Internalized weight stigma in women with class III obesity: A randomized controlled trial of a virtual lifestyle modification intervention followed by a mindful self-compassion intervention.
Internalized weight stigma in women with class III obesity: A randomized controlled trial of a virtual lifestyle modification intervention followed by a mindful self-compassion intervention.
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DOI：
10.1002/osp4.616
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发表时间：
2022-12
影响因子：
2.2
通讯作者：
Unick, Jessica L.
中科院分区：
文献类型：
--
作者：
Braun, Tosca D.;Olson, Kayloni;Panza, Emily;Lillis, Jason;Schumacher, Leah;Abrantes, Ana M.;Kunicki, Zachary;Unick, Jessica L.
内化体重污名（Internalized weight stigma，简称WS）在严重肥胖的人群中普遍存在，尤其是女性，与羞耻、饮食失调和体重增加有关。需要有效的、可获得的干预措施来解决严重（III类）肥胖和内化WS。这项随机试点试验评估了完全远程生活方式改变干预（LM）的可行性，可接受性和初步疗效，随后进行正念自我同情训练（MSC）或对照。28名III级肥胖（46.6 ± 3.7 kg/m2）和内化WS升高的女性被随机分配至虚拟分娩的4个月LM，随后是2个月的MSC或烹饪/饮食教育（CON）。在基线、4个月（LM后）、6个月（MSC/CON后）和9个月（随访）时评估心理社会指标/体重。在LM中观察到内化WS，羞耻和自我同情的改善。平均4个月体重减轻为6.3 ± 3.7%。MSC的出勤率和有用性评分低于CON。MSC/CON后，MSC相对于CON在内化WS、自我同情和直觉饮食方面产生了显著和/或有意义的改善。在6个月时，MSC与CON相比，各组的体重减轻没有差异，在9个月时，MSC的体重减轻趋势较低。虚拟LM是可行的，可接受的，并导致严重肥胖女性的体重显著减轻; MSC进一步改善了内化WS，自我同情和直觉饮食。需要继续开展工作来阐明自我同情训练对内化WS的影响，其机制以及与心脏代谢健康和长期减肥的联系。
Internalized weight stigma (Internalized‐WS) is prevalent among individuals with severe obesity, particularly women, and is associated with shame, disordered eating, and weight gain. Effective, accessible interventions that address both severe (Class‐III) obesity and Internalized‐WS are needed. This randomized pilot trial evaluated the feasibility, acceptability, and preliminary efficacy of a fully‐remote lifestyle modification intervention (LM) followed by mindful self‐compassion training (MSC) or control. Twenty‐eight women with Class‐III obesity (46.6 ± 3.7 kg/m2) and elevated Internalized‐WS were randomized to a virtually‐delivered 4‐month LM followed by a 2‐month MSC or cooking/dietary education (CON). Psychosocial measures/weight were assessed at baseline, 4‐(post‐LM), 6‐(post‐MSC/CON), and 9‐month (follow‐up). Improvements in Internalized‐WS, shame, and self‐compassion were observed with LM. Mean 4‐month weight loss was 6.3 ± 3.7%. MSC had lower attendance and usefulness ratings versus CON. Post‐MSC/CON, MSC yielded significant and/or meaningful improvements in Internalized‐WS, self‐compassion, and intuitive eating relative to CON. Weight loss did not differ by group at 6‐month, and at 9‐month trended lower in MSC versus CON. Virtual LM is feasible, acceptable, and leads to significant weight loss among women with severe obesity; MSC led to further improved Internalized‐WS, self‐compassion, and intuitive eating. Continued work is needed to elucidate effects of self‐compassion training on Internalized‐WS, its mechanisms, and linkages to cardiometabolic health and long‐term weight loss.
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DOI：
10.1001/jama.2010.1505
发表时间：
2010-10-27
期刊：
JAMA
影响因子：
--
作者：
Goodpaster BH;Delany JP;Otto AD;Kuller L;Vockley J;South-Paul JE;Thomas SB;Brown J;McTigue K;Hames KC;Lang W;Jakicic JM
通讯作者：
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影响因子：
3.6
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影响因子：
6.9
作者：
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通讯作者：
Latner, Janet D.
影响因子：
3.7
作者：
Hilbert A;Baldofski S;Zenger M;Löwe B;Kersting A;Braehler E
通讯作者：
Braehler E
DOI：
10.1002/oby.22931
发表时间：
2020-10
期刊：
Obesity (Silver Spring, Md.)
影响因子：
--
作者：
Pearl RL;Wadden TA;Bach C;Tronieri JS;Berkowitz RI
通讯作者：
Berkowitz RI