safe and content: A specific affect regulation system? Relationship to depression, anxiety, stress, and self-criticism. The Journal of Positive Psychology. https://doi.org/10.1080/17439760801999461The dark side of competition: How competitive behaviour and striving to avoid inferiority are linked to depression, anxiety, stress and self-harm.
Gilbert, Paul, McEwan, Kirsten, Bellew, Rebecca, Mills, Alison and Gale, Corinne 2009. The dark side of competition: How competitive behaviour and striving to avoid inferiority are linked to depression, anxiety, stress and self-harm. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1348/147608308X379806An exploration of different types of positive affect in students and patients with bipolar disorder.
Gilbert, Paul, McEwan, Kirsten, Mitra, Ranjana, Richter, Anne, Franks, Leigh, Mills, Alison, Bellew, Rebecca and Gale, Corinne 2009. An exploration of different types of positive affect in students and patients with bipolar disorder. Clinical Neuropsychiatry: Journal of Treatment Evaluation.Development of an early memories of warmth and safeness scale and its relationship to psychopathology.
Richter, Anne, Gilbert, Paul and McEwan, Kirsten 2009. Development of an early memories of warmth and safeness scale and its relationship to psychopathology. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1348/147608308X395213Striving and competing and its relationship to self-harm in young adults.
Williams, Katie, Gilbert, Paul and McEwan, Kirsten 2009. Striving and competing and its relationship to self-harm in young adults. International Journal of Cognitive Therapy. https://doi.org/10.1521/ijct.2009.2.3.282Self-harm in a mixed clinical population: The roles of self-criticism, shame, and social rank.
Gilbert, Paul, McEwan, Kirsten, Irons, Christopher Paul, Bhundia, Rakhee, Christie, Rachael, Broomhead, Claire and Rockliff, Helen 2010. Self-harm in a mixed clinical population: The roles of self-criticism, shame, and social rank. British Journal of Clinical Psychology. https://doi.org/10.1348/014466509X479771Effects of intranasal oxytocin on compassion focused imagery.
Rockliff, Helen, Karl, Anke, McEwan, Kirsten, Gilbert, Jean, Matos, Marcela and Gilbert, Paul 2011. Effects of intranasal oxytocin on compassion focused imagery. Emotion. https://doi.org/10.1037/a0023861Fears of compassion: development of three self-report measures.
Gilbert, Paul, McEwan, Kirsten, Matos, Marcela and Rivis, Amanda 2011. Fears of compassion: development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1348/147608310X526511The relationship between self-concealment and disclosure, early experiences, attachement, and social comparison.
Cruddas, Sarah, Gilbert, Paul and McEwan, Kirsten 2012. The relationship between self-concealment and disclosure, early experiences, attachement, and social comparison. International Journal of Cognitive Therapy. https://doi.org/10.1521/ijct.2012.5.1.28An exploration of competitiveness and caring in relation to psychopathology.
McEwan, Kirsten, Gilbert, Paul and Duarte, Joana 2011. An exploration of competitiveness and caring in relation to psychopathology. British Journal of Clinical Psychology. https://doi.org/10.1111/j.2044-8260.2011.02010.xAn exploration of group-based compassion focused therapy for a heterogeneous range of clients presenting to a community mental health team.
Judge, Lorna, Cleghorn, Ailish, McEwan, Kirsten and Gilbert, Paul 2012. An exploration of group-based compassion focused therapy for a heterogeneous range of clients presenting to a community mental health team. International Journal of Cognitive Therapy. https://doi.org/10.1521/ijct.2012.5.4.420Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism.
Gilbert, Paul, McEwan, Kirsten, Gibbons, L., Duarte, Joana and Matos, Marcela 2011. Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/j.2044-8341.2011.02046.xEvaluation of a web-based self-compassion intervention to reduce student assessment anxiety.
McEwan, Kirsten, Elander, James and Gilbert, Paul 2018. Evaluation of a web-based self-compassion intervention to reduce student assessment anxiety. Interdisciplinary Education and Psychology.Human nature and suffering.
Gilbert, Paul 2016. Human nature and suffering. Routledge.Compassion: Concepts, research and applications.
Gilbert, Paul 2017. Compassion: Concepts, research and applications. Routledge.An evolutionary approach to emotion in mental health with a focus on affiliative emotions.
Gilbert, Paul 2015. An evolutionary approach to emotion in mental health with a focus on affiliative emotions. Emotion Review. https://doi.org/10.1177/1754073915576552Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample.
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca, Baião, Rita and Palmeira, Lara 2013. Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12037Compassion-focused therapy: Preface and introduction for special section.
Gilbert, Paul 2014. Compassion-focused therapy: Preface and introduction for special section. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12045Cultivating the compassionate self against depression: An exploration of processes of change.
Matos, Marcela, Duarte, Joana, Duarte, Cristiana, Pinto-Gouveia, José and Gilbert, Paul 2017. Cultivating the compassionate self against depression: An exploration of processes of change. https://doi.org/10.1016/j.eurpsy.2017.02.344Development and validation of the forms of self-criticizing / attacking and self-reassuring scale - Short form.
Sommers-Spijkerman, Marion, Trompetter, Hester, ten Klooster, Peter, Schreurs, Karlein, Gilbert, Paul and Bohlmeijer, Ernst 2017. Development and validation of the forms of self-criticizing / attacking and self-reassuring scale - Short form. Psychological Assessment. https://doi.org/10.1037/pas0000514Self-disgust, self-hatred, and compassion focused therapy.
Gilbert, Paul 2015. Self-disgust, self-hatred, and compassion focused therapy. in: Karnac Books.Compassion, fears, blocks and resistances: An evolutionary investigation.
Gilbert, Paul and Mascaro, Jennifer 2017. Compassion, fears, blocks and resistances: An evolutionary investigation. in: Oxford University Press.Living like crazy
Gilbert, Paul 2017. Living like crazy. Annwyn House.The design of compassionate care.
Crawford, Paul, Brown, Brian, Kvangarsnes, Marit and Gilbert, Paul 2014. The design of compassionate care. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.12632How one experiences and embodies compassionate mind training influences its effectiveness.
Matos, Marcela, Duarte, Joana, Duarte, Cristiana, Gilbert, Paul and Pinto-Gouveia, José 2017. How one experiences and embodies compassionate mind training influences its effectiveness. Mindfulness. https://doi.org/10.1007/s12671-017-0864-1‘Do you practice what you preach?’ A qualitative exploration of therapists' personal practice of compassion focused therapy.
Gale, Corinne, Schröder, Thomas and Gilbert, Paul 2015. ‘Do you practice what you preach?’ A qualitative exploration of therapists' personal practice of compassion focused therapy. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.1993A qualitative study of the understanding and use of ‘compassion focused coping strategies’ in people who suffer from serious weight difficulties.
Gilbert, Jean, Stubbs, James, Gale, Corinne, Gilbert, Paul, Dunk, Laura and Thomson, Louise 2014. A qualitative study of the understanding and use of ‘compassion focused coping strategies’ in people who suffer from serious weight difficulties. Journal of Compassionate Health Care. https://doi.org/10.1186/s40639-014-0009-5The impact of self-criticism and self-reassurance on weight-related affect and well-being in participants of a commercial weight management programme.
Duarte, Cristiana, Stubbs, James, Pinto-Gouveia, José, Matos, Marcela, Gale, Corinne, Morris, Liam and Gilbert, Paul 2017. The impact of self-criticism and self-reassurance on weight-related affect and well-being in participants of a commercial weight management programme. Obesity Facts. https://doi.org/10.1159/000454834A brief outline of the evolutionary approach for compassion focused therapy.
Gilbert, Paul 2017. A brief outline of the evolutionary approach for compassion focused therapy. EC PSYCHOLOGY AND PSYCHIATRY.Comparing brief internet-based compassionate mind training and cognitive behavioral therapy for perinatal women: Study protocol for a randomized controlled trial.
Kelman, Alex R, Stanley, Meagan L, Barrera, Alinne Z, Cree, Michelle, Heineberg, Yotam and Gilbert, Paul 2016. Comparing brief internet-based compassionate mind training and cognitive behavioral therapy for perinatal women: Study protocol for a randomized controlled trial. JMIR Research Protocols. https://doi.org/10.2196/resprot.5332Body dysmorphic disorder: The functional and evolutionary context in phenomenology and a compassionate mind.
Veale, David and Gilbert, Paul 2013. Body dysmorphic disorder: The functional and evolutionary context in phenomenology and a compassionate mind. Journal of Obsessive-Compulsive and Related Disorders. https://doi.org/10.1016/j.jocrd.2013.11.005The effect of shame and shame memories on paranoid ideation and social anxiety.
Matos, Marcela, Pinto-Gouveia, José and Gilbert, Paul 2012. The effect of shame and shame memories on paranoid ideation and social anxiety. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.1766A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm.
Clarke, Martin, McEwan, Kirsten, Ness, Jennifer, Waters, Keith, Basran, Jaskaran and Gilbert, Paul 2016. A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2016.00155Attitudes towards mental health problems scale: Confirmatory factor analysis and validation in the Portuguese population.
Cabral Master, Joana Moura, Barreto Carvalho, Célia Maria de Oliveira, Motta, Carolina Dall’Antonia, Sousa, Marina Correia and Gilbert, Paul 2016. Attitudes towards mental health problems scale: Confirmatory factor analysis and validation in the Portuguese population. American Journal of Psychiatric Rehabilitation. https://doi.org/10.1080/15487768.2016.1197860Development of a compassion-focused and contextual behavioural environment and validation of the Therapeutic Environment Scales (TESS).
Veale, David, Miles, Sarah, Naismith, Iona, Pieta, Maria and Gilbert, Paul 2016. Development of a compassion-focused and contextual behavioural environment and validation of the Therapeutic Environment Scales (TESS). BJPsych Bulletin. https://doi.org/10.1192/pb.bp.114.048736Embodying self-compassion within virtual reality and its effects on patients with depression.
Falconer, Caroline J., Rovira, Aitor, King, John A., Gilbert, Paul, Antley, Angus, Fearon, Pasco, Ralph, Neil, Slater, Mel and Brewin, Chris R. 2018. Embodying self-compassion within virtual reality and its effects on patients with depression. BJPsych Open. https://doi.org/10.1192/bjpo.bp.115.002147A tailored compassion-focused therapy program for sexual minority young adults with depressive symotomatology: study protocol for a randomized controlled trial.
Pepping, Christopher A., Lyons, Anthony, McNair, Ruth, Kirby, James N., Petrocchi, Nicola and Gilbert, Paul 2017. A tailored compassion-focused therapy program for sexual minority young adults with depressive symotomatology: study protocol for a randomized controlled trial. BMC Psychology. https://doi.org/10.1186/s40359-017-0175-2Measuring competitive self-focus perspective taking, submissive compassion and compassion goals.
Gilbert, Paul, Catarino, Francisca, Sousa, Joana, Ceresatto, Laura, Moore, Rosalind and Basran, Jaskaran 2017. Measuring competitive self-focus perspective taking, submissive compassion and compassion goals. Journal of Compassionate Health Care. https://doi.org/10.1186/s40639-017-0034-2Self-criticism and self-reassurance as mediators between mental health attitudes and symptoms: Attitudes towards mental health problems in Japanese workers.
Kotera, Y., Gilbert, Paul, Asano, Kenichi, Ishimura, Ikuo and Sheffield, David 2018. Self-criticism and self-reassurance as mediators between mental health attitudes and symptoms: Attitudes towards mental health problems in Japanese workers. Asian Journal of Social Psychology. https://doi.org/10.1111/ajsp.12355Shame and the vulnerable self in medical contexts: the compassionate solution.
Gilbert, Paul 2017. Shame and the vulnerable self in medical contexts: the compassionate solution. Medical Humanities. https://doi.org/10.1136/medhum-2016-011159Endogenous oxytocin is associated with the experience of compassion and recalled upbringing in Borderline Personality Disorder
Ebert, Andreas, Edel, Marc-Andreas, Gilbert, Paul and Brüne, Martin 2017. Endogenous oxytocin is associated with the experience of compassion and recalled upbringing in Borderline Personality Disorder. Depression and Anxiety. https://doi.org/10.1002/da.22683Psychological and physiological effects of compassionate mind training: A pilot randomised controlled study
Matos, Marcela, Duarte, Cristiana, Duarte, Joana, Pinto-Gouveia, José, Petrocchi, Nicola, Basran, Jaskaran and Gilbert, Paul 2017. Psychological and physiological effects of compassionate mind training: A pilot randomised controlled study. Mindfulness. https://doi.org/10.1007/s12671-017-0745-7The impact of shame, self-criticism and social rank on eating behaviours in overweight and obese women participating in a weight management programme
Duarte, Cristiana, Matos, Marcela, Stubbs, James, Gale, Corinne, Morris, Liam, Gouveia, Jose Pinto and Gilbert, Paul 2017. The impact of shame, self-criticism and social rank on eating behaviours in overweight and obese women participating in a weight management programme. PLos ONE. https://doi.org/10.1371/journal.pone.0167571Compassion focused therapy with children and adolescents
Carona, Carlos, Rijo, Daniel, Salvador, Céu, Castilho, Paula and Gilbert, Paul 2017. Compassion focused therapy with children and adolescents. BJPsych Advances. https://doi.org/10.1192/apt.bp.115.015420Exploring compassion focused therapy in forensic settings: An evolutionary and social-contextual approach.
Gilbert, Paul 2017. Exploring compassion focused therapy in forensic settings: An evolutionary and social-contextual approach. in: Routledge.The emergence of the compassion focused therapies
Kirby, James N. and Gilbert, Paul 2017. The emergence of the compassion focused therapies. in: Gilbert, Paul (ed.) Routledge.Shyness, social anxiety, and social phobia
Henderson, Lynne, Gilbert, Paul and Zimbardo, Philip 2014. Shyness, social anxiety, and social phobia. in: Academic Press.Compassionate care: The theory and the reality.
Cole-King, Alys and Gilbert, Paul 2014. Compassionate care: The theory and the reality. in: Routledge.Compassionate mind coaching
Anstiss, Tim and Gilbert, Paul 2014. Compassionate mind coaching. in: Kogan Page.Spirituality and the evolution of compassion.
Gilbert, Paul and Gilbert, Hannah 2015. Spirituality and the evolution of compassion. in: Praeger.Cruelty, evolution, and religion: The challenge for the new spiritualities
Gilbert, Paul and Gilbert, Hannah 2015. Cruelty, evolution, and religion: The challenge for the new spiritualities. in: Praeger.Compassion as a social mentality: An evolutionary approach
Gilbert, Paul 2017. Compassion as a social mentality: An evolutionary approach. in: Gilbert, Paul (ed.) Routledge.Compassion: Definitions and controversies
Gilbert, Paul 2017. Compassion: Definitions and controversies. in: Gilbert, Paul (ed.) Routledge.Negotiating in the world of mixed beliefs and value systems: A compassion-focused model
Gilbert, Paul 2014. Negotiating in the world of mixed beliefs and value systems: A compassion-focused model. in: Springer.Evolutionary models: Practical and conceptual utility for the treatment and study of social anxiety disorder
Gilbert, Paul 2014. Evolutionary models: Practical and conceptual utility for the treatment and study of social anxiety disorder. in: Wiley Blackwell.The early memories of warmth and safeness scale for adolescents: Cross-sample validation of the complete and brief versions
Vagos, Paula, Ribeiro da Silva, Diana, Brazão, Nélio, Rijo, Daniel and Gilbert, Paul 2016. The early memories of warmth and safeness scale for adolescents: Cross-sample validation of the complete and brief versions. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.2059A new therapeutic community: Development of a compassion-focussed and contextual behavioural environment
Veale, David, Gilbert, Paul, Wheatley, Jon and Naismith, Iona 2014. A new therapeutic community: Development of a compassion-focussed and contextual behavioural environment. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.1897Dimensionality and measurement invariance of the Other as Shamer Scale across diverse adolescent samples
Vagos, Paula, Ribeiro da Silva, Diana, Brazão, Nélio, Rijo, Daniel and Gilbert, Paul 2016. Dimensionality and measurement invariance of the Other as Shamer Scale across diverse adolescent samples. Personality and Individual Differences. https://doi.org/10.1016/j.paid.2016.04.046A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population
McEwan, Kirsten and Gilbert, Paul 2015. A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12078The Other as Shamer Scale – 2: Development and validation of a short version of a measure of external shame
Matos, Marcela, Pinto-Gouveia, José, Gilbert, Paul, Duarte, Cristiana and Figueiredo, Cláudia 2015. The Other as Shamer Scale – 2: Development and validation of a short version of a measure of external shame. Personality and Individual Differences. https://doi.org/10.1016/j.paid.2014.09.037Recreational 3,4-methylenedioxy-N-methylamphetamine (MDMA) or ‘ecstasy’ and self-focused compassion: Preliminary steps in the development of a therapeutic psychopharmacology of contemplative practices
Kamboj, Sunjeev K, Kilford, Emma J., Minchin, Stephanie, Moss, Abigail, Lawn, Will, Das, Ravi K., Falconer, Caroline J., Gilbert, Paul, Curran, H Valerie and Freeman, Tom P. 2015. Recreational 3,4-methylenedioxy-N-methylamphetamine (MDMA) or ‘ecstasy’ and self-focused compassion: Preliminary steps in the development of a therapeutic psychopharmacology of contemplative practices. Journal of Psychopharmacology. https://doi.org/10.1177/0269881115587143Ability to receive compassion from others buffers the depressogenic effect of self-criticism: A cross-cultural multi-study analysis
Hermanto, Nicola, Zuroff, David C., Kopala-Sibley, Daniel C., Kelly, Allison C., Matos, Marcela, Gilbert, Paul and Koestner, Richard 2016. Ability to receive compassion from others buffers the depressogenic effect of self-criticism: A cross-cultural multi-study analysis. Personality and Individual Differences. https://doi.org/10.1016/j.paid.2016.04.055An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders
Gale, Corinne, Gilbert, Paul, Read, Natalie and Goss, Ken 2012. An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.1806Embodying compassion: A virtual reality paradigm for overcoming excessive self-criticism
Falconer, Caroline J., Slater, Mel, Rovira, Aitor, King, John A., Gilbert, Paul, Antley, Angus and Brewin, Chris R. 2014. Embodying compassion: A virtual reality paradigm for overcoming excessive self-criticism. PLos ONE. https://doi.org/10.1371/journal.pone.0111933Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress
Catarino, Francisca, Gilbert, Paul, McEwan, Kirsten and Baião, Rita 2014. Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress. Journal of Social and Clinical Psychology. https://doi.org/10.1521/jscp.2014.33.5.399Rank perception and self-evaluation in eating disorders
Cardi, Valentina, Di Matteo, Rosalia, Gilbert, Paul and Treasure, Janet 2014. Rank perception and self-evaluation in eating disorders. International Journal of Eating Disorders. https://doi.org/10.1002/eat.22261Practical compassions: repertoires of practice and compassion talk in acute mental healthcare
Brown, Brian, Crawford, Paul, Gilbert, Paul, Gilbert, Jean and Gale, Corinne 2013. Practical compassions: repertoires of practice and compassion talk in acute mental healthcare. Sociology of Health & Illness. https://doi.org/10.1111/1467-9566.12065Measurement of external shame: An inside view
Balsamo, Michela, Macchia, Antonella, Carlucci, Leonardo, Picconi, Laura, Tommasi, Marco, Gilbert, Paul and Saggino, Aristide 2014. Measurement of external shame: An inside view. Journal of Personality Assessment. https://doi.org/10.1080/00223891.2014.947650Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study
Baião, Rita, Gilbert, Paul, McEwan, Kirsten and Carvalho, Sérgio 2014. Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12049Affiliative and prosocial motives and emotions in mental health
Gilbert, Paul 2015. Affiliative and prosocial motives and emotions in mental health. Dialogues in Clinical Neuroscience.Fears of negative emotions in relation to fears of happiness, compassion, alexithymia and psychopathology in a depressed population: A preliminary study
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca and Baião, Rita 2014. Fears of negative emotions in relation to fears of happiness, compassion, alexithymia and psychopathology in a depressed population: A preliminary study. Journal of Depression and Anxiety. https://doi.org/10.4172/2167-1044.S2-004Fears of compassion in a depressed population: Implication for psychotherapy
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca and Baião, Rita 2014. Fears of compassion in a depressed population: Implication for psychotherapy. Journal of Depression and Anxiety. https://doi.org/10.4172/2167-1044.S2-003The development of compassionate engagement and action scales for self and others
Gilbert, Paul, Catarino, Francisca, Duarte, Cristiana, Matos, Marcela, Kolts, Russell, Stubbs, James, Ceresatto, Laura, Duarte, Joana, Pinto-Gouveia, José and Basran, Jaskaran 2017. The development of compassionate engagement and action scales for self and others. Journal of Compassionate Health Care. https://doi.org/10.1186/s40639-017-0033-3The evolution and social dynamics of compassion
Gilbert, Paul 2015. The evolution and social dynamics of compassion. Social and Personality Psychology Compass. https://doi.org/10.1111/spc3.12176The origins and nature of compassion focused therapy
Gilbert, Paul 2014. The origins and nature of compassion focused therapy. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12043The current and future role of heart rate variability for assessing and training compassion
Kirby, James N., Doty, James R., Petrocchi, Nicola and Gilbert, Paul 2017. The current and future role of heart rate variability for assessing and training compassion. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2017.00040The development of fears of compassion scale Japanese version.
Asano, Kenichi, Tsuchiya, Masao, Ishimura, Ikuo, Lin, Shuzhen, Matsumoto, Yuki, Miyata, Haruko, Kotera, Y., Shimizu, Eiji and Gilbert, Paul 2017. The development of fears of compassion scale Japanese version. PLos ONE. https://doi.org/10.1371/journal.pone.0185574The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics
Maratos, Frances A., Duarte, Joana, Barnes, Christopher, McEwan, Kirsten, Sheffield, David and Gilbert, Paul 2017. The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics. Psychiatry Research. 250, pp. 221-227. https://doi.org/10.1016/j.psychres.2017.01.066