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[项目对青少年身体形象改善的影响:系统评价与荟萃分析]

[The Effects of Programs on Body-Image Improvement in Adolescents: A Systematic Review and Meta-Analysis].

作者信息

Yun Hyun Jung, Seo Kyoungsan, Han Dallong

机构信息

Department of Nursing, Cheongju University, Cheongju, Korea.

College of Nursing, Chungnam National University, Daejeon, Korea.

出版信息

J Korean Acad Nurs. 2021 Oct;51(5):597-616. doi: 10.4040/jkan.21104.

DOI:10.4040/jkan.21104
PMID:34737252
Abstract

PURPOSE

This study's objective was to investigate the effects of programs that improve adolescents' body image, using a systematic review and meta-analysis.

METHODS

A literature search was performed in eleven electronic databases, using preferred reporting items for systematic reviews and meta-analysis guidelines. Population characteristics, contents of the programs, and measured outcomes were systematically reviewed from 21 selected studies. To estimate the size of the effects, meta-analysis was conducted using Comprehensive Meta-Analysis software.

RESULTS

The contents of the programs that aimed to improve body image included physical, psychological, interpersonal, and sociocultural interventions. Sixteen studies were meta-analyzed to estimate the effect size of body-image improvement programs. Results showed that the program for body-image improvement had significant effects on body satisfaction (effect size [ES] = 0.56, 95% confidence interval [CI] = 0.23 to 0.89), and body dissatisfaction (ES = - 0.15, 95% CI = - 0.23 to - 0.08).

CONCLUSION

The program for body image improvement in adolescents includes a combination of physical, psychological, interpersonal relationship, and socio-cultural dimensions. The program that seeks to improve body image appears to be effective at increasing body satisfaction, and at reducing body dissatisfaction in adolescents. Thus, it is necessary to develop and apply multidimensional programs for adolescents to have a positive body image.

摘要

目的

本研究旨在通过系统评价和荟萃分析,探讨改善青少年身体意象的项目所产生的效果。

方法

根据系统评价和荟萃分析的首选报告项目指南,在11个电子数据库中进行文献检索。从21项选定研究中系统回顾了人群特征、项目内容和测量结果。为估计效果大小,使用综合荟萃分析软件进行荟萃分析。

结果

旨在改善身体意象的项目内容包括身体、心理、人际和社会文化干预。对16项研究进行荟萃分析,以估计身体意象改善项目的效果大小。结果显示,身体意象改善项目对身体满意度有显著影响(效应大小[ES]=0.56,95%置信区间[CI]=0.23至0.89),对身体不满有显著影响(ES=-0.15,95%CI=-0.23至-0.08)。

结论

青少年身体意象改善项目包括身体、心理、人际关系和社会文化等多方面的结合。旨在改善身体意象的项目似乎能有效提高青少年的身体满意度,并降低其身体不满程度。因此,有必要为青少年开发和应用多维项目,以使其拥有积极的身体意象。

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