Self-compassion interventions have been suggested as a potentially more acceptable way to address body image distress compared to interventions that emphasize challenging (often firmly entrenched) thin-ideals. In the current randomized controlled trial, young adult women endorsing body image concerns were randomized to a self-compassion (SC) intervention consisting of one in-person session plus one week of self-guided practice (n = 50), a similarly-structured dissonance-based (DB) intervention (n = 50), or a waitlist (WL) control (n = 51). Both brief interventions were acceptable and were more effective than WL. The two interventions did not differ significantly from each other in reducing the global measure of body dissatisfaction, improving body appreciation, or reducing appearance-contingent self-worth. The DB intervention alone decreased thin-ideal internalization, but only among participants with initially high scores. More participants initially expressed a preference for the SC rationale, and at post-test SC participants reported a higher likelihood of recommending the intervention they had received to others. Change in self-compassion emerged as a possible mechanism of action within both interventions, suggesting it may be useful to integrate aspects of both approaches to enhance acceptability and provide the greatest benefits.

与强调具有挑战性（通常根深蒂固）的瘦身理想的干预措施相比，自我同情干预被认为是一种可能更容易接受的解决身体形象困扰的方法。在当前的随机对照试验中，赞同身体形象问题的年轻成年女性被随机分配到自我同情 (SC) 干预中，该干预包括一个面对面的会议加上一周的自我指导实践 ( n = 50)，这是一个类似结构的基于失调 (DB) 的干预 ( n = 50)，或等候名单 (WL) 控制 ( n= 51）。两种简短的干预都是可以接受的，并且比 WL 更有效。这两种干预措施在减少对身体不满意的整体测量、提高对身体的欣赏或降低因外表而定的自我价值方面没有显着差异。单独的 DB 干预降低了理想的内化，但仅限于最初得分高的参与者。更多的参与者最初表达了对 SC 原理的偏好，并且在测试后 SC 参与者报告说他们向其他人推荐他们接受的干预的可能性更高。自我慈悲的改变是两种干预措施中一种可能的行动机制，这表明整合两种方法的各个方面以提高可接受性并提供最大益处可能是有用的。