An acceptance and commitment therapy and mindfulness group intervention for the psychological and physical well-being of adults with body mass indexes in the overweight or obese range: The Mind&Life randomized controlled trial

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
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Abstract

This trial aimed to assess the effect of an acceptance and commitment therapy (ACT) and mindfulness-based intervention on the various psychological and physical issues associated with obesity. A parallel group randomized controlled trial was conducted with 142 adults with body mass indexes in the overweight or obesity range seeking treatment. Participants were assigned either to the ACT and mindfulness-based group intervention (Mind&Life intervention) plus treatment as usual (TAU) or the TAU-only condition. Individuals receiving the Mind&Life intervention with TAU showed more adherence to the Mediterranean diet, and greater decrease in external eating, weight, and visceral fat both at posttreatment and at 6-month follow-up. Moreover, they displayed a greater reduction in total protein and animal protein intake and GPT enzymes level. By 6-month follow-up, the Mind&Life group experienced a lower impact of weight on quality of life than TAU participants. However, Mind&Life intervention completers showed greater restrained eating levels at follow-up. Overall, this study suggests that an ACT and mindfulness-based group intervention could produce improvements in the impact of weight on quality of life, some eating behaviors, dietary habits, and weight and body composition parameters of people facing weight-related challenges.

针对体重指数在超重或肥胖范围内的成年人的心理和生理健康的接受与承诺疗法和正念小组干预:心灵与生活随机对照试验
这项试验旨在评估接受与承诺疗法(ACT)和正念干预对与肥胖有关的各种心理和生理问题的影响。研究人员对 142 名体重指数在超重或肥胖范围内的成年人进行了平行分组随机对照试验。参与者被分配到ACT和正念小组干预(Mind&Life干预)加常规治疗(TAU)或仅TAU的条件下。在治疗后和6个月的随访中,接受心灵&生活干预和TAU的人更坚持地中海饮食,外食、体重和内脏脂肪的减少幅度也更大。此外,他们的总蛋白和动物蛋白摄入量以及 GPT 酶水平也有较大降低。在 6 个月的随访中,Mind&Life 组体重对生活质量的影响低于 TAU 组。不过,Mind&Life 干预完成者在随访中表现出更高的节制饮食水平。总之,这项研究表明,以 ACT 和正念为基础的小组干预可以改善体重对生活质量的影响、一些饮食行为、饮食习惯以及面临体重相关挑战的人的体重和身体成分参数。
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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
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