A cognitive behavioral group intervention with obese patients
Preliminary results
DOI:
https://doi.org/10.15448/1980-8623.2022.1.37402Keywords:
obesity, cognitive behavioral therapy, group psychotherapy, psychological intervention, health promotionAbstract
Obesity has multifactorial causes and Cognitive-Behavioral Therapy has positive results on cognitive, emotional, and behavioral aspects related to weight loss. This study presents a preliminary assessment of the Cognitive Behavioral Program for Group Food Education (PROMETA). A quantitative, pre-experimental study was carried out with pre- and post-test evaluation. Sixty-seven adults who were overweight or obese participated of 12 intervention sessions in groups. Instruments included the Beck inventories of depression, anxiety, and hopelessness, a periodic binge eating scale, and a body satisfaction scale. Results indicated that PROMETA contributed to the reduction of symptoms of depression, anxiety, hopelessness, and binge eating. Therefore, the program shows satisfactory results for this sample.
Downloads
References
Abreu, C. N., & Guilhardi, H. J. (2004). Terapia Comportamental e Cognitivo-comportamental – Práticas Clínicas. Roca.
Almeida, C. C., & Assumpção, A. A. (2018). A eficácia do mindful eating para transtornos alimentares e obesidade: revisão integrativa. Pretextos – Revista da Graduação em Psicologia da PUC Minas, 3(6), 25-36.
Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. (2009). Diretrizes brasileiras de obesidade. ABESO.
Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. (2016). Diretrizes brasileiras de obesidade. ABESO.
Agência Nacional de Saúde. (2017). Manual de Diretrizes para o enfrentamento da obesidade na saúde suplementar brasileira. ANS.
American Psychological Assciation. (2014). DSM-5- Manual Diagnóstico e Estatístico de Transtornos Mentais (5. ed.). Artmed.
Baker, A., & Baker, A. (2017). Obesity in an Ageing Population: A Proposed Multidisciplinary Intervention Model for Supporting Cognitive Performance and Physical Function in Obese Seniors. Advances in Obesity, Weight Management & Control, 6(5), 173-174. https://doi.org/10.15406/aowmc.2017.06.00174
Bautista-Castaño I, Molina-Cabrillana J, Montoya-Alonso JA, Serra-Majem L. (2004). Variables predictive of adherence to diet and physical activity recommendations in the treatment of obesity and overweight, in a group of Spanish subjects. International Journal of Obesity and Related Disorders, 28, 697-705. https://doi.org/10.1038/sj.ijo.0802602
Barbosa, M. R., Penaforte, F. R. O., & Silva, A. F. S. (2020). Mindfulness, mindful eating e comer intuitivo na abordagem da obesidade e transtornos alimentares. SMAD, Revista Eletrônica Saúde Mental Álcool e Drogas, 16(3), 118-135. https://doi.org/10.11606/issn.1806-6976.smad.2020.165262
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety. Journal of Consulting and Clinical Psychology, 56, 893-897. https://doi.org/10.1037/0022-006X.56.6.893
Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: the Scale for Suicide Ideation. Journal of Consulting and Clinical Psychology, 47(2), 343-352. https://doi.org/10.1037/0022-006X.47.2.343
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561-571. https://doi.org/10.1001/archpsyc.1964.01720240015003
Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psychology, 42, 861-865. https://doi.org/10.1037/h0037562
Beck, J. (2008). The Beck diet solution: train your brain to think like a thin person. Artmed.
Bieling, P. J., McCabe, R. E., Antony M. M., & cols. (2008). Terapia Cognitivo-Comportamental em Grupos. Artmed.
Boff, R. M., Liboni, R. P., Batista, I. P., de Souza, L. H., & Oliveira, M. D. (2016). Weight loss interventions for overweight and obese adolescents: a systematic review. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 22(2), 211-229. https://doi.org/10.1007/s40519-016-0309-1
Bray, I., Slater, A., Lewis-Smith, H., Bird, E., & Sabey, A. (2018). Promoting positive body image and tackling overweight/obesity in children and adolescents: A combined health psychology and public health approach. Preventive Medicine, 116, 219-221. https://doi.org/10.1016/j.ypmed.2018.08.011
Carter, F. A., & Jansen, A. (2012). Improving psychological treatment for obesity. Which eating behaviours should we target? Appetite, 58(3), 1063-1069. https://doi.org/10.1016/j.appet.2012.01.016
Chriqui, J. F., Chaloupka, F. J., Powell, L. M., & Eidson, S. S. (2013). A typology of beverage taxation: multiple approaches for obesity prevention and obesity prevention-related revenue generation. Journal of Public Health Policy, 34(3), 403-423. https://doi.org/10.1057/jphp.2013.17
Cooper, Z., & Fairburn, C. G. (2001). A new cognitive behavioural approach to the treatment of obesity. Behaviour Research and Therapy, 39(5), 499-511. https://doi.org/10.1016/S0005-7967(00)00065-6
Cooper, Z., Fairburn, C. G. & Hawker, D. M. (2009). Terapia Cognitivo-Comportamental da obesidade: Manual do terapeuta. São Paulo: Roca.
Cunha, J. A. (2001). Manual da versão em português das Escalas Beck. Casa do psicólogo.
Dalle Grave, R., Calugi, S., Centis, E., El Ghoch, M., & Marchesini, G. (2010). Cognitive-behavioral strategies to increase the adherence to exercise in the management of obesity. Journal of Obesity, 2011, 1-11. https://doi.org/10.1155/2011/348293
De Lima, A. C. R., & Oliveira, A. B. (2016). Fatores psicológicos da obesidade e alguns apontamentos sobre a terapia cognitivo-comportamental. Mudanças Psicologia da Saúde, 24(1), 1-14. https://doi.org/10.15603/2176-1019/mud.v24n1p1-14
Duchesne, M., Appolinário, J. C., Rangé, B. P., Freitas, S., Papelbaum, M., & Coutinho, W. (2007). Evidências sobre a terapia cognitivo-comportamental no tratamento de obesos com transtorno da compulsão alimentar periódica. Revista de Psiquiatria do Rio Grande do Sul, 29(1), 80-92. https://doi.org/10.1590/S0101-81082007000100015
Egan, S. J., Watson, H. J., Kane, R. T., McEvoy, P., Fursland, A., & Nathan, P. R. (2013). Anxiety as a Mediator Between Perfectionism and Eating Disorders. Cognitive Therapy and Research, 37(5), 905-913. https://doi.org/10.1007/s10608-012-9516-x
Fernandes, J., Ferreira-Santos, F., Miller, K., & Torres, S. (2018). Emotional processing in obesity: A systematic review and exploratory meta-analysis. Obesity Reviews, 19(1), 111-120. https://doi.org/10.1111/obr.12607
Freitas, S; Lopes, C. S.; Appolinario, J. C., & Sichieri, R. (2002). Transtornos alimentares. Brazilian Journal of Psychiatry, 24(2), 79-81. https://doi.org/10.1590/S1516-44462002000600007
Freitas, S., Lopes, C. S., Coutinho, W., & Appolinario, J. C. (2001). Tradução e adaptação para o português da Escala de Compulsão Alimentar Periódica. Revista Brasileira de Psiquiatria, 23(4), 215-20. https://doi.org/10.1590/S1516-44462001000400008
Gormally, J., Black, S., Daston, S., & Rardin, D. (1982). The assessment of binge eating severity among obese persons. Addictive Behaviors, 7(1), 47-55. https://doi.org/10.1016/0306-4603(82)90024-7
Grave, R. D., Calugia, S., & Marchesinib, G. (2014). The influence of cognitive factors in the treatment of obesity: Lessons from the QUOVADIS study. Behaviour Research and Therapy, 63C, 157-161. https://doi.org/10.1016/j.brat.2014.10.004
Hassan, Y., Head, V., Jacob, D., Bachmann, M. O., Diu, S., & Ford, J. (2016). Lifestyle interventions for weight loss in adults with severe obesity: a systematic review. Clinical Obesity, 6(6), 395-403. https://doi.org/10.1111/cob.12161
Heriseanu, A. I., Hay, P., Corbit, L., & Touyz, S. (2017). Grazing in adults with obesity and eating disorders: A systematic review of associated clinical features and meta-analysis of prevalence. Clinical psychology review, 58, 16-22. https://doi.org/10.1016/j.cpr.2017.09.004
Kakeshita, I. S., Silva, A. I. P., Zanatta, D. P., & Almeida, S. S. (2009). Construção e fidedignidade teste-reteste de escalas de silhuetas brasileiras para adultos e crianças. Psicologia: Teoria e Pesquisa, 25, 263-270. https://doi.org/10.1590/S0102-37722009000200015
Ludwig, M. W. B. (2017). Modelo transteórico de mudança de comportamento (MTT): o que é e como se aplica? In M. Oliveira, R. M. Boff, M. J. Cazassa, & C. DiClemente (Org.), Por que é tão difícil mudar? Contribuições do modelo transteórico de mudança do comportamento na prática clínica e na promoção de saúde (pp. 34-59). Sinopsys.
Luz, F. Q., & Oliveira, M. S. (2013). Terapia cognitivo-comportamental da obesidade: uma revisão da literatura. Aletheia, 40, 159-173. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1413-03942013000100014&lng=pt&tlng=pt
McCuen‐Wurst, C., Ruggieri, M., & Allison, K. C. (2018). Disordered eating and obesity: associations between binge‐eating disorder, night‐eating syndrome, and weight‐ related comorbidities. Annals of the New York Academy of Sciences, 1411(1), 96-105. https://doi.org/10.1111/nyas.13467
Milaneschi, Y., Simmons, W. K., van Rossum, E. F. C., & Penninx, B. W. (2018). Depression and obesity: evidence of shared biological mechanisms. Molecular Psychiatry, 24(1), 18-33. https://doi.org/1038/s41380-018-0017-5
Munsch, S., & Jansen, A. (2014). Obesity. In S. Hoffman (Org.), The Wiley Handbook of Cognitive Behavioral Therapy (pp. 593-617). John Wiley & Sons. https://doi.org/10.1002/9781118528563.wbcbt26
Musetti, A., Cattivelli., Guerrini, A., Mirto, A. M., Riboni, F. V., Varallo, G., Castelnuovo, G., & Molinari, E. (2018). Cognitive-Behavioral Therapy: current paths in the management of obesity. In Ö. Şenormancı. Cognitive behavioral therapy and clinical applications (pp. 149-160). IntechOpen. https://doi.org/10.5772/intechopen.72586
Neufeld, C. B., Affonso, G., & Moreno, A. L. (2014). PRO-META: Programa Cognitivo-Comportamental de educação alimentar em grupo. In C. B. Neufeld. (Org.), Intervenções e pesquisas em Terapia Cognitivo-Comportamental com indivíduos e grupos (pp. 44-79). Sinopsys.
Neufeld, C. B., Maltoni, J., Ivatiuk, A. L., Rangé, B. (2017). Aspectos técnicos e o processo em TCCG. In C. B. Neufeld; B. Rangé. (Orgs.), Terapia Cognitivo-Comportamental em Grupos: das evidências à prática (pp. 33-55). Artmed.
Neufeld, C. B., Moreira, C. A. M., & Xavier, G. S. (2012). Terapia Cognitivo-Comportamental em Grupos de Emagrecimento: o relato de uma experiência. Psico, 43(1), 93-100. https://revistaseletronicas.pucrs.br/ojs/index.php/revistapsico/article/view/11103
Santos, R. R., Bicalho, M. A. C., Mota, P., Oliveira, D. R., Moraes, E. N. (2013). Obesidade em idosos. Revista Médica de Minas Gerais, 23(1), 62-71. https://doi.org/ 10.5935/2238-3182.20130011
Sasdelli, A. S., Petroni, M. L., Delli Paoli, A., Collini, G., Calugi, S., Dalle Grave, R., & Marchesini, G. (2018) Expected benefits and motivation to weight loss in relation to treatment outcomes in group-based cognitive-behavior therapy of obesity. Eating and weight disorders, Studies on Anorexia, Bulimia and Obesity, 23(2), 205-214. https://doi.org/10.1007/s40519-017-0475-9
Seif-Barghi, T., Akbari-Fakhrabadi, M., Teimori, M. P., Tashk, A., Alizadeh, Z., & Memari, A. H. (2018). Cognitive behavior therapy’s effect in a weight loss program among obese iranian women. Nutrition Today, 53(4), 174-178. https://doi.org/10.1097/NT.0000000000000281
Shaw, K. A., O’Rourke, P., Del Mar, C., Kenardy, J. (2005). Psychological interventions for overweight or obesity. Cochrane Database of Systematic Reviews, 2, 1-67. https://doi.org/10.1002/14651858.CD003818.pub2
Scagliusi, F. B., Alvarenga, M., Polacow, V. O., Cordas, T. A., Queiroz, G. K. O., Coelho, D., Philippi, S. T., & Lancha Jr., A. H. (2006) Concurrent and discriminant validity of the Stunkard’s figure rating scale e adapted into Portuguese. Appetite, 47, 77-82. https://doi.org/10.1016/j.appet.2006.02.010
Stunkard, A. J., & Messick, S. (1985). The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. Journal of Psychosomatic Research, 29(1), 71-83. https://doi.org/10.1016/0022-3999(85)90010-8
Scotton, I. L., Affonso, G., Pessa, R. P., Conceição, E. M., & Neufeld, C. B. (2019). Aspectos psicológicos em indivíduos com sobrepeso e obesidade. Saúde e Pesquisa, 12(2), 295-307. https://doi.org/10.17765/2176-9206.2019v12n2p295-307
Teixeira, P. J., Going, S. B., Houtkooper, L. B., Cussler, E. C., Metcalfe, L. L., Blew, R. M., Sardinha, L. B., & Lohman, T. G. (2004). Pretreatment predictors of attrition and successful weight management in women. International Journal of Obesity, 28(9), 1124. https://doi.org/10.1038/sj.ijo.0802727
Teixeira, P. J., Carraça, E. V., Marques, M. M., Rutter, H., Oppert, J. M., De Bourdeaudhuij, I., Lakerveld, J, & Brug, J. (2015). Successful behavior change in obesity interventions in adults: a systematic review of self-regulation mediators. BMC Medicine, 13, 84. https://doi.org/10.1186/s12916-015-0323-6
Tosetto, A. P., & Simeão, C. A., Jr. (2008). Obesidade e sintomas de depressão, ansiedade e desesperança em mulheres sedentárias e não sedentárias. Medicina (Ribeirão Preto), 41(4), 497-507. https://doi.org/10.11606/issn.2176-7262.v41i4p497-507
Vasques, F., Martins, F. C., & Azevedo, A. P. (2004). Aspectos psiquiátricos do tratamento da obesidade. Archives of Clinical Psychiatry, 31(4), 195-198. https://doi.org/10.1590/S0101-60832004000400013
White, J. R., & Freeman, A. S. (2003). Terapia cognitivo-comportamental em grupo para populações com problemas específicos. Roca.
World Health Organization. (2017). Report of the Commission on Ending Childhood Obesity - Implementation plan: executive summary. WHO.
World Health Organization. (2016). Fiscal policies for diet and prevention of noncommunicable diseases: Technical meeting report. WHO.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Psico
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
The submission of originals to Psico implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Psico as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.
