Computer-delivered intervention for individuals with obesity and elevated anxiety sensitivity: feasibility, acceptability, and initial test.
Computer-delivered intervention for individuals with obesity and elevated anxiety sensitivity: feasibility, acceptability, and initial test.
复制标题
对肥胖和焦虑敏感性升高的个体进行计算机干预：可行性、可接受性和初始测试。
DOI：
10.1080/16506073.2021.2018487
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发表时间：
2022
影响因子：
4.7
通讯作者：
Zvolensky,MichaelJ
中科院分区：
文献类型：
--
作者：
Kauffman,BrookeY;Gallagher,MatthewW;Viana,AndresG;Schmidt,NormanB;Zvolensky,MichaelJ
肥胖是与许多慢性疾病相关的增长最快的公共卫生问题之一，并且经常与负面情绪状态共同发生。解决情感脆弱性和肥胖的异质性的一种有希望的方法是关注支持这两种情况的过程（例如焦虑敏感性[AS]）。因此，本研究旨在评估一个简短的，计算机提供的AS减少程序（AST）的可行性，可接受性和初步疗效的成人肥胖和AS升高。参与者是131名肥胖和AS升高的个体，他们接受AST或健康信息对照（HC）。利用潜在增长曲线模型来检查治疗条件对AS、情绪化进食、进食以管理情绪的期望以及从基线至1周、2周和1个月随访的运动自我效能的变化的影响。结果表明，通过1个月的随访，招募和保留肥胖和AS升高的个体是可行的。还为AST和HC提供了积极的定性反馈。AST是一个统计学上显著的预测变化的期望吃管理负面影响。未显示其他具有统计学意义的治疗效应。目前的数据提供了初步的经验支持，未来的工作重点是人肥胖和AS升高。
Obesity is one the fastest growing public health problems related to numerous chronic diseases and frequently co-occurs with negative mood states. One promising approach to address the heterogeneity of affective vulnerabilities and obesity is to focus on processes (e.g. anxiety sensitivity [AS]) that underpin both conditions. Thus, this study aimed to evaluate the feasibility, acceptability, and initial efficacy of a brief, computer-delivered AS reduction program (AST) for adults with obesity and elevated AS. Participants were 131 individuals with obesity and elevated AS who received either AST or a health information control (HC). Latent growth curve modeling was utilized to examine the effect of treatment condition on change in AS, emotional eating, expectancies of eating to manage mood, and exercise self-efficacy from baseline to 1-week, 2-weeks, and 1-month follow-up. Results indicated it was feasible to recruit and retain individuals with obesity and elevated AS through the 1-month follow-up. Positive qualitative feedback was also provided for both AST and HC. AST was a statistically significant predictor of change in expectancies of eating to manage negative affect. No other statistically significant treatment effects were indicated. Current data provide initial empirical support for future work focused on persons with obesity and elevated AS.