The phenomenology of self-critical thinking in people with depression, eating disorders and in healthy individuals

Graham R. Thew, James D. Gregory, Kate Roberts, Katharine A. Rimes

Research output: Contribution to journalArticlepeer-review

30 Citations (Scopus)
437 Downloads (Pure)

Abstract

Objectives: To explore the phenomenology of self-criticism, and the relationship with constructs such as rumination and perfectionism.

Design: The study followed a three group (Depression, n=26; Eating Disorder, n=26; Nonclinical, n=26) mixed methods design.

Method: Participants completed a set of questionnaires and were interviewed about the occurrence, impact, and content of self-critical thinking, along with their beliefs about self-criticism.

Results: Both clinical groups reported more frequent, persistent, and less controllable self-criticism compared to controls, present on average 50 60% of the time. They reported a negative impact on mood, and a moderately severe impact on daily activities. They indicated greater desire to change self-criticism while judging it more difficult to reduce. Habitual self-criticism was highly correlated with lower self-esteem, lower self-compassion, greater rumination and greater negative perfectionism. Compared to those with depression, the eating disorder group reported harsher self-criticism, felt it was more part of their personality, and was more beneficial.

Conclusions: The findings highlight the importance of exploring people’s beliefs about their self-criticism, and imply that treatment for self-criticism may be more challenging with people with eating disorders than people with depression.
Original languageEnglish
Pages (from-to)751-769
Number of pages19
JournalPsychology and Psychotherapy: Theory, Research and Practice
Volume90
Issue number4
Early online date31 Jul 2017
DOIs
Publication statusPublished - Dec 2017

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