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Cross-condition risk and protective factors for psychosocial distress in parents and carers of children and young people with appearance-affecting conditions and injuries 患有影响外观的疾病和受伤的儿童和青少年的父母和照护者心理社会困扰的交叉条件风险和保护因素
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-11 DOI: 10.1016/j.bodyim.2024.101768
Maia Thornton , Diana Harcourt , Toity Deave , James Kiff , Paul White , Heidi Williamson

Alongside typical parenting challenges, initial condition-specific research suggests thadifferent experiences and support needs.t parents of children with different visible differences may experience similar psychosocial difficulties. Despite this, large-scale cross-condition research to identify risk and protective factors for parental distress and psychosocial adjustment has been lacking. Two hundred and nine parents and carers of children with a range of visible differences completed an online survey comprised of standardised outcome measures, study-specific measures, and open-ended questions. Multiple regression modelling identified possible risk and protective factors, and data collected via open-ended questions were analysed using content analysis. Findings support themes previously identified in small-scale cross-condition qualitative research with parents of children with visible differences. Risk factors for parental negative affect and stress included parental reports of the noticeability of their child’s visible difference and teasing. Protective factors included good parent-child communication, self-compassion, knowledge of their child’s condition and satisfaction with treatment. The risk and protective factors identified provide important insight into the experiences of this parent population and indicate possible avenues for psychosocial intervention.

除了典型的养育挑战外,针对具体情况的初步研究表明,具有不同明显差异的儿童的父母可能会遇到类似的社会心理困难,并需要不同的支持。尽管如此,目前还缺乏大规模的跨病症研究,以确定导致父母痛苦和社会心理适应的风险和保护因素。29 名有各种明显差异儿童的家长和照护者完成了一项在线调查,调查内容包括标准化结果测量、特定研究测量和开放式问题。多元回归模型确定了可能的风险和保护因素,并使用内容分析法对通过开放式问题收集的数据进行了分析。研究结果支持之前对有明显差异儿童的家长进行的小规模跨条件定性研究中确定的主题。造成家长负面情绪和压力的风险因素包括家长对其子女明显差异的可注意性和取笑的报告。保护因素包括良好的亲子沟通、自我同情、对孩子病情的了解以及对治疗的满意度。所发现的风险因素和保护因素为了解这一家长群体的经历提供了重要依据,并指出了可能的社会心理干预途径。
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引用次数: 0
Body talk and body dissatisfaction in Japanese university students: Longitudinal study using the Japanese Body Talk Scale 日本大学生的身体语言和身体不满意度:使用日本身体语言量表进行的纵向研究
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-10 DOI: 10.1016/j.bodyim.2024.101740
Nahori Ito , Akira Hasegawa , Masaki Adachi , Shin-ichi Oura , Tetsuya Yamamoto , Yuko Matsuda , Takuro Tomita

This study evaluated the reliability and validity of the Japanese version of the Body Talk Scale (BTS), designed to measure negative fat talk, negative muscle talk, and positive body talk. The study also explored the longitudinal associations between each body talk category and body dissatisfaction. We conducted two separate studies among university students in Japan. Separate confirmatory factor analyses for female and male data indicated that the initially proposed three-factor model demonstrated an acceptable fit, whereas the bi-factor model provided a better fit. The Japanese BTS showed good construct validity, acceptable to adequate internal consistency, and test-retest reliability within 2 weeks. A four-week longitudinal study involving 386 women and 216 men (mean age = 19.22 and 19.62, respectively) revealed that negative fat talk predicted an increase in the discrepancy between the thin ideal body image and the actual body image among women. In contrast, positive body talk was linked to reduced body dissatisfaction and body image discrepancy in women. There were no such significant associations in men. These findings support the use of the Japanese BTS as a valuable instrument for future research on the intrapersonal and interpersonal effects of various types of body talk.

本研究评估了日文版身体谈话量表(BTS)的可靠性和有效性,该量表旨在测量消极的脂肪谈话、消极的肌肉谈话和积极的身体谈话。研究还探讨了每种身体谈话类别与身体不满意度之间的纵向关联。我们在日本的大学生中分别进行了两项研究。对女性和男性数据分别进行的确认性因素分析表明,最初提出的三因素模型的拟合度可以接受,而双因素模型的拟合度更高。日本的 BTS 显示出良好的建构效度、可接受到足够的内部一致性以及两周内的重测可靠性。一项为期四周、涉及 386 名女性和 216 名男性(平均年龄分别为 19.22 岁和 19.62 岁)的纵向研究显示,消极的肥胖谈话预示着女性瘦削的理想身体形象与实际身体形象之间差异的增加。相反,积极的身体谈话则与女性身体不满意度和身体形象差异的减少有关。男性则没有这种明显的关联。这些研究结果支持将日本的 BTS 作为一种有价值的工具,用于未来对各种身体谈话的人内和人际影响的研究。
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引用次数: 0
Validation and structural exploration of the Chinese version of the Body Talk Scale 身体语言量表中文版的验证与结构探讨。
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-09 DOI: 10.1016/j.bodyim.2024.101766
Yunchou Wu , Jingqi Tang , Xiaoxuan Meng , Fei Wang , Xiaonan Sun , Siyuan Fan , Jiaxin Ma , Yibo Wu

The Body Talk Scale (BTS) measures both negative body talk (including fat talk and muscle talk) and positive body talk across genders. In this study, we translated it into Chinese and assessed its structure, reliability and validity among mainland Chinese residents. Item analyses indicated that no item deletion was necessary for this study, and both exploratory factor analysis (n = 1853) and exploratory graph analysis (n = 1583) supported the three-factor structure of the original scale. Confirmatory factor analysis showed that the scale had a good model fit with CFI= 0.95, GFI= 0.93, TLI= 0.94, and RMSEA= 0.079(90 %CI [0.075, 0.084]). The results also showed that the Chinese version of the BTS had adequate criterion-related validity,internal consistency and six-week test-retest reliability. Meanwhile, the scale has good measurement invariance with respect to gender and can be tested for gender differences. In conclusion, the BTS showed sufficient psychometric properties in a Chinese sample, making it a valid instrument for studying body talk and health status in Chinese populations.

身体谈话量表(BTS)可测量不同性别的消极身体谈话(包括脂肪谈话和肌肉谈话)和积极身体谈话。在本研究中,我们将其翻译成中文,并在中国大陆居民中对其结构、信度和效度进行了评估。题项分析表明,本研究无需删除题项,探索性因素分析(n = 1853)和探索性图式分析(n = 1583)均支持原量表的三因素结构。确认性因素分析表明,量表具有良好的模型拟合度,CFI= 0.95,GFI= 0.93,TLI= 0.94,RMSEA= 0.079(90 %CI [0.075, 0.084])。结果还显示,中文版 BTS 具有充分的标准相关效度、内部一致性和六周测验再测信度。同时,该量表在性别方面具有良好的测量不变性,可以进行性别差异测试。总之,BTS 在中国样本中表现出了充分的心理测量学特性,使其成为研究中国人群身体言语和健康状况的有效工具。
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引用次数: 0
Tackling bisexual erasure: An explorative comparison of bisexual, gay and straight cisgender men’s body image 解决对双性恋的抹杀:双性恋、男同性恋和直男的身体形象的探索性比较
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-05 DOI: 10.1016/j.bodyim.2024.101763
Liam Cahill , Mohammed Malik , Bethany A. Jones , A. Treshi-Marie Perera , Daragh T. McDermott

Previous body image research often grouped both gay and bisexual men into a single category: sexual minoritised men, limiting our understanding of how sexual identity influences body image. However, there is strong reason to believe that bisexual and gay men experience distinct body image concerns. Here, we explored motivations to alter one’s leanness and muscularity, as well as (dis)satisfaction with body fat, muscularity, height and penis size, and functionality appreciation across gay, bisexual, and straight cisgender men. We sampled 378 white participants aged 18 to 85 (nbisexual = 125, ngay = 128, nstraight = 125). We found that bisexual men were significantly less motivated to be lean and showed lower muscularity dissatisfaction relative to gay men but showed comparable levels to straight men. Our findings demonstrate that despite research perceiving the body image of bisexual and gay men as homogenous, they experience differences in their body image concerning leanness and muscularity dissatisfaction. Future body image research should incorporate this understanding by not artificially grouping bisexual and gay cisgender men and instead acknowledging the potential uniqueness in their experiences.

以往的身体形象研究往往将男同性恋和双性恋归为一类:性取向少数化的男性,从而限制了我们对性身份如何影响身体形象的理解。然而,我们有充分的理由相信,双性恋和男同性恋会经历不同的身体形象问题。在这里,我们探讨了同性恋、双性恋和直男同性恋改变自己瘦弱和肌肉发达程度的动机,以及对身体脂肪、肌肉发达程度、身高和阴茎大小以及功能欣赏的(不)满意度。我们对 378 名年龄在 18 至 85 岁之间的白人参与者进行了抽样调查(nbisexual = 125,ngay = 128,nstraight = 125)。我们发现,与同性恋男性相比,双性恋男性对瘦身的积极性明显较低,对肌肉的不满意度也较低,但与异性恋男性的不满意度相当。我们的研究结果表明,尽管研究认为双性恋和男同性恋者的身体形象是同质的,但他们在瘦身和肌肉不满意度方面的身体形象却存在差异。未来的身体形象研究应结合这一认识,不要人为地将双性恋和男同性恋者归为同性,而应承认他们经历中潜在的独特性。
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引用次数: 0
Experiences of body image in the gender non-binary community: A qualitative analysis 性别非二元群体对身体形象的体验:定性分析
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-05 DOI: 10.1016/j.bodyim.2024.101762
Jaz Burstall , Kian Jin Tan , Xochitl de la Piedad Garcia , Joel R. Anderson

Body image concerns are prevalent within transgender communities – many transgender people engage in disordered eating to suppress or accentuate secondary sex characteristics and reduce gender dysphoria. However, this research has mostly been conducted with binary transgender people. Here, we examine how non-binary people experience and relate to their bodies. Semi-structured one-on-one interviews were conducted with 13 gender non-binary individuals living in Australia. Photo elicitation techniques were utilised, and the transcribed interview data were analysed using reflexive thematic analysis. Six themes were identified: Expansive Understandings of Body Image, Body Image can be Linked to Gender Dysphoria, Cultivating a Preferred Body can Lead to Gender Euphoria, Appreciating Diversity in Non-Binary Body Ideals, The Androgynous Body Ideal is not Universally Accepted, and Experiencing the Body as Functional rather than Aesthetic. The present findings highlight the diversity of experiences of body image for non-binary people. The non-binary concept of body image was found to be expansive, stressing various physical attributes involved in social gender recognition and physiological sources of gender dysphoria. Some participants valued gender-affirming medical intervention, others were accepting of their bodies as they are, attributing their body confidence to the process of affirming their non-binary gender.

身体形象问题在变性人群体中十分普遍--许多变性人都有饮食紊乱的问题,以抑制或突出第二性征,减少性别焦虑症。然而,这项研究大多是针对二元变性者进行的。在这里,我们将研究非二元变性者是如何体验自己的身体并与之建立联系的。我们对居住在澳大利亚的 13 名性别非二元者进行了一对一的半结构式访谈。我们采用了照片激发技术,并使用反思性主题分析法对转录的访谈数据进行了分析。共确定了六个主题:对身体形象的扩展性理解、身体形象可能与性别焦虑症有关、培养偏好的身体可能导致性别欣快症、欣赏非二元身体理想的多样性、雌雄同体的身体理想未被普遍接受,以及体验身体的功能性而非审美性。目前的研究结果凸显了非二元人身体形象体验的多样性。我们发现,非二元身体形象的概念是广义的,它强调社会性别认可所涉及的各种身体属性以及性别焦虑症的生理根源。一些参与者重视确认性别的医疗干预,另一些参与者则接受自己的身体现状,并将自己的身体自信归功于确认自己非二元性别的过程。
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引用次数: 0
The co-design and acceptability of a genital body image educational video for people with a penis 为有阴茎者共同设计生殖器身体形象教育视频及其可接受性
IF 5.2 1区 心理学 Q1 Psychology Pub Date : 2024-06-21 DOI: 10.1016/j.bodyim.2024.101751
Anne Nileshni Fernando, Bronwyn Dwyer, Alisha Randhawa, Gemma Sharp

Within body image research, genital body image has not received significant attention. This project aimed to explore how positive genital body image could be fostered among people with a penis by co-designing and developing an educational resource. Participants were 22 people in Australia who identified as having a penis and were involved in three phases of co-design focus groups. Thematic and content analyses were used to generate themes across the data with each phase informing the next, culminating in a prototype resource being shown to participants in the final phase. Amongst the predominantly cisgender men sample, there was consensus that a brief, animated, educational video could have potential in promoting a positive genital body image in people with a penis. For video content, participants were not supportive of challenging societal messaging around penis size that “bigger is better”. Instead, participants supported the inclusion of information about the range of penile functions, promoting acceptance of penile size/appearance and that fulfilling intimate relationships were possible irrespective of penis size. The feedback was positive overall for the final prototype video. To our knowledge, we describe the first co-designed educational resource for people with a penis and contribute to the understanding of this understudied topic.

在身体形象研究中,生殖器身体形象尚未受到重视。本项目旨在探索如何通过共同设计和开发教育资源,在有阴茎的人群中培养积极的生殖器身体形象。澳大利亚有 22 名自称有阴茎的人参加了三个阶段的共同设计焦点小组。专题分析和内容分析被用来生成整个数据的主题,每个阶段都为下一阶段提供信息,最终在最后阶段向参与者展示了资源原型。在以顺性性别男性为主的样本中,大家一致认为,简短的动画教育视频有可能促进有阴茎者树立积极的生殖器身体形象。在视频内容方面,参与者不支持挑战 "越大越好 "的阴茎尺寸社会信息。相反,参与者支持在视频中介绍阴茎的各种功能,促进人们接受阴茎的大小/外观,以及无论阴茎大小如何,都可以建立美满的亲密关系。最终的视频原型获得了积极的反馈。据我们所知,我们描述了第一个为有阴茎的人共同设计的教育资源,有助于人们了解这一研究不足的主题。
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引用次数: 0
An exploration of having social media influencers deliver a first-line digital intervention to improve body image among adolescent girls: A qualitative study 探索让社交媒体影响者提供一线数字干预,以改善少女的身体形象:定性研究
IF 5.2 1区 心理学 Q1 Psychology Pub Date : 2024-06-19 DOI: 10.1016/j.bodyim.2024.101753
Nicole Paraskeva , Sharon Haywood , Farheen Hasan , Dasha Nicholls , Mireille B. Toledano , Phillippa C. Diedrichs

Social media influencers are popular among adolescents and could offer a unique way to reach young people at scale with body image interventions. This study explored girls’ and influencers’ views on having influencers deliver body image interventions through vlogs (video blogs) and to gain insight into their preferred format, content, and views on factors that encourage engagement with vlogs. Twenty-one UK based participants were recruited. Three online focus groups were conducted with adolescent girls (n = 16) aged 14–18 years and one with influencers (n = 5) aged 24–33 years, who had a collective following of over 1.5 million subscribers across social media platforms. Data were analysed using reflexive thematic analysis and four themes were generated: Choosing an influencer whose messages and core values are aligned with the topic of body image; the importance of influencer authenticity and personal experience; collaborating on content creation with mental health professionals; and the need for long-form (i.e., 10–20 min) content to address serious topics. Findings suggest having influencers deliver body image interventions to young people could be a useful approach. Results highlight the need to engage with end users from the outset of intervention development to increase the likelihood of intervention effectiveness and engagement.

社交媒体影响者在青少年中很受欢迎,他们可以提供一种独特的方式,大规模地对青少年进行身体形象干预。本研究探讨了女孩和影响者对影响者通过视频博客(vlogs)进行身体形象干预的看法,并深入了解她们喜欢的形式、内容以及对鼓励参与视频博客的因素的看法。我们在英国招募了 21 名参与者。其中三个在线焦点小组的参与者是 14-18 岁的少女(n = 16),另一个是 24-33 岁的有影响力人士(n = 5),她们在社交媒体平台上拥有超过 150 万名订阅者。采用反思性主题分析法对数据进行了分析,并产生了四个主题:选择信息和核心价值观与身体形象话题一致的影响者;影响者的真实性和个人经历的重要性;与心理健康专业人士合作创作内容;以及需要长篇(即 10-20 分钟)内容来探讨严肃话题。研究结果表明,让影响者对年轻人进行身体形象干预可能是一种有用的方法。研究结果强调,需要在干预措施开发之初就与最终用户合作,以提高干预措施的有效性和参与度。
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引用次数: 0
Personal ideal, cultural ideal and optimal attractiveness: Are these constructs for body size and shape the same or different? 个人理想、文化理想和最佳吸引力:这些关于体型和体态的建构是相同还是不同?
IF 5.2 1区 心理学 Q1 Psychology Pub Date : 2024-06-14 DOI: 10.1016/j.bodyim.2024.101747
Bethany J. Ridley , Piers L. Cornelissen , Nadia Maalin , Sophie Mohamed , Robin S.S. Kramer , Kristofor McCarty , Martin J. Tovée

There has been an assumption in the literature that the three concepts of ideal body shape (personal ideal, cultural ideal, and the most attractive body shape) are effectively the same percept. To test this presumption, 554 participants completed either a between- or within-subjects condition using a matrix of 32 bodies varying in two dimensions: muscle and adiposity. Three separate groups of participants were recruited to the between-subjects design and made only one of these judgements, whilst participants in the within-subjects version completed all three of these judgments. These bodies are based on 3D scans of 221 women’s bodies and so accurately represent the change in size and shape caused by changing body composition. The participants also completed a set of psychometric questionnaires to index the degree to which external concepts of body image have been internalised. The results show that in both conditions, all three judgements collapse onto the same average preferred body shape, with low adiposity and relatively high muscularity. However, this masked systematic differences in responses between personal ideals and the other body judgements, which may be explained by a difference in how information directly related to oneself is processed relative to more abstract third person judgements.

文献中有一种假设,即理想体形的三个概念(个人理想体形、文化理想体形和最有吸引力的体形)实际上是同一个概念。为了验证这一假设,554 名参与者使用由 32 个人体组成的矩阵(肌肉和脂肪含量两个维度各不相同),完成了主体间或主体内条件测试。在主体间设计中,分别招募了三组参与者,他们只做了其中一个判断,而在主体内设计中,参与者则完成了所有三个判断。这些身体是根据 221 名女性身体的 3D 扫描结果制作的,因此准确地反映了身体成分变化引起的尺寸和形状变化。参与者还完成了一组心理测量问卷,以了解身体形象的外部概念被内化的程度。结果显示,在这两种情况下,所有三种判断都会折叠到相同的平均偏好体形上,即低脂肪和相对较高的肌肉。然而,这掩盖了个人理想和其他身体判断之间的系统性反应差异,这可能是由于处理与自己直接相关的信息的方式不同于处理更抽象的第三人判断。
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引用次数: 0
Measurement invariance of two measures of positive body image among Hispanic/Latina undergraduate women 西班牙裔/拉丁裔女大学生积极身体形象的两种测量方法的测量不变性
IF 5.2 1区 心理学 Q1 Psychology Pub Date : 2024-06-11 DOI: 10.1016/j.bodyim.2024.101752
Catalina R. Pacheco , Hayley VanderJagt , Kelsey N. Serier , Kirsten P. Peterson , Jane Ellen Smith

Although positive body image is associated with mental and physical health benefits, there is a relative dearth of research investigating the psychometric properties of commonly used measures of positive body image among Hispanic/Latina women in the United States. The current study explored the psychometric properties of the Body Appreciation Scale-2 (BAS-2; Tylka & Wood-Barcalow, 2015a) and the Functionality Appreciation Scale (FAS; Alleva et al., 2017) in undergraduate women. Altogether 565 undergraduates (n = 386 Hispanic/Latina; n = 179 non-Hispanic White [NHW]) completed the BAS-2, FAS, and demographic questionnaires. Confirmatory factor analysis (CFA) and measurement invariance testing across ethnicity was conducted on each measure. The CFA confirmed the 1-factor, 10-item model of the BAS-2 among Hispanic/Latina women but indicated a less than adequate model fit for the FAS which improved after correlating the residuals of items 6 and 7. Measurement invariance testing revealed evidence of partial scalar invariance of the BAS-2 and full invariance of the FAS across ethnicity. There were no significant mean differences between groups on the measures. These analyses indicate acceptable psychometric properties of the BAS-2 and FAS among Hispanic/Latina women. Nonetheless, they did suggest potentially meaningful group differences in how these items behaved, which warrant further exploration.

虽然积极的身体形象与身心健康的益处有关,但对美国拉美裔妇女中常用的积极身体形象测量方法的心理测量特性进行调查的研究相对缺乏。本研究探讨了身体鉴赏量表-2(BAS-2;Tylka & Wood-Barcalow,2015a)和功能鉴赏量表(FAS;Alleva 等人,2017)在本科女生中的心理测量特性。共有 565 名本科生(n = 386 名西班牙裔/拉丁裔;n = 179 名非西班牙裔白人 [NHW])完成了 BAS-2、FAS 和人口统计学问卷。对每项测量进行了确认性因子分析(CFA)和跨种族测量不变量测试。CFA确认了西班牙裔/拉丁裔妇女的BAS-2的1因素10项目模型,但表明FAS的模型拟合度不够,在对项目6和项目7的残差进行相关分析后,模型拟合度有所提高。测量不变性测试表明,BAS-2 具有部分标度不变性,FAS 具有跨种族的完全不变性。各组之间在测量上没有明显的平均差异。这些分析表明,BAS-2 和 FAS 在西班牙裔/拉丁裔女性中的心理测量特性是可以接受的。不过,这些分析也表明,这些项目的表现可能存在有意义的群体差异,这值得进一步探讨。
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引用次数: 0
A qualitative analysis of the usefulness, risks, and challenges of incorporating functionality and body compassion into the prevention and treatment of eating disorders 对将功能性和身体同情纳入饮食失调症预防和治疗的效用、风险和挑战的定性分析
IF 5.2 1区 心理学 Q1 Psychology Pub Date : 2024-06-10 DOI: 10.1016/j.bodyim.2024.101754
Kate E. Mulgrew , Angela Hinz , Megan Bray , Celine M.H. Jona , Katharina M.D. Merollini

Functionality appreciation and body compassion are empirically supported concepts that can help one to view their body in different and compassionate ways. However, they have yet to be applied to eating disorder (ED) samples and therefore it is important to explore the perceived benefit, risk, and nuance in this population. Semi-structured interviews (N = 25) were conducted with treatment providers, those with a lived experience of an ED, or history of body image distress. Usefulness, applicability, potential risks, benefits, and desired delivery format were probed. Thematic analysis was used. Participants reported that compassion and functionality approaches were useful, complement existing treatment approaches, and important for early intervention. Although considered safe, caveats were noted for ED samples, including introducing content at the right time (e.g., when medically stable), and when having the cognitive flexibility to think about one’s body in different ways. For example, functionality appreciation could trigger thoughts about what one's body cannot do while compassion may allow for normalising negative thoughts. Both concepts were viewed as useful and safe to support positive body image at a community level and can be used with ED samples with additional support. This insight from potential users helps with co-design of appropriate content.

功能欣赏和身体同情是得到经验支持的概念,可以帮助人们以不同和同情的方式看待自己的身体。然而,它们尚未被应用于饮食失调症(ED)样本,因此,在这一人群中探索其感知到的益处、风险和细微差别非常重要。我们对治疗提供者、有进食障碍生活经历或身体形象困扰史的人进行了半结构化访谈(N = 25)。访谈内容包括实用性、适用性、潜在风险、益处以及所需的授课形式。采用了主题分析法。参与者表示,同情和功能性方法非常有用,是对现有治疗方法的补充,对于早期干预非常重要。尽管他们认为这种方法是安全的,但也指出了针对 ED 样本的注意事项,包括在适当的时候(如病情稳定时)引入内容,以及在具有认知灵活性时以不同的方式思考自己的身体。例如,对功能的欣赏可能会引发对自己身体所不能做的事情的思考,而同情则可能使消极的想法正常化。这两个概念都被认为是在社区层面支持积极身体形象的有用和安全的方法,可以在额外支持下用于 ED 样本。潜在用户的这种见解有助于共同设计适当的内容。
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引用次数: 0
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