Palmeira Lara, Cunha Marina, Pinto-Gouveia José
1 CINEICC, University of Coimbra, Portugal.
2 Miguel Torga Superior Institute (ISMT), Portugal.
J Health Psychol. 2019 Jul;24(8):1056-1069. doi: 10.1177/1359105316686668. Epub 2017 Jan 10.
This study examined the effectiveness of Kg-Free: an acceptance-, mindfulness- and compassion-based group intervention for women with overweight and obesity at post-treatment and 3-month follow-up and explored the psychological processes that underlie changes in quality of life, weight self-stigma, body mass index and emotional eating at post-treatment. Overall, 53 women completed Kg-Free. At post-treatment and 3-month follow-up, participants reported increased quality of life, mindfulness and self-compassion abilities and decreased weight self-stigma, emotional eating, shame, weight-related experiential avoidance, self-criticism and body mass index. Shame and self-criticism reductions were important mediators of changes in health-related outcomes, whereas weight-related experiential avoidance, mindfulness and self-compassion mediated changes in weight and eating-related outcomes.
本研究考察了“无千克负担”（Kg-Free）项目的效果：这是一项针对超重和肥胖女性的基于接纳、正念和慈悲的团体干预，在治疗后及3个月随访时进行评估，并探讨了治疗后生活质量、体重自我污名、体重指数和情绪化进食变化背后的心理过程。总体而言，53名女性完成了“无千克负担”项目。在治疗后及3个月随访时，参与者报告生活质量、正念和自我慈悲能力有所提高，体重自我污名、情绪化进食、羞耻感、与体重相关的经验性回避、自我批评和体重指数有所降低。羞耻感和自我批评的减少是健康相关结果变化的重要中介因素，而与体重相关的经验性回避、正念和自我慈悲则介导了体重和饮食相关结果的变化。
