A randomized trial of an acceptance-based behavioral intervention for weight loss in people with high internal disinhibition.

A randomized trial of an acceptance-based behavioral intervention for weight loss in people with high internal disinhibition.
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DOI:
10.1002/oby.21680
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发表时间:
2016-12
期刊:
影响因子:
6.9
通讯作者:
Wing, Rena R.
Wing, Rena R.
中科院分区:
医学2区
文献类型:
--
作者:
Lillis, Jason;Niemeier, Heather M.;Thomas, J. Graham;Unick, Jessica;Ross, Kathryn M.;Leahey, Tricia M.;Kendra, Kathleen E.;Dorfman, Leah;Wing, Rena R.

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确定在报告高内部去抑制的个体中,基于接受的行为干预(ABBI)是否比标准行为治疗(SBT)产生更好的体重减轻。参与者是162名超重或肥胖的成年人(平均BMI 37.6),随机分配到ABBI或SBT组。两种干预措施提供了相同的卡路里摄入目标,运动目标和自我监测技能培训。SBT纳入了当前解决问题思想和情绪的最佳实践干预措施。ABBI使用基于接受和承诺疗法的接受技术。比较ABBI和SBT在24个月内的体重变化和内部去抑制变化。混合模型分析显示,ABBI组24个月时的平均体重减轻为-4.1%(SE=0.88),SBT组为-2.4%(SE=0.87)(p= 0.204)。次要分析显示,ABBI组从治疗结束到最终随访时体重恢复较少(4.6 vs. 7.1 kg; p= 0.005),24个月时体重减轻5%的ABBI受试者比例显著较高(38% vs. 25%; p= 0.038)。结果表明,ABBI可能有助于改善报告高内部去抑制的个体的体重减轻的维持。
To determine whether an Acceptance-Based Behavioral Intervention (ABBI) produces better weight losses than standard behavioral treatment (SBT) among individuals reporting high internal disinhibition. Participants were 162 adults with overweight or obesity (mean BMI 37.6) randomly assigned to ABBI or SBT. Both interventions provided the same calorie intake target, exercise goal, and self-monitoring skills training. SBT incorporated current best practice interventions for addressing problematic thoughts and emotions. ABBI utilized acceptance-based techniques based on Acceptance and Commitment Therapy. ABBI and SBT were compared on weight change and internal disinhibition change over 24 months. Mixed models analysis showed mean weight loss at 24 months was −4.1% (SE=0.88) for ABBI and −2.4% (SE=0.87) for SBT (p=.204). Secondary analyses showed that the ABBI group regained less weight from the end of treatment to the final follow-up (4.6 vs. 7.1kg; p=.005), and that a significantly higher proportion of ABBI participants achieved a 5% weight loss (38% vs. 25%; p=.038) at 24 months. Results suggest that ABBI could be helpful for improving the maintenance of weight loss for individuals who report high internal disinhibition.
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