Lillis Jason, Kendra Kathleen E
The Miriam Hospital, Brown Medical School, Weight Control and Diabetes Research Center, 196 Richmond Street Providence, RI 02903, USA.
J Contextual Behav Sci. 2014 Jan;3(1):1-7. doi: 10.1016/j.jcbs.2013.11.005.
Behavioral weight loss programs achieve substantial short-term weight loss; however attrition and poor weight loss maintenance remain significant problems. Recently, Acceptance and Commitment Therapy (ACT) has been used in an attempt to improve long-term outcomes. This conceptual article outlines the standard behavioral and ACT approach to weight control, discusses potential benefits and obstacles to combing approaches, briefly reviews current ACT for weight control outcome research, and highlights significant empirical questions that remain. The current evidence suggests that ACT could be useful as an add-on treatment, or in a combined format, for improving long-term weight loss outcomes. Larger studies with longer follow-up are needed as well as studies that aim to identify how best to combine standard treatments and ACT and also who would benefit most from these approaches.
行为减肥计划能在短期内实现显著的体重减轻;然而,参与者流失以及难以维持体重减轻仍是重大问题。最近,接纳与承诺疗法(ACT)已被用于尝试改善长期效果。这篇概念性文章概述了体重控制的标准行为疗法和ACT方法,讨论了结合这些方法的潜在益处和障碍,简要回顾了当前ACT用于体重控制的结果研究,并突出了仍存在的重大实证问题。目前的证据表明,ACT作为一种附加治疗方法,或以联合形式使用,可能有助于改善长期体重减轻效果。需要开展更大规模、随访时间更长的研究,以及旨在确定如何最佳地将标准治疗与ACT相结合,以及哪些人将从这些方法中受益最多的研究。