Group cognitive-behavioral treatment for internalized weight stigma: a pilot study
Group cognitive-behavioral treatment for internalized weight stigma: a pilot study
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内化体重污名的团体认知行为治疗：一项试点研究
DOI：
10.1007/s40519-016-0336-y
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发表时间：
2018-06-01
影响因子：
2.9
通讯作者：
Wadden, Thomas A.
中科院分区：
文献类型：
--
作者：
Pearl, Rebecca L.;Hopkins, Christina H.;Wadden, Thomas A.
目的：本研究测试了一种新的基于群体的认知行为干预，旨在减少肥胖个体的内化体重耻辱感。方法共有8名患有体重耻辱感的肥胖男性和女性参加了体重偏见内化和耻辱感（Bias）项目。该项目每周提供8次认知行为治疗，以应对体重耻辱感。受试者完成干预前和干预后的问卷调查，包括体重偏差内化量表（WBIS）、肥胖恐惧症量表、体重功效生活方式问卷（WEL）和贝克抑郁量表- ii （BDI-II）。另外6名参与者被纳入准对照组，直到完成所有研究措施后才接受干预。结果与准对照组相比，体重偏倚组的WBIS和Fat Phobia得分显著降低，WEL得分显著升高（p < 0.04）。各组间BDI-II评分变化无差异。在接受干预的参与者中，治疗可接受性评分很高。结论在体重管理项目中加入认知行为策略来解决体重耻辱感可以潜在地减少内化的体重耻辱感，提高治疗效果。
Objective This study tested a novel group-based, cognitive-behavioral intervention designed to reduce internalized weight stigma among individuals with obesity.Methods A total of eight men and women with obesity who had experienced weight stigma and reported high levels of internalized weight stigma attended the Weight Bias Internalization and Stigma (BIAS) Program. The program provided eight weekly sessions of cognitive-behavioral treatment to cope with weight stigma. Participants completed questionnaires pre- and post-intervention, including the Weight Bias Internalization Scale (WBIS), Fat Phobia Scale, Weight Efficacy Life-Style Questionnaire (WEL), and Beck Depression Inventory-II (BDI-II). Six additional participants were included in a quasi-control group that received no intervention until after completing all study measures.Results Participants in the Weight BIAS Program reported significantly greater decreases in WBIS and Fat Phobia scores, and greater increases in WEL scores than participants in the quasi-control group (ps < .04). Changes in BDI-II scores did not differ between groups. Treatment-acceptabiilty ratings were high among participants who received the intervention.Conclusion Including cognitive-behavioral strategies to address weight stigma in weight management programs could potentially reduce internalized weight stigma and enhance treatment outcomes.