以合理情绪疗法为主导的干预对肥胖儿童心理健康的影响。
Effect of the Intervention Dominated by Rational-Emotive Therapy on Obese Children's Mental Health.
作者信息
Dai Liping, Su Bingjin, Liu Qiang
机构信息
General Education College, Fuzhou Polytechnic, Fuzhou, China.
Department of Physical Education, Xiamen Institute of Technology, Xiamen, China.
出版信息
Iran J Public Health. 2025 Mar;54(3):589-597. doi: 10.18502/ijph.v54i3.18252.
BACKGROUND
Due to economic development and lifestyle changes, childhood obesity and psychological problems are becoming increasingly prominent. However, only a few studies have investigated the available psychological interventions for obese children. In this study, an eight-week empirical research on obese children was conducted where rational-emotive therapy was combined with group exercise.
METHODS
A total of 110 obese children from 2 public primary schools in Fujian Province, China were selected via cluster random sampling. They were randomly divided into an experimental group and a control group, with 55 children in each group. The experimental group received an integrated intervention dominated by rational-emotive therapy, while the control group did not receive any intervention. After eight weeks of intervention, a comparative measurement was conducted on both groups.
RESULTS
The decrease in BMI observed in the experimental group was significantly greater than that observed in the control group, and such difference was statistically significant (<0.05). The decrease in depression observed in the experimental group was greater than that observed in the control group, and such difference was statistically significant (<0.05). The experimental group reported reductions in all eight factors of metal health after the intervention, and the differences were statistically significant (<0.001).
CONCLUSION
The proposed intervention model can effectively reduce obese children's BMI and depression levels and improve their mental health. The results of this study provide scientific basis for the timely prevention of childhood obesity and negative psychological problems.
背景
由于经济发展和生活方式的改变，儿童肥胖和心理问题日益突出。然而，仅有少数研究调查了针对肥胖儿童的可用心理干预措施。在本研究中，对肥胖儿童进行了为期八周的实证研究，将理性情绪疗法与团体运动相结合。
方法
通过整群随机抽样，从中国福建省的2所公立小学选取了110名肥胖儿童。他们被随机分为实验组和对照组，每组55名儿童。实验组接受以理性情绪疗法为主导的综合干预，而对照组未接受任何干预。经过八周的干预后，对两组进行了对比测量。
结果
实验组观察到的体重指数下降显著大于对照组，且这种差异具有统计学意义（<0.05）。实验组观察到的抑郁程度下降大于对照组，且这种差异具有统计学意义（<0.05）。干预后，实验组报告心理健康的所有八个因素均有所降低，且差异具有统计学意义（<0.001）。
结论
所提出的干预模式可有效降低肥胖儿童的体重指数和抑郁水平，并改善他们的心理健康。本研究结果为及时预防儿童肥胖和负面心理问题提供了科学依据。
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