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深入探讨正念饮食:子维度的增量有效性和重要性。

Taking a closer look at mindful eating: incremental validity and importance of subfacets.

机构信息

Counseling Psychology, University of Potsdam, Potsdam, Germany.

出版信息

Eat Weight Disord. 2022 Oct;27(7):2507-2514. doi: 10.1007/s40519-022-01383-w. Epub 2022 Mar 17.

Abstract

PURPOSE

Mindful eating (ME) seems a promising approach to clarify the underlying mechanisms of mindfulness-based interventions for eating and weight-related issues. The current study aimed to investigate the incremental validity of this eating-specific approach beyond a generic conception of mindfulness and explore preliminary indication which subfacets of the multidimensional construct ME might be of particular importance in order to study them more precisely and tailor mindfulness-based interventions for eating and weight-related issues more properly.

METHODS

Self-report data (N = 292) were collected online. Hierarchical regression analyses were used to explore the incremental validity of ME beyond generic mindfulness, predicting maladaptive eating (emotional and uncontrolled eating) and consumption of energy-dense food. Multiple regressions were used to examine the impact of the seven different ME subfacets on the very same outcomes.

RESULTS

Findings demonstrated the incremental validity of ME on all outcomes. Generic mindfulness no longer predicted emotional eating, uncontrolled eating, or the consumption of energy-dense food when entering ME. The subfacet 'non-reactive stance' predicted all three outcomes significantly. For emotional and uncontrolled eating, the subfacets 'accepting and non-attached attitude toward one's own eating experience', 'eating in response to awareness of fullness', and the 'awareness of eating triggers and motives' additionally showed a significant influence.

CONCLUSION

ME seems a valuable approach in clarifying how mindfulness might impact eating and weight-related issues. Beyond that, it might be beneficial for upcoming interventions to strengthen specific ME subfacets, depending on the focused outcomes.

LEVEL OF EVIDENCE

Level V, descriptive cross-sectional study.

摘要

目的

正念饮食(ME)似乎是一种很有前途的方法,可以阐明基于正念的干预措施在饮食和体重相关问题方面的潜在机制。本研究旨在探究这种特定的饮食方法在通用正念概念之外的增量有效性,并探索初步迹象,即 ME 的多维结构的哪些亚因素可能特别重要,以便更精确地研究它们,并更恰当地为饮食和体重相关问题量身定制基于正念的干预措施。

方法

在线收集自我报告数据(N=292)。使用分层回归分析来探究 ME 在通用正念之外的增量有效性,预测适应不良的饮食(情绪性和失控性饮食)和能量密集型食物的消耗。使用多元回归来检验 ME 的七个不同亚因素对相同结果的影响。

结果

研究结果表明,ME 在所有结果上都具有增量有效性。当输入 ME 时,通用正念不再预测情绪性饮食、失控性饮食或能量密集型食物的消耗。亚因素“非反应性立场”显著预测了所有三个结果。对于情绪性和失控性饮食,亚因素“对自己的饮食体验采取接受和不依恋的态度”、“根据饱腹感的意识来进食”和“对饮食触发因素和动机的意识”也显示出显著的影响。

结论

ME 似乎是一种很有价值的方法,可以阐明正念如何影响饮食和体重相关问题。除此之外,根据关注的结果,加强特定的 ME 亚因素可能对即将到来的干预措施有益。

证据水平

五级,描述性横断面研究。

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