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一项基于认知失调的身体不满干预对英国年轻男性的试点对照试验。

A pilot controlled trial of a cognitive dissonance-based body dissatisfaction intervention with young British men.

机构信息

Leeds Beckett University, Portland Way, Leeds LS1 3HE, UK.

Centre for Appearance Research, University of the West of England, Coldharbour Lane, Bristol BS16 1QY, UK.

出版信息

Body Image. 2017 Dec;23:93-102. doi: 10.1016/j.bodyim.2017.08.006. Epub 2017 Sep 14.

Abstract

This pilot study evaluated a body image intervention for men, Body Project M. Seventy-four British undergraduate men took part in two 90-min intervention sessions, and completed standardised assessments of body image, bulimic pathology, and related outcomes at baseline, post-intervention, and 3-month follow-up. Fifty-three other men completed the questionnaires as an assessment-only control group. Per-protocol analysis showed that Body Project M improved men's dissatisfaction with body fat and muscularity, body appreciation, muscularity enhancing behaviours, appearance comparisons, and internalization (ds=0.46-0.80) at post-intervention. All except dissatisfaction with muscularity and internalization were sustained at 3-month follow-up. No effects were found for bulimic pathology. Post-intervention effects for dissatisfaction with muscularity and internalization only were retained under intention-to-treat analysis. Participants were favourable towards the intervention. This study provides preliminary evidence for the acceptability and post-intervention efficacy of Body Project M. Further development of the intervention is required to improve and sustain effects.

摘要

本试点研究评估了一项男性身体意象干预措施,即 Body Project M。74 名英国本科男性参加了两次 90 分钟的干预课程,并在基线、干预后和 3 个月随访时完成了身体意象、暴食症病理和相关结果的标准化评估。其他 53 名男性仅完成了问卷调查作为评估对照组。按方案分析显示,Body Project M 改善了男性对体脂和肌肉的不满、身体欣赏、增强肌肉的行为、外貌比较和内化(ds=0.46-0.80),在干预后。除了对肌肉的不满和内化外,所有结果都在 3 个月随访时持续存在。对暴食症病理没有影响。意向治疗分析显示,仅对肌肉不满和内化的干预后效果得以保留。参与者对干预措施持肯定态度。本研究为 Body Project M 的可接受性和干预后的疗效提供了初步证据。需要进一步开发干预措施以改善和维持效果。

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