Personality and attrition from behavioral weight-loss treatment for obesity

Panfilis, Chiara De; Torre, Mariateresa; Cero, Sara; Salvatore, Paola; Dall’Aglio, Elisabetta; Marchesi, Carlo; Cabrino, Chiara; Aprile, Sonja; Maggini, Carlo

doi:10.1016/j.genhosppsych.2008.06.003

Cited by 40 publications

(66 citation statements)

References 36 publications

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“…The few studies assessing readiness to change reported inconsistent results [12,[22][23][24][25]. Length of treatment did not appear to be related to attrition for example studies of 6-month [21,26] and 24-month [27,28] duration reported similar attrition rates. Similarly, research demands were not consistently related to attrition.…”

Section: Defining Attrition In Weight-loss Interventionsmentioning

confidence: 99%

“…Across these studies completion was defined as attending the final treatment session [11], attending approximately half of treatment sessions [18], attending approximately two-thirds of sessions [4] attending approximately two-thirds of sessions and completing homework tasks [19] completing the first phase of treatment [14,16,20], attending for six months [21], attending the full treatment [22], missing no more than 10% of sessions, attending the last session, and post-treatment evaluations [15]. Thus there is similar inconsistency in the definition of treatment completion.…”

Section: Defining Attrition In Weight-loss Interventionsmentioning

confidence: 99%

“…Individuals who drop-out of treatment tend to have poorer outcomes than those who complete treatment [9] including poorer weight loss [2,[29][30][31][32] and poorer weight-loss maintenance [4]. Early termination often means the necessary skills and strategies required for weight loss and maintenance are not developed [21,33]. For example, in one of few studies reporting weight loss in both completers and non-completers, Wadden et al [2] reported the average weight loss during a dietary/behavioural modification program to be 22.0 kg for women and 32.1 kg for men who completed treatment; compared to 14.3 kg for women and 20.0 kg for men who dropped out of treatment (defined as not completing the full 26 week program).…”

Section: The Impact Of Attritionmentioning

confidence: 99%

See 2 more Smart Citations

Measuring and reporting attrition from obesity treatment programs: A call to action!

Miller

Brennan

2015

Obesity Research & Clinical Practice

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Section: Defining Attrition In Weight-loss Interventionsmentioning

confidence: 99%

Section: Defining Attrition In Weight-loss Interventionsmentioning

confidence: 99%

Section: The Impact Of Attritionmentioning

confidence: 99%

See 1 more Smart Citation

Measuring and reporting attrition from obesity treatment programs: A call to action!

Miller

Brennan

2015

Obesity Research & Clinical Practice

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“…completers also may have more comorbid medical [7] or psychiatric [15][16][17] diagnosis, though these characteristics also have been negatively associated with attrition [7]. These discrepancies may be due to any number of factors, including the fit (vs. misfit) of certain programs for specific demographic groups and differences between weight loss research trials and community programs.…”

Section: Attrition From Weight Loss Programsmentioning

confidence: 99%

Initial engagement and attrition in a national weight management program: demographic and health predictors

Funderburk

Kenneson

2015

Behav. Med. Pract. Policy Res.

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Inconsistent attendance and participant withdrawal limit the effectiveness of weight control programs, but little is known about predictors of initial and ongoing engagement. The purpose of this study was to identify these predictors with respect to the Veterans Affairs MOVE!® program, using medical record data. Logistic regression models were used to predict initial and ongoing engagement (n = 39,862 and 1985, respectively). Those who initially engaged in MOVE!® (vs. did not) were more likely to have high BMIs, to be female, live closer to the medical center, and receive health benefits from the VA; they also were less likely to use tobacco (ps < 0.02). Older veterans were more likely to continue to engage (p < 0.001), with trends toward continued engagement for those with (vs. without) benefits and higher BMIs (ps < 0.10). Findings highlight characteristics that may inform program improvements that promote ongoing engagement and prevent dropouts in a weight management programs.

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“…Panfilis y cols., observaron que las diferentes dimensiones de la personalidad pueden estar involucradas en diferentes aspectos del manejo de la obesidad. La alta dependencia de recompensa pre tratamiento fue un predictor positivo de asistencia al seguimiento clínico regular, mientras que la alta búsqueda de la novedad y baja persistencia (que reflejan alta impulsividad, pobre reglamentación y perseveración) podrían impedir que los pacientes se adhieran a las prescripciones dietarias, interfiriendo así con la pérdida de peso después de programas conductuales o de cirugía bariátrica 47 . Pontiroli y cols., encontraron que el Trastorno narcisista de Personalidad se asociaba con pobre adherencia a dieta y al ejercicio, pobre cumplimiento integral, bajo porcentaje de asistencia a las visitas programadas y menor cantidad de pérdida de peso en el corto plazo 48 .…”

Section: Trastornos De Personalidadunclassified

Patología Psiquiátrica Y Cirugía Bariátrica

Olguin

2015

Rev Chil Cir

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bariatric surgery and mental disordersMedical treatments have shown poor outcomes, bariatric surgery has become a frequent treatment alternative for obesity. Obese patients seeking treatment have higher psychiatric comorbidity than not consulting ones. Bariatric surgery has allowed a reduction in medical comorbidity and some improvement in pre surgery psychopathology. Recent evidence reports a decrease in depressive disorders rate, improvement in self-esteem and life quality, in direct association with weight reduction, with no significant anxiety changes. Although weight decrease should help to have a better social life, important difficulties in adapting to the new environment can emerge. An increase in suicides and problematic alcohol use has been observed, as well as a decrease in binge eating disorder with further appearance of compensatory behavior, distorted body image, and marital problems. Pre surgery personality disorder could be a risk factor for a negative outcome. In this context a rigorous post surgery follow up is desirable, in order to optimize mental health benefits of massive weight reduction.Key words: Morbid Obesity, bariatric surgery, psychopathology, mental disorders. resumenLos tratamientos médicos de la obesidad han demostrado baja efectividad, lo que ha llevado a que la cirugía bariátrica se haya establecido como una alternativa de tratamiento cada vez más frecuente. Las personas obesas que buscan tratamiento presentan tasas significativamente elevadas de comorbilidades psiquiátricas en comparación con las personas obesas que no consultan. La cirugía bariátrica ha permitido una reducción de las comorbilidades médicas y una mejoría de las patologías psiquiátricas presentes antes de la cirugía. Publicaciones recientes reportan una disminución de los trastornos depresivos, mejoría de la autoestima y de la calidad de vida, directamente asociados a la reducción de peso, sin variaciones significativas en los niveles de ansiedad. Si bien la pérdida de peso debería ayudar al mejoramiento de la vida social del paciente, pueden surgir importantes dificultades para adaptarse al nuevo entorno. Se ha visto un aumento de la tasa de suicidios y del uso problemático de alcohol, disminución precoz del trastorno por atracones con Rev Chil Cir. Vol 67 -nº 4, Agosto; pág. 441-447 artículO de reVisiÓn *Recibido el 5 de noviembre de 2014 y aceptado para publicación el 29 de diciembre de 2014. Conflictos de Interés: ninguno.Correspondencia: Dr.

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Personality and attrition from behavioral weight-loss treatment for obesity

Cited by 40 publications

References 36 publications

Measuring and reporting attrition from obesity treatment programs: A call to action!

Measuring and reporting attrition from obesity treatment programs: A call to action!

Initial engagement and attrition in a national weight management program: demographic and health predictors

Patología Psiquiátrica Y Cirugía Bariátrica

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