Change in body image and psychological well-being during behavioral obesity treatment: Associations with weight loss and maintenance.

This study reports on outcomes from a behavioral obesity treatment program, evaluating if treatment-related changes in body image and psychological well-being are predictors of weight change during treatment and after follow-up. Participants were 142 overweight/obese women (BMI=30.2+/-3.7kg/m(2); age=38.3+/-5.8 years) participants in a behavioral treatment program consisting of a 4-month treatment period and a 12-month follow-up. Psychosocial variables improved during treatment and these changes were correlated with 4-month weight reduction. Short-term changes in body size dissatisfaction (p=.002) and mood (p=.003) predicted long-term weight loss. Additional results suggest that there might be a predictive role of short-term changes in body size dissatisfaction and self-esteem on long-term weight loss after accounting for initial weight change (p<.028). We conclude that, along with weight changes, cognitive and affect-related processes influenced during obesity treatment may be related long-term success, in some cases independently of initial weight loss.

[1]  J. Etnier.  Psychology of Physical Activity: Determinants, Well-being, and Interventions , 2001 .

[2]  M. Lorr,et al.  Manual for the Profile of Mood States , 1971 .

[3]  V. Campbell.  The LEARN Program for Weight Control, K. Brownell (Ed.). LEARN Education Center, 1555 W. Mockingbird Lane, Suite 203, Dallas, TX 75235 (1989), 175 pp., softcover, $21.95 , 1990 .

[4]  D. Kupfer,et al.  Mood changes in behavioral weight loss programs. , 1984, Journal of psychosomatic research.

[5]  K. Brownell,et al.  Obesity and body image. , 2004, Body image.

[6]  P. Freedson,et al.  Improved psychological well-being, quality of life, and health practices in moderately overweight women participating in a 12-week structured weight loss program. , 1998, Obesity research.

[7]  J. Thompson.  Body image, eating disorders, and obesity : an integrative guide for assessment and treatment , 2001 .

[8]  A. Bandura.  Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[9]  G. Hartley,et al.  The relationship between health-related quality of life and weight loss. , 2001, Obesity research.

[10]  D. J. Lee.  Society and the Adolescent Self-Image , 1969 .

[11]  D. Williamson,et al.  Development of a simple procedure for assessing body image disturbances. , 1989 .

[12]  T. Wadden,et al.  Body image in obese women before, during, and after weight loss treatment. , 1997, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[13]  R. Anderson.  Weight control. , 1952, Journal of the American Dietetic Association.

[14]  B. Blaine,et al.  Weight Loss Treatment and Psychological Well-being , 2007, Journal of health psychology.

[15]  K. Brownell,et al.  Physical activity and maintenance of weight loss: physiological and psychological mechanisms. , 2000 .

[16]  K. Elfhag,et al.  Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain , 2005, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[17]  L B Sardinha,et al.  A review of psychosocial pre‐treatment predictors of weight control , 2005, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[18]  H. Marsh,et al.  Reciprocal Effects of Self-Concept and Performance From a Multidimensional Perspective: Beyond Seductive Pleasure and Unidimensional Perspectives , 2006, Perspectives on psychological science : a journal of the Association for Psychological Science.

[19]  It's time to start treating obesity. , 2002, The American journal of cardiology.

[20]  T. Wadden,et al.  Exercise in the treatment of obesity: effects of four interventions on body composition, resting energy expenditure, appetite, and mood. , 1997, Journal of consulting and clinical psychology.

[21]  P. Teixeira,et al.  International Journal of Behavioral Nutrition and Physical Activity Predicting Short-term Weight Loss Using Four Leading Health Behavior Change Theories , 2006 .

[22]  D. Kahneman,et al.  Well-being : the foundations of hedonic psychology , 1999 .

[23]  J. Rosen,et al.  Improving body image in obesity. , 2001 .

[24]  K. Fox,et al.  Physical activity and obesity , 2007, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[25]  P. Teixeira,et al.  International Journal of Behavioral Nutrition and Physical Activity Reciprocal Effects among Changes in Weight, Body Image, and Other Psychological Factors during Behavioral Obesity Treatment: a Mediation Analysis , 2022 .

[26]  Jutta Mata,et al.  Mediators of Weight Loss and Weight Loss Maintenance in Middle‐aged Women , 2010, Obesity.

[27]  W. Linden,et al.  Well-being and morbid obesity in women: a controlled therapy evaluation. , 1998, The International journal of eating disorders.

[28]  Charles B. Corbin,et al.  The Physical Self-Perception Profile: Development and preliminary validation , 1989 .

[29]  Jacob Cohen,et al.  Applied multiple regression/correlation analysis for the behavioral sciences , 1979 .

[30]  D. Neumark-Sztainer,et al.  Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. , 2006, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[31]  M. Rosenberg.  Society and the adolescent self-image , 1966 .

[32]  Claude Bouchard,et al.  Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. , 1998, WMJ : official publication of the State Medical Society of Wisconsin.

[33]  D. Williamson,et al.  A structured review of randomized controlled trials of weight loss showed little improvement in health-related quality of life. , 2005, Journal of clinical epidemiology.

[34]  Eric Stice,et al.  Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. , 2002, Journal of psychosomatic research.

[35]  M. Makara-Studzińska,et al.  [Obesity and body image]. , 2009, Psychiatria polska.

[36]  L. Houtkooper,et al.  Exercise motivation, eating, and body image variables as predictors of weight control. , 2006, Medicine and science in sports and exercise.

[37]  M. Taylor,et al.  The development and validation of the body shape questionnaire , 1987 .

[38]  D. Schunk,et al.  Self-Efficacy and Academic Motivation , 2002 .

[39]  P. Teixeira,et al.  International Journal of Behavioral Nutrition and Physical Activity Who Will Lose Weight? a Reexamination of Predictors of Weight Loss in Women , 2022 .

[40]  Gary D Foster,et al.  Obesity: responding to the global epidemic. , 2002, Journal of consulting and clinical psychology.

[41]  J. Rosen,et al.  A comparison of weight control and weight control plus body image therapy for obese men and women. , 2001, Journal of consulting and clinical psychology.