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测试一种低强度单次自我同情干预对成年女性状态身体羞耻感的效果:一项分解随机对照试验。

Testing a Low-Intensity Single-Session Self-Compassion Intervention for State Body Shame in Adult Women: A Dismantling Randomized Controlled Trial.

机构信息

University of Sheffield; University of York.

University of Sheffield; Rotherham Doncaster and South Humber NHS Foundation Trust.

出版信息

Behav Ther. 2023 Sep;54(5):916-928. doi: 10.1016/j.beth.2023.04.001. Epub 2023 May 8.

DOI:10.1016/j.beth.2023.04.001
PMID:37597967
Abstract

State body shame is a risk factor for eating disorders, and self-compassion is emerging as a potentially effective treatment option in such cases. This study tested the efficacy of a brief (15-minute) self-compassion intervention in reducing state body shame. Using dismantling trial methodology, participants were randomly allocated to an active compassion condition (n = 23), an inactive control compassion condition (n = 23), or an educational control condition (n = 23). Measures of state body image and state shame were collected pre-intervention, immediately after the intervention, and a day after the intervention. Subjective units of state body shame (SUBS) were intensively measured during each invention. Self-compassion interventions were equally efficacious at protecting against deterioration of state body shame and were effective at reducing state shame compared to the educational control condition, with medium effect sizes (respectively - n = .07 and n = .08). Reductions in state shame were retained at follow-up. None of the interventions had an effect on body image (n = .04). Findings demonstrate the clinical promise of brief self-compassion interventions, particularly as evidenced-based "homework" exercises.

摘要

状态身体羞耻感是饮食失调的一个风险因素,而自我同情正成为此类情况下一种潜在有效的治疗选择。本研究测试了一种简短(15 分钟)的自我同情干预措施在减少状态身体羞耻感方面的效果。使用分解试验方法,参与者被随机分配到积极同情条件(n=23)、非活跃同情控制条件(n=23)或教育控制条件(n=23)。在干预前、干预后立即和干预后一天收集状态身体形象和状态羞耻感的测量值。在每次发明中都对状态身体羞耻感的主观单位(SUBS)进行了密集测量。与教育控制条件相比,自我同情干预同样能有效防止状态身体羞耻感恶化,并能有效降低状态羞耻感,具有中等的效果大小(分别为-n=0.07 和-n=0.08)。在随访中,羞耻感的减少仍然存在。干预措施对身体形象均无影响(n=0.04)。研究结果表明,简短的自我同情干预措施具有临床前景,尤其是作为循证“家庭作业”练习。

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