Behavior modification of overeating in a psychiatric population.

Abstract

The present study presents and evaluates a procedure for controlling overeating through reinforcement. Overweight psychiatric patients were placed on an 1800-calorie-a-day diet for regular meals but were not restricted in their use of the canteen or vending machines. 3 groups were employed: (a) a behavior modification condition in which S lost money (the source of cigarettes, beverages, supplies, food, etc.) for failure to lose weight; (b) a group therapy condition in which 5 was under social pressure and social reinforcement for weight loss; and (c) a control group which was only on the diet. Weight loss was evaluated for 6 wk. of treatment and 4 follow-up nontreatment wk. The findings indicated that both behavior modification procedures and group therapy produced weight loss during the treatment phase. The behavior modification group, however, continued to lose weight during the follow-up period while the group therapy 5s regained the weight they had lost.

Effectiveness of group therapy based upon learning principles in the treatment of overweight women.

“…Two studies published after the completion of the present investigation (Harmatz & Lapuc, 1968;Harris, 1969) and a report of eight case studies (Stuart, 1967) all strongly point to the potential effectiveness in the utilization of learning principles in the treatment of obesity. These studies together with the present investigation reported rates of weight loss which would be considered highly favorable by members of the health professions (see United States Department of Health, Education, and Welfare, 1967).…”

Interventions for the metabolic syndrome in schizophrenia: a review

“…Some studies even demonstrated a relative advantage of behavioural techniques compared with diet or brief nutritional information [Harmatz and Lapuc, 1968;Khazaal et al 2007]. Of note are two large naturalistic studies of structured wellbeing programmes (targeting both physical and mental health with emphasis on healthy lifestyle promotion) which showed weight reduction or improvements in lifestyle habits [Smith et al 2007;Lindenmayer et al 2009].…”

A Comprehensive Review of Behavioral Interventions for Weight Management in Schizophrenia

“…Mean duration of treatment was 25.68 weeks, excluding two studies which examined short educational interventions (21,24), and a retrospective study examining self-directed weight loss of varying lengths (30). Six studies included follow-up assessments after termination of treatment (21,24,26,36,42,43), with a mean duration of 41.33 weeks, but a median duration of 8 weeks, due to one study, which had a follow-up period of 3 years (21).…”

“…Only 9 studies reported drop-out rates (21,(25)(26)(27)(28)(29)(30)(31)(32) with mean attrition rate of 47.52%, and a range from 9.7% -90%. Ten studies were conducted with inpatient populations (22,23,26,(33)(34)(35)(36)(37)(38)(39), 4 studies were conducted in residential treatment settings (25,40), partial hospitalization (31) or day treatment centers (32), and 9 were conducted with outpatient populations (21,24,(27)(28)(29)(30)(41)(42)(43). Two reports were chart reviews (30,41), 4 were case studies (33,35,37,38), 7 studies utilized a pre-post design (22)(23)(24)(25)(26)28,43), 6 were quasi experimental, using a crossover (34) or case control design (21,…”

“…Ten studies were conducted with inpatient populations (22,23,26,(33)(34)(35)(36)(37)(38)(39), 4 studies were conducted in residential treatment settings (25,40), partial hospitalization (31) or day treatment centers (32), and 9 were conducted with outpatient populations (21,24,(27)(28)(29)(30)(41)(42)(43). Two reports were chart reviews (30,41), 4 were case studies (33,35,37,38), 7 studies utilized a pre-post design (22)(23)(24)(25)(26)28,43), 6 were quasi experimental, using a crossover (34) or case control design (21,27,31,32,39), and 4 studies utilized a randomized controlled design (29,36,40,42). Mean duration of treatment was 25.68 weeks, excluding two studies which examined short educational interventions …”