Evidence map›Paper›PMID 30369631›Full record

ArticleJournal of contemporary psychotherapy2018

A Systematic Review of the Effectiveness of Acceptance and Commitment Therapy (ACT) for Body Image Dissatisfaction and Weight Self-Stigma in Adults.

Catrin Griffiths, Heidi Williamson, Fabio Zucchelli, Nicole Paraskeva, Tim Moss

Abstract read
In one paragraph

Article in Journal of contemporary psychotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A randomized controlled trial of an acceptance and commitment therapy-informed diabetes prevention program reduces body shame and distress.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Trial
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  7. A Pilot Randomized Controlled Trial of Distress Tolerance Treatment for Weight Concern in Smoking Cessation Among Women.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  8. Does Exposure to Thin Ideal Bodies Increase Self-Disgust?Europe's journal of psychology · 2026
    Article
  9. Article
  10. Acceptance and Commitment Therapy for Obesity.Current obesity reports · 2025
    Review
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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

5 authors.

Catrin GriffithsCentre for Appearance Research, University of the West of England (UWE), Frenchay Campus, Coldharbour Lane, Bristol, BS16 1QY UK.
Heidi WilliamsonCentre for Appearance Research, University of the West of England (UWE), Frenchay Campus, Coldharbour Lane, Bristol, BS16 1QY UK.
Fabio ZucchelliCentre for Appearance Research, University of the West of England (UWE), Frenchay Campus, Coldharbour Lane, Bristol, BS16 1QY UK.ORCID 0000-0002-2813-8015
Nicole ParaskevaCentre for Appearance Research, University of the West of England (UWE), Frenchay Campus, Coldharbour Lane, Bristol, BS16 1QY UK.
Tim MossCentre for Appearance Research, University of the West of England (UWE), Frenchay Campus, Coldharbour Lane, Bristol, BS16 1QY UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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 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.

Indexed as

Acceptance and Commitment TherapyACTAdultsBody imageWeight self-stigma

Identifiers

PMID30369631
PMCPMC6182714

What OpenQuestion holds

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LicenceCC BY
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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.