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首页> 外文期刊>Journal of Eating Disorders >A qualitative analysis of participants’ reflections on body image during participation in a randomized controlled trial of acceptance and commitment therapy
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A qualitative analysis of participants’ reflections on body image during participation in a randomized controlled trial of acceptance and commitment therapy

机译：对参加者接受和承诺治疗的随机对照试验中参与者对身体形象的思考进行定性分析

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Background Negative body image is a risk factor for development and relapse in eating disorders (ED). Many patients continue to be dissatisfied with their body shape or weight after treatment. This study presents a qualitative analysis of written reflections on body image from patients with an ED and a negative body image before and after an Acceptance and Commitment Therapy group treatment at a specialized ED-unit. Method Before and after the treatment participants (n?=?47) answered a questionnaire with open ended questions on their thoughts on body image. Data were analyzed through conventional content analysis. Results Body image meant different things for different participants. For some it had to do with how you evaluate your body, whereas others focused on whether their body image was realistic or not. Some emphasized their relationship with their body, while some described body image as strongly related to global self-esteem. These different views on the concept of body image affected the participants’ descriptions of their own body image, and how they wanted it to change. Body image was considered a state that fluctuated from day to day. After treatment the participants described changes in their body image, for instance perceiving oneself as less judgmental towards one’s body, and a shift in focus to the important things in life. Conclusions The participants had different views on body image and how they wished it to change. Thus treatment interventions targeting negative body image needs to address various aspects of this complex construct. Trial registration This study is part of an RCT registered 02/06/2014 in Clinical Trials, registration number: NCT02058121 .
机译：背景身体图像阴性是进食障碍（ED）发展和复发的危险因素。许多患者在治疗后仍然对他们的身体形状或体重不满意。这项研究提供了定性分析，分析了在专用ED单元接受和承诺治疗组治疗之前和之后，患有ED的患者的身体图像上的书面反射和否定的身体图像。方法在治疗前后，参与者（n = 47）回答了一个关于他们对身体形象的想法带有开放式问题的问卷。通过常规内容分析来分析数据。结果身体形象对于不同的参与者意味着不同的事情。对于某些人而言，这与您如何评估自己的身体有关，而对于另一些人而言，则着重于他们的身体形象是否真实。一些人强调他们与身体的关系，而另一些人则将身体形象与全球自尊紧密相关。这些关于人体形象概念的不同看法影响了参与者对自己的身体形象的描述，以及他们希望其如何改变。身体形象被认为是每天波动的状态。在接受治疗后，参与者描述了他们身体形象的变化，例如，感觉自己对身体的判断力有所减弱，并且将注意力转移到生活中的重要事物上。结论参与者对身体形象以及他们希望如何改变的看法不同。因此，针对阴性人体图像的治疗干预措施需要解决这一复杂结构的各个方面。试验注册本研究属于2014年6月6日在临床试验中注册的RCT的一部分，注册号：NCT02058121。

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