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一项针对韩国青少年改编的饮食失调预防项目(我、你和我们)的可行性与可接受性

Feasibility and acceptability of a prevention program for eating disorders (Me, You and Us) adapted for young adolescents in Korea.

作者信息

Lee Gi Young, Park Eun Jin, Kim Youl-Ri, Kwag Kyung Hwa, Park Jin Hong, An So Hyun, Lee Ji Hyun, Sim Jeong Hun, Treasure Janet

机构信息

Institute of Eating Disorders and Mental Health, Inje University, Seoul, Republic of Korea.

Department of Psychiatry, Ilsan Paik Hospital, Inje University, Goyang, Republic of Korea.

出版信息

Eat Weight Disord. 2018 Oct;23(5):673-683. doi: 10.1007/s40519-017-0436-3. Epub 2017 Sep 4.

Abstract

PURPOSE

The aim of this study was to assess the adaptability and acceptability of a prevention program.

METHODS

A total of 169 Korean students (83 boys and 86 girls) with a mean age of 12.3 years from a 6th grade class at an elementary school participated in the study. Mental health social workers delivered Me, You and Us, a school-based body image intervention program originally developed in the UK, through a set of six sessions. The participants were assessed in terms of their body satisfaction and self-esteem before the program, after the program, and at 1-month follow-up. They were also surveyed about their satisfaction and acceptability levels after the program.

RESULTS

At baseline, girls had lower body satisfaction and self-esteem than boys, and their body satisfaction and self-esteem improved after the program. The improved body satisfaction was maintained at the 1-month follow-up. The efficacy of the program on body satisfaction was positively correlated with the frequency of their baseline level of "fat talk." The program was more effective in girls with possible symptoms of an eating disorder at baseline. 93.7% of boys and 77.4% of girls responded that they enjoyed the program.

CONCLUSIONS

The program Me, You and Us was well-accepted by early adolescents in Korea and it can play a role in increasing body satisfaction and self-esteem by reducing "fat talk" in 6th grade students.

LEVEL OF EVIDENCE

Level III, cohort study with intervention.

摘要

目的

本研究旨在评估一项预防计划的适应性和可接受性。

方法

共有169名来自一所小学六年级的韩国学生(83名男生和86名女生)参与了该研究,平均年龄为12.3岁。心理健康社会工作者通过六次课程开展了“我、你和我们”这一原本在英国开发的基于学校的身体形象干预计划。在计划实施前、实施后以及1个月随访时,对参与者的身体满意度和自尊进行评估。计划实施后,还对他们的满意度和可接受程度进行了调查。

结果

在基线时,女孩的身体满意度和自尊低于男孩,计划实施后她们的身体满意度和自尊有所提高。在1个月随访时,身体满意度的改善得以维持。该计划对身体满意度的效果与他们基线水平的“身材谈论”频率呈正相关。该计划对基线时有饮食失调可能症状的女孩更有效。93.7%的男孩和77.4%的女孩表示他们喜欢该计划。

结论

“我、你和我们”计划在韩国青少年中得到了很好的接受,它可以通过减少六年级学生的“身材谈论”在提高身体满意度和自尊方面发挥作用。

证据水平

三级,干预队列研究。

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