Fulwiler Carl, Brewer Judson A, Sinnott Sinead, Loucks Eric B
University of Massachusetts Medical School, Systems and Psychosocial Advances Research Center, Department of Psychiatry. Worcester, MA, USA.
University of Massachusetts Medical School, Center for Mindfulness, Department of Medicine Worcester, MA, USA.
Curr Cardiovasc Risk Rep. 2015 Oct;9(10). doi: 10.1007/s12170-015-0474-1. Epub 2015 Aug 29.
Obesity affects more than one-third of U.S. adults and is a major cause of preventable morbidity and mortality, primarily from cardiovascular disease. Traditional behavioral interventions for weight loss typically focus on diet and exercise habits and often give little attention to the role of stress and emotions in the initiation and maintenance of unhealthy behaviors, which may account for their modest results and considerable variability in outcomes. Stress eating and emotional eating are increasingly recognized as important targets of weight loss interventions. Mindfulness-based interventions were specifically developed to promote greater self-efficacy in coping with stress and negative emotions, and appear to be effective for a variety of conditions. In recent years researchers have begun to study mindfulness interventions for weight loss and CVD risk management. This review describes the rationale for the use of mindfulness in interventions for weight loss and CVD risk management, summarizes the research to date, and suggests priorities for future research.
肥胖影响着超过三分之一的美国成年人,是可预防的发病和死亡的主要原因,主要源于心血管疾病。传统的减肥行为干预通常侧重于饮食和运动习惯,往往很少关注压力和情绪在不健康行为的产生和维持中所起的作用,这可能是其效果有限且结果差异较大的原因。压力性进食和情绪化进食越来越被视为减肥干预的重要目标。基于正念的干预措施是专门为提高应对压力和负面情绪的自我效能而开发的,并且似乎对多种情况都有效。近年来,研究人员开始研究用于减肥和心血管疾病风险管理的正念干预措施。这篇综述描述了在减肥和心血管疾病风险管理干预中使用正念的基本原理,总结了迄今为止的研究,并提出了未来研究的重点。