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基于不和谐感的巴西年轻女性进食障碍预防:身体项目的随机疗效试验。

Dissonance-based eating disorder prevention among Brazilian young women: A randomized efficacy trial of the Body Project.

机构信息

Department of Physical Education, Federal University of Juiz de Fora, s/n José Lourenço Kelmer Street, University Campus, Juiz de Fora, 36036-900, Brazil.

Federal Institute of Education, Science and Technology of Southeast of Minas Gerais, 204 Monsenhor José Augusto Street, Barbacena, Minas Gerais, 36205-018, Brazil.

出版信息

Body Image. 2021 Sep;38:1-9. doi: 10.1016/j.bodyim.2021.03.008. Epub 2021 Mar 26.

DOI:10.1016/j.bodyim.2021.03.008
PMID:33780888
Abstract

A randomized controlled trial was conducted to assess the efficacy of the Body Project eating disorder prevention program in reducing eating disorder risk factors and symptoms in young Brazilian women. A total of 141 female university students aged 18-30 years old were randomly assigned to one of two conditions: assessment-only condition (n = 78) and Body Project condition (n = 63). Participants completed scales assessing body dissatisfaction, sociocultural influence, disordered eating attitudes and behaviors, eating disorders symptoms, body appreciation, depressive mood and negative affect at baseline, posttest, and at 1- and 6-month follow-ups. Body Project participants showed significantly greater reductions in body dissatisfaction, sociocultural influence, disordered eating, eating disorder symptoms, depressive symptoms, and negative affect, and greater increases in body appreciation (d = .35-.48) compared to assessment-only participants. Most of the effects persisted through 6-month follow-up (d = .35-.74). Results provide evidence that the Body Project is an effective intervention to reduce eating disorder risk factors and eating disorder symptoms among Brazilian young women, and that this intervention is naturally culturally adaptive.

摘要

一项随机对照试验评估了 Body Project 饮食失调预防计划在降低年轻巴西女性饮食失调风险因素和症状方面的效果。共有 141 名年龄在 18-30 岁的女性大学生被随机分配到两种条件之一:仅评估条件(n=78)和 Body Project 条件(n=63)。参与者在基线、后测和 1 个月和 6 个月随访时完成了评估身体不满、社会文化影响、饮食失调态度和行为、饮食失调症状、身体欣赏、抑郁情绪和负性情绪的量表。与仅评估参与者相比,Body Project 参与者的身体不满、社会文化影响、饮食失调、饮食失调症状、抑郁症状和负性情绪显著降低,身体欣赏显著增加(d=.35-.48)。大多数效果在 6 个月随访时仍然存在(d=.35-.74)。结果表明,Body Project 是一种有效的干预措施,可以降低巴西年轻女性的饮食失调风险因素和饮食失调症状,并且这种干预措施自然具有文化适应性。

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