Schumacher Leah M, Miller Nicole, Jennings Emma L, Chabria Reena, Butryn Meghan L
Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA.
Center for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, PA, USA.
Curr Obes Rep. 2025 May 10;14(1):41. doi: 10.1007/s13679-025-00634-y.
To describe the recent literature on acceptance and commitment therapy (ACT) interventions for individuals with obesity. The review begins with a brief overview of the ACT model, describes seminal work in this area, and examines more recent literature on the use of ACT to improve outcomes among individuals with obesity.
Early trials established ACT's efficacy for weight loss among adults with obesity. More recent research has focused on testing efficacy among adolescents, measuring effects in "real world" settings, refining interventions to optimize outcomes and enhance scalability, and examining outcomes beyond weight (e.g., internalized weight stigma, eating regulation). Current data indicate that ACT-based interventions produce comparable, or, in some cases, superior weight loss compared to standard behavioral interventions. ACT has also shown promise for improving other outcomes of interest. ACT may improve a variety of obesity-related outcomes, although additional research is needed.
描述近期关于接受与承诺疗法(ACT)对肥胖个体干预的文献。该综述首先简要概述ACT模型,描述该领域的开创性工作,并审视有关使用ACT改善肥胖个体结局的最新文献。
早期试验证实ACT对肥胖成年人减肥有效。最近的研究集中于测试其在青少年中的疗效,在“现实世界”环境中测量效果,优化干预措施以优化结局并提高可扩展性,以及研究体重以外的结局(例如内化的体重耻辱感、饮食调节)。目前的数据表明,与标准行为干预相比,基于ACT的干预措施能产生相当的或在某些情况下更优的体重减轻效果。ACT在改善其他相关结局方面也显示出前景。ACT可能改善多种与肥胖相关的结局,不过仍需更多研究。