Department of Physical and Social Education, Lithuanian Sports University, Sporto 6, 44221, Kaunas, Lithuania.
Institute of Sport Science and Innovations, Lithuanian Sports University, Sporto 6, 44221, Kaunas, Lithuania.
Eat Weight Disord. 2022 Mar;27(2):563-577. doi: 10.1007/s40519-021-01195-4. Epub 2021 Apr 20.
The aim of this study was to test the effectiveness of an 8-week classroom education and mindfulness-based physical activity intervention for the promotion of positive body image in female students.
A quasi-experimental study was carried out with 110 Lithuanian female students (mean age 21.5 ± 3.5, range 19-35 years). Thirty students voluntarily participated in the intervention programme and 80 students volunteered in the assessment-only control group. The intervention comprised five cognitive behavioural therapy classroom education sessions and mindfulness-based exercise (one exercise workout per week). The intervention group was evaluated with a pre-test and post-test and the control group completed measures at parallel times.
Compared with the control group participants, the intervention group participants reported greater improvements in positive body image and a reduction in body dissatisfaction and drive for thinness and internalisation of stereotyped beauty ideals, with medium to large effects. There were significant time × group interactions for pre-test to post-test changes in internalisation of beauty ideals, body area satisfaction, body dissatisfaction and body appreciation. In all cases, the interaction reflected greater pre-test to post-test changes in the intervention group compared with the control group, whose scores remained stable. A decrease in appearance orientation, overweight preoccupation, disordered eating and physical activity was observed in the control group, but the effect sizes were low.
The preliminary findings of this study support the efficacy of cognitive behavioural therapy methods and mindfulness-based exercise intervention aimed to promote positive body image in student-aged women. Future studies should test the efficacy of the introduced programme in larger randomised samples of young women.
Evidence obtained from multiple time series with or without an intervention.
本研究旨在测试 8 周课堂教育和基于正念的身体活动干预对促进女学生积极身体形象的效果。
采用准实验研究，共纳入 110 名立陶宛女性学生（平均年龄 21.5±3.5 岁，年龄范围 19-35 岁）。30 名学生自愿参加干预计划，80 名学生自愿参加仅评估对照组。干预包括 5 节认知行为疗法课堂教育课程和基于正念的运动（每周一次运动锻炼）。干预组在干预前后进行评估，对照组在平行时间完成评估。
与对照组参与者相比，干预组参与者在积极身体形象、减少身体不满和追求苗条、内化刻板美的理想方面报告了更大的改善，具有中等至较大的效果。内化美的理想、身体区域满意度、身体不满和身体欣赏方面的预测试到后测试变化在时间与组间存在显著的交互作用。在所有情况下，交互作用反映了干预组与对照组相比，预测试到后测试变化更大，而对照组的分数保持稳定。对照组观察到外表取向、超重关注、饮食失调和身体活动减少，但效果大小较低。
本研究的初步结果支持认知行为疗法方法和基于正念的运动干预的有效性，旨在促进女学生的积极身体形象。未来的研究应在更大的随机样本年轻女性中测试引入方案的有效性。
水平 IV：从具有或不具有干预的多个时间序列获得的证据。
