An Internet-Based Compassion-Focused Intervention for Increased Self-Criticism: A Randomized Controlled Trial

Krieger, Tobias; Reber, Fabienne; von Glutz, Barbara; Urech, Antoine; Moser, Christian T.; Schulz, Ava; Berger, Thomas (2019). An Internet-Based Compassion-Focused Intervention for Increased Self-Criticism: A Randomized Controlled Trial. Behavior therapy, 50(2), pp. 430-445. Elsevier 10.1016/j.beth.2018.08.003

[img] Text
1-s2.0-S0005789418301060-main.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (450kB) | Request a copy

Increased levels of self-criticism and a lack of self-compassion have been associated with the development and maintenance of a range of psychological disorders. In the current study, we tested the efficacy of an online version of a compassion-focused intervention, mindfulness-based compassionate living (MBCL), with guidance on request. A total of 122 self-referred participants with increased levels of self-criticism were randomly assigned to care as usual (CAU) or the intervention group (CAU + online intervention). Primary endpoints were self-reported depressive, anxiety and distress symptoms (DASS-21) and self-compassion (SCS) at 8 weeks. Secondary endpoints were self-criticism, mindfulness, satisfaction with life, fear of self-compassion, self-esteem, and existential shame. At posttreatment, the intervention group showed significant changes with medium to large effect sizes compared to the control group regarding primary outcomes (Cohen’s d: 0.79 [DASS] and -1.21 [SCS]) and secondary outcomes (Cohen’s ds: between 0.40 and 0.94 in favor of the intervention group). The effects in the intervention group were maintained at 6-months postrandomization. Adherence measures (number of completed modules, self-reported number of completed exercises per week) predicted postintervention scores for self-compassion but not for depressive, anxiety, and distress symptoms in the intervention group. The current study shows the efficacy of an online intervention with a transdiagnostic intervention target on a broad range of measures, including depressive and anxiety symptoms and self-compassion.

Item Type:

Journal Article (Original Article)


07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy

UniBE Contributor:

Krieger, Tobias; Reber, Fabienne Nathalie; Urech, Antoine; Moser, Christian Thomas; Schulz, Ava and Berger, Thomas


100 Philosophy > 150 Psychology
600 Technology > 610 Medicine & health








Melanie Best

Date Deposited:

08 Oct 2019 10:50

Last Modified:

30 Mar 2020 14:34

Publisher DOI:


PubMed ID:





Actions (login required)

Edit item Edit item
Provide Feedback