Effects of a Cognitive-Behavioral Group Counseling Program on Weight Bias Internalization and Psychological Outcomes Among Obese Youth in Mahasarakham University, Thailand.
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引用次数: 0
Abstract
Background: Weight bias internalization (WBI) is a serious challenge because of its negative impact on psychological consequences. Although the cognitive-behavioral intervention has been applied to reduce WBI, little is known about its effectiveness among Thai obese youth. Thus, this study sought to determine the effects of a cognitive-behavioral group counseling (CBGC) program on WBI and psychological outcomes in obese youths. Study Design: A randomized controlled trial.
Methods: Eighty obese youths were randomly allocated to two intervention (n=40) and control (n=40) groups. The intervention group received a CBGC program in three sessions with ten activities, while the control group performed their usual counseling process. Data were collected through standardized interviewers with a structured interview questionnaire. The chi-square test, independent samples t-test, Mann-Whitney U test, repeated measure ANOVA, and multivariate linear regression were applied for data analyses.
Results: At the follow-up visit, the intervention group had a significant decrease in the mean of WBI, depression, and perceived stress and an increased mean of self-esteem compared to the control group. After adjusting baseline characteristics and baseline outcome values, the intervention also significantly improved WBI (B=-6.82, P<0.001), depression (B=-4.17, P<0.001), perceived stress (B=-6.01, P<0.001), and self-esteem (B=5.07, P<0.001).
Conclusion: The CBGC program effectively reduced WBI, depression, and perceived stress while improving self-esteem among obese youths. This study recommends that group counseling programs be employed as part of a counseling process for obese youth who have experienced WBI.
认知行为团体辅导计划对泰国玛哈沙拉堪大学肥胖青少年体重偏差内化和心理结果的影响》(Effects of a Cognitive-Behavioral Group Counseling Program on Weight Bias Internalization and Psychological Outcomes Among Obese Youth in Mahasarakham University, Thailand)。
背景:体重偏差内化(WBI)是一项严峻的挑战,因为它会对心理后果产生负面影响。虽然认知行为干预已被用于减少体重偏差内化,但人们对其在泰国肥胖青少年中的效果知之甚少。因此,本研究试图确定认知行为团体辅导(CBGC)项目对肥胖青少年的 WBI 和心理后果的影响。研究设计:随机对照试验:80名肥胖青少年被随机分配到干预组(40人)和对照组(40人)。干预组接受CBGC项目,共三节课,包括十项活动,而对照组则进行常规咨询。数据由标准化访谈人员通过结构化访谈问卷收集。数据分析采用了卡方检验、独立样本 t 检验、曼-惠特尼 U 检验、重复测量方差分析和多元线性回归:在随访中,与对照组相比,干预组的WBI、抑郁和感知压力平均值显著下降,自尊平均值上升。在对基线特征和基线结果值进行调整后,干预组也显著改善了WBI(B=-6.82,PPPPC结论:CBGC项目有效降低了WBI:CBGC项目有效降低了肥胖青少年的WBI、抑郁和感知压力,同时提高了他们的自尊心。本研究建议将团体辅导计划作为对经历过 WBI 的肥胖青少年进行辅导的一部分。
期刊介绍:
The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health