针对暴饮暴食的基于正念的干预措施:更新的系统审查和元分析
Jianyi Liu1,2, Mara Tynan3, Alexandra Mouangue4
1Department of Psychological and Brain Sciences, Drexel University, Stratton Hall, 3201 Chestnut Street, Philadelphia, PA, 19104, USA. jl4528@drexel.edu.
Journal of behavioral medicine
|February 20, 2025
概括
基于正念的干预措施 (MBI) 有效地减少了暴饮暴食,与没有治疗相比,显示了中大效应. 辩证行为疗法 (DBT) 和有针对性的干预措施显示为未来研究最有前途.
科学领域:
- 心理学 心理学 心理学
- 行为科学 行为科学
- 临床心理学 临床心理学
背景情况:
- 基于正念的干预 (MBI) 越来越多地用于过度饮食障碍.
- 以前的审查表明,MBI对减少暴饮暴食有显著影响.
- 由于MBI研究的快速增长,需要进行更新的审查.
研究的目的:
- 提供关于MBI对暴饮暴食有效性的十年更新.
- 系统地审查和对过去十年发表的研究进行元分析.
- 将MBI与非心理和积极心理对照进行比较.
主要方法:
- 搜索了PubMed,PsycINFO和科学网的相关研究.
- 包括关键词:暴饮暴食,过度饮食,正念,冥想,DBT,ACT,正念饮食.
- 进行了对跨组效应大小的随机效应元分析.
主要成果:
- 10年来,MBI对暴饮暴食的研究显著增加,从19到54.
- 与非心理学对照对照相比,MBI显示了中大效应 (Hedge的g = -0.65后, -0.71后续).
- 对于MBI与积极的心理对照发现了微不足道的效应 (Hedge的g = -0.05后,0.13后续).
- 辩证行为疗法 (DBT) 和直接针对暴饮暴食的干预措施显示出更大的效果.
- 最近的研究包括了国际参与者,专注于超重/肥胖,并纳入了自助/技术.
结论:
- MBIs有效地减少了暴饮暴食,特别是与没有干预相比.
- 未来的研究应该专注于与积极的心理干预和更长的随访期进行直接比较.
- 需要进一步的元分析来探索不同的MBI类型和目标.
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