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Preliminary Results from the ACTyourCHANGE in Teens Protocol: A Randomized Controlled Trial Evaluating Acceptance and Commitment Therapy for Adolescents with Obesity

Author

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  • Anna Guerrini Usubini

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy
    Department of Psychology, Catholic University of Milan, 20123 Milan, Italy)

  • Roberto Cattivelli

    (Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127 Bologna, Italy
    Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Viale Europa 115, 47023 Cesena, Italy)

  • Asia Radaelli

    (Department of Psychology, Catholic University of Milan, 20123 Milan, Italy)

  • Michela Bottacchi

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy)

  • Giulia Landi

    (Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127 Bologna, Italy
    Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Viale Europa 115, 47023 Cesena, Italy)

  • Eliana Tossani

    (Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127 Bologna, Italy
    Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Viale Europa 115, 47023 Cesena, Italy)

  • Silvana Grandi

    (Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127 Bologna, Italy
    Laboratory of Psychosomatics and Clinimetrics, Department of Psychology, University of Bologna, Viale Europa 115, 47023 Cesena, Italy)

  • Gianluca Castelnuovo

    (Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, 20145 Milan, Italy
    Department of Psychology, Catholic University of Milan, 20123 Milan, Italy)

  • Alessandro Sartorio

    (Istituto Auxologico Italiano, IRCCS, Experimental Laboratory for Auxo-Endocrinological Research, Piancavallo [VB], 28824 Verbania, Italy
    Istituto Auxologico Italiano, IRCCS, Division of Auxology, Piancavallo [VB], 28824 Verbania, Italy)

Abstract

The study shows preliminary results of “The ACTyourCHANGE in Teens” project, a Randomized Controlled Trial aimed at evaluating the efficacy of an Acceptance and Commitment Therapy-based intervention combined with treatment as usual (ACT+TAU) compared to TAU only, for improving psychological well-being, psychological distress, experiential avoidance and fusion, emotion dysregulation, and emotional eating in a sample of 34 in-patient adolescents with obesity (Body Mass Index > 97th centile). Mixed between-within 2 × 2 repeated-measures analyses of variances (ANOVAs) were carried out to examine the changes in psychological conditions of participants over time. Moderation analyses were also conducted to test whether pre-test anxiety, depression, stress, and experiential avoidance and fusion predicted emotional eating at post-test with groups (ACT+TAU vs. TAU only) as moderators. Only a significant interaction effect (time × group) from pre- to post-test ( p = 0.031) and a significant main effect of time on anxiety ( p < 0.001) and emotional eating ( p = 0.010) were found. Only in the TAU only group were higher levels of depression ( p = 0.0011), stress ( p = 0.0012), and experiential avoidance and fusion ( p = 0.0282) at pre-test significantly associated with higher emotional eating at post-test. Although future replication and improvements of the study may allow us to obtain more consistent results, this preliminary evidence is actually promising.

Suggested Citation

  • Anna Guerrini Usubini & Roberto Cattivelli & Asia Radaelli & Michela Bottacchi & Giulia Landi & Eliana Tossani & Silvana Grandi & Gianluca Castelnuovo & Alessandro Sartorio, 2022. "Preliminary Results from the ACTyourCHANGE in Teens Protocol: A Randomized Controlled Trial Evaluating Acceptance and Commitment Therapy for Adolescents with Obesity," IJERPH, MDPI, vol. 19(9), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5635-:d:809132
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    References listed on IDEAS

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    1. Giada Pietrabissa & Clarissa Volpi & Michela Bottacchi & Vanessa Bertuzzi & Anna Guerrini Usubini & Henriette Löffler-Stastka & Tamara Prevendar & Giada Rapelli & Roberto Cattivelli & Gianluca Casteln, 2021. "The Impact of Social Isolation during the COVID-19 Pandemic on Physical and Mental Health: The Lived Experience of Adolescents with Obesity and Their Caregivers," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    2. Roberto Cattivelli & Anna Guerrini Usubini & Gian Mauro Manzoni & Francesco Vailati Riboni & Giada Pietrabissa & Alessandro Musetti & Christian Franceschini & Giorgia Varallo & Chiara A. M. Spatola & , 2021. "ACTonFood. Acceptance and Commitment Therapy-Based Group Treatment Compared to Cognitive Behavioral Therapy-Based Group Treatment for Weight Loss Maintenance: An Individually Randomized Group Treatmen," IJERPH, MDPI, vol. 18(18), pages 1-19, September.
    3. Anna Guerrini Usubini & Roberto Cattivelli & Vanessa Bertuzzi & Giorgia Varallo & Alessandro Alberto Rossi & Clarissa Volpi & Michela Bottacchi & Sofia Tamini & Alessandra De Col & Giada Pietrabissa &, 2021. "The ACTyourCHANGE in Teens Study Protocol: An Acceptance and Commitment Therapy-Based Intervention for Adolescents with Obesity: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(12), pages 1-12, June.
    4. Giulia Landi & Kenneth Ian Pakenham & Mariagrazia Benassi & Sara Giovagnoli & Eliana Tossani & Silvana Grandi, 2021. "A Model of the Effects of Parental Illness on Youth Adjustment and Family Functioning: The Moderating Effects of Psychological Flexibility on Youth Caregiving and Stress," IJERPH, MDPI, vol. 18(9), pages 1-16, May.
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    1. Anna Guerrini Usubini & Michela Bottacchi & Diana Caroli & Gianluca Castelnuovo & Alessandro Sartorio, 2022. "Cognitive Fusion and Emotional Eating among Adolescents with Obesity: A Preliminary Cross-Sectional Study," IJERPH, MDPI, vol. 19(22), pages 1-6, November.

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