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研究生:黃芷君
研究生(外文):Chih-Chuang Huang
論文名稱:正念介入於職場減重方案成效之先驅研究
論文名稱(外文):A pilot study of the effectiveness of mindfulness-based intervention as a workplace health promotion program on weight loss
指導教授:黃淑玲黃淑玲引用關係
學位類別:碩士
校院名稱:中山醫學大學
系所名稱:心理學系暨臨床心理學系
學門:社會及行為科學學門
學類:心理學類
論文種類:學術論文
論文出版年:2019
畢業學年度:108
語文別:中文
論文頁數:104
中文關鍵詞:正念食物渴求身體質量指數體重過重肥胖
外文關鍵詞:MindfulnessFood cravingsBody Mass IndexOverweightObesity
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熱量失衡是造成「體重過重(Overweight)及肥胖(Obesity)」之重要原因。體重過重及肥胖者相較健康體重者有較高食物渴求程度及過量飲食行為。正念(Mindfulness)(接納策略)為一種新興用於協助體重過重及肥胖者面對食物線索誘惑及管控體重之方案。
  本研究採用隨機等組前後測設計。旨在了解正念介入與一般透過情緒管理及自我探索等心理介入方式對體重過重與肥胖者在減少食物渴求及減重之成效,以及探討正念程度在食物渴求程度對BMI值變化的影響間之調節作用。以有動機參與減重團體課程之體重過重(24≦BMI<27)或肥胖(BMI≧27)的全職職場工作成人為研究對象,將符合條件者隨機分派至正念組(2次飲食營養教育課程加上正念介入課程6次,每次1.5小時)或一般心理組(2次飲食營養教育課程加上一般心理相關課程6次,每次1.5小時)。所有研究對象在介入前及後皆須測量體重與填寫食物渴求量表中文版及臺灣版五因素正念量表。
  本研究分析樣本共59名,正念組30名,一般心理組29名。男性30名,女性29名,平均年齡為52.76歲。研究結果發現,正念組與一般心理組之BMI值及食物渴求程度皆顯著下降,但僅有正念組之正念程度在介入後較介入前顯著提升。正念變化程度、食物渴求變化程度及BMI值變化程度間則無顯著相關性。此外,本研究亦發現正念變化程度無法調節食物渴求變化程度對BMI值變化的影響。
  由此可知,不論是以正念方式介入或是透過情緒管理及自我探索等方式介入都可以在介入期間降低食物渴求程度及BMI值。然介入前後正念變化程度、食物渴求變化程度及減重成效三者間更細緻關係與彼此之間的影響尚需未來繼續研究。
Calorie imbalance is an important cause of overweight and obesity. People who are overweight and obese have higher food cravings and excessive eating behavior than healthy ones. Mindfulness-based intervention is an emerging program used to help overweight and obese people managing food temptations and body weight.
  This study used a randomized longitudinal quasi-experimental research design with an equivalent control group. This study aimed to clarify the effects of mindfulness-based interventions and general emotional management group on reducing food cravings and weight loss in overweight and obese people, and to explore the moderating effect of mindfulness on the relationship between food craving and BMI. The full-time workers with over-weight (24≦BMI<27) or obesity (BMI≧27) were invited to participate in the study. The volunteered participants were randomly assigned to the mindfulness group (2 sessions of diet nutrition education and 6 sessions of mindfulness intervention, 1.5 hours each session) or general emotional management group (2 sessions of diet nutrition education and 6 sessions of emotional management courses, 1.5 hours each session). All subjects were requested to measure body weight and fill out the General Food Craving Questionnaire Trait Scale and Taiwan-The Five Facet Mindfulness Questionnaire Scale before and after the intervention.
  A total of 59 samples were analyzed in this study, 30 in the mindfulness group and 29 in the general emotional management group. There were 30 males and 29 females, with average age of 52.76 years old. The results showed that the level of BMI and food craving level were significantly decreased in two groups. However, the level of mindfulness significantly increased only in the mindfulness group. There was no significant correlation between the level of change in mindfulness, the level of change in food cravings, and the level of change in BMI. In addition, this study also found that the level of change in mindfulness did not show moderating effect on the relationship between the changes of food cravings and changes of BMI levels.

It can be seen that whether intervened by mindfulness or through emotional management and self-exploration, the level of food craving and BMI can be reduced during the intervention. However, the more detailed relationship between the level of change in mindfulness, the level of change in food cravings and the effect of weight loss before and after intervention are still in need of further research in the future.
謝誌………………………………………………………………………………………...II
中文摘要……………………………………………………………………………….….III
Abstract ……………………………………………………………………………….…..IV
目 錄……………………………………………………………………………………..VI
表目錄………………………………………………………………..…………….………X
圖目錄……………………………………………………………..………………………XI
第一章 緒論………………………………………………………………………………1
第一節 研究背景與動機……………………………………………………………1
第二節 研究目的……………………………………………………………………3
第三節 研究問題……………………………………………………………………3
第四節 名詞釋義……………………………………………………………………4
壹、正念…………..………………………………..……………………………4
貳、食物渴求……………………………………………………………………4
參、身體質量指數………………………………………………………………4
肆、體重過重……………………………………………………………………4
伍、肥胖…………………………………………………………………………4
第二章 文獻探討…………………………………………………………………………5
第一節 體重過重及肥胖之定義與成因……………………………………………5
壹、體重過重及肥胖之定義……………………………………………………5
貳、體重過重與肥胖之成因……………………………………………………7
第二節 體重過重及肥胖者之飲食行為…………………………………………..10
壹、體重過重及肥胖者食物獎賞的影響……………………..………………10
貳、體重過重及肥胖者對食物的注意力……………………………………..12
參、體重過重及肥胖者對食物的渴求………………………………………..15
第三節 與飲食行為有關的減重方案-節制飲食…………………………………..18
壹、節制飲食的定義……………………..……………………………………18
貳、節制飲食對食物線索注意力的影響……………………………………..18
參、節制飲食對飲食行為的影響……………………………………………..19
第四節 正念與正念介入飲食………………………………………………………..21
壹、正念之定義及內涵……………………..…………………………………21
貳、正念療法之應用…………………………………………………………..22
參、正念對食物渴求的影響…………………………………………………..24
肆、正念對減重的影響………………………………………………………..24
伍、過去正念介入減重成效研究之限制……………………………………..41
第三章 研究方法………………………………………………………………………..42
第一節 研究架構…………………………………………………………………..42
第二節 研究假設…………………………………………………………………..42
第三節 研究設計…………………………………………………………………..43
第四節 研究對象…………………………………………………………………..45
第五節 實施過程…………………………………………………………………..46
壹、團體設計………………………………..…………………………………46
貳、正念介入課程理論基礎…………………………………………………..50
第六節 研究工具…………………………………………………………………..52
壹、體位測量…………………………………………………………………..52
貳、個人基本資料問卷………………………………………………………..52
參、食物渴求量表(中文版)(GFCQ-T)……………………………….….52
肆、臺灣版五因素正念量表(T-FFMQ)……………………………………53
第七節 資料分析…………………………………………………………………..54
壹、類別資料分析……………………………………………………………..54
貳、連續資料分析……………………………………………………………..54
參、相關性分析……………………………….……………………………….54
肆、解釋力分析………………………………………………………………..54
伍、差異性分析………………………………………………………………..54
陸、因果性分析………………………………………………………………..54
第八節 倫理議題…………………………………………………………………..55

第四章 研究結果………………………………………………………………………..56
第一節 研究對象人口學變項之分析……………………………………………..56
第二節 介入前各研究變項之分析………………………………………………..57
壹、介入前各研究變項平均數及標準差之比較……………………………..57
貳、介入前各研究變項之相關分析…………………………………………..57
參、介入前各研究變項之多元階層迴歸分析………………………………..59
第三節 介入後各研究變項之分析………………………………………………..61
壹、介入後各研究變項平均數及標準差之比較……………………………..61
貳、介入後各研究變項之相關分析…………………………………………..61
參、介入後各研究變項之多元階層迴歸分析………………………………..63
第四節 介入前後各研究變項變化之分析………………………………………..65
壹、介入前後各研究變項平均數及標準差之比較…………………………..65
貳、研究變項介入前後變化程度之相關分析………………………………..65
參、研究變項介入前後變化之多元階層迴歸分析…………………………..67
肆、兩種介入方式對正念程度之變異數分析………………………………..69
伍、兩種介入方式對食物渴求程度之變異數分析…………………………..70
陸、兩種介入方式對BMI值之變異數分析……………………..…………..71
柒、正念變化程度與食物渴求變化程度對BMI值變化程度影響之調節作用
………………………………………..……………………………………72
第五章 討論與建議……………………………………………………………………..73
第一節 研究摘述,………………………………………………………………….73
第二節 綜合討論…………………………………………………………………..75
壹、正念介入與食物渴求程度之探討………………………………………..75
貳、正念介入與減重成效之探討……………………………………………..76
參、正念變化程度在食物渴求變化程度對BMI值變化影響中的調節作用
……………………………………..……………………………………... 77
肆、兩種介入方案對正念程度、食物渴求程度及BMI值之影響……..…..79
第三節 研究限制及建議…………………………………………………………..81
壹、研究限制…………………………………………………………………..81
貳、建議………………………………………………………………………..82
參考文獻…………………………………………………………………………………..83
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