Comparative efficacy of remotely delivered mindfulness-based eating awareness training versus behavioral-weight loss counseling during COVID-19

Frontiers in Psychology

Psychology

Carla Ugarte Pérez¹  Claudia Cruzat-Mandich¹  Dafne Díaz-Tendero¹  Marcela Gallegos²  Antonio Cepeda-Benito³  Álvaro Quiñones Bergeret⁴  Aurora A. Gil⁵ 

[1] Centro de Estudios de la Conducta Alimentaria (CECA), Escuela de Psicología, Universidad Adolfo Ibáñez, Peñalolén, Chile;Departamento de Nutrición y Bariátrica, Clinica Las Condes, Santiago, Chile;Department of Psychological Science, University of Vermont, Burlington, VT, United States;Departamento de Psicología, Personalidad y Tratamiento, Universidad de Jaén, Jaén, Spain;Department of Social Science, University of Tarapacá, Iquique, Chile;Eating Disorders Unit, Psychiatry Department, Faculty of Medicine, Pontificia Universidad Católica, Santiago, Chile;

关键词: binge eating;    emotional eating;    external eating;    mindful eating;    mindfulness-based eating awareness training;    randomized controlled trial;    COVID-19;    telehealth;   

DOI  :  10.3389/fpsyg.2023.1101120

 received in 2022-11-17, accepted in 2023-04-21,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionDysregulated eating (emotional eating, cue-elicited eating, and dietary restraint and restriction) has been linked to being overweight or obese. The present investigation used a random controlled trial (RCT) to test the differential efficacy of remotely delivered Mindfulness-Based Eating Awareness Training (MB-EAT) and Behavioral Weight Loss (BWL) counseling.MethodsThe sample was recruited through advertisements that offered help to people “with problems controlling their eating” or “interested in improving their relationship with food” (n = 135).ResultsRetention was low in both groups (42%), but not dissimilar to retention rates reported in related clinical trials delivered “in person.” Among the participants who completed treatment, we found no between-group differences in any of the treatment outcomes, but participants in both groups experienced significant increases in eating-related mindfulness [Mindful Eating Questionnaire (MEQ) and awareness [Multidimensional Assessment of Interoceptive Awareness (MAIA), and significant decreases in unhealthy eating patterns [Dutch Eating Behavior Questionnaire (DEBQ); Binge Eating Scale (BES), and weight over the course of treatment. Participants in both groups also experienced increases in self-reported depression and anxiety symptoms [Hospital Anxiety and Depression Scale (HADS)], although these increases likely reflected normative changes observed in the population at large during COVID-19.DiscussionOverall, the results suggest that dysregulated eating and weight loss intervention delivered remotely via teleconference can be effective.

【 授权许可】

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Copyright © 2023 Ugarte Pérez, Cruzat-Mandich, Quiñones Bergeret, Díaz-Tendero, Gallegos, Gil and Cepeda-Benito.