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Emotion suppression and acute physiological responses to stress in healthy populations: a quantitative review of experimental and correlational investigations. 健康人群对压力的情绪抑制和急性生理反应:实验和相关调查的定量回顾。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-08-30 DOI: 10.1080/17437199.2023.2251559
Alexandra T Tyra, Thomas A Fergus, Annie T Ginty

Emotion suppression may be linked to poor health outcomes through elevated stress-related physiology. The current meta-analyses investigate the magnitude of the association between suppression and physiological responses to active psychological stress tasks administered in the laboratory. Relevant articles were identified through Medline, PsychINFO, PubMed, and ProQuest. Studies were eligible if they (a) used a sample of healthy, human subjects; (b) assessed physiology during a resting baseline and active psychological stress task; and (c) measured self-report or experimentally manipulated suppression. Twenty-four studies were identified and grouped within two separate random effects meta-analyses based on study methodology, namely, manipulated suppression (k = 12) and/or self-report (k = 14). Experimentally manipulated suppression was associated with greater physiological stress reactivity compared to controls (Hg = 0.20, 95% CI [0.08, 0.33]), primarily driven by cardiac, hemodynamic, and neuroendocrine parameters. Self-report trait suppression was not associated with overall physiological stress reactivity but was associated with greater neuroendocrine reactivity (r = 0.08, 95% CI [0.01, 0.14]). Significant moderator variables were identified (i.e., type/duration of stress task, nature of control instructions, type of physiology, and gender). This review suggests that suppression may exacerbate stress-induced physiological arousal; however, this may differ based upon the chosen methodological assessment of suppression.

情绪抑制可能会通过压力相关生理机能的升高而与不良的健康结果相关联。目前的荟萃分析调查了情绪抑制与实验室主动心理压力任务生理反应之间的关联程度。相关文章通过 Medline、PsychINFO、PubMed 和 ProQuest 进行鉴定。符合以下条件的研究均可作为研究对象:(a) 使用健康的人类受试者样本;(b) 评估静息基线和主动心理压力任务期间的生理状况;(c) 测量自我报告或实验操纵的抑制。根据研究方法,即操纵性抑制(k = 12)和/或自我报告(k = 14),确定了 24 项研究,并将其归入两个独立的随机效应荟萃分析中。与对照组相比,实验操纵抑制与更大的生理压力反应相关(Hg = 0.20,95% CI [0.08,0.33]),主要由心脏、血液动力学和神经内分泌参数驱动。自我报告的特质抑郁与总体生理压力反应性无关,但与更大的神经内分泌反应性相关(r = 0.08,95% CI [0.01,0.14])。研究发现了一些重要的调节变量(即压力任务的类型/持续时间、控制指示的性质、生理类型和性别)。这篇综述表明,抑制可能会加剧压力引起的生理唤醒;但是,这可能会根据所选择的抑制方法评估而有所不同。
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引用次数: 0
Mindfulness enhances cognitive functioning: a meta-analysis of 111 randomized controlled trials. 正念增强认知功能:111项随机对照试验的荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-08-30 DOI: 10.1080/17437199.2023.2248222
Nur Hani Zainal, Michelle G Newman

Background: Currently no comprehensive meta-analysis of MBI efficacy on global and unique cognitive subdomains exist.

Method: Examined the effects of MBIs on global cognition and 15 cognitive subdomains. Inclusion criteria: meditation naïve participants; randomized controlled trial; outcome included one objective or subjective cognitive functioning measure; primary focus was teaching mindfulness skills. Exclusion criteria: inadequate data; one-session ; control condition contained any MBI component. Robust variance estimation and moderator analyses controlling for presence of treatment fidelity were conducted.

Results: One-hundred-and-eleven RCTs (n = 9,538) met eligibility criteria. MBIs had small-to-moderate significant effects on global cognition, executive attention, working memory accuracy, inhibition accuracy, shifting accuracy, sustained attention, and subjective cognitive functioning (vs. waitlist/no-treatment, g = 0.257-0.643; vs. active controls, g = 0.192-0.394). MBIs did not impact executive functioning (EF) latency indices, verbal fluency, processing speed, episodic memory, and cognitive error. Treatment effects were stronger for those with elevated psychiatric symptoms vs. healthy controls, and medical samples, studies with complete-case (vs. intention-to-treat) analysis, face-to-face (vs. self-guided) delivery, and non-standard (vs. standard MBI).

Conclusion: MBIs consistently yielded small-to-moderate yet practically meaningful effect sizes on global cognition and six cognitive subdomains that captured accuracy vs. latency-based indices of EF and sustained accuracy.

背景:目前还没有关于MBI在全球和独特认知亚领域疗效的综合荟萃分析。方法:考察MBI对全球认知和15个认知亚域的影响。入选标准:冥想天真的参与者;随机对照试验;结果包括一个客观或主观的认知功能测量;主要的重点是教授正念技能。排除标准:数据不足;一次会议;对照条件包含任何MBI成分。对治疗保真度的存在进行了稳健方差估计和调节因子分析。结果:一百一十一项随机对照试验(n = 9538)符合资格标准。MBI对全局认知、执行注意力、工作记忆准确性、抑制准确性、转移准确性、持续注意力和主观认知功能有小到中等的显著影响(与等待名单/不治疗相比,g=0.27-0.643;与主动对照相比,g = 0.192-0.394)。MBI不影响执行功能(EF)潜伏期指数、语言流利性、处理速度、情景记忆和认知错误。与健康对照组、医学样本、具有完整病例(与治疗意向)分析的研究、面对面(与自我指导)交付相比,精神症状加重的患者的治疗效果更强,和非标准(与标准MBI相比)。结论:MBI对全局认知和六个认知子域始终产生小到中等但实际有意义的影响,这些认知子域捕捉了EF和持续准确性的准确性与基于延迟的指数。
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引用次数: 0
The effectiveness of psychological interventions for reducing poor body image in endometriosis, PCOS and other gynaecological conditions: a systematic review and meta-analysis. 心理干预对减少子宫内膜异位症、多囊卵巢综合症和其他妇科疾病患者不良身体形象的有效性:系统综述和荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-09-07 DOI: 10.1080/17437199.2023.2245020
Melissa J Pehlivan, Kerry A Sherman, Viviana Wuthrich, Esther Gandhi, Dino Zagic, Emily Kopp, Valentina Perica

Gynaecological conditions (e.g., endometriosis, PCOS) result in bodily changes that negatively impact body image. Psychological interventions (e.g., CBT, psychoeducation) have shown promise in reviews with the general population for alleviating body image concerns. This systematic review and meta-analysis aims to provide asynthesis of the impact of psychological interventions for reducing body image concerns for individuals with gynaecological conditions. Electronic databases were searched for relevant psychological intervention studies with body image outcomes. Twenty-one eligible studies were included in the systematic review (ten were included in a random-effects meta-analysis). Studies included participants (N = 1483, M = 71.85, SD = 52.79) with a range of gynaecological conditions, ages (Mage = 35.08, SD = 12.17) and cultural backgrounds. Most included studies reported at least one positive effect with the meta-analysis indicating psychological interventions were moderately superior to control conditions for reducing body image concerns (SMD -.41, 95% CI [-0.20 -0.62]). However, there was a high risk of bias and moderate heterogeneity. Results suggest psychological interventions may hold promise for reducing body image concerns among individuals gynaecological conditions in the short term. Further, preliminary support was found for the use of theory-guided psychological interventions delivered in group settings in particular, with further research needed on optimal intervention length and particular psychotherapeutic approach.

妇科疾病(如子宫内膜异位症、多囊卵巢综合症)会导致身体变化,从而对身体形象产生负面影响。心理干预(如 CBT、心理教育)在对普通人群的回顾中显示出缓解身体形象问题的前景。本系统综述和荟萃分析旨在综合分析心理干预对减轻妇科疾病患者身体形象问题的影响。我们在电子数据库中搜索了与身体形象结果相关的心理干预研究。21项符合条件的研究被纳入系统综述(10项被纳入随机效应荟萃分析)。研究纳入了不同妇科疾病、年龄(Mage = 35.08,SD = 12.17)和文化背景的参与者(N = 1483,M = 71.85,SD = 52.79)。大多数纳入的研究都报告了至少一项积极效果,荟萃分析表明,在减少身体形象问题方面,心理干预的效果略优于对照组(SMD -.41,95% CI [-0.20 -0.62])。然而,该研究存在较高的偏倚风险和中等程度的异质性。研究结果表明,心理干预可能有望在短期内减轻妇科疾病患者对身体形象的担忧。此外,研究还初步支持使用理论指导下的心理干预,尤其是在团体环境中进行干预,但还需要进一步研究最佳干预时间和特定的心理治疗方法。
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引用次数: 0
Identifying the active ingredients of training interventions for healthcare professionals to promote and support increased levels of physical activity in adults with heart failure: a systematic review. 确定医护人员培训干预措施的有效成分,以促进和支持心力衰竭成人增加体育锻炼:系统综述。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-08-13 DOI: 10.1080/17437199.2023.2238811
Kirsten Ashley, Mei Yee Tang, Darren Flynn, Matthew Cooper, Linda Errington, Leah Avery

Heart failure (HF) is characterised by breathlessness and fatigue that impacts negatively on patients' intentions to prioritise physical activity (PA). Healthcare professionals (HCPs) experience challenges when motivating patients to increase PA. It is essential to develop an understanding of how to support HCPs to deliver PA interventions. We aimed to identify active ingredients of HCP training interventions to enable delivery of PA interventions to HF patients. Nine databases were searched. Data were extracted on study characteristics, active ingredients, outcomes, and fidelity measures. Data were synthesised narratively, and a promise analysis was conducted on intervention features. Ten RCTs, which reported a training intervention for HCPs were included (N = 22 HCPs: N = 1,414 HF patients). Two studies reported the use of theory to develop HCP training. Seven behaviour change techniques (BCTs) were identified across the 10 training interventions. The most 'promising' BCTs were 'instruction on how to perform the behaviour' and 'problem solving'. Two studies reported that HCP training interventions had been formally evaluated. Fidelity domains including study design, monitoring and improving the delivery of treatment, intervention delivery, and provider training were infrequently reported. Future research should prioritise theory-informed development and robust evaluation of training interventions for HCPs to enable faithful and quality delivery of patient interventions.

心力衰竭(HF)的特点是呼吸困难和疲劳,这对患者优先进行体育锻炼(PA)的意愿产生了负面影响。医护人员(HCPs)在激励患者增加体力活动时会遇到困难。因此,了解如何支持医护人员实施体育锻炼干预措施至关重要。我们旨在确定医护人员培训干预措施的有效成分,以便为高血压患者提供 PA 干预措施。我们检索了九个数据库。提取了有关研究特点、有效成分、结果和忠实度测量的数据。对数据进行了叙述性综合,并对干预特点进行了承诺分析。共纳入了 10 项 RCT 研究,这些研究报告了针对保健医生的培训干预措施(N = 22 名保健医生:N = 1,414 名高血压患者)。有两项研究报告称使用了理论来开展 HCP 培训。在 10 项培训干预措施中发现了 7 种行为改变技术 (BCT)。最 "有前途 "的 BCT 是 "指导如何实施行为 "和 "解决问题"。有两项研究报告称,已对 HCP 培训干预措施进行了正式评估。包括研究设计、监测和改进治疗实施、干预实施和提供者培训在内的 "忠实性 "领域很少被报道。未来的研究应优先考虑在理论指导下开发和稳健评估针对初级保健人员的培训干预措施,以确保忠实和高质量地实施患者干预措施。
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引用次数: 0
App-based interventions to improve cancer outcomes rely on informational support from professionals: a systematic review. 基于应用程序的干预措施改善癌症治疗效果有赖于专业人士的信息支持:系统综述。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-05-16 DOI: 10.1080/17437199.2024.2349617
Karoline Villinger, Corina Berli, Urte Scholz

The importance of social support for cancer patients is well-established, and mobile applications hold promise for implementation. This systematic review examines app-based interventions with social support components for cancer patients, investigating the use of different support functions from different sources and the impact on cancer-related symptoms and psychological outcomes. A systematic search across five databases (EMBASE, Scopus, PsycINFO, PubMed, Web of Science) yielded 449 records, of which 17 studies (12 controlled designs) were included. Two independent reviewers extracted data and assessed study quality, revealing a high risk of bias across studies. Social support was implemented through different app functions, including contact/chat functions (n = 9), automatic alerts based on app input (n = 6) and discussion forums (n = 5). Social support predominantly focused on informational support (n = 17), mostly from healthcare professionals. Emotional support was less common (n = 7). Results indicated some promising intervention effects for pain, fatigue, nausea/vomiting, insomnia, constipation and overall symptom distress, but heterogeneous effects for health-related quality of life. Overall, results were mixed, but indicate that mobile apps incorporating social support may hold promise for cancer patients. However, future studies should focus on measuring and reporting social support as an intervention mechanism to systematically investigate its specific impact and improve effectiveness.HighlightsApps for cancer patients predominantly include informational social supportEmotional social support is substantially less frequently includedApps focus on formal support sources like healthcare professionalsFirst results are somewhat promising for improving cancer-related symptoms.

社会支持对癌症患者的重要性已得到公认,而移动应用程序则有望在这方面发挥作用。本系统性综述研究了针对癌症患者的带有社会支持内容的应用程序干预措施,调查了不同来源的不同支持功能的使用情况以及对癌症相关症状和心理结果的影响。通过对五个数据库(EMBASE、Scopus、PsycINFO、PubMed、Web of Science)进行系统检索,共获得 449 条记录,其中纳入了 17 项研究(12 项对照设计)。两位独立审稿人提取了数据并对研究质量进行了评估,结果显示各研究存在较高的偏倚风险。社交支持通过不同的应用功能实现,包括联系/聊天功能(9 项)、基于应用输入的自动提醒(6 项)和论坛(5 项)。社会支持主要集中在信息支持(17 人),大部分来自医疗保健专业人员。情感支持较少(7 人)。结果表明,对疼痛、疲劳、恶心/呕吐、失眠、便秘和总体症状困扰的干预效果良好,但对健康相关生活质量的干预效果不一。总之,研究结果参差不齐,但表明包含社会支持的手机应用可能会给癌症患者带来希望。亮点针对癌症患者的应用程序主要包括信息性社会支持情感性社会支持较少包括在内应用程序主要集中在正式的支持来源,如医疗保健专业人员初步结果对改善癌症相关症状有一定的帮助。
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引用次数: 0
Tobacco use, trauma exposure and PTSD: a systematic review. 烟草使用、创伤暴露和创伤后应激障碍:系统综述。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-05-06 DOI: 10.1080/17437199.2024.2330896
Alina Shevorykin, Bridget M Hyland, Daniel Robles, Mengjia Ji, Darian Vantucci, Lindsey Bensch, Hannah Thorner, Matthew Marion, Amylynn Liskiewicz, Ellen Carl, Jamie S Ostroff, Christine E Sheffer

Tobacco use remains one of the most significant preventable public health problems globally and is increasingly concentrated among vulnerable groups, including those with trauma exposure or diagnosed with PTSD. The goal of this systematic review was to update and extend previous reviews. Of the 7224 publications that met the initial criteria, 267 were included in the review. Summary topic areas include conceptual frameworks for the relation between trauma or PTSD and tobacco use; associations between trauma exposure or PTSD and tobacco use; number and type of trauma exposures and tobacco use; PTSD symptoms and tobacco use; Treatment-related studies; and the examination of causal relations. Evidence continues to indicate that individuals exposed to trauma or diagnosed with PTSD are more likely to use tobacco products, more nicotine dependent and less likely to abstain from tobacco even when provided evidence-based treatments than individuals without trauma. The most commonly cited causal association proposed was use of tobacco for self-regulation of negative affect associated with trauma. A small proportion of the studies addressed causality and mechanisms of action. Future work should incorporate methodological approaches and measures from which we can draw causal conclusions and mechanisms to support the development of viable therapeutic targets.

烟草使用仍然是全球最重要的可预防公共卫生问题之一,而且越来越多地集中在弱势群体中,包括有创伤暴露或被诊断患有创伤后应激障碍的人群。本系统综述的目的是更新和扩展之前的综述。在符合初始标准的 7224 篇出版物中,有 267 篇被纳入综述。综述主题领域包括创伤或创伤后应激障碍与烟草使用之间关系的概念框架;创伤暴露或创伤后应激障碍与烟草使用之间的关联;创伤暴露与烟草使用的数量和类型;创伤后应激障碍症状与烟草使用;治疗相关研究;以及因果关系研究。有证据继续表明,与未受过创伤的人相比,受过创伤或被诊断患有创伤后应激障碍的人更有可能使用烟草制品,对尼古丁的依赖性更强,即使接受了循证治疗,戒烟的可能性也更小。最常被提及的因果关系是使用烟草来自我调节与创伤相关的负面情绪。只有一小部分研究探讨了因果关系和作用机制。未来的工作应包括方法学方法和测量方法,我们可以从中得出因果结论和机制,以支持开发可行的治疗目标。
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引用次数: 0
Development of the social dimensions of health behaviour framework. 制定健康行为的社会层面框架。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-28 DOI: 10.1080/17437199.2024.2339329
Ryan E Rhodes, Mark R Beauchamp

ABSTRACTDespite rapid theoretical expansion in conceptualising individual and environmental processes, the examination of social processes associated with health behaviours has a less cohesive theoretical landscape. The purpose of this mapping review and content analysis was to develop a taxonomy of social dimensions applicable to health behaviours. Michie et al. (2014) 'ABC of Theories of Behaviour Change' text, which includes 83 behaviour change theories, was used as the data-set, whereby an iterative concurrent content analysis was undertaken with respect to all relational/interpersonal psychological dimensions. The analysis resulted in a social dimensions of health behaviour (SDHB) framework of 10 dimensions, including seven sub-types of social appraisal dimensions and three-sub-types of social identification dimensions. The SDHB revealed that specific dimensions, such as descriptive norm, are prevalent in behavioural theories, while other dimensions have seen less attention. Further, while most social constructs in behavioural theories are represented by only one social dimension in the SDHB, other constructs have complex representation. This version 1.0 of the SDHB framework should assist in specifying the core social dimensions in health behaviour, provide a common lexicon to discuss relational constructs in psychological theories, amalgamate the disparate social constructs literature and identify opportunities for further research to advance theory development and interventions.

摘要尽管在个人和环境过程概念化方面的理论发展迅速,但对与健康行为相关的社会过程的研究却没有形成一个统一的理论体系。本图谱综述和内容分析的目的是对适用于健康行为的社会维度进行分类。Michie 等人(2014 年)的 "行为改变理论 ABC "文本包含 83 种行为改变理论,我们将其作为数据集,对所有关系/人际心理维度进行迭代并发内容分析。分析得出了一个包含 10 个维度的健康行为社会维度(SDHB)框架,其中包括 7 个社会评价维度子类型和 3 个社会认同维度子类型。健康行为社会维度框架揭示了行为理论中普遍存在的特定维度,如描述性规范,而其他维度则较少受到关注。此外,行为理论中的大多数社会建构在 SDHB 中只体现为一个社会维度,而其他建构则体现为复杂的维度。SDHB 框架的 1.0 版本应有助于明确健康行为中的核心社会维度,为讨论心理学理论中的关系建构提供通用词汇,整合不同的社会建构文献,并确定进一步研究的机会,以推进理论发展和干预措施。
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引用次数: 0
A systematic review of the studies testing the integrated motivational-volitional model of suicidal behaviour 对测试自杀行为的动机-意志综合模式的研究进行系统回顾
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-16 DOI: 10.1080/17437199.2024.2336013
Kenvil Souza, Edward M. Sosu, Scott Thomson, Susan Rasmussen
Despite the influence of the integrated motivational-volitional (IMV)1 model on research and practice, the supporting literature has not been systematically synthesised. This systematic review aims...
尽管综合动机-意志(IMV)1 模式对研究和实践产生了影响,但支持该模式的文献尚未得到系统的综合。本系统综述旨在...
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引用次数: 0
Mindfulness-based psychosocial interventions and psychological wellbeing in cancer survivorship: a meta-analysis. 以正念为基础的心理干预和癌症幸存者的心理健康:一项荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-01 DOI: 10.1080/17437199.2024.2336014
Rachel Telles, Brendan M Whitney, Sarah Froelich, Susan K Lutgendorf

Purpose: Among cancer survivors, mindfulness-based interventions appear promising in decreasing distress for cancer patients, but little attention has been paid to the ultimate mindfulness goal of increasing psychological wellbeing. This meta-analysis aims to summarise and synthesise available evidence concerning the effectiveness of MBIs on positive psychological outcomes reflecting key aspects of psychological wellbeing in heterogeneous cancer patients.

Methods: A literature search of mindfulness-based randomised clinical trials in cancer survivors was conducted across six electronic databases. Two reviewers independently screened studies and extracted data. Meta-analyses were conducted using R; standardised mean difference (SMD) was used to determine intervention effect. Moderators examined included therapeutic orientation, control group type, treatment modality, treatment target, heterogeneous vs. homogeneous cancer type, and facet of wellbeing.

Results: Thirty-one studies were included (N = 2651). Those who received mindfulness-based interventions reported significantly higher eudaimonic, hedonic, and social wellbeing than respondents in control groups (SMD = 0.599). Interventions were equally effective across therapeutic orientation, control group type, treatment modality and treatment target. There were trend level differences favouring homogeneous cancer diagnosis groups over heterogeneous diagnosis groups.

Conclusion: MBIs provide an effective treatment for increasing psychological wellbeing in cancer survivors. This finding has important implications for clinical practice.

目的:在癌症幸存者中,以正念为基础的干预措施在减少癌症患者的痛苦方面似乎很有前景,但很少有人关注正念的最终目标--提高心理健康水平。本荟萃分析旨在总结和归纳有关正念干预对积极心理结果的有效性的现有证据,这些积极心理结果反映了不同癌症患者心理健康的关键方面:在六个电子数据库中对癌症幸存者中基于正念的随机临床试验进行了文献检索。两名审稿人独立筛选研究并提取数据。使用R进行元分析;使用标准化平均差(SMD)确定干预效果。研究的调节因素包括治疗方向、对照组类型、治疗方式、治疗目标、异质癌症类型与同质癌症类型,以及幸福感的方方面面:结果:共纳入 31 项研究(N = 2651)。与对照组受访者相比,接受正念干预的受访者报告的幸福感、享乐感和社会幸福感明显更高(SMD = 0.599)。不同治疗方向、对照组类型、治疗方式和治疗目标的干预效果相同。同质癌症诊断组优于异质诊断组的趋势水平存在差异:MBIs是提高癌症幸存者心理健康的有效治疗方法。这一发现对临床实践具有重要意义。
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引用次数: 0
SWIPE: a conceptual, multi-perspective model for understanding and informing interventions for weight stigma in preconception, pregnancy, and postpartum. SWIPE:一个概念性、多视角模型,用于理解和指导针对孕前、孕期和产后体重污名的干预措施。
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-01 DOI: 10.1080/17437199.2024.2333801
Haimanot Hailu, Helen Skouteris, Angela C Incollingo Rodriguez, Briony Hill

Weight stigma is salient across the preconception, pregnancy, and postpartum (PPP) periods because of prevailing prescriptive norms and expectations about weight and weight gain during the reproductive period. Weight stigma is associated with negative physical and psychological health outcomes for mother and child. A clearly defined, multi-level conceptual model for interventions, research, and policy is critical to mitigating the adverse effects of weight stigma in PPP populations. Conceptual models of weight stigma towards PPP women have advanced our understanding of this issue and guided evidence accumulation but there remains a gap in informing the translation of evidence into action. Guided by evidence-based paradigms for conceptual model development, this paper has two primary objectives. First, we review and summarise theories, frameworks, and models from the PPP population and general literature to inform our understanding of the development and perpetuation of weight stigma for PPP women. Second, we propose a novel comprehensive intervention-guiding conceptual model that draws from and synthesises across multiple disciplines - the SWIPE (Stigma of Weight In the PPP Experience) model. This conceptual model will help to plan coordinated, multi-layered, and effective strategies to reduce and ultimately eliminate weight stigma for PPP women.

在孕前、孕期和产后(PPP)期间,由于对生育期体重和体重增加的普遍规定性规范和期望,体重鄙视现象十分突出。体重烙印与母婴的负面身心健康结果有关。一个定义明确、多层次的干预、研究和政策概念模型对于减轻体重鄙视在 PPP 群体中的不利影响至关重要。针对 PPP 妇女的体重鄙视概念模型促进了我们对这一问题的理解,并指导了证据的积累,但在将证据转化为行动方面仍存在差距。在以证据为基础的概念模型开发范式的指导下,本文有两个主要目标。首先,我们回顾并总结了 PPP 群体和一般文献中的理论、框架和模型,以帮助我们理解 PPP 女性体重成见的发展和延续。其次,我们提出了一个新颖的综合干预指导概念模型--SWIPE(PPP 经验中的体重污名化)模型,该模型借鉴并综合了多个学科的知识。这一概念模型将有助于规划协调、多层次和有效的策略,以减少并最终消除 PPP 妇女的体重污名化。
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