Evidence map›Paper›PMID 28414018›Full record

Trial reportPublic health nutrition2017

Psychological flexibility mediates change in intuitive eating regulation in acceptance and commitment therapy interventions.

Essi Sairanen, Asko Tolvanen, Leila Karhunen, Marjukka Kolehmainen, Elina Järvelä-Reijonen, Sanni Lindroos, Katri Peuhkuri, Riitta Korpela, Miikka Ermes, Elina Mattila and 1 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Public health nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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  4. Third-wave cognitive behaviour therapies for weight management: A systematic review and network meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020
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  5. Racial disparities in the efficacy of traditional versus acceptance-based behavioral weight loss.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Essi Sairanen1Department of Psychology,University of Jyväskylä,Ylistönmäentie 33,PO Box 35,40014 Jyväskylä,Finland.
Asko Tolvanen1Department of Psychology,University of Jyväskylä,Ylistönmäentie 33,PO Box 35,40014 Jyväskylä,Finland.
Leila Karhunen3Institute of Public Health and Clinical Nutrition,University of Eastern Finland, Kuopio Campus,Finland.
Marjukka Kolehmainen3Institute of Public Health and Clinical Nutrition,University of Eastern Finland, Kuopio Campus,Finland.
Elina Järvelä-Reijonen3Institute of Public Health and Clinical Nutrition,University of Eastern Finland, Kuopio Campus,Finland.
Sanni Lindroos4Institute of Biomedicine,University of Helsinki,Helsinki,Finland.
Katri Peuhkuri4Institute of Biomedicine,University of Helsinki,Helsinki,Finland.
Riitta Korpela4Institute of Biomedicine,University of Helsinki,Helsinki,Finland.
Miikka Ermes5VTT Technical Research Centre of Finland,Digital Health,Tampere,Finland.
Elina Mattila4Institute of Biomedicine,University of Helsinki,Helsinki,Finland.
Raimo Lappalainen1Department of Psychology,University of Jyväskylä,Ylistönmäentie 33,PO Box 35,40014 Jyväskylä,Finland.
University of Helsinki · FIUniversity of Eastern Finland · FIUniversity of Jyväskylä · FIKarlstad University · SEVTT Technical Research Centre of Finland · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDespite the promising results related to intuitive eating, few studies have attempted to explain the processes encouraging this adaptive eating behaviour. The focus of the present study was on exploring mechanisms of change in intuitive eating and weight in acceptance and commitment therapy (ACT) interventions. Mediation provides important information regarding the treatment processes and theoretical models related to specific treatment approaches. The study investigates whether psychological flexibility, mindfulness skills and sense of coherence mediated the interventions' effect on intuitive eating and weight.

designSecondary analysis of a randomized control trial. Mediation analysis compared two ACT interventions - face-to-face (in a group) and mobile (individually) - with a control group using a latent difference score model. Settings Data were collected in three Finnish towns. SUBJECTS: The participants were overweight or obese (n 219), reporting symptoms of perceived stress.

resultsThe effect of the interventions on participants' (i) BMI, (ii) intuitive eating and its subscales, (iii) eating for physical rather than emotional reasons and (iv) reliance on internal hunger and satiety cues was mediated by changes in weight-related psychological flexibility in both ACT groups.

conclusionsThese findings suggest that ACT interventions aiming for lifestyle changes mediate the intervention effects through the enhanced ability to continue with valued activities even when confronted with negative emotions and thoughts related to weight.

Indexed as

Acceptance and Commitment TherapyHealth BehaviorAdultAppetite RegulationBody Mass IndexBody WeightCuesEatingEmotionsFemaleFollow-Up StudiesHealth EducationHumansHungerLife StyleMaleAcceptance and commitment therapy OverweightIntuitive eatingPsychological flexibility

Identifiers

PMID28414018
PMCPMC10261668
OpenAlexW2605720743

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.