Beaulac Julie, Sandre Daniella, Mercer Deanna
Department of Psychology, The Ottawa Hospital, 501 Smyth Road, Room 7300 General Campus, Ottawa, ON, K1H 8L6, Canada.
The Ottawa Hospital Research Institute, Ottawa, Canada.
Eat Weight Disord. 2019 Apr;24(2):373-377. doi: 10.1007/s40519-018-0616-9. Epub 2018 Nov 15.
The current study investigated the impact of a modified Dialectical Behavior Therapy skills (DBT) training group for patients at a hospital outpatient weight management clinic. Emotional eating is a problematic strategy for managing unpleasant feelings that can have a deleterious impact on weight management. DBT addresses emotional dysregulation via incorporation of skills aimed at coping with unpleasant affect.
This study examines outcomes for 18 patients who participated in a 12-week DBT skills building group. A pre-post design with 3-month follow-up investigated the impact of the group on emotional eating, psychological distress, emotion regulation, and mindfulness.
Four repeated measures ANOVAs were run to assess for changes related to life difficulties and functioning, emotional overeating, emotion regulation, and mindfulness. Fisher's LSD tests assessed for linear and quadratic trends. Improvements in mindfulness, emotion regulation, and emotional overeating were found; these were maintained at follow-up.
This study demonstrated the utility of a group-based intervention aimed at improving emotion regulation and mindfulness skills among weight management patients. Further study is needed to determine whether improvements in the constructs studied in this research would translate to improved weight management outcomes and in determining the pathway for improvements.
Level IV, multiple time series with intervention.
本研究调查了在医院门诊体重管理诊所为患者开展的改良辩证行为疗法技能（DBT）培训小组的影响。情绪化进食是一种处理不良情绪的问题策略，会对体重管理产生有害影响。辩证行为疗法通过纳入旨在应对不良情绪的技能来解决情绪失调问题。
本研究考察了18名参加为期12周辩证行为疗法技能培养小组的患者的治疗结果。采用前后测设计并进行3个月的随访，以调查该小组对情绪化进食、心理困扰、情绪调节和正念的影响。
进行了四项重复测量方差分析，以评估与生活困难及功能、情绪化暴饮暴食、情绪调节和正念相关的变化。Fisher最小显著差异检验评估线性和二次趋势。结果发现正念、情绪调节和情绪化进食方面有所改善；这些改善在随访时得以维持。
本研究证明了一种旨在提高体重管理患者情绪调节和正念技能的小组干预措施的效用。需要进一步研究以确定本研究中所考察的构念的改善是否会转化为体重管理结果的改善，以及确定改善的途径。
四级，有干预的多个时间序列。
