Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity
This study examined whether improvements in problem-solving abilities mediate the relation between treatment adherence and weight-loss outcome in the behavioral treatment of obesity. 272 women (mean±SD age=59.4±6.2 years, BMI=36.5±4.8) participated in a 6-month lifestyle intervention for obesity. Bo...
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| Veröffentlicht in: | Eating behaviors : an international journal 2009-08, Vol.10 (3), p.146-151 |
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| container_title | Eating behaviors : an international journal |
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| creator | Murawski, Mary E. Milsom, Vanessa A. Ross, Kathryn M. Rickel, Katie A. DeBraganza, Ninoska Gibbons, Lauren M. Perri, Michael G. |
| description | This study examined whether improvements in problem-solving abilities mediate the relation between treatment adherence and weight-loss outcome in the behavioral treatment of obesity.
272 women (mean±SD age=59.4±6.2 years, BMI=36.5±4.8) participated in a 6-month lifestyle intervention for obesity. Body weight and problem-solving skills (as measured by the Social Problem Solving Inventory—Revised) were assessed pre- and posttreatment. The completion of self-monitoring logs during the intervention served as the marker of treatment adherence.
At posttreatment, participants lost 8.4±5.8 kg, an 8.8% reduction in body weight. Changes in weight were associated with increased problem-solving skills and with higher levels of treatment adherence. Improvements in problem-solving skills partially mediated the relation between treatment adherence and weight-loss outcome. Moreover, participants with weight reductions ≥10% demonstrated significantly greater improvements in problem-solving skills than those with reductions |
| doi_str_mv | 10.1016/j.eatbeh.2009.03.005 |
| format | Article |
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272 women (mean±SD age=59.4±6.2 years, BMI=36.5±4.8) participated in a 6-month lifestyle intervention for obesity. Body weight and problem-solving skills (as measured by the Social Problem Solving Inventory—Revised) were assessed pre- and posttreatment. The completion of self-monitoring logs during the intervention served as the marker of treatment adherence.
At posttreatment, participants lost 8.4±5.8 kg, an 8.8% reduction in body weight. Changes in weight were associated with increased problem-solving skills and with higher levels of treatment adherence. Improvements in problem-solving skills partially mediated the relation between treatment adherence and weight-loss outcome. Moreover, participants with weight reductions ≥10% demonstrated significantly greater improvements in problem-solving skills than those with reductions <5%.
Improvements in problem-solving skills may enable participants to overcome barriers to adherence and thereby enhance treatment-induced weight losses.</description><identifier>ISSN: 1471-0153</identifier><identifier>EISSN: 1873-7358</identifier><identifier>DOI: 10.1016/j.eatbeh.2009.03.005</identifier><identifier>PMID: 19665096</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adherence ; Aged ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Body Mass Index ; Cognitive Behavioral Therapy ; Combined Modality Therapy ; Exercise ; Feeding Behavior - psychology ; Female ; Follow-Up Studies ; Health Knowledge, Attitudes, Practice ; Humans ; Life Style ; Medical sciences ; Middle Aged ; Obesity ; Obesity - psychology ; Obesity - therapy ; Outcome and Process Assessment, Health Care ; Patient Compliance - psychology ; Patient Education as Topic ; Problem Solving ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy, Group ; Self Efficacy ; Self-monitoring ; Social Environment ; Treatments ; Weight Loss</subject><ispartof>Eating behaviors : an international journal, 2009-08, Vol.10 (3), p.146-151</ispartof><rights>2009 Elsevier Ltd</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c557t-7f41694a07d1101269fa11d326a2d4a6a5b5a1a6136a4fb0c93898091fda8dfe3</citedby><cites>FETCH-LOGICAL-c557t-7f41694a07d1101269fa11d326a2d4a6a5b5a1a6136a4fb0c93898091fda8dfe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1471015309000324$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21896746$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19665096$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Murawski, Mary E.</creatorcontrib><creatorcontrib>Milsom, Vanessa A.</creatorcontrib><creatorcontrib>Ross, Kathryn M.</creatorcontrib><creatorcontrib>Rickel, Katie A.</creatorcontrib><creatorcontrib>DeBraganza, Ninoska</creatorcontrib><creatorcontrib>Gibbons, Lauren M.</creatorcontrib><creatorcontrib>Perri, Michael G.</creatorcontrib><title>Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity</title><title>Eating behaviors : an international journal</title><addtitle>Eat Behav</addtitle><description>This study examined whether improvements in problem-solving abilities mediate the relation between treatment adherence and weight-loss outcome in the behavioral treatment of obesity.
272 women (mean±SD age=59.4±6.2 years, BMI=36.5±4.8) participated in a 6-month lifestyle intervention for obesity. Body weight and problem-solving skills (as measured by the Social Problem Solving Inventory—Revised) were assessed pre- and posttreatment. The completion of self-monitoring logs during the intervention served as the marker of treatment adherence.
At posttreatment, participants lost 8.4±5.8 kg, an 8.8% reduction in body weight. Changes in weight were associated with increased problem-solving skills and with higher levels of treatment adherence. Improvements in problem-solving skills partially mediated the relation between treatment adherence and weight-loss outcome. Moreover, participants with weight reductions ≥10% demonstrated significantly greater improvements in problem-solving skills than those with reductions <5%.
Improvements in problem-solving skills may enable participants to overcome barriers to adherence and thereby enhance treatment-induced weight losses.</description><subject>Adherence</subject><subject>Aged</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Cognitive Behavioral Therapy</subject><subject>Combined Modality Therapy</subject><subject>Exercise</subject><subject>Feeding Behavior - psychology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Life Style</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - psychology</subject><subject>Obesity - therapy</subject><subject>Outcome and Process Assessment, Health Care</subject><subject>Patient Compliance - psychology</subject><subject>Patient Education as Topic</subject><subject>Problem Solving</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy, Group</subject><subject>Self Efficacy</subject><subject>Self-monitoring</subject><subject>Social Environment</subject><subject>Treatments</subject><subject>Weight Loss</subject><issn>1471-0153</issn><issn>1873-7358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU2P0zAUjBCIXQr_ACFf4LQpdhw7yQUJrfiSVoIDnK0X57l15djFdrsqv35dtdqPC774SZ4Zz7ypqreMLhll8uNmiZBHXC8bSocl5UtKxbPqkvUdrzsu-udlbjtWUyb4RfUqpQ0ttGEQL6sLNkgp6CAvq3-_YhgdziQFt7d-dUVyLLoz-kxgWmNEr_GKgJ_ILdrVOtcupETCLuswI4E5-BW5LaMnW4jZaruFXHSI9cRZgykfHD7SNCGSMGKy-fC6emHAJXxzvhfVn69ffl9_r29-fvtx_fmm1kJ0ue5MW2y3QLuJleCNHAwwNvFGQjO1IEGMAhhIxiW0ZqR64P3Q04GZCfrJIF9Un066290446SLjQhObaOdIR5UAKuevni7VquwV03XyJ43ReDDWSCGv7sSSc02aXQOPIZdUrITHeXlLKr2BNSxLCmiuf-EUXUsTW3UqTR1LE1RrkpphfbuscEH0rmlAnh_BkDS4EwEr226xzWsH2TXyoekWNa5txhV0vZY4GQj6qymYP_v5A7LE7sN</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Murawski, Mary E.</creator><creator>Milsom, Vanessa A.</creator><creator>Ross, Kathryn M.</creator><creator>Rickel, Katie A.</creator><creator>DeBraganza, Ninoska</creator><creator>Gibbons, Lauren M.</creator><creator>Perri, Michael G.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090801</creationdate><title>Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity</title><author>Murawski, Mary E. ; Milsom, Vanessa A. ; Ross, Kathryn M. ; Rickel, Katie A. ; DeBraganza, Ninoska ; Gibbons, Lauren M. ; Perri, Michael G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c557t-7f41694a07d1101269fa11d326a2d4a6a5b5a1a6136a4fb0c93898091fda8dfe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adherence</topic><topic>Aged</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Cognitive Behavioral Therapy</topic><topic>Combined Modality Therapy</topic><topic>Exercise</topic><topic>Feeding Behavior - psychology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Life Style</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - psychology</topic><topic>Obesity - therapy</topic><topic>Outcome and Process Assessment, Health Care</topic><topic>Patient Compliance - psychology</topic><topic>Patient Education as Topic</topic><topic>Problem Solving</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapy, Group</topic><topic>Self Efficacy</topic><topic>Self-monitoring</topic><topic>Social Environment</topic><topic>Treatments</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Murawski, Mary E.</creatorcontrib><creatorcontrib>Milsom, Vanessa A.</creatorcontrib><creatorcontrib>Ross, Kathryn M.</creatorcontrib><creatorcontrib>Rickel, Katie A.</creatorcontrib><creatorcontrib>DeBraganza, Ninoska</creatorcontrib><creatorcontrib>Gibbons, Lauren M.</creatorcontrib><creatorcontrib>Perri, Michael G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eating behaviors : an international journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Murawski, Mary E.</au><au>Milsom, Vanessa A.</au><au>Ross, Kathryn M.</au><au>Rickel, Katie A.</au><au>DeBraganza, Ninoska</au><au>Gibbons, Lauren M.</au><au>Perri, Michael G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity</atitle><jtitle>Eating behaviors : an international journal</jtitle><addtitle>Eat Behav</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>10</volume><issue>3</issue><spage>146</spage><epage>151</epage><pages>146-151</pages><issn>1471-0153</issn><eissn>1873-7358</eissn><abstract>This study examined whether improvements in problem-solving abilities mediate the relation between treatment adherence and weight-loss outcome in the behavioral treatment of obesity.
272 women (mean±SD age=59.4±6.2 years, BMI=36.5±4.8) participated in a 6-month lifestyle intervention for obesity. Body weight and problem-solving skills (as measured by the Social Problem Solving Inventory—Revised) were assessed pre- and posttreatment. The completion of self-monitoring logs during the intervention served as the marker of treatment adherence.
At posttreatment, participants lost 8.4±5.8 kg, an 8.8% reduction in body weight. Changes in weight were associated with increased problem-solving skills and with higher levels of treatment adherence. Improvements in problem-solving skills partially mediated the relation between treatment adherence and weight-loss outcome. Moreover, participants with weight reductions ≥10% demonstrated significantly greater improvements in problem-solving skills than those with reductions <5%.
Improvements in problem-solving skills may enable participants to overcome barriers to adherence and thereby enhance treatment-induced weight losses.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>19665096</pmid><doi>10.1016/j.eatbeh.2009.03.005</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Eating behaviors : an international journal, 2009-08, Vol.10 (3), p.146-151 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adherence Aged Behavior therapy. Cognitive therapy Biological and medical sciences Body Mass Index Cognitive Behavioral Therapy Combined Modality Therapy Exercise Feeding Behavior - psychology Female Follow-Up Studies Health Knowledge, Attitudes, Practice Humans Life Style Medical sciences Middle Aged Obesity Obesity - psychology Obesity - therapy Outcome and Process Assessment, Health Care Patient Compliance - psychology Patient Education as Topic Problem Solving Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy, Group Self Efficacy Self-monitoring Social Environment Treatments Weight Loss |
| title | Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity |
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