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A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults

Catrin Griffiths Orcid Logo, Heidi Williamson, Fabio Zucchelli Orcid Logo, Nicole Paraskeva, Tim Moss

Journal of Contemporary Psychotherapy, Volume: 48, Issue: 4, Pages: 189 - 204

Swansea University Author: Catrin Griffiths Orcid Logo

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Abstract

Body image dissatisfaction (BID) and weight self-stigma are prevalent and associated with physical and psychological ill-health. Acceptance and Commitment Therapy (ACT) is increasingly employed for both, yet little is known about its effectiveness. Searches of 12 databases identified six studies usi...

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Published in: Journal of Contemporary Psychotherapy
ISSN: 0022-0116 1573-3564
Published: Springer Science and Business Media LLC 2018
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa67947
Abstract: Body image dissatisfaction (BID) and weight self-stigma are prevalent and associated with physical and psychological ill-health. Acceptance and Commitment Therapy (ACT) is increasingly employed for both, yet little is known about its effectiveness. Searches of 12 databases identified six studies using online, face-to-face or self-help ACT interventions for BID or weight self-stigma, of varying duration and intensity. Their effectiveness and quality were evaluated. Two reported improved BID, three improved weight self-stigma, and one reported no impact on weight self-stigma. Methodological issues (small sample sizes, lack of allocation concealment, attention control and long-term follow up) impacted the validity of findings. Due to the small number of studies and poor study quality, the effectiveness of ACT for BID and weight self-stigma remains unclear. Nonetheless findings suggest psychological flexibility may facilitate reduction in BID and weight self-stigma and indicate that brief online as well as lengthy face-to-face delivery may be useful. Suggestions for further research are made.
Keywords: Acceptance and Commitment Therapy; ACT; Body image; Weight self-stigma; Adults
College: Faculty of Medicine, Health and Life Sciences
Funders: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Issue: 4
Start Page: 189
End Page: 204