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
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
收藏
页码:189 / 204
页数:15
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