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基于应用程序的混合干预以减少身体不满:一项随机对照试点研究。

An app-based blended intervention to reduce body dissatisfaction: A randomized controlled pilot study.

机构信息

Department of Clinical Psychology and Psychotherapy, Otto-Friedrich-University Bamberg.

Clinical Psychology and Psychotherapy, Friedrich-Alexander-University Erlangen-Nuremberg.

出版信息

J Consult Clin Psychol. 2017 Nov;85(11):1104-1108. doi: 10.1037/ccp0000246. Epub 2017 Aug 31.

DOI:10.1037/ccp0000246
PMID:28857576
Abstract

OBJECTIVE

As a common experience in the general population, dissatisfaction with one's body is associated with a variety of psychological problems and unhealthy behaviors, including the development of eating disorders. Therefore, the purpose of the present study was to develop and evaluate an app-based intervention to reduce body dissatisfaction.

METHOD

Participants reporting elevated levels of body dissatisfaction were randomly allocated to an app-based intervention (n = 26) or to a wait list group (n = 27). The app-based intervention included a brief counseling session and 14 days of training with the Mindtastic Body Dissatisfaction app (MT-BD). The MT-BD app uses gamification strategies to systematically foster approach of functional and avoidance of dysfunctional stimuli. The primary outcome was body dissatisfaction as assessed with the Body Dissatisfaction scale of the Eating Disorder Inventory-2 (Garner, 1991). Secondary outcome measures included severity of eating disorder symptoms and depressive symptoms.

RESULTS

Participants in the intervention group showed significantly greater reductions in body dissatisfaction compared to the wait list group (d = -0.62). The intervention group also showed greater reductions in eating disorder symptoms compared to the wait list group (d = -0.46). Reductions in body dissatisfaction and eating disorder symptoms were sustained at a 1-month follow-up.

CONCLUSION

We found preliminary evidence that an app-based intervention may significantly reduce body dissatisfaction. Further research using larger samples and targeting clinical populations is necessary to evaluate the potential of interventions such as MT-BD. (PsycINFO Database Record

摘要

目的

作为普通人群的共同经历,对自身身体的不满与各种心理问题和不健康行为有关,包括饮食障碍的发展。因此,本研究旨在开发和评估一种基于应用程序的干预措施,以减少身体不满。

方法

报告身体不满程度升高的参与者被随机分配到基于应用程序的干预组(n=26)或候补名单组(n=27)。基于应用程序的干预包括一次简短的咨询和 14 天的 Mindtastic 身体不满应用程序(MT-BD)培训。MT-BD 应用程序使用游戏化策略系统地培养对功能刺激的接近和对功能失调刺激的回避。主要结果是使用饮食障碍问卷-2 的身体不满量表(Garner,1991)评估的身体不满。次要结果测量包括饮食障碍症状和抑郁症状的严重程度。

结果

与候补名单组相比,干预组的身体不满显著降低(d=-0.62)。与候补名单组相比,干预组的饮食障碍症状也显著降低(d=-0.46)。在 1 个月的随访中,身体不满和饮食障碍症状的减少持续存在。

结论

我们初步发现,基于应用程序的干预可能会显著降低身体不满。需要使用更大的样本和针对临床人群的进一步研究来评估像 MT-BD 这样的干预措施的潜力。

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