Highly Successful Weight Control by Formerly Obese Adolescents: A Qualitative Test of the Healthy Obsession Model
Highly Successful Weight Control by Formerly Obese Adolescents: A Qualitative Test of the Healthy Obsession Model
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DOI：
10.1089/chi.2011.0101
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发表时间：
2012-10-01
影响因子：
2.5
通讯作者：
Kirschenbaum, Daniel S.
中科院分区：
文献类型：
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作者：
Gierut, Kristen J.;Pecora, Kristina M.;Kirschenbaum, Daniel S.
背景资料：健康强迫症模型（HOM）表明，成功的体重控制者必须专注于目标行为的规划和执行，以达到和保持健康的体重。例如，在一个实施例中，控制饮食，持续的自我监控）。该模型进一步假定，承诺的体重控制者会感到很大的焦虑或挫折时，失误发生，这反过来，将促使他们恢复目标behaviors.Methods：本研究测试的HOM通过检查的看法和态度的四个非常成功的和四个相对不成功的青少年体重控制者1年后完成浸泡治疗。我们预计，成功的体重控制者，比不成功的体重控制者，会更详细地报告他们对健康强迫症的定义，并描述对潜在和实际失误的更多负面反应。使用版本的Scanlan协作Interview Method.Results and Conclusions：可靠的编码的采访产生的结果，支持的假设，非常成功的体重控制者似乎培养强大的健康的强迫症，包括健康的强迫症的明确定义，提高承诺的基础上的情感影响超重，和负面反应失误。此外，这些青少年体重控制者的动机似乎与精英运动员在运动承诺模型中确定的一些因素相同（例如，情绪和经验的后果;父母，朋友和同龄人的社会支持;机构的影响;和宝贵的机会）。
Background: The Healthy Obsession Model (HOM) suggests that successful weight controllers must develop a preoccupation with the planning and execution of target behaviors to reach and maintain healthy weights (e. g., controlled eating, consistent self-monitoring). This model further posits that committed weight controllers will feel substantial anxiety or frustration when lapses occur, which, in turn, will motivate them to reinstate target behaviors.Methods: The present study tested the HOM by examining the perceptions and attitudes of four very successful and four relatively unsuccessful adolescent weight controllers 1 year after completing immersion treatment. We expected that successful weight controllers, more so than unsuccessful weight controllers, would report more elaborate definitions of their healthy obsessions and describe more negative reactions to potential and actual lapses. In-depth interviews were conducted using a version of the Scanlan Collaborative Interview Method.Results and Conclusions: Reliable coding of the interviews produced results that supported the hypothesis that highly successful weight controllers seem to nurture strong healthy obsessions, including clear definitions of healthy obsessions, heightened commitment based on the emotional impact of excess weight, and negative reactions to lapses. In addition, these adolescent weight controllers seemed motivated by some of the same factors that elite athletes identified in the Sport Commitment Model (e.g., Emotional and Experiential Consequences; Social Support of Parents, Friends, and Peers; Institutional Influences; and Valuable Opportunities).