Haley Erin N, Dolbier Christyn L, Campbell Lisa C, Carels Robert A, Braciszewski Jordan M
Center for Health Policy and Health Services Research, Henry Ford Health, One Ford Place, Suite 5E, Detroit, MI, 48202, USA.
Department of Psychology, East Carolina University, Greenville, NC, USA.
Int J Behav Med. 2025 Apr;32(2):293-307. doi: 10.1007/s12529-024-10297-z. Epub 2024 Jun 5.
Internalized weight bias (IWB) negatively impacts mental and physical health, and disproportionately affects women of higher weight. Although self-compassion training may be advantageous for reducing IWB and associated sequalae, further examination of its clinical significance and cultural acceptability is warranted.
A randomized pilot study was conducted to evaluate the feasibility, including cultural acceptability, and clinical significance of a 3-session self-compassion intervention (SCI) for women with IWB. Women with BMIs of > 25 and IWB (N = 34) were randomly assigned to the SCI or a waitlist control group. Participants completed pre, post, and 1-month follow-up surveys on IWB, self-compassion, body image, eating behaviors, physical activity, and affect. Analyses of covariance were employed and percentages of change were calculated to examine post-intervention between-group differences in outcomes. Cultural acceptability was evaluated through participants' ratings of the perceived inclusivity and relevancy of the SCI.
There were 59% (n = 10) and 47% (n = 8) completion rates in the SCI and waitlist control groups, respectively. Compared to the waitlist control group, SCI participants reported greater pre-post improvements in self-compassion, IWB, body shame and surveillance, uncontrolled eating, and physical activity with medium to large effect sizes, and emotional eating with small effects. The SCI was perceived to be beneficial overall, and cultural acceptability ratings were mostly favorable despite individual differences.
This brief SCI may be beneficial for women impacted by weight stigma and IWB. Attention to increased diversity and cultural acceptability is warranted in future trials.
内化的体重偏见（IWB）对身心健康产生负面影响，且对体重较高的女性影响尤为严重。尽管自我同情训练可能有助于减少IWB及其相关后果，但仍需进一步研究其临床意义和文化可接受性。
开展了一项随机试点研究，以评估针对患有IWB的女性进行为期3节的自我同情干预（SCI）的可行性，包括文化可接受性和临床意义。体重指数（BMI）>25且患有IWB的女性（N = 34）被随机分配到SCI组或等待名单对照组。参与者完成了关于IWB、自我同情、身体形象、饮食行为、身体活动和情感的干预前、干预后及1个月随访调查。采用协方差分析并计算变化百分比，以检验干预后两组间结果的差异。通过参与者对SCI的感知包容性和相关性评分来评估文化可接受性。
SCI组和等待名单对照组的完成率分别为59%（n = 10）和47%（n = 8）。与等待名单对照组相比，SCI组参与者在自我同情、IWB、身体羞耻感和监测、无节制饮食、身体活动方面报告了更大的干预前后改善，效应大小为中到大型，在情绪化饮食方面有较小改善。总体而言，SCI被认为是有益的，尽管存在个体差异，但文化可接受性评分大多是积极的。
这种简短的SCI可能对受体重耻辱和IWB影响的女性有益。未来试验中需要关注增加多样性和文化可接受性。
