One-year follow-up effects of two obesity treatments on psychological well-being and weight

Citation
H. Nauta et al., One-year follow-up effects of two obesity treatments on psychological well-being and weight, BR J H PSYC, 6, 2001, pp. 271-284
Citations number
52
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Psycology
Journal title
BRITISH JOURNAL OF HEALTH PSYCHOLOGY
ISSN journal
1359-107X → ACNP
Volume
6
Year of publication
2001
Part
3
Pages
271 - 284
Database
ISI
SICI code
1359-107X(200109)6:<271:OFEOTO>2.0.ZU;2-4
Abstract
Objectives. The effectiveness of a cognitive and a behavioural treatment fo r obese binge eaters and obese non-binge eaters was evaluated at I-year fol low-up. Furthermore, we examined the role of weight changes on psychologica l well-being at I-year follow-up. Design and method. Participants were reassessed 6 months and I year after t hey had finished a group cognitive treatment or a group behavioural treatme nt. The outcome measures were; psychological well-being (concerns about sha pe, weight and eating, self-esteem and depression), binge eating, and weigh t. Results and conclusions. Analyses on the completers' sample revealed that b oth treatments had a markedly positive and lasting impact on shape concern, weight concern and eating concern, binge eating, self-esteem, and depressi on at 1-year followup. Cognitive treatment was not superior to behavioural treatment on most outcome measures. This might be due to selective drop-out , Analyses including non-responders showed that the cognitive treatment was superior on shape, weight and eating concern, and binge eating. The I-year follow-up results for weight-loss were disappointing. Between pre-treatmen t and 1-year follow-up participants in the behaviour treatment lost 3.0 kg, while participants in the cognitive treatment lost 0.3 kg. However, partic ipants who gained weight were as successful on changes in psychological wel l-being changes as participants who lost weight.