Mood, bulimic symptoms and outcome in a community‐based slimming group

Abstract

The role of psychological and other factors in the treatment of obesity were examined in a community-based slimming group, where some regular attenders appeared not to be benefiting from the six-week weight-loss programme. Fortyseven women, a significant number of whom were of normal weight, completed psychometric tests assessing variables such as mood, binge eating, and nutritional knowledge. Weight changes were recorded over the course of the programme and at one year follow-up. Subjects showed statistically significant but limited weightloss over the programme. Most however regained much of the weight over the subsequent year, with high levels of anxiety and binge eating the predominant psychological features of the least successful subjects. The efficacy of conventional dietetic practice, especially for those with mood and/or binge eating problems, is questioned. Identifying and helping this vulnerable sub-group are stressed and recommendations made regarding psychological interventions for dieters with longterm weight problems.