Six-Month Follow-up from a Randomized Controlled Trial of the Weight BIAS Program.

Six-Month Follow-up from a Randomized Controlled Trial of the Weight BIAS Program.
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DOI:
10.1002/oby.22931
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发表时间:
2020-10
期刊:
Obesity (Silver Spring, Md.)
影响因子:
--
通讯作者:
Berkowitz RI
Berkowitz RI
中科院分区:
其他
文献类型:
--
作者:
Pearl RL;Wadden TA;Bach C;Tronieri JS;Berkowitz RI

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研究认知行为干预对体重偏差内化(WBI;即,自我污名)与行为减肥(BWL)相结合。肥胖和WBI升高的成年人先前被随机分配接受单独的BWL或与体重偏差内化和耻辱计划(BWL+BIAS)相结合。参与者每周参加一次小组会议,持续12周,然后参加2次双周会议和2次月度会议(共26周)。在第52周进行随访评估。第52周时体重偏差内化量表(WBIS)和体重自我耻辱问卷(WSSQ)的变化是主要结果。其他结果包括饮食,应对和体重的变化。在72名随机化受试者中,54名(75%)完成了第52周评估。线性混合模型显示,在WBIS(p=0.25)或WSSQ(p=0.27)的第52周变化中,各组均有所改善,但组间无显著差异。BWL+BIAS参与者在饮食和情感应对体重耻辱的措施上比BWL参与者报告了更大的益处。第52周的体重减轻百分比在组间无显著差异(BWL+BIAS=−3.1± 1.0%,BWL=−4.0± 1.0%,p=0.53)。在6个月随访时,两组WBI的降低没有差异。需要进一步的研究来确定BWL之外的减少耻辱干预的潜在益处。
To investigate 6-month non-intervention follow-up effects of a cognitive-behavioral intervention for weight bias internalization (WBI; i.e., self-stigma) combined with behavioral weight loss (BWL). Adults with obesity and elevated WBI were previously randomized to receive BWL alone or combined with the Weight Bias Internalization and Stigma Program (BWL+BIAS). Participants attended weekly group meetings for 12 weeks, followed by 2 bi-weekly and 2 monthly meetings (26 weeks total). Follow-up assessments were conducted at week 52. Changes on the Weight Bias Internalization Scale (WBIS) and Weight Self-Stigma Questionnaire (WSSQ) at week 52 were the principal outcomes. Other outcomes included changes in eating, coping, and weight. Of seventy-two randomized participants, 54 (75%) completed week 52 assessments. Linear mixed models showed improvements across groups, but no significant differences between groups, in week 52 change on the WBIS (p=0.25) or WSSQ (p=0.27). BWL+BIAS participants reported significantly greater benefits than BWL participants on measures of eating and affective coping with weight stigma. Percent weight loss at week 52 did not differ significantly between groups (BWL+BIAS=−3.1±1.0%, BWL=−4.0±1.0%, p=0.53). Reductions in WBI did not differ between groups at 6-month follow-up. Further research is needed to determine the potential benefits of a stigma-reduction intervention beyond BWL.
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