Clinical and Population Health Research Program, Graduate School of Biomedical Sciences, University of Massachusetts Medical School, Worcester, MA, USA.
Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA.
J Altern Complement Med. 2020 Oct;26(10):937-944. doi: 10.1089/acm.2019.0318. Epub 2020 Jul 14.
Mindfulness-based interventions (MBIs) have been shown to reduce engagement in disordered eating behaviors, although how these interventions engender change remains unclear. The objective of this exploratory qualitative study was to describe the experiences and perceived attitudinal and behavioral changes of women participating in a mindful eating program. Focus group discussions were held with women participating in a community-based mindful eating program for binge and emotional eating. A semistructured interview guide was used to explore participants' conceptualizations of mindfulness-based attitudinal and behavior change, as related to food, eating, and body image. The focus group discussions were audio-recorded, transcribed, and analyzed using thematic analysis to identify salient concepts. Focus group discussions were held at the Center for Mindfulness at the University of Massachusetts Medical School (UMMS) (United States). A sample of nine women who were enrolled in the mindful eating program at UMMS for problems with self-reported binge and/or emotional eating participated in this study. Four themes were constructed that described a process of mindfulness-based behavior change, including (1) Learning Through Self-Awareness, (2) Self-Empowerment, (3) Mindful Choice-Making, and (4) Resilient Self-Care. An overarching description of the participants' perceived attitudinal and behavior changes was developed: "unforced freedom of choice, emerging from embodied awareness." These findings suggest that MBIs reduce may disordered eating behaviors through empowering women to make positive choices about food, eating, and coping, without focusing on weight control. Future research is needed to examine whether these findings replicate in larger and more diverse samples, and how they can be used to optimize and implement eating-specific MBIs in community-based settings.
基于正念的干预（MBIs）已被证明可以减少紊乱进食行为的发生，尽管这些干预措施如何产生变化尚不清楚。本探索性定性研究的目的是描述参加正念饮食计划的女性的经验以及感知的态度和行为变化。 对参加基于社区的正念饮食计划以解决暴食和情绪性进食问题的女性进行了焦点小组讨论。使用半结构化访谈指南来探讨参与者对基于正念的态度和行为变化的概念，这些变化与食物、饮食和身体形象有关。对焦点小组讨论进行了录音、转录，并使用主题分析进行分析，以确定突出的概念。 焦点小组讨论在美国马萨诸塞大学医学院（UMMS）的正念中心举行（美国）。 这项研究的参与者是 9 名参加 UMMS 正念饮食计划的女性，她们存在自我报告的暴食和/或情绪性进食问题。 构建了四个主题，描述了基于正念的行为变化过程，包括（1）通过自我意识学习，（2）自我赋权，（3）正念决策制定，和（4）有弹性的自我保健。对参与者感知到的态度和行为变化进行了总体描述：“不受强制的自由选择，源自身体意识。” 这些发现表明，MBIs 可能通过赋予女性积极选择食物、饮食和应对方式的权力来减少紊乱的进食行为，而不是专注于体重控制。需要进一步研究以检验这些发现是否在更大和更多样化的样本中复制，以及如何将这些发现用于优化和在社区环境中实施针对饮食的 MBIs。
