对身体不满的接受和承诺治疗:系统审查和元分析
Sarah Boyle1, Nicole Dorfan1, Amir A Sepehry1
1Adler University, Vancouver, British Columbia, Canada.
Journal of clinical psychology
|August 1, 2025
概括
接受和承诺疗法 (ACT) 有效地减少了身体不满 (BD),特别是在饮食障碍 (ED) 风险较高的人群中. 在线自助ACT干预措施对减少BD和预防ED特别有希望.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 行为治疗是一种行为疗法.
背景情况:
- 身体不满症 (BD) 是一个日益严重的全球问题,与负面的身体和心理结果有关,包括饮食障碍 (ED).
- 需要有效的干预措施来减少BD和预防相关的健康问题.
- 接受和承诺疗法 (ACT) 已经显示出对身体形象和体重问题的潜力,但它对BD的有效性需要进一步调查.
研究的目的:
- 系统地审查和元分析关于接受和承诺治疗 (ACT) 减少身体不满 (BD) 的有效性现有的数据.
- 评估ACT在患有或没有被诊断为饮食障碍 (ED) 的人群中的疗效.
主要方法:
- 对12项涉及825名参与者 (741人被分析) 的研究进行了系统性审查和元分析,这些研究使用了个人,团体或在线自助ACT干预措施来治疗BD.
- 评估了偏差风险,大多数研究 (75%) 发现风险低至中等.
- 在ACT干预中,平均退学率为23.51%.
主要成果:
- 与对照组相比,ACT在降低BD方面表现出显著的有效性,效果大小中等 (g = 0.556).
- 在易经症高风险的参与者小组 (g = 0.631) 和使用在线自助ACT的参与者小组 (g = 0.563) 中观察到最强的效应.
结论:
- 接受和承诺疗法 (ACT) 是一种有效的治疗方法,可以减少对身体的不满 (BD),特别是在高风险的人群中,并通过在线自助格式进行治疗.
- ACT具有作为预防饮食障碍 (ED) 的预防措施以及作为现有ED治疗的辅助措施的潜力.
- 建议进行进一步的大规模,多样化的国际研究,以证实这些发现,并探索更广泛的应用.
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