Department of Psychology, University of South Florida, 4202 East Fowler Ave, Tampa, FL, 33620, United States.
Department of Psychiatry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr. MC 7792, San Antonio, TX, 78229, United States.
Body Image. 2021 Mar;36:269-275. doi: 10.1016/j.bodyim.2021.01.001. Epub 2021 Jan 21.
Although historically conceptualized as problems of youth, recent research indicates that women of all ages experience body dissatisfaction and eating disorder (ED) pathology. Despite this, existing body image interventions predominantly target youth. The Body Project (BP) has extensive support for reducing ED risk factors in younger women and girls. The current proof-of-concept study investigated the feasibility, acceptability, and estimates of intervention effect sizes of a modified BP for adult women, the Women's Body Initiative (WBI). Conducted in the Southwestern United States, adult women (N = 13) aged 29-70 (M = 49.1) participated in 4, 1-h weekly sessions, completing measures at baseline, post-intervention, and 3-month follow-up. Participants rated the program as highly feasible and acceptable. Within-subjects effects sizes were medium to large for primary outcomes (body dissatisfaction, ED pathology) and secondary outcomes (psychosocial impairment, negative affect, quality of life, nutritious food consumption, and sleep) through 3-months. Results suggest preliminary feasibility and acceptability of WBI for adult women, and support proceeding with a larger trial to investigate intervention efficacy.
尽管从历史上看，这些问题被认为是年轻人的问题，但最近的研究表明，所有年龄段的女性都经历过身体不满和饮食失调（ED）病理。尽管如此，现有的身体形象干预措施主要针对年轻人。《身体项目》（BP）在减少年轻女性和女孩的 ED 风险因素方面得到了广泛的支持。目前的概念验证研究调查了对成年女性（年龄 29-70 岁，M=49.1）进行改良 BP 的可行性、可接受性和干预效果大小的估计值，即女性身体倡议（WBI）。该研究在美国西南部进行，成年女性（N=13）参加了为期 4 周、每周 1 小时的 4 次会议，在基线、干预后和 3 个月随访时完成了测量。参与者对该项目的评价非常可行和可接受。通过 3 个月的时间，主要结果（身体不满、ED 病理）和次要结果（心理社会障碍、负面情绪、生活质量、营养食品摄入和睡眠）的个体内效应大小为中等至较大。结果表明，WBI 对成年女性具有初步的可行性和可接受性，并支持进行更大规模的试验来研究干预效果。
