Psychosocial outcomes of a non-dieting based positive body image community program for overweight adults: a pilot study

Journal of Eating Disorders

Leah Brennan³  Melissa Bengough¹  Beth Shelton¹  Lisa Bloom² 

[1] Southern Health Wellness Recovery Adult Outpatient Eating Disorder Service, Melbourne, Australia;School of Health Sciences, RMIT University, Melbourne, Australia;School of Psychology, Australian Catholic University, Melbourne, Australia

关键词: Disordered eating;    Intervention;    Body image;    Community;    Non-dieting;    Obesity;   

Others  :  801119
DOI  :  10.1186/2050-2974-1-44

 received in 2013-06-19, accepted in 2013-11-30,  发布年份 2013

【 摘 要 】

Background

The limited success of traditional diet focused obesity interventions has led to the development of alternative non-dieting approaches. The current study evaluated the impact of a community based non-dieting positive body image program for overweight/obese people on a range of psychosocial outcomes. The characteristics of this real-world sample presenting for a non-dieting weight management intervention are also described.

Method

Overweight and obese participants enrolled in the eight week ‘No More Diets’ (NMD) group program completed self-report questionnaires assessing disordered eating thoughts and behaviours, body image, motivation for exercise and psychopathology pre- and post-treatment.

Results

Participants (n = 17; 16 female) were aged between 19 and 78 years, with a BMI ranging from 25.2 kg/m² (Overweight) to 55.9 kg/m² (Severely Obese). They reported elevated levels of eating disorder pathology, body shape preoccupation, depression, anxiety and stress compared to community norms (p < .05). Following treatment there were significant improvements in reported body shape preoccupation, shape concern and eating attitudes (p < .05), and clinically significant changes (small to medium effect sizes; 0.3-0.35) for improvements in reported weight concern, eating competence, stress and health evaluation. There were no changes in reported dietary restraint, emotional eating and uncontrolled eating, or eating concern (p > .05).

Conclusion

Individuals presenting for the NMD program demonstrated increased eating disorder pathology and more generalised psychopathology compared to community norms. The NMD program was particularly beneficial for body image and shape concern. Addressing these body image factors may help to address some of the perpetuating factors of obesity and disordered eating, which are often not addressed in the traditional diet-based weight loss interventions.

【 授权许可】

   
2013 Bloom et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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