Women's Experiences with a Mindful Eating Program for Binge and Emotional Eating: A Qualitative Investigation into the Process of Change
Women's Experiences with a Mindful Eating Program for Binge and Emotional Eating: A Qualitative Investigation into the Process of Change
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DOI：
10.1089/acm.2019.0318
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发表时间：
2020-07-14
影响因子：
2.6
通讯作者：
Brewer, Judson A.
中科院分区：
文献类型：
--
作者：
Beccia, Ariel L.;Ruf, Andrea;Brewer, Judson A.
基于正念的干预（MBIs）已被证明可以减少饮食失调行为的参与，尽管这些干预措施如何产生变化尚不清楚。本探索性质性研究的目的是描述的经验和感知的态度和行为的变化，妇女参加了一个正念饮食计划。设计：焦点小组讨论与妇女参加了以社区为基础的正念饮食计划的暴食和情绪化饮食。一个半结构化的访谈指南被用来探讨参与者的概念化的正念为基础的态度和行为的变化，与食物，饮食和身体形象。焦点小组的讨论进行录音，转录，并使用主题分析，以确定突出的概念进行分析。设置/地点：焦点小组讨论在马萨诸塞州大学医学院（UMMS）（美国）的正念中心举行。参与者：9名女性参加了UMMS的正念饮食计划，以解决自我报告的暴食和/或情绪化饮食问题。结果：构建了四个主题，描述了基于正念的行为改变的过程，包括（1）通过自我意识学习，（2）自我授权，（3）正念选择，（4）弹性自我护理。对参与者感知到的态度和行为变化的总体描述是：“非强迫的选择自由，来自具体的意识。“结论：这些发现表明，MBIs通过使女性能够对食物，饮食和应对做出积极的选择，而不是专注于体重控制，从而减少了可能的饮食失调行为。未来的研究需要研究这些发现是否在更大和更多样化的样本中复制，以及如何在社区环境中优化和实施特定于饮食的MBIs。
Objectives:Mindfulness-based interventions (MBIs) have been shown to reduce engagement in disordered eating behaviors, although how these interventions engender change remains unclear. The objective of this exploratory qualitative study was to describe the experiences and perceived attitudinal and behavioral changes of women participating in a mindful eating program. Design:Focus group discussions were held with women participating in a community-based mindful eating program for binge and emotional eating. A semistructured interview guide was used to explore participants' conceptualizations of mindfulness-based attitudinal and behavior change, as related to food, eating, and body image. The focus group discussions were audio-recorded, transcribed, and analyzed using thematic analysis to identify salient concepts. Settings/Location:Focus group discussions were held at the Center for Mindfulness at the University of Massachusetts Medical School (UMMS) (United States). Participants:A sample of nine women who were enrolled in the mindful eating program at UMMS for problems with self-reported binge and/or emotional eating participated in this study. Results:Four themes were constructed that described a process of mindfulness-based behavior change, including (1) Learning Through Self-Awareness, (2) Self-Empowerment, (3) Mindful Choice-Making, and (4) Resilient Self-Care. An overarching description of the participants' perceived attitudinal and behavior changes was developed: "unforced freedom of choice, emerging from embodied awareness." Conclusions:These findings suggest that MBIs reduce may disordered eating behaviors through empowering women to make positive choices about food, eating, and coping, without focusing on weight control. Future research is needed to examine whether these findings replicate in larger and more diverse samples, and how they can be used to optimize and implement eating-specific MBIs in community-based settings.