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Live with your body - participants' reflections on an acceptance and commitment therapy group intervention for patients with residual eating disorder symptoms
Örebro University, School of Medical Sciences. University Health Care Research Center.ORCID iD: 0000-0002-2655-3573
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Sockholm, Sweden; Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. University Health Care Research Center.ORCID iD: 0000-0003-1460-4238
2021 (English)In: Journal of Contextual Behavioral Science, ISSN 2212-1447, Vol. 20, p. 184-193Article in journal (Refereed) Published
Abstract [en]

Acceptance and commitment therapy (ACT) is a transdiagnostic approach to human suffering that has been trialed in a range of different contexts. This study aimed to examine participants' view of helpful and hindering aspects of an in person ACT group intervention targeting body image in patients with residual eating disorder (ED) symptoms. Thirteen women who completed the intervention were interviewed, and transcripts were analyzed through thematic analysis. Nine themes were identified and sorted into three main themes. The first main theme, "Taking the plunge", pointed to the importance of participants own effort, and included subthemes of self-efficacy, self as description, and self-exploration. The second main theme, "A push towards valued ends", indicated that content of the intervention was helpful, and included subthemes of commitment and behavioral change processes, mindfulness and acceptance processes, and assignments in and between sessions. The third main theme, "The context matters", described the importance of the contexts of the intervention and life outside of treatment, and included subthemes of the group format, the context outside of treatment, and the timing of the intervention. Through the description of specific content, we conclude that ACT seems to help women with residual ED symptoms and body image issues by fostering motivation to engage in avoided situations and behaviors while striving to live a more valued life.

Place, publisher, year, edition, pages
Elsevier, 2021. Vol. 20, p. 184-193
Keywords [en]
Acceptance and commitment therapy, Eating disorder, Body image, Thematic analysis, Qualitative analysis
National Category
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-92617DOI: 10.1016/j.jcbs.2021.04.006ISI: 000657478800021Scopus ID: 2-s2.0-85105284286OAI: oai:DiVA.org:oru-92617DiVA, id: diva2:1573006
Note

Funding Agency:

Uppsala Örebro Region Research Council RFR71381 RFR213931 RFR138611

Available from: 2021-06-24 Created: 2021-06-24 Last updated: 2021-06-24Bibliographically approved

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Fogelkvist, MariaGustafsson, Sanna Aila

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