Sbrocco Tracy, Carter Michele M, Lewis Evelyn L, Vaughn Nicole A, Kalupa Kimberly L, King Sandra, Suchday Sonia, Osborn Robyn L, Cintrón Jennifer A
Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814, USA.
Ethn Dis. 2005 Spring;15(2):246-55.
This study compared adherence to Behavioral Choice Treatment (BCT), a 12-week obesity treatment program that promotes weight loss and exercise, among 22 Caucasian-American and 10 African-American overweight women in a university setting to 10 African-American overweight women in a church setting. Behavioral Choice Treatment (BCT) promotes moderate behavior change that can be comfortably and therefore permanently maintained. Participants obtained feedback from computerized eating diaries and kept exercise logs. Results indicated that both university groups exhibited comparable eating pathology at pre- and post-treatment and comparable weight loss, despite the African-American sample attending fewer sessions. The African-American church group exhibited less disordered eating attitudes, less interpersonal distrust (eg, reluctance to form close relationships or sense of alienation) at pre-treatment, and experienced significantly greater weight loss than either university group. All groups lost weight and maintained these losses at 12-month follow-up. Preliminary results suggest treatment setting may play an important role in treatment adherence and sample characteristics.
本研究比较了在大学环境中的22名美籍白人超重女性和10名非裔美国超重女性与在教会环境中的10名非裔美国超重女性对行为选择疗法（BCT）的依从性。行为选择疗法（BCT）是一个为期12周的肥胖治疗项目，旨在促进体重减轻和锻炼。行为选择疗法（BCT）促进适度的行为改变，这种改变能够轻松实现，因而可以长期维持。参与者从电脑化饮食日记中获取反馈，并记录运动日志。结果表明，尽管非裔美国样本参加的疗程较少，但两个大学组在治疗前后的饮食病理表现相当，体重减轻情况也相当。非裔美国教会组在治疗前表现出较少的饮食失调态度和较少的人际不信任（例如，不愿建立亲密关系或疏离感），并且体重减轻明显多于两个大学组。所有组在12个月的随访中都减轻了体重并维持了减重效果。初步结果表明，治疗环境可能在治疗依从性和样本特征方面发挥重要作用。
