接受承诺治疗对肥胖女性自我概念、抑郁、焦虑的改善效果

Elham Keyvani, Mustafa Bolghan-Abadi
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摘要

目的:肥胖可以被认为是心理障碍最复杂的原因之一。已经采取了各种治疗方法来减轻肥胖患者的疾病严重程度。本研究旨在探讨接纳与承诺疗法(ACT)对肥胖女性自我概念、抑郁和焦虑的改善效果。材料与方法:本研究为准实验设计(前测和后测设计,对照组)。该研究的统计人群包括2019年到马什哈德心理诊所就诊的所有肥胖女性。对24名肥胖妇女进行了评估。实验组的12名妇女接受了8次ACT治疗,对照组(等候名单)的其他12名妇女没有接受任何干预。采用多变量协方差分析(MANCOVA)对Beck自我概念量表、抑郁量表和焦虑量表的结果进行分析。结果:MANCOVA结果显示,ACT在自我概念水平及其组成部分(心理能力、工作效率、吸引力和社交技能评估)以及减轻抑郁和焦虑的严重程度上是有效的(P < 0.001)。结论:ACT可作为一种适当的干预措施,有效地提高肥胖妇女自我概念的积极评价,减轻抑郁和焦虑的严重程度。讨论了本研究的意义。
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The effectiveness of acceptance and commitment therapy on improving self-concept, depression, and anxiety in obese women
Aims: Obesity can be considered as one of the most complex causes of psychological disorders. Various treatments have been performed to reduce the severity of the disorders in people with obesity. The aim of this study was to evaluate the effectiveness of acceptance and commitment therapy (ACT) on improving self-concept, depression, and anxiety in obese women. Materials and Methods: The present study was a quasi-experimental (pretest and posttest design with control group). The statistical population of the study included all obese women referred to psychological clinics in Mashhad in 2019. Twenty-four obese women were evaluated. Twelve women in the experimental group received eight sessions of ACT and the other 12 women in the control group (waiting list) did not receive any intervention. The results of Beck's self-concept, depression, and anxiety scales were analyzed by multivariate analysis of covariance (MANCOVA). Findings: The results of MANCOVA showed that ACT on the level of self-concept and its components (assessment of mental ability, job efficiency, attractiveness, and social skills) as well as reducing the severity of depression and anxiety is effective (P < 0.001). Conclusion: The ACT can be effective as an appropriate intervention to increase the positive assessment of self-concept and reduce the severity of depression and anxiety in obese women. The implications of the study are discussed.
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