The role of avoidance-based coping in the psychosocial functioning of weight loss treatment-seeking adults.
The role of avoidance-based coping in the psychosocial functioning of weight loss treatment-seeking adults.
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DOI：
10.1002/osp4.1
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发表时间：
2015-10
影响因子：
2.2
通讯作者：
Wing RR
中科院分区：
文献类型：
--
作者：
Lillis J;Wing RR
本研究的目的是确定基于回避的应对在报告高内部去抑制的寻求减肥治疗的肥胖患者的心理社会功能中的作用。参与者是162名超重或肥胖的成年人，他们进入了一个行为减肥干预计划，在筛选时报告了高的内部去抑制。我们进行了多变量回归分析，使用精神和身体生活质量以及对关系的满意度作为因变量，并检查人口统计学变量，经验性回避（基于回避的应对）和抑郁症状的关联。我们假设，较高水平的经验性回避和抑郁症状与较差的精神和身体生活质量和关系满意度相关。事后分析检查了相对于非肥胖标准的结果。经验性回避和抑郁都与三种心理社会结果指标显著独立相关。经验回避和抑郁水平高的个体在精神和身体生活质量以及关系满意度方面的非临床样本得分显著低于人群平均值。在一个寻求减肥治疗的成年人样本中，具有高度的内部去抑制，经验性回避和心理症状的水平升高是普遍的。增加专门针对不健康应对的干预成分可能会改善整体心理社会功能，并可能减轻体重。
The aim of this study was to determine the role of avoidance‐based coping in the psychosocial functioning of weight loss treatment‐seeking persons with obesity who report high internal disinhibition. Participants were 162 overweight or obese adults entering a behavioural weight loss intervention programme who reported high internal disinhibition at screening. We conducted multivariate regression analyses by using mental and physical quality of life and satisfaction with relationships as dependent variables and examining the association of demographic variables, experiential avoidance (avoidance‐based coping) and symptoms of depression. We hypothesized that higher levels of experiential avoidance and symptoms of depression would be associated with poorer mental and physical quality of life and relationship satisfaction. Post‐hoc analyses examined results relative to non‐obese norms. Both experiential avoidance and depression were significantly and independently associated with each of the three psychosocial outcome measures. Individuals who were high on both experiential avoidance and depression scored significantly below the population mean for non‐clinical samples on mental and physical quality of life and relationship satisfaction. In a sample of weight loss treatment‐seeking adults with high internal disinhibition, elevated levels of experiential avoidance and psychological symptoms are prevalent. Adding intervention components specifically designed to address unhealthy coping could results in improvements in overall psychosocial functioning and possibly weight loss.