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针对超重或肥胖女性的身体不满:概念验证性试点研究。

Targeting body dissatisfaction among women with overweight or obesity: A proof-of-concept pilot study.

机构信息

Department of Psychology, Ohio State University, Columbus, Ohio.

Department of Internal Medicine, Wexner Medical Center, Columbus, Ohio.

出版信息

Int J Eat Disord. 2018 Aug;51(8):973-977. doi: 10.1002/eat.22874. Epub 2018 May 2.

Abstract

OBJECTIVE

This proof-of-concept study was designed to replicate the effects of the empirically-supported Body Project intervention on body dissatisfaction when combined with behavioral recommendations for weight loss among women with overweight or obesity.

METHOD

Women with overweight or obesity who reported body dissatisfaction and a desire to lose weight were randomized to one of two 4-week treatment conditions. Individuals assigned to the standard group (n = 15) were directed to track diet and activity level daily. Body project (n = 17) participants tracked daily diet and activity, in addition to attending four weekly, group-based body project intervention sessions. Body mass index, body dissatisfaction, body appreciation, and internalization of thin ideal and weight stigma were evaluated before and after the treatment period.

RESULTS

Feasibility data suggest the Body Project can be implemented with this novel sample. Preliminary estimates suggest greater effects on body appreciation in the Body Project group than in the standard group (ES = 0.43), but no group effects for other body image variables.

CONCLUSIONS

With minor modifications, the Body Project was successfully implemented among women with overweight or obesity. The effect on body appreciation is encouraging and worthy of further investigation. Modification to the intervention may be necessary to enhance treatment effects on other body image variables.

摘要

目的

本概念验证研究旨在复制经验支持的身体项目干预对超重或肥胖女性体重减轻的行为建议相结合时对身体不满的影响。

方法

报告身体不满和减肥愿望的超重或肥胖女性被随机分配到两种 4 周治疗条件之一。标准组(n=15)的个体被要求每天记录饮食和活动水平。身体项目(n=17)参与者除了参加每周四次的团体身体项目干预课程外,还每天记录饮食和活动。在治疗期前后评估身体质量指数、身体不满、身体欣赏以及对瘦理想和体重耻辱的内化。

结果

可行性数据表明,身体项目可以在这个新的样本中实施。初步估计表明,身体项目组的身体欣赏效果优于标准组(ES=0.43),但其他身体图像变量无组间效应。

结论

对超重或肥胖女性进行了轻微修改的身体项目干预措施得以成功实施。对身体欣赏的影响令人鼓舞,值得进一步研究。可能需要对干预措施进行修改,以增强对其他身体图像变量的治疗效果。

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