A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults

被引：68

作者：

Griffiths C. ^{[1
]}

Williamson H. ^{[1
]}

Zucchelli F. ^{[1
]}

Paraskeva N. ^{[1
]}

Moss T. ^{[1
]}

机构：

[1] Centre for Appearance Research, University of the West of England (UWE), Frenchay Campus, Coldharbour Lane, Bristol

来源：

Journal of Contemporary Psychotherapy | 2018年 / 48卷 / 4期

关键词：

Acceptance and Commitment Therapy; ACT; Adults; Body image; Weight self-stigma;

D O I：

10.1007/s10879-018-9384-0

中图分类号：

学科分类号：

摘要：

Body image dissatisfaction (BID) and weight self-stigma are prevalent and associated with physical and psychological ill-health. Acceptance and Commitment Therapy (ACT) is increasingly employed for both, yet little is known about its effectiveness. Searches of 12 databases identified six studies using online, face-to-face or self-help ACT interventions for BID or weight self-stigma, of varying duration and intensity. Their effectiveness and quality were evaluated. Two reported improved BID, three improved weight self-stigma, and one reported no impact on weight self-stigma. Methodological issues (small sample sizes, lack of allocation concealment, attention control and long-term follow up) impacted the validity of findings. Due to the small number of studies and poor study quality, the effectiveness of ACT for BID and weight self-stigma remains unclear. Nonetheless findings suggest psychological flexibility may facilitate reduction in BID and weight self-stigma and indicate that brief online as well as lengthy face-to-face delivery may be useful. Suggestions for further research are made. © 2018, The Author(s).

引用

页码：189 / 204

页数：15

共 55 条

[1]

Alleva J.M., Sheeran P., Webb T.L., Martijn C., Miles E., A meta-analytic review of stand-alone interventions to improve body image, PLoS ONE, 10, 9, (2015)

[2]

Baer R.A., Smith G.T., Hopkins J., Krietemeyer J., Toney L., Using self-report assessment methods to explore facets of mindfulness, Assessment, 13, 1, (2006)

[3]

Bessenoff G.R., Snow D., Absorbing society’s influence: Body image self-discrepancy and internalized shame, Sex Roles, 54, pp. 727-731, (2006)

[4]

Bond F.W., Bunce D., The role of acceptance and job control in mental health, job satisfaction, and work performance, Journal of Applied Psychology, 88, 6, (2003)

[5]

Bucchianeri M.M., Newmark-Sztainer D., Body dissatisfaction: An overlooked public health concern, Journal of Public Mental Health, 13, pp. 64-69, (2014)

[6]

Carels R.A., Young K.M., Wott C.B., Harper J., Gumble A., Oehlof M.W., Clayton A.M., Weight bias and weight loss treatment outcomes in treatment-seeking adults, Annals of Behavioral Medicine, 37, pp. 350-355, (2009)

[7]

Cash T.F., Fleming E.C., The impact of body image experiences: Development of the body image quality of life inventory, International Journal of Eating Disorders, 31, 4, pp. 455-460, (2002)

[8]

Castilho P., Pinto-Gouveia J., Duarte J., Evaluating the multifactor structure of the long and short versions of the self-compassion scale in a clinical sample, Journal of Clinical Psychology, 71, 9, pp. 856-870, (2015)

[9]

Cohen J., Statistical power analysis for the behavioral sciences, (1977)

[10]

Cooper P.J., Taylor M.J., Cooper Z., Fairbum C.G., The development and validation of the body shape questionnaire, International Journal of Eating Disorders, 6, pp. 485-494, (1987)

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