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
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