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自我同情是否有助于帮助超重和肥胖的成年人应对减肥目标中的饮食失误?

Does self-compassion help to deal with dietary lapses among overweight and obese adults who pursue weight-loss goals?

机构信息

Physical Activity & Well-Being Research Group, School of Psychology, Curtin University, Perth, Western Australia, Australia.

Department of Psychology, Umeå University, Sweden.

出版信息

Br J Health Psychol. 2021 Sep;26(3):767-788. doi: 10.1111/bjhp.12499. Epub 2020 Dec 24.

Abstract

OBJECTIVES

Self-compassion can facilitate self-improvement motivation. We examined the effects of self-compassion in response to dietary lapses on outcomes relevant to weight-loss strivings using a longitudinal design. The indirect effects of self-compassion via guilt and shame were also explored.

DESIGN

An Ecological Momentary Assessment methodology was employed with a sample of adults who were overweight or obese attempting to lose weight via dietary restriction (N = 56; M  = 34.88; SD = 13.93; M  = 32.50; SD = 6.88) and who responded to brief surveys sent to their mobile phones twice daily for two weeks.

METHODS

Dietary temptations and lapses were assessed at each diary entry, and self-compassion in response to dietary lapses, intention to continue dieting, weight-loss-related self-efficacy, negative reactions to the lapse, and self-conscious emotions were surveyed on occasions when participants reported having experienced a dietary lapse. The participants were also weighed in a laboratory prior to the EMA phase and via self-report straight after the EMA phase. Weight was measured again in the laboratory 12 weeks after the EMA period.

RESULTS

Bayesian multilevel path analyses showed that self-compassion did not predict weight loss. However, at the within-person level, self-compassion was positively related to intentions and self-efficacy to continue dieting, and negatively related to negative affective reactions to the lapses. Guilt mediated the associations of self-compassion with intention, self-efficacy, and negative reactions.

CONCLUSION

Self-compassion may be a powerful internal resource to cultivate when dieters experience inevitable setbacks during weight-loss strivings which could facilitate weight-loss perseverance.

摘要

目的

自我同情可以促进自我提升的动机。我们通过纵向设计,考察了对饮食失误做出自我同情反应对与减肥努力相关结果的影响。还探讨了自我同情通过内疚和羞耻感产生的间接影响。

设计

采用生态瞬间评估方法,对超重或肥胖的成年人进行研究,他们通过饮食限制来减肥(N=56;M=34.88;SD=13.93;M=32.50;SD=6.88),并在两周内每天两次通过手机回复简短的调查。

方法

在每次日记记录中评估饮食诱惑和失误,在参与者报告发生饮食失误时,还调查了对饮食失误的自我同情、继续节食的意愿、与减肥相关的自我效能、对失误的负面反应和自我意识情绪。参与者还在 EMA 阶段之前在实验室称重,并在 EMA 阶段后通过自我报告立即称重。在 EMA 期结束后 12 周,在实验室再次测量体重。

结果

贝叶斯多层次路径分析显示,自我同情与体重减轻无关。然而,在个体内水平上,自我同情与继续节食的意愿和自我效能呈正相关,与对失误的负面情绪反应呈负相关。内疚感调节了自我同情与意图、自我效能和负面反应之间的关联。

结论

当节食者在减肥努力中遇到不可避免的挫折时,自我同情可能是一种强大的内部资源,可以促进减肥的坚持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b002/8451927/ab107474205b/BJHP-26-767-g001.jpg

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