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Eaton M, Probst Y, Foster T, Messore J, Robinson L. A systematic review of observational studies exploring the relationship between health and non-weight-centric eating behaviours. Appetite 2024; 199:107361. [PMID: 38643903 DOI: 10.1016/j.appet.2024.107361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 03/22/2024] [Accepted: 04/13/2024] [Indexed: 04/23/2024]
Abstract
Eating behaviour that does not centralise weight, otherwise known as weight-neutral, is associated with improved physical and psychological health, and greater health promoting behaviours. However, consolidated evidence is lacking. This study aimed to systematically evaluate 'health-centric' eating behaviour reflective of weight-neutral approaches, and their relationship with health (physical and mental) and health promoting behaviours. A systematic search was performed, identifying observational studies with adult populations, ≥1 physical/mental health outcome(s), and ≥1 validated measure(s) of health-centric eating behaviour. Study design, sample characteristics and outcomes were extracted and characterised into four domains. Our search identified 8281 records, with 86 studies, 75 unique datasets, and 78 unique exposures including 94,710 individuals. Eating behaviours included intuitive eating (n = 48), mindful eating (n = 19), and eating competence (n = 11). There were 298 outcomes identified for body composition, size, and physical health (n = 116), mental health and wellbeing (n = 123), health promoting behaviours (n = 51) and other eating behaviour (n = 8). Higher levels of intuitive eating, mindful eating and eating competence were significantly related to a lower BMI, better diet quality and greater physical activity. Higher intuitive and mindful eating were significantly related to lower levels of disordered eating, and depressive symptoms, and greater body image, self-compassion, and mindfulness. Greater eating competence and intuitive eating were significantly related to higher fruit and vegetable intake, and greater eating competence to higher fibre intake and better sleep quality. Our results demonstrate that 'health-centric' eating behaviours are related to a range of favourable health outcomes and engagement in health promoting behaviours. These findings help to enhance our understanding of eating behaviours that do not centre around body weight, providing support for health-centric eating behaviour in healthcare. Future research should focus on intervention studies and more diverse population groups.
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Affiliation(s)
- Melissa Eaton
- School of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, Australia.
| | - Yasmine Probst
- School of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, Australia
| | - Tiarna Foster
- School of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, Australia
| | - Julia Messore
- School of Psychology, University of Wollongong, Wollongong, Australia
| | - Laura Robinson
- School of Psychology, University of Wollongong, Wollongong, Australia
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2
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Rodrigues DAC, Marcadenti A, Machado RHV, Bersch-Ferreira AC, Gherardi-Donato ECS, Quinhoneiro D, Almeida JCD, Souza VS, Souza SRD, Busnello FM, Ferreira DC, Bressan J, Figueiredo MOAD, Reis NM, Consoli MLD, Ferreira LG. Mindful eating questionnaire: Validation and reliability in Brazilian adults with type 2 diabetes mellitus. Appetite 2024; 195:107228. [PMID: 38278444 DOI: 10.1016/j.appet.2024.107228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 01/09/2024] [Accepted: 01/17/2024] [Indexed: 01/28/2024]
Abstract
OBJECTIVE The objective was to evaluate the psychometric properties of the Mindful Eating Questionnaire (MEQ) in Brazilian subjects with type 2 diabetes mellitus (T2DM) and validate a Brazilian version of the MEQ for adults with T2DM (MEQ-DM). METHODOLOGY Baseline data from the multicentre Nutritional Strategy for Glycaemic Control in Patients with Type 2 Diabetes Mellitus (NUGLIC) trial were used. Construct validity was assessed using exploratory factor analysis (EFA). The root mean square error of approximation (RMSEA), comparative fit index (CFI) and Tucker‒Lewis index (TLI) fit indices indicated the adequacy of the model. The reliability of the questionnaire was evaluated considering the different factor loadings. Criterion validity was tested by correlating the MEQ-DM with sociodemographic variables, body mass index (BMI) and physical activity levels. RESULTS A total of 370 participants were included, who were mostly female (60.8 %) and had a median age of 61 (54-67) years. The EFA results supported the two-factor structure of the 25-item MEQ-DM: disinhibition and awareness. The results of the fit indices (RMSEA = 0.04; CFI = 0.95 and TLI = 0.94) and composite reliability (disinhibition = 0.84 and awareness = 0.81) were consistent. The criterion validity analysis indicated a significant association between MEQ-DM scores and age, sex, civil status, education level, BMI and physical activity (p < 0.05). CONCLUSION When explored with Brazilian adults with T2DM, the MEQ-DM presented a factorial model with two dimensions: disinhibition and awareness. This model must be confirmed in future studies with Brazilians with T2DM.
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Affiliation(s)
| | - Aline Marcadenti
- Hcor Research Institute, Hcor, São Paulo, Brazil; Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre, Brazil.
| | | | - Angela C Bersch-Ferreira
- Hcor Teaching Institute, Hcor, São Paulo, Brazil; PROADI-SUS Office, Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, Brazil.
| | | | - Driele Quinhoneiro
- Ribeirão Preto College of Nursing, Universidade de São Paulo, Ribeirão Preto, Brazil.
| | - Jussara Carnevale de Almeida
- Department of Nutrition, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
| | | | | | - Fernanda Michielin Busnello
- Graduate Program in Nutrition Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil.
| | - Daniela Corrêa Ferreira
- Department of Nutrition, Universidade Federal de Juiz de Fora, Governador Valadares, Minas Gerais, Brazil.
| | - Josefina Bressan
- Department of Nutrition and Health, Universidade Federal de Viçosa, Viçosa, Brazil.
| | | | - Nídia Marinho Reis
- Department of Nutrition, Universidade Federal de Lavras - Lavras, Minas Gerais, Brazil.
| | | | - Lívia Garcia Ferreira
- Department of Nutrition, Universidade Federal de Lavras - Lavras, Minas Gerais, Brazil.
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3
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Clemente-Suárez VJ, Martín-Rodríguez A, Redondo-Flórez L, López-Mora C, Yáñez-Sepúlveda R, Tornero-Aguilera JF. New Insights and Potential Therapeutic Interventions in Metabolic Diseases. Int J Mol Sci 2023; 24:10672. [PMID: 37445852 DOI: 10.3390/ijms241310672] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 06/13/2023] [Accepted: 06/21/2023] [Indexed: 07/15/2023] Open
Abstract
Endocrine homeostasis and metabolic diseases have been the subject of extensive research in recent years. The development of new techniques and insights has led to a deeper understanding of the mechanisms underlying these conditions and opened up new avenues for diagnosis and treatment. In this review, we discussed the rise of metabolic diseases, especially in Western countries, the genetical, psychological, and behavioral basis of metabolic diseases, the role of nutrition and physical activity in the development of metabolic diseases, the role of single-cell transcriptomics, gut microbiota, epigenetics, advanced imaging techniques, and cell-based therapies in metabolic diseases. Finally, practical applications derived from this information are made.
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Affiliation(s)
- Vicente Javier Clemente-Suárez
- Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain
- Grupo de Investigación en Cultura, Educación y Sociedad, Universidad de la Costa, Barranquilla 080002, Colombia
| | | | - Laura Redondo-Flórez
- Department of Health Sciences, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Tajo Street s/n, 28670 Villaviciosa de Odon, Spain
| | - Clara López-Mora
- Facultad de Ciencias Biomédicas y de la Salud, Universidad Europea de Valencia, Pg. de l'Albereda, 7, 46010 València, Spain
| | - Rodrigo Yáñez-Sepúlveda
- Faculty of Education and Social Sciences, Universidad Andres Bello, Viña del Mar 2520000, Chile
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4
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Fang S, Ding D, Ji P, Huang M, Hu K. Cognitive Defusion and Psychological Flexibility Predict Negative Body Image in the Chinese College Students: Evidence from Acceptance and Commitment Therapy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16519. [PMID: 36554399 PMCID: PMC9778665 DOI: 10.3390/ijerph192416519] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Revised: 12/05/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
Body dissatisfaction is a global phenomenon. Despite the significant cultural difference, most research on negative body image was conducted in Western countries. How do cognitive fusion and psychological flexibility relate to negative body image in the Chinese population? In the present study, this question was investigated through the intervention technique, Acceptance and Commitment Therapy (ACT). Here, 86 young Chinese university students with high negative physical self were invited, in which 42 students received 10 sessions of group-based ACT intervention in a clinical setting while the remained acted as the control group with no intervention. Pretests showed no statistical differences in negative body image between these two groups, while both cognitive fusion and psychological flexibility predicted negative body image. Post-pre tests showed no change in the control group, while enhanced cognitive defusion and psychological flexibility in the ACT group. Individual differences in psychological flexibility and cognitive defusion enhancement predicted improved body image. A strong association of implicit body image with Fatness and Shortness changes suggested that although with individual differences, those components could be internalized during the intervention in the College students.
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Affiliation(s)
- Shuanghu Fang
- School of Educational Science, Anhui Normal University, Wuhu 241000, China
| | - Dongyan Ding
- School of Educational Science, Anhui Normal University, Wuhu 241000, China
| | - Pingping Ji
- School of Educational Science, Anhui Normal University, Wuhu 241000, China
| | - Mingjie Huang
- School of Educational Science, Anhui Normal University, Wuhu 241000, China
| | - Kesong Hu
- Department of Psychology, Lake Superior State University, Sault Ste. Marie, MI 49783, USA
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5
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Kauffman BY, Garey L, Zvolensky MJ. Psychological inflexibility in terms of eating behaviors among individuals seeking treatment for comorbid affective vulnerabilities and weight-related behaviors. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2022; 26:168-172. [PMID: 37829667 PMCID: PMC10569453 DOI: 10.1016/j.jcbs.2022.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Maladaptive eating patterns and behaviors are frequently documented in relation to obesity onset and management. To better understand these occurrences, it is important to examine psychological processes that may be guiding these patterns and behaviors. The current study examined the role of psychological inflexibility on emotional eating, food cravings, and disordered eating symptoms among 161 participants (60.9% female, Mage = 31.58, SD = 10.71) who attended a baseline appointment for a larger randomized-controlled trial for individuals with elevated anxiety sensitivity and obesity. Three separate two-step hierarchal regressions were conducted. Results indicated that greater levels of psychological inflexibility were associated with greater levels of emotional eating, food cravings, and disordered eating symptoms. These findings suggest that promoting psychological flexibility may be a key factor in promoting positive changes in eating behaviors among individuals seeking treatment for comorbid affective vulnerabilities and weight-related behaviors.
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Affiliation(s)
| | - Lorra Garey
- Department of Psychology, University of Houston, Houston, TX, USA
| | - Michael J. Zvolensky
- Department of Psychology, University of Houston, Houston, TX, USA
- Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
- HEALTH Institute, University of Houston, Houston, TX, USA
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6
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Scott J, Oxlad M, Dodd J, Szabo C, Deussen A, Turnbull D. Promoting Health Behavior Change in the Preconception Period: Combined Approach to Intervention Planning. JMIR Form Res 2022; 6:e35108. [PMID: 35482370 PMCID: PMC9100372 DOI: 10.2196/35108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 03/23/2022] [Accepted: 03/25/2022] [Indexed: 11/26/2022] Open
Abstract
Background Half of women begin pregnancy above the healthy weight range, increasing the risk of complications and adversely affecting the lifelong health of their babies. Maternal obesity remains the strongest risk factor for offspring obesity across childhood, adolescence, and adulthood. Previous research suggests that women should be encouraged to be within a healthy weight range before conception to improve health outcomes. Objective We outlined the intervention planning and design process to develop an evidence-informed eHealth intervention to promote weight management. The intervention, based on psychological theories and behavior change techniques, has been developed for women affected by overweight or obesity who intend to become pregnant. The Begin Better web application is part of an integrated program being evaluated in a clinical trial to assess if weight management before pregnancy can influence clinical outcomes for mothers and babies. Methods Our intervention development process was guided by intervention mapping and person-based methods. This study documents steps 2 to 4 of a 6-step iterative intervention mapping approach informed by the Information-Motivation-Behavioral Skills model and the findings of a previous interview study. We defined behavior change objectives for each of the Information-Motivation-Behavioral Skills behavioral determinants as well as theory-based behavior change techniques and practical strategies. We also used persuasive system design principles to assist in translating these strategies into a digital environment. Results The resultant intervention comprises nutritional and physical activity content along with psychological strategies, which are notably absent from mainstream weight management programs. Strategies to increase motivation, garner social support, and promote self-care are integral to maintaining engagement with the intervention, which aims to improve lifestyle behaviors and enhance well-being. Important elements include tracking mechanisms for percentage progress toward goals to enable feedback on behaviors and outcomes; in-application messages of praise on entry of goals or habits; and strategies to prompt habit formation and action planning via small, easily achievable steps toward positive change. Conclusions Design decisions and processes for idea generation about intervention content, format, and delivery are often not reported. In this study, we respond to this gap in the literature and outline a process that is potentially transferable to the development of other interventions.
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Affiliation(s)
- Jodie Scott
- School of Psychology, The University of Adelaide, Adelaide, Australia
| | - Melissa Oxlad
- School of Psychology, The University of Adelaide, Adelaide, Australia
| | - Jodie Dodd
- Robinson Research Institute, Adelaide Medical School, The University of Adelaide, Adelaide, Australia.,Department of Perinatal Medicine, Women's and Babies Division, Women's and Children's Hospital, Adelaide, Australia
| | - Claudia Szabo
- School of Computer Science, The University of Adelaide, Adelaide, Australia
| | - Andrea Deussen
- Robinson Research Institute, Adelaide Medical School, The University of Adelaide, Adelaide, Australia
| | - Deborah Turnbull
- School of Psychology, The University of Adelaide, Adelaide, Australia
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7
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Pirmoradi MR, Asgharzadeh A, Birashk B, Gharaee B, Salehian R, Ostadrahimi AR, Akbarzadeh A. Psychometric properties of the Persian version of the weight-related experiential avoidance (AAQW): overweight and obese treatment seeker at the clinical setting. BMC Psychiatry 2021; 21:335. [PMID: 34225693 PMCID: PMC8256552 DOI: 10.1186/s12888-021-03352-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 06/29/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The present study aimed to investigate the psychometric properties of the Persian version of the weight-related experiential avoidance (AAQW) in overweight and obese treatment seeker in the clinical setting. METHODS This sample consists of 220 male and female overweight or obesity treatment seeker from Overweight and obesity centers who agreed to fill out the self-reported measures. RESULTS Confirmatory factor analysis (CFA) supported 3-factor structures of AAQW, including (weight as a barrier to living, Food as Control, and weight-stigma). Furthermore, the internal consistency of AAQW indicates an acceptable range (α = .70); Also, expected associations between AAQW and external correlates (e.g., BES, AAQ-II, KIMS, BDI-II, and CFQ) supported the measure's convergent validity in a sample of overweight and obese treatment seeker in the clinical setting. CONCLUSIONS Overall, our study offers that the Persian version of weight-related experiential avoidance has psychometrically valid and reliable tools to assess experiential avoidance. Furthermore, weight-related experiential avoidance is associated with higher severity of binge eating symptoms, higher psychological inflexibility levels, experiential avoidance, and more cognitive fusion and depression symptomology.
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Affiliation(s)
- Mohammad Reza Pirmoradi
- grid.411746.10000 0004 4911 7066School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran
| | - Ali Asgharzadeh
- School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.
| | - Behrooz Birashk
- grid.411746.10000 0004 4911 7066School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran
| | - Banafshe Gharaee
- grid.411746.10000 0004 4911 7066School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran
| | - Razieh Salehian
- grid.411746.10000 0004 4911 7066Rasoul-e Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Ali Reza Ostadrahimi
- grid.412888.f0000 0001 2174 8913Nutrition Research center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Abolfazl Akbarzadeh
- grid.412888.f0000 0001 2174 8913Tabriz University of Medical Sciences, Tabriz, Iran
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8
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Guerrini Usubini A, Varallo G, Granese V, Cattivelli R, Consoli S, Bastoni I, Volpi C, Castelnuovo G, Molinari E. The Impact of Psychological Flexibility on Psychological Well-Being in Adults With Obesity. Front Psychol 2021; 12:636933. [PMID: 33828505 PMCID: PMC8019785 DOI: 10.3389/fpsyg.2021.636933] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 02/22/2021] [Indexed: 01/30/2023] Open
Abstract
Obesity is a global health problem that affects both physical and psychological health and well-being. Psychological flexibility is one of the key components related to psychological health. This cross-sectional study aims to investigate the impact of psychological flexibility on psychological well-being in a sample of 220 individuals with obesity. Multivariate analysis was performed to investigate the role of psychological flexibility in explaining psychological well-being, controlling for confounding factors (sex, age, and Body Mass Index). According to the results, psychological flexibility significantly explained psychological well-being. Our study provides additional evidence of the impact of psychological flexibility on psychological well-being. It also provides further support for the importance of integrating psychological flexibility in the psychological interventions for obesity.
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Affiliation(s)
- Anna Guerrini Usubini
- Istituto Auxologico Italiano, Psychology Research Laboratory, Milan, Italy.,Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Giorgia Varallo
- Istituto Auxologico Italiano, Psychology Research Laboratory, Milan, Italy.,Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Valentina Granese
- Istituto Auxologico Italiano, Psychology Research Laboratory, Milan, Italy.,Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Roberto Cattivelli
- Istituto Auxologico Italiano, Psychology Research Laboratory, Milan, Italy.,Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Simone Consoli
- Istituto Auxologico Italiano, Psychology Research Laboratory, Milan, Italy
| | - Ilaria Bastoni
- Istituto Auxologico Italiano, Psychology Research Laboratory, Milan, Italy
| | - Clarissa Volpi
- Istituto Auxologico Italiano, Psychology Research Laboratory, Milan, Italy
| | - Gianluca Castelnuovo
- Istituto Auxologico Italiano, Psychology Research Laboratory, Milan, Italy.,Department of Psychology, Catholic University of Milan, Milan, Italy
| | - Enrico Molinari
- Istituto Auxologico Italiano, Psychology Research Laboratory, Milan, Italy.,Department of Psychology, Catholic University of Milan, Milan, Italy
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Bolghan-Abadi M, Keyvani E. The effectiveness of acceptance and commitment therapy on improving self-concept, depression, and anxiety in obese women. INTERNATIONAL ARCHIVES OF HEALTH SCIENCES 2021. [DOI: 10.4103/iahs.iahs_117_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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10
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Frayn M, Khanyari S, Knäuper B. A 1-day acceptance and commitment therapy workshop leads to reductions in emotional eating in adults. Eat Weight Disord 2020; 25:1399-1411. [PMID: 31541426 DOI: 10.1007/s40519-019-00778-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Accepted: 09/06/2019] [Indexed: 12/29/2022] Open
Abstract
PURPOSE Emotional eating has been defined as the tendency to overeat in response to negative emotions and is a symptom of emotion dysregulation. Interventions for emotional eating have been developed based on acceptance and commitment therapy (ACT). However, these interventions only address emotional eating in the context of weight loss programs and are therefore not available in a weight neutral context. METHODS The present study aimed to test the feasibility and acceptability of a 1-day ACT workshop that taught skills to reduce emotional eating, without promoting weight loss. The workshop was delivered in a single day and aimed to reduce emotional eating by improving values clarification and commitment, acceptance, and mindfulness. Follow-ups were conducted at 2 weeks and 3 months post-intervention. RESULTS Results suggest feasibility and acceptability of the 1-day workshop; participants described appreciating the brevity of the program and its applicability to their everyday lives. Improvements in emotional eating were found at 2 weeks (t(31) = 5.80, p < 0.001) and 3 months (t(29) = 6.96, p < 0.001). A repeated measures MANOVA revealed a significant main effect of time (F(14, 96) = 4.98, p < 0.001, partial η2 = 0.421), with follow-up ANOVAs indicating that this effect held for all variables. CONCLUSION The results from this study can be used to inform a larger-scale randomized controlled trial to determine the efficacy of the program in a larger sample and eventually disseminate it in other real-world settings. TRIAL REGISTRATION ClinicalTrials.gov, NCT03744780. LEVEL OF EVIDENCE Level IV, evidence obtained from multiple time series with the intervention.
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Affiliation(s)
- Mallory Frayn
- Department of Psychology, McGill University, 2001 McGill College, Montreal, QC, H3A 1G1, Canada.
| | - Sabrah Khanyari
- Department of Psychology, McGill University, 2001 McGill College, Montreal, QC, H3A 1G1, Canada
| | - Bärbel Knäuper
- Department of Psychology, McGill University, 2001 McGill College, Montreal, QC, H3A 1G1, Canada
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11
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Afari N, Herbert MS, Godfrey KM, Cuneo JG, Salamat JS, Mostoufi S, Gasperi M, Ober K, Backhaus A, Rutledge T, Wetherell JL. Acceptance and commitment therapy as an adjunct to the MOVE! programme: a randomized controlled trial. Obes Sci Pract 2019; 5:397-407. [PMID: 31687165 PMCID: PMC6819973 DOI: 10.1002/osp4.356] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 06/25/2019] [Accepted: 06/29/2019] [Indexed: 01/17/2023] Open
Abstract
OBJECTIVE The current study tested the efficacy of an acceptance and commitment therapy (ACT) group intervention for disinhibited eating behaviour as an adjunct to the Veterans Affairs MOVE!© weight management programme. METHODS Veterans (N = 88) with overweight or obesity who completed the MOVE! weight management programme and self-identified as having problems with 'stress-related eating' were randomized to four 2-h weekly ACT sessions or a continued behavioural weight-loss (BWL) intervention. Assessments were completed at baseline, post-treatment and 3- and 6-month follow-up on outcomes of interest including measures of disinhibited eating patterns, obesity-related quality of life, weight-related experiential avoidance and weight. RESULTS The BWL group exhibited significantly greater reductions in binge eating behaviour at post-treatment compared with the ACT group. Significant improvements in other outcomes were found with minimal differences between groups. In both groups, decreases in weight-related experiential avoidance were related to improvements in binge eating behaviour. CONCLUSIONS Taken together, the continued BWL intervention resulted in larger improvements in binge eating behaviour than the ACT intervention. The two groups showed similar improvements in other disinhibited eating outcomes. Future studies are encouraged to determine if more integrated or longer duration of ACT treatment may maximize eating outcomes in MOVE.Trial Registration Number: This trial was registered with ClinicalTrials.gov database (NCT01757847).
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Affiliation(s)
- N. Afari
- VA San Diego Healthcare SystemSan DiegoCAUSA
- Department of PsychiatryUniversity of California, San DiegoLa JollaCAUSA
- Center of Excellence for Stress and Mental Health (CESAMH)San DiegoCAUSA
| | - M. S. Herbert
- VA San Diego Healthcare SystemSan DiegoCAUSA
- Department of PsychiatryUniversity of California, San DiegoLa JollaCAUSA
- Center of Excellence for Stress and Mental Health (CESAMH)San DiegoCAUSA
| | - K. M. Godfrey
- Drexel University Center for Weight, Eating, and Lifestyle SciencePhiladelphiaPAUSA
| | - J. G. Cuneo
- VA San Diego Healthcare SystemSan DiegoCAUSA
- Department of PsychiatryUniversity of California, San DiegoLa JollaCAUSA
| | | | - S. Mostoufi
- Behavior Therapy Center of Greater WashingtonSilver SpringMDUSA
| | - M. Gasperi
- Department of PsychiatryUniversity of California, San DiegoLa JollaCAUSA
- Center of Excellence for Stress and Mental Health (CESAMH)San DiegoCAUSA
| | - K. Ober
- VA San Diego Healthcare SystemSan DiegoCAUSA
| | - A. Backhaus
- VA San Diego Healthcare SystemSan DiegoCAUSA
- Department of PsychiatryUniversity of California, San DiegoLa JollaCAUSA
| | - T. Rutledge
- VA San Diego Healthcare SystemSan DiegoCAUSA
- Department of PsychiatryUniversity of California, San DiegoLa JollaCAUSA
| | - J. L. Wetherell
- VA San Diego Healthcare SystemSan DiegoCAUSA
- Department of PsychiatryUniversity of California, San DiegoLa JollaCAUSA
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