基于网络失调的饮食失调预防干预对身体不满的年轻中国女性的有效性。
Effectiveness of an Internet Dissonance-Based Eating Disorder Prevention Intervention Among Body-Dissatisfied Young Chinese Women.
机构信息
Southwest University, Chongqing.
University of Macau.
出版信息
Behav Ther. 2021 Jan;52(1):221-233. doi: 10.1016/j.beth.2020.04.007. Epub 2020 Apr 19.
Body image disturbances are widespread in highly populated, rapidly developing Asian nations such as China, but there are severe shortages of practitioners qualified to treat these issues. In such contexts, validated online interventions offer a potentially viable approach for addressing the lack of treatment resources. In this study, we evaluated effects of the eBody Project, an online, dissonance-based eating disorder prevention program, on functioning among body-dissatisfied young Chinese women. Participating women were randomly assigned to the 6-week eBody Project intervention (n = 191) versus an education brochure control condition (n = 181). Self-report assessments of eating disorder risk factors (body dissatisfaction, thin ideal internalization, depressive symptoms, restrained eating), self-esteem, body appreciation, and disordered eating were completed at baseline, posttreatment, and a 6-month follow-up. There were no intervention differences on outcomes before treatment but eBody Project women experienced significantly larger improvements on all outcomes following treatment and/or at follow-up compared to controls; corresponding effect sizes were small to medium. Results indicated the eBody Project program is a promising intervention for young women at risk for eating disorders in China and provide foundations for broad implementation in low- and middle-income countries where resources for in-person therapy and supervision are limited or unavailable altogether.
身体意象障碍在人口密集、快速发展的亚洲国家(如中国)很普遍,但有治疗这些问题的合格从业者严重短缺。在这种情况下,经过验证的在线干预为解决治疗资源缺乏的问题提供了一种潜在的可行方法。在这项研究中,我们评估了 eBody 项目的效果,这是一种基于不和谐的在线饮食失调预防计划,对不满意身体的年轻中国女性的功能的影响。参与的女性被随机分配到 6 周的 eBody 项目干预组(n = 191)与教育小册子对照组(n = 181)。在基线、治疗后和 6 个月随访时,完成了对饮食失调风险因素(身体不满、理想体型内化、抑郁症状、节食)、自尊、身体欣赏和饮食失调的自我报告评估。在治疗前,干预组之间没有差异,但与对照组相比,eBody 项目组的所有结果在治疗后和/或随访时都有显著改善;相应的效应量为小到中等。结果表明,eBody 项目是中国有饮食失调风险的年轻女性的一种很有前途的干预措施,并为在资源有限或根本没有面对面治疗和监督的中低收入国家广泛实施提供了基础。