Development of a novel mindfulness and cognitive behavioral intervention for stress-eating: A comparative pilot study
Development of a novel mindfulness and cognitive behavioral intervention for stress-eating: A comparative pilot study
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DOI：
10.1016/j.eatbeh.2014.08.002
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发表时间：
2014-12-01
期刊：
影响因子：
2.8
通讯作者：
Ivan, Iulia
中科院分区：
文献类型：
--
作者：
Corsica, Joyce;Hood, Megan M.;Ivan, Iulia
与压力有关的饮食越来越多地被认为是管理健康饮食行为和体重的困难。然而，很少有干预措施专门针对与压力有关的饮食。此外，这种干预的最佳目标尚不清楚，因为目标可能被概念化为整体压力减轻或改变与情绪化饮食相关的想法和行为。这项试点研究比较了针对这些成分单独和组合的三种干预措施对压力相关饮食，感知压力和体重减轻的影响，以确定这两种干预成分单独有效还是组合更有效。53名超重参与者（98%为女性）报告压力和压力饮食水平升高，并有肥胖风险，他们被随机分配到三种为期六周的干预措施中的一种：改良的正念减压（MBSR）干预，认知行为压力饮食干预（SEI），以及包括所有MBSR和SEI成分的联合干预。所有三种干预措施都显着降低了感知压力和压力饮食，但组合干预导致更大的减少，并对短期减肥产生了适度的影响。在6周随访时，获益持续存在。结果的模式初步表明，组合干预（MBSR + SEI）可能会产生的承诺，在治疗应激相关的饮食。(C)2014爱思唯尔有限公司版权所有。
Stress-related eating is increasingly cited as a difficulty in managing healthy eating behaviors and weight. However few interventions have been designed to specifically target stress-related eating. In addition, the optimal target of such an intervention is unclear, as the target might be conceptualized as overall stress reduction or changing emotional eating-related thoughts and behaviors. This pilot study compared the effects of three interventions targeting those components individually and in combination on stress-related eating, perceived stress, and weight loss to determine whether the two intervention components are effective alone or are more effective when combined. Fifty-three overweight participants (98% female) who reported elevated levels of stress and stress-eating and were at risk for obesity were randomly assigned to one of three six-week interventions: a modified mindfulness-based stress reduction (MBSR) intervention, a cognitive behavioral stress-eating intervention (SEI), and a combined intervention that included all MBSR and SEI components. All three interventions significantly reduced perceived stress and stress-eating, but the combination intervention resulted in greater reductions and also produced a moderate effect on short term weight loss. Benefits persisted at six week follow-up. The pattern of results preliminarily suggests that the combination intervention (MBSR + SEI) may yield promise in the treatment of stress-related eating. (C) 2014 Elsevier Ltd. All rights reserved.