Evidence map›Paper›PMID 41880241›Full record

Trial reportPloS one2026

Compassion-focused group therapy improves depression, emotional eating, self-criticism and shame in people living with severe obesity: A single-centre, examiner-blind randomized controlled trial.

Mary Hynes, Francis M Finucane, Chris Collins, Timothy O'Brien, Oliver McAnena, Grace O'Shea, Monika Pilch, Brian E McGuire

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03249441 (Compassion-Focused Therapy for People With Severe Obesity), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03249441 naunknown statusnot on this map

Compassion-Focused Therapy for People With Severe Obesity: A Randomised Controlled Study.

TypeinterventionalSponsorNational University of Ireland, Galway, IrelandRan2016 to 2017Enrolled91ConditionsSevere ObesityArmsCompassion-focused therapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mary HynesBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, Galway University Hospitals, Galway, Ireland.
Francis M FinucaneBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, Galway University Hospitals, Galway, Ireland.
Chris CollinsDepartment of Surgery, Galway University Hospitals, Galway, Ireland.
Timothy O'BrienBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, Galway University Hospitals, Galway, Ireland.
Oliver McAnenaDepartment of Surgery, Galway University Hospitals, Galway, Ireland.
Grace O'SheaBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, Galway University Hospitals, Galway, Ireland.
Monika PilchSchool of Psychology, University of Galway, Galway, Ireland.ORCID https://orcid.org/0000-0002-0610-0593
Brian E McGuireBariatric Medicine Service, Centre for Diabetes, Endocrinology and Metabolism, Galway University Hospitals, Galway, Ireland.ORCID https://orcid.org/0000-0002-3540-6639

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere obesity (defined as a BMI ≥ 40 kg m-2) is often accompanied by significant mental health co-morbidities such as eating disorders and depressive disorder and people living with severe obesity often experience feelings of shame, self-criticism and feelings of inferiority in relation to others. Compassion Focused Therapy (CFT) was specifically designed for people with high levels of shame and self-criticism and aims to promote self-compassion which is regarded as an adaptive emotional regulation strategy.

aimsTo explore the effect on psychological outcomes of a 10-session (weekly for 2 hours) in-person, group-based CFT intervention for people living with severe obesity. We sought to determine whether CFT would lead to improved self-compassion, depressive symptoms, emotional eating, shame, self-criticism, submissive behavior, and negative social comparison.

methodA single-centre, randomized controlled trial was carried out with 91 participants allocated to either 'treatment as usual' (n = 46) or 'treatment as usual with additional group based CFT' (n = 45). Treatment as usual included dietary advice, assessment by a Consultant Endocrinologist with possible prescription of medication, and participation in an eight-week lifestyle modification programme. Psychological outcomes were recorded at three time points (pre-treatment, post-treatment, and three-months after the end of group-based CFT).

resultsCFT led to statistically and clinically significant improvements in self-compassion, self-coldness, mood, shame, emotional eating, self-criticism, social comparison, and submissive behaviour (all p < 0.001) compared with treatment as usual. These results were maintained at three-month follow-up.

conclusionsGroup CFT appears to be an effective psychological intervention to alleviate psychological distress in people living with severe obesity.

trial registrationClinicalTrials.gov NCT03249441.

Indexed as

DepressionEmpathyObesity, MorbidPsychotherapy, GroupShameAdultEmotional EatingFemaleHumansMaleMiddle AgedSelf ConceptTreatment Outcome

Identifiers

PMID41880241
PMCPMC13016351

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.