在强烈的羞耻经历后，智能手机提供的生态瞬时干预饮食失调。

IF 3.8 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2025-08-06 DOI:10.1016/j.appet.2025.108252

Diana-Mirela Nechita , Silviu-Andrei Matu

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引用次数: 0

摘要

目的：强烈的情绪体验与干扰性饮食行为的参与有关，这是公认的，因此探索可以减轻这些行为的实时干预措施至关重要。本研究旨在测试在高度羞耻感时刻进行的基于自我同情的简短干预的效果，使用生态瞬间干预（EMIs）和评估（EMA），在下一个提示时对不安的饮食行为进行干预。方法：将社区中饮食失调症状加重的妇女（N=93）随机分为干预组和对照组，干预组在报告高度羞耻感时通过移动应用程序接受自我同情指导，对照组只监测情绪和饮食行为。两组在一周内每天完成5次情绪和饮食行为评分。结果：与对照组相比，干预组在高羞耻感发作后的身体检查行为显著减少。对于暴食行为，对照组的参与者在羞耻事件后表现出增加，而实验组的参与者表现出稳定的水平，这表明自我同情策略减轻了羞耻对暴食的影响。此外，干预组的参与者在干预的最后几天报告高羞耻感发作的可能性显著降低，这表明日常生活中的羞耻感反应减少。讨论：这些结果强调了有针对性的、实时干预在减少特定饮食失调行为方面的潜力，尽管其他方面可能需要更广泛的策略。该研究强调了个性化、情境敏感方法的重要性，并建议未来的研究应该在更多样化的人群中探索这些方法。

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Smartphone-delivered ecological momentary interventions for disordered eating following intense shame experiences

Objective

It is well-established that intense emotional experiences are associated with the engagement in disturbed eating behaviors, making it crucial to explore real-time interventions that can mitigate these behaviors. This study aimed to test the efficacy of brief self-compassion-based interventions delivered during moments of high shame, using ecological momentary interventions (EMIs) and assessments (EMA), on disturbed eating behaviors at next prompt.

Method

Women with elevated levels of eating disorders symptoms from community (N = 93) were randomized into an intervention group, who received self-compassion instructions via a mobile app when reporting high levels of shame, and a control group that only monitored mood and eating behaviors. Both groups completed mood and eating behaviors ratings 5 times a day for 1 week.

Results

The intervention group showed significant reductions in body checking behaviors following episodes of high shame compared to the control group. For binge eating behaviors, participants in the control group demonstrated an increase following shame events, while the experimental group exhibited stable levels, suggesting that self-compassion strategies mitigated shame's impact on binge eating. Additionally, participants in the intervention group were significantly less likely to report high-shame episodes during the final days of the intervention, suggesting reduced shame reactivity in daily life.

Discussion

These results highlight the potential of targeted, real-time interventions in reducing specific disordered eating behaviors, though broader strategies may be needed for others. The study emphasizes the importance of personalized, context-sensitive approaches and suggests future research should explore these methods in more diverse populations.

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.