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How Far Can Interventions to Increase Income Improve Adolescent Mental Health? Evidence From the UK Millennium Cohort Study and Next Steps 增加收入的干预措施能在多大程度上改善青少年心理健康?来自英国千年队列研究的证据和下一步行动
Pub Date : 2024-03-21 DOI: 10.1177/26320770231204993
A. Villadsen, E. Johnson, Richard Cookson, M. Johnson
UK adolescents and young adults are facing increasing rates of mental health problems and extremely difficult economic circumstances. There is strong evidence that interventions to increase income during adolescence can mitigate conditions such as anxiety and depression. However, policymakers lack quantified risk differences in the probability of mental illness between different income groups by which to establish the prospective scale of mitigation. Here, we estimate risk differences using two longitudinal cohort studies: Millennium Cohort Study (cohort members born between 2000 and 2002) and Next Steps (born 1989–1990). We quantify the association between income and risk of depression at age 14, serious mental illness at age 17, and non-psychotic mental illness at age 25. We also conduct sensitivity analysis using numerous other markers of socioeconomic (SES) status. We estimate that those living in the poorest quintile group of households have a greater probability of mental health problems than the richest at ages 14, 17, and 25. We find that other markers of SES status—subjective financial strain, cohort member assessed wealth relative to friends, occupational class, and education—display steeper associations with mental health symptoms relative to associations between mental health symptoms and income. Our findings are likely to be conservative underestimates since they are likely to be attenuated by well-known and large measurement errors in both mental health problems and living standards during adolescence.
英国青少年和年轻成年人面临着越来越多的心理健康问题和极其困难的经济环境。有确凿证据表明,在青少年时期采取增加收入的干预措施可以缓解焦虑和抑郁等症状。然而,政策制定者缺乏对不同收入群体之间精神疾病发生概率的风险差异进行量化,从而确定缓解措施的预期规模。在此,我们利用两项纵向队列研究来估算风险差异:千禧队列研究(2000 年至 2002 年出生的队列成员)和下一步研究(1989 年至 1990 年出生的成员)。我们量化了收入与 14 岁时患抑郁症、17 岁时患严重精神病以及 25 岁时患非精神病风险之间的关系。我们还使用了许多其他社会经济(SES)状况指标进行了敏感性分析。我们估计,与最富有的家庭相比,生活在最贫穷的五分之一家庭中的人在 14 岁、17 岁和 25 岁时出现精神健康问题的概率更大。我们发现,相对于心理健康症状与收入之间的关系,其他社会经济地位指标--主观经济压力、同组成员相对于朋友的评估财富、职业阶层和教育程度--与心理健康症状的关系更为密切。我们的研究结果很可能被保守地低估了,因为众所周知,青少年时期的心理健康问题和生活水平都存在很大的测量误差,这很可能会削弱我们的研究结果。
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引用次数: 1
College Women’s Perceptions of A Friend-Based Intervention to Prevent Alcohol-Involved Sexual Assault 女大学生对基于朋友的干预措施的看法,以防止酒后性侵犯
Pub Date : 2024-02-09 DOI: 10.1177/26320770231201979
Jennifer A. Livingston, Aria Wiseblatt, K. M. Biehler, Rachael J. Shaw, Jennifer P. Read
Sexual assault (SA), particularly alcohol-involved SA, remains prevalent among college women. Because SA often begins in social contexts, bystander intervention has become a popular approach to prevention. Bystander interventions train individuals to intervene on behalf of others, including strangers, despite research indicating that intervention is more likely to occur when the bystander has a relationship with the target. Shifting the focus to friends as potential bystanders capitalizes on the qualities of relationship and responsibility that facilitate intervention. College women ( N = 35) participated in focus groups ( N = 8) during which they viewed a video prototype of a friend-based motivational interviewing (FMI) intervention session conducted with a friend dyad and provided feedback about the relevance and feasibility of using such an approach to reduce SA among friends who drink together in social settings. Content analysis of focus group transcripts yielded three themes: (a) Friends as Natural Bystanders, (b) The Role of Alcohol in Intervention, and (c) Receptivity to FMI intervention. Women indicated that they feel responsible for keeping their friends safe and that this sense of responsibility facilitates helping behaviors. Women also described ways through which alcohol intoxication can affect helping behavior. Women expressed enthusiasm for the FMI intervention approach and identified its emphasis on friendship and flexible approaches to personal safety as strengths. Findings highlight the promise of FMI intervention approaches that capitalize on the strengths of women’s friendship to create safety goals that align with participants’ values and overcome barriers to intervention, including alcohol intoxication.
性侵犯(SA),尤其是涉及酒精的性侵犯,在女大学生中仍然很普遍。由于性侵犯通常始于社交场合,旁观者干预已成为一种流行的预防方法。旁观者干预训练个人代表他人(包括陌生人)进行干预,尽管研究表明,当旁观者与目标有关系时,干预更有可能发生。将重点转移到作为潜在旁观者的朋友身上,可以利用关系和责任的特质来促进干预。女大学生(35 人)参加了焦点小组(8 人),在小组中,她们观看了以朋友为基础的动机访谈(FMI)干预的视频原型,并就使用这种方法减少社交场合中一起喝酒的朋友的 SA 的相关性和可行性提供了反馈意见。对焦点小组记录的内容分析得出了三个主题:(a)作为自然旁观者的朋友,(b)酒精在干预中的作用,以及(c)对 FMI 干预的接受度。女性表示,她们觉得自己有责任保护朋友的安全,这种责任感促进了帮助行为。女性还描述了酒精中毒影响帮助行为的方式。妇女们对 FMI 干预方法表示出极大的热情,并认为该方法强调友谊和灵活的个人安全方法是其优势所在。研究结果凸显了 FMI 干预方法的前景,即利用女性友谊的优势来创建符合参与者价值观的安全目标,并克服包括酒精中毒在内的干预障碍。
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引用次数: 0
College Women’s Perceptions of A Friend-Based Intervention to Prevent Alcohol-Involved Sexual Assault 女大学生对基于朋友的干预措施的看法,以防止酒后性侵犯
Pub Date : 2024-02-09 DOI: 10.1177/26320770231201979
Jennifer A. Livingston, Aria Wiseblatt, K. M. Biehler, Rachael J. Shaw, Jennifer P. Read
Sexual assault (SA), particularly alcohol-involved SA, remains prevalent among college women. Because SA often begins in social contexts, bystander intervention has become a popular approach to prevention. Bystander interventions train individuals to intervene on behalf of others, including strangers, despite research indicating that intervention is more likely to occur when the bystander has a relationship with the target. Shifting the focus to friends as potential bystanders capitalizes on the qualities of relationship and responsibility that facilitate intervention. College women ( N = 35) participated in focus groups ( N = 8) during which they viewed a video prototype of a friend-based motivational interviewing (FMI) intervention session conducted with a friend dyad and provided feedback about the relevance and feasibility of using such an approach to reduce SA among friends who drink together in social settings. Content analysis of focus group transcripts yielded three themes: (a) Friends as Natural Bystanders, (b) The Role of Alcohol in Intervention, and (c) Receptivity to FMI intervention. Women indicated that they feel responsible for keeping their friends safe and that this sense of responsibility facilitates helping behaviors. Women also described ways through which alcohol intoxication can affect helping behavior. Women expressed enthusiasm for the FMI intervention approach and identified its emphasis on friendship and flexible approaches to personal safety as strengths. Findings highlight the promise of FMI intervention approaches that capitalize on the strengths of women’s friendship to create safety goals that align with participants’ values and overcome barriers to intervention, including alcohol intoxication.
性侵犯(SA),尤其是涉及酒精的性侵犯,在女大学生中仍然很普遍。由于性侵犯通常始于社交场合,旁观者干预已成为一种流行的预防方法。旁观者干预训练个人代表他人(包括陌生人)进行干预,尽管研究表明,当旁观者与目标有关系时,干预更有可能发生。将重点转移到作为潜在旁观者的朋友身上,可以利用关系和责任的特质来促进干预。女大学生(35 人)参加了焦点小组(8 人),在小组中,她们观看了以朋友为基础的动机访谈(FMI)干预的视频原型,并就使用这种方法减少社交场合中一起喝酒的朋友的 SA 的相关性和可行性提供了反馈意见。对焦点小组记录的内容分析得出了三个主题:(a)作为自然旁观者的朋友,(b)酒精在干预中的作用,以及(c)对 FMI 干预的接受度。女性表示,她们觉得自己有责任保护朋友的安全,这种责任感促进了帮助行为。女性还描述了酒精中毒影响帮助行为的方式。妇女们对 FMI 干预方法表示出极大的热情,并认为其强调友谊和灵活的个人安全方法是其优势所在。研究结果凸显了 FMI 干预方法的前景,即利用女性友谊的优势来创建符合参与者价值观的安全目标,并克服包括酒精中毒在内的干预障碍。
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引用次数: 0
Bystander Intervention in Bullying and Sexual Harassment Training: Mixed-Method Evaluation of NAB IT! 欺凌和性骚扰培训中的旁观者干预:NAB IT 的混合方法评估!
Pub Date : 2024-01-11 DOI: 10.1177/26320770231200230
Amanda B. Nickerson, Margaret E. Manges, Julianna Casella, Yingqi Huang, Jennifer A. Livingston, Lyndsay N. Jenkins, Gina M. Bellavia, T. Feeley
The goal of the current pilot study was to examine the effects of bystander intervention training on a sample of 27 high school students who were selected by their peers as opinion leaders. Measures of bystander intervention knowledge, attitudes, and behaviors were included in the within-subjects design. Sixteen of the students also participated in focus groups to provide feedback about their experiences with the training. Results showed that participating students reported increases in knowledge about bullying and sexual harassment, confidence in intervening, acceptance of responsibility, knowing what to do, and acting to intervene (including direct intervention, providing support, and reporting to an adult) from pre-to posttest. Themes from focus groups indicated that students found the training relevant and helpful, particularly for focusing on both bullying and sexual harassment and for providing opportunities to learn and practice multiple intervention strategies. Barriers to intervening based on the type of violence (e.g., physical vs. relational or verbal) and relationship with the people involved were also themes. Directions for future research and implications for practice, such as focusing on dissemination to the larger student body and implementing bystander intervention training within the context of a positive school climate that emphasizes social and emotional competencies, are discussed.
本次试点研究的目的是考察旁观者干预培训对 27 名高中生的影响。旁观者干预的知识、态度和行为的测量方法被纳入了主体内设计。其中 16 名学生还参加了焦点小组,就他们的培训体验提供反馈。结果显示,参加培训的学生报告说,从测试前到测试后,他们对欺凌和性骚扰的了解、干预的信心、责任的承担、知道该怎么做以及干预的行动(包括直接干预、提供支持和向成人报告)都有所增加。焦点小组讨论的主题表明,学生们认为培训很有意义且很有帮助,尤其是培训同时关注了欺凌和性骚扰问题,并提供了学习和实践多种干预策略的机会。根据暴力类型(如身体暴力与关系暴力或口头暴力)和与当事人的关系进行干预的障碍也是培训的主题。本文讨论了未来研究的方向和对实践的影响,例如重点向更广泛的学生群体传播,以及在强调社会和情感能力的积极校园氛围中实施旁观者干预培训。
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引用次数: 0
Ontario Adults’ Mental Health and Wellbeing During the First 16 Months of the COVID-19 Pandemic COVID-19 大流行头 16 个月期间安大略省成年人的心理健康和福祉
Pub Date : 2023-12-10 DOI: 10.1177/26320770231200211
Katie J. Shillington, L. Vanderloo, Shauna M Burke, Victor Ng, P. Tucker, J. Irwin
This study quantitatively assessed adults’ mental health and overall wellbeing over time during the first 16 months of the pandemic in Ontario, Canada. A total of 2,188 participants participated in the study and completed online questionnaires at three time points (baseline—April–July 2020; time 2—July–August 2020; and time 3—July–August 2021), which included demographic questions, the Mental Health Inventory (MHI), and the Personal Wellbeing Index-Adult (PWI-A). One-way repeated-measures ANOVAs revealed a statistically significant increase over time in participants’ mental health (MHI), as well as a significant decrease in their satisfaction with their standard of living, physical health, mental health, personal relationships, safety, community-connectedness, future security, and spirituality/religion (PWI-A). While participants’ mental health improved, their mean scores indicated the presence of mental health disorders. Generally speaking, over the first 16 months of the pandemic, the self-reported mental health of Ontario adults improved, while their perceived wellbeing declined.
本研究定量评估了加拿大安大略省成年人在大流行病最初 16 个月期间的心理健康和整体幸福感。共有 2188 名参与者参与了这项研究,并在三个时间点(基线--2020 年 4 月至 7 月;时间 2--2020 年 7 月至 8 月;时间 3--2021 年 7 月至 8 月)填写了在线问卷,其中包括人口统计学问题、心理健康量表 (MHI) 和成人个人幸福指数 (PWI-A)。单向重复测量方差分析显示,随着时间的推移,参与者的心理健康水平(MHI)在统计学上有显著提高,而他们对生活水平、身体健康、心理健康、人际关系、安全、社区联系、未来安全感和灵性/宗教(PWI-A)的满意度则显著下降。虽然参与者的心理健康有所改善,但他们的平均得分表明存在心理健康障碍。总体而言,在大流行的前 16 个月中,安大略省成年人自我报告的心理健康状况有所改善,但他们的幸福感有所下降。
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引用次数: 0
Race-Based Experiences and Coping as Predictors of BIPOC Mental Health Provider Burnout and Stress During COVID-19 基于种族的经历和应对作为BIPOC心理健康提供者在COVID-19期间倦怠和压力的预测因子
Pub Date : 2023-11-09 DOI: 10.1177/26320770231189611
Keri F. Kirk, Jessica Jackson, Sara Sagui-Henson, Emily Wang, Farah Semaan, Maximo R. Prescott, Camille E. Welcome Chamberlain, Cynthia Castro Sweet, Ellen E. Ijebor, Lindsey Knott
The current study evaluated work- and client-related burnout, perceived stress, and race-based stress with a focus on Black, Indigenous, or Persons of Color (BIPOC) mental health providers. An online survey ( n = 82) was distributed in the United States between July 17, 2020, and November 5, 2020. Demographic variables, racial discrimination during coronavirus disease 2019 (COVID-19), perceived stress, and the coping variables were assessed. The majority of respondents were women (85%), BIPOC identifying (72%), aged 25 to 34 years (43%), psychologists (50%), and had been practicing for 9 years. In total, 68% and 27% of providers reported moderate to severe work- and client-related burnout, respectively. Another 87% reported moderate to high stress. Factors associated with a higher level of burnout include being younger, having fewer years of experience, and being a social worker or family therapist. Among BIPOC providers, greater experiences of racial discrimination were associated with higher work-related burnout and stress. Greater use of maladaptive coping was associated with higher burnout and stress, yet we found no associations with the use of adaptive coping. Racial discrimination during COVID-19 was significantly associated with work-related burnout and perceived stress within a sample of predominantly BIPOC mental health providers. These findings reinforce the need for more focused support for mental health providers to ensure a healthy and resilient future workforce.
目前的研究评估了与工作和客户相关的倦怠、感知压力和基于种族的压力,重点是黑人、土著或有色人种(BIPOC)心理健康提供者。在2020年7月17日至2020年11月5日期间,在美国进行了一项在线调查(n = 82)。评估了人口统计学变量、2019冠状病毒病(COVID-19)期间的种族歧视、感知压力和应对变量。大多数受访者为女性(85%),BIPOC鉴定(72%),年龄在25至34岁之间(43%),心理学家(50%),从业9年。总的来说,68%和27%的服务提供者分别报告了中度到重度的工作倦怠和与客户有关的倦怠。另有87%的人表示有中等到高度的压力。与较高程度的倦怠相关的因素包括年轻、经验较少、是社会工作者或家庭治疗师。在BIPOC提供者中,更大的种族歧视经历与更高的工作倦怠和压力相关。更多地使用不适应应对与更高的倦怠和压力相关,但我们发现与使用适应性应对没有关联。在主要由BIPOC心理健康提供者组成的样本中,COVID-19期间的种族歧视与工作倦怠和感知压力显著相关。这些调查结果表明,需要对精神卫生提供者提供更有针对性的支持,以确保未来的劳动力健康和有弹性。
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引用次数: 0
Lessons Learned From a Community–University Partnership to Increase HIV Testing Services for Emerging Adults at a Minority-Serving Institution 社区大学合作增加少数族裔服务机构新生成人艾滋病毒检测服务的经验教训
Pub Date : 2023-11-09 DOI: 10.1177/26320770231189182
Sofia B. Fernandez, Rachel D. Clarke, Robbert J. Langwerden, Katherine R. Perez, Melissa Howard, Michelle M. Hospital, Staci Leon Morris, Eric F. Wagner
The success and advancement of HIV prevention efforts with emerging adults from minority communities requires continued and diligent collaboration between researchers, community members, and community-based organizations. This paper provides an overview of a 3-year collaboration between a Minority Serving Institution of Higher Education, and a grassroots, minority servicing HIV prevention agency. In South Florida, a geographic area with high incidence of HIV, we relied on community-based participatory research (CBPR) to guide the implementation of culturally, linguistically, and developmentally appropriate HIV prevention programming for 18 to 24-year-old Latinx university students. The project partnership was organized around: (a) integrating community knowledge through formative research to understand needs and determine relevant risk factors, (b) building a highly collaborative relationship between a large academic institution and community-based service provider, and (c) designing and implementing ongoing, strategic environmental prevention activities through community-involved research. We describe the collaborative partnership and multiple prevention strategies that were implemented. The success of the community–university partnership was highly dependent on the depth and breadth of collaboration, mutual support, and respect among collaborators. To advance sexual health promotion programs designed for Latinx emerging adults, we describe lessons learned for future CBPR implementation that focus on involving members of priority populations in research teams, aligning project voices, navigating internal governmental systems, creating mutual and direct benefits of partnership, and utilizing networks to enhance sustainability.
在少数族裔社区新成年人群中成功和推进艾滋病毒预防工作需要研究人员、社区成员和社区组织之间持续和勤奋的合作。本文概述了一个为少数族裔服务的高等教育机构与一个为少数族裔服务的艾滋病预防机构之间为期3年的合作。在艾滋病毒高发的南佛罗里达州,我们依靠以社区为基础的参与式研究(CBPR)来指导对18至24岁的拉丁裔大学生实施文化、语言和发展相适应的艾滋病毒预防规划。项目伙伴关系的组织方式是:(a)通过形成性研究整合社区知识,以了解需求并确定相关风险因素;(b)在大型学术机构和社区服务提供者之间建立高度合作关系;(c)通过社区参与的研究设计和实施正在进行的战略性环境预防活动。我们描述了合作伙伴关系和实施的多种预防战略。社区大学伙伴关系的成功高度依赖于合作的深度和广度、相互支持和合作者之间的尊重。为了推进针对拉丁裔新生成人的性健康促进计划,我们描述了未来CBPR实施的经验教训,重点是让研究团队中的优先人群成员参与进来,协调项目声音,引导政府内部系统,创造相互和直接的伙伴关系利益,并利用网络来提高可持续性。
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引用次数: 0
The Development of the Suicide Prevention Attitudes Rating Scale and Initial Psychometric Properties of the Scale With School Principals 自杀预防态度评定量表的编制及其与校长的初步心理测量特征
Pub Date : 2023-10-31 DOI: 10.1177/26320770231187504
Erik Reinbergs, Sara Whitcomb
Youth suicide is a national public health concern and is the second leading cause of death of the 10- to 14-year-old age group. To enable future evaluation and tailoring of school-based suicide prevention efforts, this study developed and examined initial validity evidence for the Suicide Prevention Attitudes Rating Scale (SPARS) in a sample of California school principals. This study used multiple stages to develop the measure and analyze its psychometric properties via item development, expert review, response process interviews, and statistical analyses. Validity evidence in the areas of test content evidence, response process evidence, evidence of internal psychometric structure, and evidence based on relationships to other variables was collected. Despite initial validity evidence across test content, response process, and internal structure, the SPARS did not perform as expected when examining its correlations to related measures.
青少年自杀是一个全国性的公共卫生问题,也是10至14岁年龄组死亡的第二大原因。为了使未来的评估和定制学校为基础的自杀预防工作,本研究开发和检验了自杀预防态度评定量表(SPARS)在加州学校校长样本的初步有效性证据。本研究通过项目开发、专家评审、反应过程访谈和统计分析等多个阶段来开发和分析其心理测量特性。收集了测试内容证据、反应过程证据、内部心理测量结构证据和基于与其他变量关系的证据等方面的效度证据。尽管在测试内容、反应过程和内部结构中存在最初的有效性证据,但在检查其与相关测量的相关性时,SPARS并未表现出预期的效果。
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引用次数: 0
Feasibility of a Bullying Bystander Intervention (STAC) Parent Module for Rural Schools 农村学校欺凌旁观者干预(STAC)家长模块的可行性
Pub Date : 2023-09-08 DOI: 10.1177/26320770231183961
Aida Midgett, Diana M. Doumas, Robin Hausheer, Laura Bond, Mary K. Buller, Claudia Peralta, Matt Peck, Hailey McCormick
The purpose of this study was to assess the feasibility of parent training designed as a companion module to a bullying bystander intervention (STAC) for middle school students in rural communities. Parents ( N = 23) invited from three rural middle schools viewed a parent training and completed measures to assess limited efficacy through immediate program outcomes (e.g., knowledge, confidence, self-efficacy, attitudes, behavioral intentions) and program feasibility, as well as participated in focus groups to provide feedback about program acceptability, demand, practicality, and online delivery adaptation. Parents reported increases in knowledge and confidence in supporting their adolescents to intervene in bullying situations, confidence and comfort in managing bullying, bullying self-efficacy, communication self-efficacy, responsibility to actively engage in bullying prevention, and anti-bullying attitudes from pre-training to post-training. Parents also reported behavioral intentions to use strategies they learned to support their adolescents to intervene in bullying situations. Further, parents’ responses suggested high levels of program acceptability, as well as interest in an interactive, self-paced online parent training. Themes from focus groups ( n = 12) revealed a need for bullying prevention training for both students and parents in rural communities and found the training to be useful, easy to understand, and relevant and appropriate for their community. Parents identified barriers including cost, time, program flexibility, and the importance of parent buy-in. Parents also provided feedback specific to an online training, including a preference for a smartphone application and design elements to increase engagement. Implications for program development for rural communities are discussed.
本研究的目的是评估家长培训作为农村社区中学生欺凌旁观者干预的同伴模块的可行性。来自三所农村中学的家长(N = 23)观看了一次家长培训,并通过项目的即时结果(如知识、信心、自我效能、态度、行为意图)和项目的可行性,完成了评估有限效果的措施,并参与焦点小组,就项目的可接受性、需求、实用性和在线交付适应性提供反馈。据报告,从训练前到训练后,家长在支持青少年干预欺凌情况、管理欺凌的信心和安慰、欺凌自我效能、沟通自我效能、积极参与预防欺凌的责任和反欺凌态度方面的知识和信心都有所增加。父母也报道行为意图使用策略他们学会支持干预青少年欺凌的情况。此外,家长们的反应表明,他们对课程的接受程度很高,对互动的、自定进度的在线家长培训也很感兴趣。焦点小组的主题(n = 12)揭示了对农村社区的学生和家长进行预防欺凌培训的必要性,并发现培训是有用的、易于理解的、相关的、适合他们所在社区的。家长们确定的障碍包括成本、时间、项目灵活性以及家长支持的重要性。家长们还提供了针对在线培训的反馈,包括对智能手机应用程序的偏好,以及提高参与度的设计元素。讨论了项目发展对农村社区的影响。
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引用次数: 0
From Increased Exercise to Reductions in Emotional Eating and Weight/Waist Circumference: Refining Theory-Driven Psychosocial Targets for Treating Obesity 从增加运动到减少情绪化饮食和体重/腰围:改进理论驱动的治疗肥胖的社会心理目标
Pub Date : 2023-08-30 DOI: 10.1177/26320770231178516
J. Annesi
Overwhelmingly poor results beyond the short term suggest advances in treating obesity through behavioral means are required. Research on psychosocial intervention targets is particularly important. Because of possible widespread impacts crossing socioeconomic and racial/ethnic lines, methods that can effectively be disseminated in a large-scale and economical manner are also needed. This research assessed women participating in community-administered obesity treatments with similar curricula that were either manual-based ( n = 39) or in-person-based ( n = 44). Along with conclusions that emotional eating is relevant, especially in women, the paradigms of social cognitive theory, self-regulation theory, the mood-behavior-model, and coaction theory guided analyses of psychosocial predictors of weight/body composition changes. Both treatment formats were associated with significant improvements in exercise, mood disturbance, self-regulation of exercise and eating, emotional eating, weight, and waist circumference, with significantly greater improvements associated with the in-person format. Tests of model-fitting indicated that baseline–Time 2 change terms were the better predictor of the subsequent variable in planned regression models, except the self-regulation factors where Month 3 scores were strongest. Increased exercise predicted a reduction in mood disturbance. The path from mood→self-regulation of exercise→self-regulation of eating→emotional eating was significant, along with the direct path from (exercise-associated) changes in mood→emotional eating. Emotional eating reduction significantly predicted reduced weight and waist circumference over 6 and 12 months. The relation between mood and self-regulation supported the mood-behavior-model, whereas the prediction of self-regulation of eating by exercise-related self-regulation affirmed coaction theory. Findings may be used to inform further research and applications targeting psychosocial changes within behavioral obesity treatments.
短期后的糟糕结果表明,通过行为手段治疗肥胖需要取得进展。社会心理干预目标的研究尤为重要。由于可能产生跨越社会经济和种族/民族界线的广泛影响,还需要能够以大规模和经济的方式有效传播的方法。这项研究评估了参与社区管理的肥胖治疗的妇女,她们采用类似的课程,分别是手册治疗(n = 39)和面对面治疗(n = 44)。社会认知理论、自我调节理论、情绪-行为模型和合作理论的范式指导了体重/身体成分变化的社会心理预测因素的分析,并得出了情绪性进食相关的结论,特别是在女性中。两种治疗方式在运动、情绪障碍、运动和饮食的自我调节、情绪性饮食、体重和腰围方面都有显著改善,其中面对面治疗方式的改善更大。模型拟合检验表明,除了自我调节因子在第3个月得分最强外,基线-时间2变化项是计划回归模型中后续变量的较好预测因子。增加锻炼预示着情绪障碍的减少。情绪→运动自我调节→饮食自我调节→情绪性饮食,以及(运动相关的)情绪变化→情绪性饮食的直接路径显著。情绪性饮食的减少显著预示着6个月和12个月后体重和腰围的减少。情绪与自我调节的关系支持情绪-行为模型,而运动相关自我调节对饮食自我调节的预测则支持协同作用理论。研究结果可用于进一步的研究和应用,针对行为肥胖治疗中的心理社会变化。
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引用次数: 0
期刊
Journal of prevention and health promotion
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