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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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DOI (Published version): 10.1007/s10879-018-9384-0

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
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URI: https://cronfa.swan.ac.uk/Record/cronfa67947
first_indexed 2024-10-09T14:29:34Z
last_indexed 2024-11-25T14:21:09Z
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spelling 2024-11-07T14:22:52.5021398 v2 67947 2024-10-09 A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults 2d49e9db71928b3c4e564063c2b8b06e 0000-0002-6581-0536 Catrin Griffiths Catrin Griffiths true false 2024-10-09 HSOC 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. Journal Article Journal of Contemporary Psychotherapy 48 4 189 204 Springer Science and Business Media LLC 0022-0116 1573-3564 Acceptance and Commitment Therapy; ACT; Body image; Weight self-stigma; Adults 1 12 2018 2018-12-01 10.1007/s10879-018-9384-0 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. 2024-11-07T14:22:52.5021398 2024-10-09T15:25:19.5480231 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Catrin Griffiths 0000-0002-6581-0536 1 Heidi Williamson 2 Fabio Zucchelli 0000-0002-2813-8015 3 Nicole Paraskeva 4 Tim Moss 5 67947__32883__a7ab7e1f80bf48c2baba1ab1cdb67005.pdf 67947.VoR.pdf 2024-11-07T14:15:17.3277873 Output 896630 application/pdf Version of Record true © The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. true eng http://creativecommons.org/licenses/by/4.0/
title A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults
spellingShingle A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults
Catrin Griffiths
title_short A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults
title_full A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults
title_fullStr A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults
title_full_unstemmed A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults
title_sort A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults
author_id_str_mv 2d49e9db71928b3c4e564063c2b8b06e
author_id_fullname_str_mv 2d49e9db71928b3c4e564063c2b8b06e_***_Catrin Griffiths
author Catrin Griffiths
author2 Catrin Griffiths
Heidi Williamson
Fabio Zucchelli
Nicole Paraskeva
Tim Moss
format Journal article
container_title Journal of Contemporary Psychotherapy
container_volume 48
container_issue 4
container_start_page 189
publishDate 2018
institution Swansea University
issn 0022-0116
1573-3564
doi_str_mv 10.1007/s10879-018-9384-0
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description 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.
published_date 2018-12-01T05:22:58Z
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