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Live with your body – participants’ reflections on an acceptance and commitment therapy group intervention for patients with residual eating disorder symptoms
Journal of Contextual Behavioral Science ( IF 5.138 ) Pub Date : 2021-04-19 , DOI: 10.1016/j.jcbs.2021.04.006
Maria Fogelkvist , Thomas Parling , Lars Kjellin , Sanna Aila Gustafsson

Acceptance and commitment therapy (ACT) is a transdiagnostic approach to human suffering that has been trialed in a range of different contexts. This study aimed to examine participants' view of helpful and hindering aspects of an in person ACT group intervention targeting body image in patients with residual eating disorder (ED) symptoms. Thirteen women who completed the intervention were interviewed, and transcripts were analyzed through thematic analysis. Nine themes were identified and sorted into three main themes. The first main theme, ”Taking the plunge”, pointed to the importance of participants own effort, and included subthemes of self-efficacy, self as description, and self-exploration. The second main theme, “A push towards valued ends”, indicated that content of the intervention was helpful, and included subthemes of commitment and behavioral change processes, mindfulness and acceptance processes, and assignments in and between sessions. The third main theme, “The context matters”, described the importance of the contexts of the intervention and life outside of treatment, and included subthemes of the group format, the context outside of treatment, and the timing of the intervention. Through the description of specific content, we conclude that ACT seems to help women with residual ED symptoms and body image issues by fostering motivation to engage in avoided situations and behaviors while striving to live a more valued life.



中文翻译:

与您的身体同住–参与者对接受和承诺治疗小组进行干预以应对残留饮食失调症状患者的思考

接受和承诺治疗(ACT)是一种针对人类痛苦的跨诊断方法,已经在各种不同的环境中进行了试验。这项研究的目的是研究参与者对以残余饮食失调(ED)症状患者的身体图像为目标的面对面ACT小组干预的有益和阻碍因素的观点。采访了完成干预的13位妇女,并通过主题分析对笔录进行了分析。确定了九个主题并将其分为三个主要主题。第一个主要主题“冒险”指出参与者努力的重要性,其中包括自我效能,自我描述和自我探索等子主题。第二个主要主题是“朝着有价值的目标迈进”,它表明干预的内容是有帮助的,并包括承诺和行为变更过程,正念和接受过程以及会议期间和会议之间的作业等子主题。第三个主要主题“情境很重要”,描述了干预情境和治疗之外的生活的重要性,并包括了小组形式的子主题,治疗之外的情境以及干预的时机。通过对特定内容的描述,我们得出结论,ACT似乎通过鼓励人们努力避免生活中的情况和行为,同时努力过上更有价值的生活,从而帮助具有残留ED症状和身体形象问题的女性。描述了干预环境和治疗以外生活的重要性,并包括小组形式的子主题,治疗以外的环境以及干预时间。通过对特定内容的描述,我们得出结论,ACT似乎通过鼓励人们努力避免生活中的情况和行为,同时努力过上更有价值的生活,从而帮助具有残留ED症状和身体形象问题的女性。描述了干预环境和治疗以外生活的重要性,并包括小组形式的子主题,治疗以外的环境以及干预时间。通过对特定内容的描述,我们得出结论,ACT似乎通过鼓励人们努力避免生活中的情况和行为,同时努力过上更有价值的生活,从而帮助具有残留ED症状和身体形象问题的女性。

更新日期:2021-05-06
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