Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Reproductive and Family Health Research Center, Kerman University of Medical Sciences, Kerman, 7616913555, Iran.
BMC Psychiatry. 2024 Sep 11;24(1):611. doi: 10.1186/s12888-024-06057-8.
The prevalence of polycystic ovary syndrome (PCOS) has increased in the last decade, resulting in enduring psychological effects, including negative body image. This study explored the effect of mindfulness-based art therapy (MBAT) on body image in women with PCOS.
In a randomized, single-blind, controlled trial conducted in Kerman, Iran, women of reproductive age (18-45) who were diagnosed with PCOS and met specific inclusion criteria were randomly allocated to either the MBAT intervention group or a control group placed on a therapy waiting list. The main focus of the study involved evaluating alterations in body image scores as the primary measure. Additionally, the study assessed secondary outcomes, which encompassed various domains of the Multidimensional Body-Self Relations Questionnaire (MBSRQ) before, immediately after, and one month after the intervention. The trial is registered with www.irct.ir (Registration code (25/01/2020): IRCT20170611034452N9).
Between August 2020 and January 2021, 66 participants were randomly assigned to the MBAT or waiting list group, and the study was completed by 60 women. At the end of the intervention, body image (adjusted mean difference from baseline (AMD) of 29.22 [95% CI 19.54, 38.90], P < 0.05) and at the one-month follow-up (AMD of 34.77 [95% CI 24.75, 44.80], P < 0.05) were greater in the MBAT group than in the waiting list group. At certain time points, some MBSRQ domains, including body area satisfaction (BASS) (p < 0.05), appearance evaluation (p < 0.05), fitness orientation (p > 0.05), health orientation (p < 0.05), and self-classified weight (p > 0.05), had higher scores than did the control group. However, only BASS had a conclusive effect size (large). Additionally, appearance orientation (p > 0.05), illness orientation (p > 0.05), health evaluation (p < 0.05), fitness evaluation (p > 0.05), and overweight preoccupation (p < 0.05) had lower scores with variable and inconclusive effect sizes.
The MBAT has potential as an effective approach for enhancing body image in women with PCOS. However, some MBSRQ domain results were inconclusive, likely due to the small sample size. Therefore, further research with a larger sample size is recommended.
多囊卵巢综合征（PCOS）在过去十年中的患病率有所增加，导致了持久的心理影响，包括负面的身体形象。本研究探讨了基于正念的艺术治疗（MBAT）对 PCOS 女性身体形象的影响。
在伊朗克尔曼进行的一项随机、单盲、对照试验中，符合特定纳入标准的生育期（18-45 岁）的 PCOS 女性被随机分配到 MBAT 干预组或等待治疗的对照组。该研究的主要重点是评估身体形象评分的变化作为主要测量指标。此外，该研究还评估了次要结果，包括干预前后和干预后一个月的多维身体自我关系问卷（MBSRQ）的各个领域。该试验在 www.irct.ir 上注册（注册编号（2020 年 25 月 1 日）：IRCT20170611034452N9）。
2020 年 8 月至 2021 年 1 月期间，66 名参与者被随机分配到 MBAT 或等待名单组，60 名女性完成了研究。在干预结束时，MBAT 组的身体形象（与基线相比的调整平均差异（AMD）为 29.22 [95%CI 19.54，38.90]，P<0.05）和一个月随访时（AMD 为 34.77 [95%CI 24.75，44.80]，P<0.05）高于等待名单组。在某些时间点，一些 MBSRQ 领域，包括身体区域满意度（BASS）（p<0.05）、外观评价（p<0.05）、健身取向（p>0.05）、健康取向（p<0.05）和自我分类体重（p>0.05），比对照组得分更高。然而，只有 BASS 具有明确的效应量（大）。此外，外观取向（p>0.05）、疾病取向（p>0.05）、健康评估（p<0.05）、健身评估（p>0.05）和超重关注（p<0.05）的得分较低，效应量具有变异性和不确定性。
MBAT 可能是一种有效的方法，可以增强 PCOS 女性的身体形象。然而，一些 MBSRQ 领域的结果是不确定的，这可能是由于样本量小。因此，建议进行进一步的研究，以增加样本量。
