Psychological flexibility mediates change in intuitive eating regulation in acceptance and commitment therapy interventions
Autor: | Leila Karhunen, Sanni Lindroos, Katri Peuhkuri, Elina Järvelä-Reijonen, Riitta Korpela, Essi Sairanen, Asko Tolvanen, Elina Mattila, Raimo Lappalainen, Miikka Ermes, Marjukka Kolehmainen |
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Přispěvatelé: | Department of Biochemistry and Developmental Biology |
Rok vydání: | 2017 |
Předmět: |
Male
050103 clinical psychology Mindfulness Hunger Health Behavior Emotions Psychological intervention Intuitive eating Medicine (miscellaneous) 050109 social psychology psychological flexibility Acceptance and commitment therapy Body Mass Index law.invention Eating Overweight/psychology Randomized controlled trial law Surveys and Questionnaires MINDFULNESS Health Education ta515 Nutrition and Dietetics 05 social sciences Flexibility (personality) ylipaino ta3141 ta3142 RANDOMIZED CONTROLLED-TRIAL Middle Aged Research Papers Acceptance and commitment therapy Overweight Female Health education HEALTH Cues Psychology CHRONIC PAIN Clinical psychology Adult ta222 Mediation (statistics) 515 Psychology WEIGHT-LOSS Satiation COHERENCE SCALE SDG 3 - Good Health and Well-being hoitomenetelmät syöminen Humans 0501 psychology and cognitive sciences Obesity Acceptance and Commitment Therapy Life Style Appetite Regulation Eating/psychology COLLEGE-WOMEN Body Weight Public Health Environmental and Occupational Health Overweight FOOD CRAVINGS MODEL FOLLOW-UP Follow-Up Studies Obesity/psychology |
Zdroj: | Public Health Nutr Sairanen, E, Tolvanen, A, Karhunen, L, Kolehmainen, M, Järvelä-Reijonen, E, Lindroos, S, Peuhkuri, K, Korpela, R, Ermes, M, Mattila, E M & Lappalainen, R 2017, ' Psychological flexibility mediates change in intuitive eating regulation in acceptance and commitment therapy interventions ', Public Health Nutrition, vol. 20, no. 9, pp. 1681-1691 . https://doi.org/10.1017/S1368980017000441 |
ISSN: | 1475-2727 1368-9800 |
DOI: | 10.1017/s1368980017000441 |
Popis: | ObjectiveDespite the promising results related to intuitive eating, few studies have attempted to explain the processes encouraging this adaptive eating behaviour. The focus of the present study was on exploring mechanisms of change in intuitive eating and weight in acceptance and commitment therapy (ACT) interventions. Mediation provides important information regarding the treatment processes and theoretical models related to specific treatment approaches. The study investigates whether psychological flexibility, mindfulness skills and sense of coherence mediated the interventions’ effect on intuitive eating and weight.DesignSecondary analysis of a randomized control trial. Mediation analysis compared two ACT interventions – face-to-face (in a group) and mobile (individually) – with a control group using a latent difference score model.SettingsData were collected in three Finnish towns.SubjectsThe participants were overweight or obese (n 219), reporting symptoms of perceived stress.ResultsThe effect of the interventions on participants’ (i) BMI, (ii) intuitive eating and its subscales, (iii) eating for physical rather than emotional reasons and (iv) reliance on internal hunger and satiety cues was mediated by changes in weight-related psychological flexibility in both ACT groups.ConclusionsThese findings suggest that ACT interventions aiming for lifestyle changes mediate the intervention effects through the enhanced ability to continue with valued activities even when confronted with negative emotions and thoughts related to weight. |
Databáze: | OpenAIRE |
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