Acceptance and Commitment Therapy for Body Dissatisfaction: A Systematic Review and Meta-Analysis

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology Pub Date : 2025-08-01 DOI:10.1002/jclp.70021

Sarah Boyle, Nicole Dorfan, Amir A. Sepehry

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引用次数: 0

Abstract

Introduction

Body dissatisfaction (BD) is increasing internationally and is associated with a range of physical and psychological negative outcomes, including eating disorders (ED). As a result, there is a great need to identify treatments that reduce BD to intervene and prevent these outcomes. Acceptance and commitment therapy (ACT) has been employed for body image and weight concerns. However, there is limited data on the efficacy of ACT in reducing BD.

Objective

To evaluate the efficacy of ACT on measures of BD in those with or without a diagnosable ED.

Methods

A systematic review and meta-analysis were conducted, including 12 studies that utilized individual, group, or online self-help ACT interventions targeting BD (N = 825; analyzed at the end of interventions N = 741).

Results

ACT was efficacious in decreasing BD compared to control groups with a significant medium effect size in the full sample (k = 12, g = 0.556, 95% CI = [0.35, 0.77], p < 0.001, I² = 45.61). The strongest effect sizes were produced by subgroups of participants who were at high risk for EDs (k = 6, g = 0.631, p < 0.001), and those who received ACT via online self-help forums (k = 3, g = 0.563, p < 0.005). A majority of studies (75%) had low to medium risk of bias. The mean dropout rate across ACT interventions was 23.51%.

Discussion

These results demonstrate that ACT is efficacious in BD reduction, particularly in those with high BD, at risk for developing EDs, and in the form of online self-help. ACT, therefore, shows potential as a prevention program, in addition to augmenting existing multidisciplinary treatments for ED patients. Due to limitations of this meta-analysis, further research should investigate a greater volume of large-scale trials from diverse populations across the globe.

Abstract Image

查看原文本刊更多论文

身体不满意的接受与承诺治疗：系统回顾与元分析。

身体不满（BD）在国际上日益增加，并与一系列生理和心理的负面结果相关，包括饮食失调（ED）。因此，有必要确定减少双相障碍的治疗方法来干预和预防这些结果。接受和承诺疗法（ACT）已被用于身体形象和体重问题。然而，ACT在减少BD方面的疗效数据有限。目的：评估ACT对有或没有诊断性ed的患者的BD测量的疗效。方法：进行了系统回顾和荟萃分析，包括12项研究，利用个人、团体或在线自助ACT干预针对BD (N = 825；N = 741)。结果：与对照组相比，ACT有效降低BD，在全样本中具有显著的中等效应（k = 12, g = 0.556, 95% CI = [0.35, 0.77], p 2 = 45.61）。讨论：这些结果表明ACT在减少双相障碍方面是有效的，特别是对那些高双相障碍、有发展为双相障碍风险的人，以及以在线自助的形式。因此，ACT显示出作为一个预防项目的潜力，除了增加现有的ED患者的多学科治疗。由于该荟萃分析的局限性，进一步的研究应该调查来自全球不同人群的更大量的大规模试验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.40

自引率

3.30%

发文量

177

期刊介绍： Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.