Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Centre for Global Health Research, University of Edinburgh, Edinburgh, United Kingdom.
J Altern Complement Med. 2020 Aug;26(8):666-679. doi: 10.1089/acm.2019.0163. Epub 2020 Jun 17.
Emerging research interest focused on mindfulness-based interventions (MBIs) as a complementary approach for the treatment of problematic eating behaviors. This systematic review aims to comprehensively evaluate current evidence from randomized-controlled trials (RCTs) that have used the MBIs as the treatment for problematic eating concerns. Using the Preferred Reporting Items for Systematic Reviews and Meta-analyses method for systematic reviews, electronic databases, including Ovid MEDLINE, Ovid Embase, AMED, Web of Knowledge, PsycINFO, Scopus, and The Cochrane Library, were systematically searched to identify up to June 2017. Hand search of the reference lists of related systematic reviews was also conducted for detecting additional studies. Eligible studies were RCTs that employed MBIs as the primary intervention for people with problematic eating or body image concerns. A total of nine RCTs were included in this systematic review. In the majority of included studies, participants in MBI groups showed significant reduction in emotional eating, external eating, binge eating, and weight and shape concern. Findings also suggest that increasing mindful awareness of internal experiences and automatic patterns could be effective for the improvement of self-acceptance and emotional regulation, thereby reducing the problematic eating behaviors. This systematic review advances the understanding of MBIs as an complementary approach for problematic eating behavior treatment. Despite the variable trial qualities and some small sample sizes, this study provides initial evidence supporting the efficacy of the application of MBIs to a range of problematic eating concerns. The application of MBIs remains a promising approach for the treatment of problematic eating and merits further investigations.
新兴的研究兴趣集中在正念干预（MBIs）上，将其作为治疗问题性进食行为的补充方法。本系统综述旨在全面评估目前使用 MBIs 作为治疗问题性进食问题的随机对照试验（RCTs）的证据。采用系统综述的首选报告项目（PRISMA）方法，对包括 Ovid MEDLINE、Ovid Embase、AMED、Web of Knowledge、PsycINFO、Scopus 和 The Cochrane Library 在内的电子数据库进行了系统检索，以确定截至 2017 年 6 月的研究。还对手头相关系统综述的参考文献进行了手工搜索，以发现其他研究。合格的研究是采用 MBIs 作为主要干预措施治疗有问题的进食或身体意象问题的 RCTs。本系统综述共纳入了 9 项 RCT。在大多数纳入的研究中，MBI 组的参与者在情绪性进食、外食、暴食、体重和体型关注方面表现出显著减少。研究结果还表明，增加对内部体验和自动模式的正念意识可能对提高自我接受和情绪调节有效，从而减少问题性进食行为。本系统综述推进了对 MBIs 作为治疗问题性进食行为的补充方法的理解。尽管试验质量存在差异，且样本量较小，但本研究提供了初步证据，支持将 MBIs 应用于一系列问题性进食问题的有效性。MBIs 的应用仍然是治疗问题性进食的一种很有前途的方法，值得进一步研究。
