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一项针对体重和体型关注度高的本科女生的意义疗法干预——随机对照试验的重复研究

A Meaning-Centered Intervention for Undergraduate Women With High Weight and Shape Concerns-Replication of a Randomized Controlled Trial.

作者信息

Schutzeichel Franziska, Aan Het Rot Marije, van Doornik Sanne F W, Glashouwer Klaske A, Frey Mirjam I, de Jong Peter J

机构信息

Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, Netherlands.

Department of Eating Disorders, Accare Child and Adolescent Psychiatry, Groningen, Netherlands.

出版信息

Eur Eat Disord Rev. 2025 Jan 31. doi: 10.1002/erv.3175.

DOI:10.1002/erv.3175
PMID:39888138
Abstract

OBJECTIVE

Recent studies underscore the relevance of life meaning to the maintenance of eating disorders. A previously conducted randomized controlled trial tested a meaning-centered intervention for female university students with high weight and shape concerns. After a 6-week online intervention led by a trainer, participants in the intervention condition scored higher on life meaning and lower on eating disorder symptoms and general distress compared to a waitlist group.

METHOD

Given that the original study took place during COVID-19, this study replicated the design to test the findings' robustness.

RESULTS

Compared to the waitlist condition (n = 68), participants in the intervention condition (n = 63) again scored higher on the presence of life meaning at post-assessment and follow-up. Participants in the intervention condition also showed moderately lower internalizing symptoms at both timepoints, whereas eating disorder symptoms were only reduced in those with relatively high baseline symptom severity.

CONCLUSIONS

Thus, also without social distancing measures, the intervention increased life meaning and reduced eating disorder symptoms and comorbid internalizing symptoms in women with weight and shape concerns.

摘要

目的

近期研究强调了生命意义对饮食失调维持的相关性。之前进行的一项随机对照试验测试了一种以意义为中心的干预措施,用于关注体重和体型的女大学生。在由一名培训师进行为期6周的在线干预后,与等待名单组相比,干预组的参与者在生命意义方面得分更高,在饮食失调症状和一般痛苦方面得分更低。

方法

鉴于原研究在新冠疫情期间进行,本研究重复了该设计以检验研究结果的稳健性。

结果

与等待名单组(n = 68)相比,干预组(n = 63)的参与者在评估后和随访时生命意义的存在方面再次得分更高。干预组的参与者在两个时间点的内化症状也略有降低,而饮食失调症状仅在基线症状严重程度相对较高的人群中有所减轻。

结论

因此,即使没有社交距离措施,该干预措施也增加了有体重和体型问题的女性的生命意义,减少了饮食失调症状和共病的内化症状。

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本文引用的文献

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Future Directions in Clinical Trials and Intention-To-Treat Analysis: Fulfilling Admirable Intentions Through the Right Questions.临床试验与意向性分析的未来方向:通过正确的问题实现令人钦佩的目标。
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The Effects of a Meaning-Centered Intervention on Meaning in Life and Eating Disorder Symptoms in Undergraduate Women With High Weight and Shape Concerns: A Randomized Controlled Trial.一项以意义为中心的干预对有高体重和体型担忧的女大学生生活意义和饮食障碍症状的影响:一项随机对照试验。
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作为进食障碍和共患内化症状学的跨诊断因素的生活意义和无效感:一种联合无向和因果网络方法。
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