Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 1681-1691 |
| Number of pages | 11 |
| Journal | Public Health Nutrition |
| Volume | 20 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - 1 Jun 2017 |
| MoE publication type | A1 Journal article-refereed |
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Keywords
- acceptance and commitment therapy overweight
- intuitive eating
- psychological flexibility
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Psychological flexibility mediates change in intuitive eating regulation in acceptance and commitment therapy interventions. / Sairanen, Essi; Tolvanen, Asko; Karhunen, Leila; Kolehmainen, Marjukka; Järvelä-Reijonen, Elina; Lindroos, Sanni; Peuhkuri, Katri; Korpela, Riitta; Ermes, Miikka; Mattila, Elina M.; Lappalainen, Raimo.
In: Public Health Nutrition, Vol. 20, No. 9, 01.06.2017, p. 1681-1691.Research output: Contribution to journal › Article › Scientific › peer-review
TY - JOUR
T1 - Psychological flexibility mediates change in intuitive eating regulation in acceptance and commitment therapy interventions
AU - Sairanen, Essi
AU - Tolvanen, Asko
AU - Karhunen, Leila
AU - Kolehmainen, Marjukka
AU - Järvelä-Reijonen, Elina
AU - Lindroos, Sanni
AU - Peuhkuri, Katri
AU - Korpela, Riitta
AU - Ermes, Miikka
AU - Mattila, Elina M.
AU - Lappalainen, Raimo
N1 - CA2: BA1603 AU2: Ermes, Miikka
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Objective: Despite the promising results related to intuitive eating, few studies have attempted to explain the processes encouraging this adaptive eating behaviour. The focus of the present study was on exploring mechanisms of change in intuitive eating and weight in acceptance and commitment therapy (ACT) interventions. Mediation provides important information regarding the treatment processes and theoretical models related to specific treatment approaches. The study investigates whether psychological flexibility, mindfulness skills and sense of coherence mediated the interventions' effect on intuitive eating and weight. Design: Secondary analysis of a randomized control trial. Mediation analysis compared two ACT interventions - face-to-face (in a group) and mobile (individually) - with a control group using a latent difference score model. Settings: Data were collected in three Finnish towns. Subjects: The participants were overweight or obese (n 219), reporting symptoms of perceived stress. Results: The effect of the interventions on participants' (i) BMI, (ii) intuitive eating and its subscales, (iii) eating for physical rather than emotional reasons and (iv) reliance on internal hunger and satiety cues was mediated by changes in weight-related psychological flexibility in both ACT groups. Conclusions: These findings suggest that ACT interventions aiming for lifestyle changes mediate the intervention effects through the enhanced ability to continue with valued activities even when confronted with negative emotions and thoughts related to weight.
AB - Objective: Despite the promising results related to intuitive eating, few studies have attempted to explain the processes encouraging this adaptive eating behaviour. The focus of the present study was on exploring mechanisms of change in intuitive eating and weight in acceptance and commitment therapy (ACT) interventions. Mediation provides important information regarding the treatment processes and theoretical models related to specific treatment approaches. The study investigates whether psychological flexibility, mindfulness skills and sense of coherence mediated the interventions' effect on intuitive eating and weight. Design: Secondary analysis of a randomized control trial. Mediation analysis compared two ACT interventions - face-to-face (in a group) and mobile (individually) - with a control group using a latent difference score model. Settings: Data were collected in three Finnish towns. Subjects: The participants were overweight or obese (n 219), reporting symptoms of perceived stress. Results: The effect of the interventions on participants' (i) BMI, (ii) intuitive eating and its subscales, (iii) eating for physical rather than emotional reasons and (iv) reliance on internal hunger and satiety cues was mediated by changes in weight-related psychological flexibility in both ACT groups. Conclusions: These findings suggest that ACT interventions aiming for lifestyle changes mediate the intervention effects through the enhanced ability to continue with valued activities even when confronted with negative emotions and thoughts related to weight.
KW - acceptance and commitment therapy overweight
KW - intuitive eating
KW - psychological flexibility
UR - http://www.scopus.com/inward/record.url?scp=85017505327&partnerID=8YFLogxK
U2 - 10.1017/S1368980017000441
DO - 10.1017/S1368980017000441
M3 - Article
VL - 20
SP - 1681
EP - 1691
JO - Public Health Nutrition
JF - Public Health Nutrition
SN - 1368-9800
IS - 9
ER -