A Randomized Controlled Study of Writing Interventions on College Women’s Positive Body Image

College women are at risk for body dissatisfaction, but enhancing the positive aspects of body image can serve as a protective factor. Self-compassion has been associated with body appreciation and may protect against negative body image. This study tested the effect of a self-compassion writing intervention on positive body image and affect and explored self-compassion as a mediator between writing group and positive body image. We used a randomized controlled design to compare self-compassion writing (n = 51), traditional expressive writing (n = 50), and control writing (n = 51) interventions in college women. Participants were mostly European-American (82%) with a mean age of 19. Participants wrote online for 20 min once a week for three consecutive weeks. Results indicated that negative and positive affect decreased for all three groups. There were no differences between groups on positive body image or affect; however, the self-compassion writing group reported greater increases in self-compassion (F = 3.48, p < 0.05, η_p² = 0.05). Moreover, mediator models revealed that the effect of group (self-compassion vs. traditional/control writing) on body appreciation and body image quality of life was mediated by self-compassion. Overall, the findings indicate that self-compassion writing increased self-compassion, and greater increases in self-compassion were associated with greater increases in positive body image and positive affect.