Stapleton Peta, Clark Amanda, Sabot Debbie, Carter Brett, Leech Kelly
Bond University, School of Psychology, 14 University Dr, Robina, QLD, 4226, Australia.
Great Ideas in Nutrition, Cnr Dutton Street & Marine Parade, Coolangatta, QLD, 4225, Australia.
Heliyon. 2020 Jun 23;6(6):e04058. doi: 10.1016/j.heliyon.2020.e04058. eCollection 2020 Jun.
Although significant health improvements are indicated from weight-loss following bariatric surgery, many individuals are unable to lose weight or maintain their weight-loss. The current study aimed to assess whether post-surgery care comprising Emotional Freedom Techniques (EFT), an emerging energy psychology intervention, combined with a behaviour-based nutrition and portion control eating plan in an online self-guided delivery would aid weight-loss and maintenance in bariatric patients.
A 6-month randomised controlled parallel-group trial. Participants ( = 343; aged 21-69 years; BMI ≥30 kg/m) had undergone bariatric surgery (12 + months prior) and were randomly assigned to one of three treatment groups: Portion Perfection for Bariatric Patients (PPBP; = 109), PPBP combined with an eight-week online self-paced EFT treatment ( = 107), and a treatment as usual (TAU) control ( = 127). Participants completed measures of BMI, emotional eating, uncontrolled eating, food cravings, and self-esteem at 8-week post-treatment ( = 158) and 6-month follow-up ( = 109).
Mixed-design analyses of variances were conducted to examine the effect of the interventions on outcome measures (pre-intervention, 8-week post-intervention, and 6-month follow-up). Emotional eating decreased significantly from pre-intervention to post-intervention for the PPBP and PPBP with EFT groups, and at 6-month follow-up for the TAU group only. There were no statistically significant between-group differences in other outcome variables. However, at 6-months the PPBP with EFT group experienced the greatest improvements in emotional eating (-16.33%), uncontrolled eating (-9.36%), and self-esteem (+4.43%), compared to PPBP only or TAU.
The effect of EFT combined with the eating plan on psychological variables was largely inconsistent with prior research and discussion of how this may be optimised in future trials is discussed.
ACTRN12616001257459.
尽管减肥手术后体重减轻表明健康状况有显著改善，但许多人无法减肥或维持体重减轻。本研究旨在评估术后护理，包括情绪释放疗法（EFT）（一种新兴的能量心理学干预措施），结合基于行为的营养和饮食分量控制饮食计划，以在线自我指导的方式进行，是否有助于减肥手术患者的体重减轻和维持。
一项为期6个月的随机对照平行组试验。参与者（n = 343；年龄21 - 69岁；BMI≥30 kg/m²）接受了减肥手术（术前12个月以上），并被随机分配到三个治疗组之一：减肥患者饮食完美计划（PPBP；n = 109）、PPBP结合为期八周的在线自定进度EFT治疗（n = 107），以及常规治疗（TAU）对照组（n = 127）。参与者在治疗后8周（n = 158）和6个月随访（n = 109）时完成了BMI、情绪化饮食、无节制饮食、食物渴望和自尊的测量。
进行了混合设计方差分析，以检查干预措施对结果指标（干预前、干预后8周和6个月随访）的影响。PPBP组和PPBP加EFT组的情绪化饮食从干预前到干预后显著下降，仅TAU组在6个月随访时下降。其他结果变量在组间没有统计学上的显著差异。然而，在6个月时，与仅PPBP组或TAU组相比，PPBP加EFT组在情绪化饮食（-16.33%）、无节制饮食（-9.36%）和自尊（+4.43%）方面有最大改善。
EFT与饮食计划相结合对心理变量的影响在很大程度上与先前的研究不一致，并讨论了如何在未来试验中对其进行优化。
ACTRN12616001257459。
