Teaching Acceptance and Mindfulness to Improve the Lives of the Obese: A Preliminary Test of a Theoretical Model
Teaching Acceptance and Mindfulness to Improve the Lives of the Obese: A Preliminary Test of a Theoretical Model
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DOI：
10.1007/s12160-009-9083-x
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发表时间：
2009-02-01
影响因子：
3.8
通讯作者：
Masuda, Akihiko
中科院分区：
文献类型：
--
作者：
Lillis, Jason;Hayes, Steven C.;Masuda, Akihiko
肥胖是一种日益严重的流行病。体重控制干预可以实现体重减轻，但大多数是随着时间的推移恢复。耻辱感和低生活质量是一个重要的问题，但很少被关注。一种旨在减少回避行为和增加心理灵活性的新模式，已被证明与其他慢性健康问题的治疗相关，值得研究以改善肥胖者的生活。完成至少6个月减肥计划的患者（N = 84）被随机分配接受1天，基于正念和接受的研讨会，针对与肥胖相关的耻辱和心理困扰，或被列入等候名单。在3个月的随访中，研讨会参与者在与肥胖相关的耻辱、生活质量、心理困扰和体重方面表现出更大的改善，以及痛苦耐受力、总体和特定体重的接受度和心理灵活性的改善。对痛苦、耻辱和生活质量的影响超出了改善体重控制的影响。中介分析表明，在特定体重的接受应对和心理灵活性的变化介导的outcomes.Results的变化提供了初步的支持，接受和正念的作用，在改善肥胖个体的生活质量，同时增加他们的体重控制的努力。
Obesity is a growing epidemic. Weight control interventions can achieve weight loss, but most is regained over time. Stigma and low quality of life are significant problems that are rarely targeted.A new model aimed at reducing avoidant behavior and increasing psychological flexibility, has shown to be relevant in the treatment of other chronic health problems and is worth examining for improving the lives of obese persons.Patients who had completed at least 6 months of a weight loss program (N = 84) were randomly assigned to receive a 1-day, mindfulness and acceptance-based workshop targeting obesity-related stigma and psychological distress or be placed on a waiting list.At a 3-month follow-up, workshop participants showed greater improvements in obesity-related stigma, quality of life, psychological distress, and body mass, as well as improvements in distress tolerance, and both general and weight-specific acceptance and psychological flexibility. Effects on distress, stigma, and quality of life were above and beyond the effects due to improved weight control. Mediational analyses indicated that changes in weight-specific acceptance coping and psychological flexibility mediated changes in outcomes.Results provide preliminary support for the role of acceptance and mindfulness in improving the quality of life of obese individuals while simultaneously augmenting their weight control efforts.