Table for two: Perceptions of social support from participants in a weight management intervention for veterans with PTSD and overweight or obesity.
Table for two: Perceptions of social support from participants in a weight management intervention for veterans with PTSD and overweight or obesity.
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DOI：
10.1037/ser0000577
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发表时间：
2022-11
影响因子：
2.3
通讯作者：
Hoerster KD
中科院分区：
文献类型：
--
作者：
Robustelli BL;Campbell SB;Greene PA;Sayre GG;Sulayman N;Hoerster KD
创伤后应激障碍(PTSD)患者被归类为超重或肥胖的风险增加，部分原因是PTSD症状(如睡眠障碍、社会孤立)干扰了活动和健康饮食。Move！+Up是一个为期16周的行为体重管理计划，为创伤后应激障碍患者量身定做，通过将循证减肥教育和支持与认知行为治疗技能相结合，减少基于创伤后应激障碍症状的体重管理障碍。这项定性研究考察了退伍军人(n=37)在参加非控制试验Move！+Up时对与体重管理、健康行为和心理健康相关的社会支持的看法。对一小时半结构定性访谈记录的模板分析确定了参与者反应的四个主要类别。参与者描述了积极的方面，特别是围绕共同的退伍军人身份的凝聚力，感觉不那么孤独，责任感，以及让其他人吃得更健康，和他们一起锻炼。相反，基于关系的障碍包括其他参与者的糟糕举动！+小组会议的出席率和参与度，以及亲人鼓励做出不健康的选择。许多人描述说，他们的关系有限，或者难以获得可用的支持。最后，创伤后应激障碍症状是利用社会支持促进减肥的一个重大障碍。研究结果表明，未来的行为体重管理计划应该招募具有相似背景的成员，以利用共享的经验，鼓励持续的出席和有意义的参与，提供如何利用计划外其他人的社会支持的教育，并解决阻碍社会支持和健康生活方式的心理健康症状。
Individuals with Post-Traumatic Stress Disorder (PTSD) are at an increased risk of being classified as overweight or with obesity in part due to PTSD symptoms (e.g., sleep disturbance, social isolation) interfering with activity and healthy eating. MOVE!+UP is a 16-week behavioral weight management program, tailored to address such barriers for people with PTSD, by combining evidence-based weight loss education and support with cognitive behavior therapy skills to reduce PTSD symptom-based weight management barriers. This qualitative study examined veterans’ (n=37) perceptions of social support relevant to weight management, health behaviors, and mental health while participating in an uncontrolled pilot of MOVE!+UP. Template analysis of transcripts from one-hour semi-structured qualitative interviews identified four main categories of participant responses. Participants described positive aspects, particularly cohesiveness around a shared veteran identity, feeling less alone, accountability, and having others eat healthier and exercise with them. Conversely, relationship-based barriers included other participants’ poor MOVE!+UP group session attendance and engagement, and loved ones’ encouragement of making unhealthy choices. Many described having limited relationships or trouble accessing available support. Lastly, PTSD symptoms were a significant barrier to utilizing social support to facilitate weight loss. Findings suggest future behavioral weight management programs should recruit members with similar backgrounds to capitalize on shared experience, encourage consistent attendance and meaningful participation, deliver education about how to leverage social support from others outside the program, and address mental health symptoms that impede social support and healthy lifestyles.
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影响因子：
3.8
作者：
Dedert, Eric A.;Calhoun, Patrick S.;Watkins, Lana L.;Sherwood, Andrew;Beckham, Jean C.
通讯作者：
Beckham, Jean C.
影响因子：
5.7
作者：
Breland, Jessica Y.;Phibbs, Ciaran S.;Frayne, SusanM.
通讯作者：
Frayne, SusanM.
影响因子：
5.5
作者：
Hall, Katherine S.;Hoerster, Katherine D.;Yancy, William S., Jr.
通讯作者：
Yancy, William S., Jr.
影响因子：
5.4
作者：
Hoerster, Katherine D.;Millstein, Rachel A.;Saelens, Brian E.
通讯作者：
Saelens, Brian E.
影响因子：
3.7
作者：
Campbell SB;Renshaw KD;Kashdan TB;Curby TW;Carter SP
通讯作者：
Carter SP