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Taylor Daiss Krietsch 2015
Taylor Daiss Krietsch 2015
Kendra Krietsch
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
University of Florida
This document is copyrighted by the American Psychological Association or one of its allied publishers.
This study investigated the relationships among self-compassion, mindful eating, eating
disorder symptomatology, and body mass index. Participants (N ⫽ 150) were college
students. Average body mass index was 23.02 [(weight in pounds/height in inches2) ⫻
703]; average age was 19.23 years. Participants completed measures of self-compassion,
mindful eating, and disordered eating and provided self-reported height and weight.
Higher self-compassion predicted lower body mass index and eating disorder symp-
tomatology. In addition, higher self-compassion predicted higher mindful eating and
explained a notable 11% of variance in mindful eating. These findings have implica-
tions for the development and testing of self-compassion mindful-eating (SC-ME)
training programs on college campuses that are oriented toward improving body image,
reducing eating disorder symptomatology, decreasing mindless eating, and preventing
weight gain.
Keywords: self-compassion, mindful eating, disordered eating, body mass index, college students
Self-compassion and mindful eating have re- compassion training on body image, eating-
cently gained attention in the study of weight related cognitive and affective processes, and
management. Research supports numerous ben- eating behaviors (Adams & Leary, 2007; Fer-
efits of trait self-compassion (an innate propen- reira, Pinto-Gouveia, & Duarte, 2011; Schoe-
sity to be self-compassionate); self-compassion nefeld & Webb, 2013; Wasylkiw, MacKinnon,
induction (presentation of material designed to & MacLellan, 2012; Webb & Forman, 2013).
elicit a self-compassionate attitude); and self- Furthermore, clinical psychologists have begun
successfully integrating self-compassion and
mindful eating into treatment programs for eat-
ing disorders (Gale, Gilbert, Read, & Goss,
2014; Kristeller, Wolever, & Sheets, 2014).
Maija B. Taylor, Department of Psychology, Bowling
Green State University; Suzanne Daiss, Department of Psy-
chology, Northern Arizona University; Kendra Krietsch, Self-Compassion and Mindful
Department of Clinical and Health Psychology, University
of Florida. Eating Definitions
Maija B. Taylor thanks Dr. Daniel Weidler and Dr. Nora
Dunbar from Northern Arizona University, who assisted in Self-compassion is operationally defined in
study design, analysis, and evaluation. Maija B. Taylor and this research study as being open to one’s per-
Suzanne Daiss designed the study. Maija B. Taylor con- sonal failures, inadequacies, and suffering and
ducted the literature review and statistical analyses and
wrote the first draft of the manuscript. Suzanne Daiss and responding to them with common humanity,
Kendra Krietsch revised and edited subsequent drafts. All mindfulness, and self-kindness (Neff, 2003a).
authors contributed to and have approved the final manu- Common humanity involves viewing personally
script. difficult experiences as common human experi-
Correspondence concerning this article should be ad-
dressed to Maija B. Taylor, Department of Psychology, ences. Mindful eating is operationally defined
Bowling Green State University, Bowling Green, OH as food consumption that is driven by appropri-
43403-0228. E-mail: maijat@bgsu.edu ate cues for eating. It involves high levels of
229
230 TAYLOR, DAISS, AND KRIETSCH
eating inhibition, awareness of personal eating female college student sample. Hearing a self-
behavior, and awareness of external cues to eat compassion induction may have buffered
as well as low emotional responses to eating and against distress-related eating via reduction in
engagement in distractive activities while eating eating- and body-related negative self-
(Framson et al., 2009). judgments in response to donut consumption.
Using a self-compassion induction or self-
Self-Compassion and compassion training with restrictive eaters
Eating-Related Variables may reduce distress-related eating and pro-
mote appropriate and adaptive eating behav-
Higher self-compassion is related to a iors.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
dents as previously operationally defined. Subse- emotional state” and “I recognize when I’m eating
This document is copyrighted by the American Psychological Association or one of its allied publishers.
quently, participants completed five of the six and not hungry.” Two questions were reworded in
primary study measures, which included the Self- the current study to be more applicable to college
Compassion Scale–Short Form (SCS-SF) and students with or without a job and college students
Mindful Eating Questionnaire (MEQ). Three of who do or do not live in a house. The two re-
these measures were part of a larger study and will worded items were “When I’m feeling stressed at
not be addressed in the current research article. school or work I’ll go find something to eat” and
The unaddressed measures examined the person- “I have trouble not eating ice cream, cookies, or
ality orientations of sociotropy and autonomy chips if they’re around.” The internal reliability of
(Personal Style Inventory–Revised), attachment the MEQ was high (␣ ⫽ .84) in this study.
insecurity in romantic relationships (the Revised EAT-26. The EAT-26 (Garner, Olmsted,
Experiences in Close Relationships [ECR-R]), Bohr, & Garfinkel, 1982) features 26 items that
and attachment insecurity in friendships (a re- measure disordered eating attitudes and behav-
searcher-modification of the ECR-R; Fraley, iors. This measure assesses dieting, bulimia,
Waller, & Brennan, 2000; Sibley & Liu, 2004; food preoccupation, and oral control using three
Robins et al., 1994). A 5 ⫻ 5 Latin-Square design subscales. Most items are measured using a
was used to counterbalance these five measures response scale that ranges from never to always.
(Rosenthal & Rosnow, 1991). After completion of Examples of items are “I am terrified about
the primary measures, participants were asked to being overweight,” “I have gone on eating
complete the Eating Attitudes Test-26 (EAT-26). binges where I feel I am not able to stop,” and
This measure was administered last to prevent “I display self-control around food.” The inter-
potential priming of eating- and weight-related nal reliability of the EAT-26 was good (␣ ⫽
cognitions and emotions that could influence par- .87) in this study.
ticipants’ responses on the other measures. Lastly, BMI. BMI was calculated from participants’
participants completed a survey on demographic self-reported height and weight on the EAT-26.
and general information variables. Students re- Weight was reported in pounds and height was
ceived research participation credit for their in- reported in inches. BMI was calculated using the
volvement in the study. 共weight in pounds兲
formula BMI ⫽ ⫻ 703.
共height in inches兲2
Measures
Data Analysis
SCS-SF. The 12-item SCS-SF (Raes et al.,
2011) was used to measure self-compassion. The Analyses were conducted using product-
measure comprises self-compassion items that as- moment Pearson correlation analyses and a se-
sess self-kindness, common humanity, and mind- ries of linear regressions within IBM SPSS Sta-
fulness and reverse-scored self-critical judgment tistics version 21.
items that assess self-judgment, isolation, and
overidentification. This measure uses a response Results
scale ranging from 1 (almost never) to 5 (almost
always). Examples of items are “When I’m going Preliminary Data Analyses
through a very hard time, I give myself the caring
and tenderness I need,” “I try to see my failings as Of the 159 eligible participants, 150 were
part of the human condition,” and “I’m disapprov- included in the final analyses after removal of
ASSOCIATIONS AMONG SELF-COMPASSION, MINDFUL EATING 233
outliers with z scores above 3.29 or less than ance in mindful eating, R2adj ⫽ .11, F(1, 148) ⫽
–3.29. Preliminary data analyses demonstrated 18.81, p ⬍ .001. Self-compassion negatively
that these data were suitable for regression anal- predicted BMI (p ⬍ .01). It explained 4% of the
ysis given that all variables were normally and adjusted variance in BMI, Radj 2
⫽ .04, F(1,
linearly distributed after removal of outliers 148) ⫽ 7.48, p ⬍ .01. Self-compassion nega-
(Tabachnick & Fidell, 2009). Mean scores, tively predicted eating disorder symptomatol-
standard deviations, and ranges for the mea- ogy (p ⬍ .05). It explained 2% of the adjusted
sures did not deviate from previously docu- variance in eating disorder symptomatology,
mented values in college student and young R2adj ⫽ .02, F(1, 148) ⫽ 4.25, p ⬍ .05. Self-
adult samples (Table 1; Framson et al., 2009; compassion negatively predicted eating disor-
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
Table 1
Means and Standard Deviations of Study Variables
Variable Current sample means Sample SD Theoretical score range Range in sample Mean norms
MEQ 2.86 0.38 1.00–4.00 1.29–3.73 2.79
SCS-SF 3.12 0.64 1.00–5.00 1.33–5.00 3.00
EAT-26 9.65 8.69 0.00–78.00 0.00–52.00 —
BMI 23.02 3.69 — 17.10–48.70 —
Note. MEQ ⫽ Mindful Eating Questionnaire; SCS-SF ⫽ Self-Compassion Scale Short Form; EAT-26 ⫽ Eating Attitudes
Test 26; BMI ⫽ body mass index. Norms for the MEQ originated from a study conducted by Framson et al. (2009). Norms
for the SCS-SF originated from a study conducted by Raes et al. (2011). The reported ranges for the EAT-26 and BMI are
the ranges that were present in the sample before removal of outliers. The reported means and standard deviations for these
variables were those that were present in the sample after removal of outliers.
234 TAYLOR, DAISS, AND KRIETSCH
Table 2
Correlations (Two-Tailed Pearson r) Among MEQ, SCS-SF, EAT-26, EAT-26
Subscales, and BMI
1 2 3 4 5 6 7
1. MEQ
2. SCS⫺SF .34ⴱⴱ
3. EAT-26 ⫺.08 ⫺.17ⴱ
4. EAT-26 DIET ⫺.11 ⫺.23ⴱⴱ .95ⴱⴱ
5. EAT-26 BUL/FP ⫺.28ⴱⴱ ⫺.11 .65ⴱⴱ .53ⴱⴱ
6. EAT-26 OC .33ⴱⴱ .09 .59ⴱⴱ .46ⴱⴱ .19ⴱ
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
In the second moderator analysis, the same in valued hobbies, and use of stress manage-
independent variables were used to predict eat- ment strategies.
ing disorder symptomatology. Mindful eating Self-compassion negatively predicted diet-
and self-compassion did not significantly pre- ing-related eating disorder symptomatology.
dict eating disorder symptomatology in block 1, The EAT-26 dieting subscale items measure
F(2, 147) ⫽ 2.15, p ⫽ .12, and the interaction fear of being full and gaining weight, preoccu-
term (block 2) for these variables also did not pation with thinness, awareness of the caloric
significantly predict this variable (⌬R2 ⫽ .03, content of food, avoidance of high-carbohydrate
Finc(1, 146) ⫽ .80, p ⫽ .37). and high-sugar foods, consumption of diet
foods, and posteating guilt and discomfort. Per-
Discussion haps self-compassionate individuals’ kind, tol-
erant stance toward themselves is incompatible
This study found that self-compassion nega- with excessive food monitoring, food depriva-
tively predicted eating disorder symptomatol- tion behavior, and a drive to modify superficial
ogy and dieting-related eating disorder symp- physical aspects of the self. Their self-love may
tomatology specifically, which aligns with the preclude excessive self-deprivation and the pur-
current researchers’ hypothesis and previous re- suit of thinness. A self-compassionate attitude
search findings. A healthy level of self- promotes self-trust and self-care, which is in
compassion may prevent individuals from en- contrast to generation of rigid rules for the self,
gaging in disordered eating despite the presence excessive self-monitoring, and inflexible self-
of disordered eating thoughts and emotional control. Self-compassion likely promotes di-
responses or may reduce the occurrence of these etary flexibility rather than rigid dieting behav-
thoughts and feelings. It may be that self- ior. Self-compassion may help individuals
compassionate individuals are more aware of respond to perceived negative eating events
eating disordered thoughts and feelings; ap- with nonjudgment, kindness, and future health
proach them with a patient, nonjudgmental at- behavior goal-setting rather than rigid thinking
titude; and remind themselves that they are not and subsequent self-deprivation motivated diet-
alone in their suffering. This approach may pro- ing.
mote individuals’ engagement in adaptive cop- Expanding upon this finding, dieting-related
ing techniques in response to distressing eating disorder symptomatology was also posi-
thoughts and emotions (including disordered tively associated with BMI in this study. This
eating thoughts and emotional responses), such association may be due to eating behavior re-
as engaging in quality social interactions, en- bounding after dieting. Restraint theory is help-
gaging in various health behaviors, involvement ful in understanding this positive association.
ASSOCIATIONS AMONG SELF-COMPASSION, MINDFUL EATING 235
Restrained eating is described as efforts to man- tion. Future research should investigate differ-
age body weight by cognitively controlling food ences in reasons for engagement in healthy
intake (Ruderman, 1986). Restraint theory pro- weight management activities among individu-
poses that dieting contributes to overeating and als high and low in self-compassion, specifi-
eating disorders via several mechanisms, one of cally focusing on self-punishing and self-
which is disinhibition of food intake after a nourishing motivational factors. Researchers
dietary violation (Herman, Polivy, & Leone, may also want to investigate shifts in self-
2005; Polivy & Herman, 1985, 1993). The de- compassion levels and levels of these motiva-
velopers of this theory have shown that re- tional factors over time and how they relate to
strained eaters show elevated food intake after enjoyment and engagement in various weight
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
types of food (Herman & Polivy, 2004). Com- These findings and related hypotheses also
pelling support for a meaningful relationship align with the hypothesized significant positive
between dietary restraint and BMI comes from relationship between self-compassion and
research that shows that restrained eating scores mindful eating. The positive correlational value
are uniquely associated with BMI and subse- between these variables (r ⫽ .34) is very similar
quent weight gain across a 4-year time span in to the previously evidenced positive correla-
same-sex twins after accounting for genetic and tional value between self-compassion and intu-
shared environmental factors (Schur, Heckbert, itive eating (r ⫽ .39; Schoenefeld & Webb,
& Goldberg, 2010). Thus, it may be that indi- 2013). This finding is a novel contribution to the
viduals with dieting-related eating disorder literature and suggests that those who are self-
symptomatology develop rigid rules regarding compassionate may engage in more mindful
what to eat and how much to eat, and when they eating because they view mindful eating as an
break these rules and experience distress, they act of self-kindness that they deserve to experi-
overeat and gain weight. ence. The positive relationship between self-
The significant negative relationship between compassion and mindful eating may also be
self-compassion and BMI found in this study is explained by the shared component of mindful-
a novel contribution to the literature. No re- ness. Both self-compassion and mindful eating
search to date has documented a significant link involve awareness, curiosity and openness to
between these variables. This inverse relation- experience, introspection, and a desire to ac-
ship may be explained by greater engagement in knowledge and respect the self. It may be that
self-nourishing healthy weight management be- more mindful individuals are more likely to be
haviors in self-compassionate individuals, mo- self-compassionate and engage in mindful eat-
tivated by a desire to care for the self. For ing.
example, self-compassionate individuals may Mindful eating was not significantly corre-
eat a more balanced and less calorie-dense diet lated with BMI as hypothesized. This finding
or engage in more physical activity. Given pre- was surprising given previous research that
vious research, these individuals may be less demonstrated a significant albeit small negative
fixated on their body shape or weight and thus relationship between these variables (Moor et
less motivated to engage in weight management al., 2013). It may be that mindful eaters do not
behaviors out of a sense of duty, a desire to necessarily have healthy diets and in fact con-
dominate and modify the physical self to sume highly caloric and processed food, but in
achieve a sense of self-control, or a desire a mindful manner. Future research should in-
to punish the self for perceived mistakes. It may vestigate the relationship between mindful eat-
be that healthy weight management behaviors ing and dietary quality. Another possibility is
motivated by a desire to care for the self may that mindful eating may not predict BMI among
facilitate consumption of a more balanced and college students, but it may predict this variable
less calorie-dense diet and more physical activ- among older adults because of physiological
ity, which in turn is reflected in a lower BMI. A changes associated with aging. In addition,
relatively lower BMI among self-compassion- mindful eating may not predict BMI in college
ate individuals may simply be a beneficial by- students because they may face fewer barriers
product of engaging in more health behaviors (time, energy, financial barriers) to eating bal-
motivated by greater self-nourishing motiva- anced, appropriate calorie diets as compared
236 TAYLOR, DAISS, AND KRIETSCH
with older individuals or individuals of a similar and using them to guide behavior. The signifi-
average age without a college education. cant positive correlation between self-compas-
Mindful eating was not significantly corre- sion and mindful eating attests to their shared
lated with eating disorder symptomatology, variance. Future research should measure broad
which was also contrary to our hypothesis. It mindfulness and conduct mediation analysis to
may be that these constructs feature little over- determine if the inverse relationship between
lap, such that some mindful eaters have disor- self-compassion and BMI or self-compassion
dered eating symptomatology and others do not. and eating disorder symptomatology is partially
Some restrictive eaters following extreme low- or fully explained by broad mindfulness or if
calorie diets or diets that eliminate certain food these relationships remain statistically stable.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
groups may practice mindful eating with the This study provided additional support for
This document is copyrighted by the American Psychological Association or one of its allied publishers.
aim to enjoy the small quantities or restricted existing literature that demonstrates that self-
types of food they ingest. Other individuals with compassion is an important predictor of eating
disordered eating symptomatology may develop disorder symptomatology. It suggested that self-
mindful eating skills while trying to develop a compassion is specifically predictive of dieting-
healthier relationship with food. Mindful eating related eating disorder symptomatology. In ad-
may help them develop more attunement to the dition, it provided the unique contribution that
body’s energy needs and more acceptance of self-compassion is positively predictive of
negative emotional and cognitive responses to mindful eating and negatively predictive of
food as they attempt to develop more normal- BMI. However, given past research suggesting
ized eating patterns. that self-compassion is not significantly related
Given that mindfulness is one component of
to BMI, more evidence should still be gathered
self-compassion, we questioned whether the
on this variable pair.
construct of mindfulness and one of its repre-
sentations (mindful eating behavior) might in-
teract with self-compassion to predict BMI and Limitations
disordered eating symptomatology. Specifi-
A primary limitation in this study was the
cally, it was suspected that there would be a
calculation of the primary outcome variable of
more significant negative relationship between
BMI from self-reported height and weight,
self-compassion and BMI and between self-
which limits the interpretation of the results.
compassion and eating disorder symptomatol-
ogy in individuals high in mindful eating as Future researchers should assess BMI using ob-
compared with individuals low in mindful eat- jective measurement. A second limitation of the
ing. When considering how to address this study was its correlational cross-sectional de-
question, mediational analyses did not seem sign. This type of design reveals the direction
suitable given the fact that mindful eating fea- and strength of relationships between variables
tures substantial differences from the broad at one point in time, but it does not provide
mindfulness component of self-compassion. information on causality that would allow for
Thus, there were not presumed sequential indi- causal interpretations. Other limitations of the
rect effect chains from self-compassion to current study include an unequal number of
mindful eating to either disordered eating symp- females and males included in the study sample
tomatology or BMI. Results from moderation and the lack of assessment and control for po-
analyses revealed that the predictive relation- tentially relevant variables, such as psychopa-
ships between self-compassion and BMI and thology, exposure to self-compassion, mindful
between self-compassion and disordered eating eating, or other mindfulness-related concepts or
symptomology did not depend on levels of training. The current study’s findings are only
mindful eating. It may be that the construct of directly generalizable to traditional college stu-
self-compassion subsumed the majority of ben- dents. Researchers may wish to replicate in
eficial components of the construct of mindful younger or older age groups, in nontraditional
eating through its measurement of broad mind- college students, or in young adults that are not
fulness. For example, they both involve active attending college. The relationships among the
awareness of one’s internal cues (physical, current study’s variables should be investigated
emotional, mental), valuing and trusting them, further in more diverse samples with appropri-
ASSOCIATIONS AMONG SELF-COMPASSION, MINDFUL EATING 237
ate assessment and control for potentially rele- Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2013).
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This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
image, reducing disordered eating symptom- A. J., Zeliadt, S., & Benitez, D. (2009). Develop-
This document is copyrighted by the American Psychological Association or one of its allied publishers.
atology, reducing mindless eating, and promot- ment and validation of the mindful eating ques-
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