Factors Associated with the Improvement of Body Image Dissatisfaction of Female Patients with Overweight and Obesity During Cognitive Behavioral Therapy

Overview

Journal Front Psychiatry

Specialty Psychiatry

Date 2022 Nov 7

PMID 36339837

Authors

Hiroaki Yokoyama

Takehiro Nozaki

Tomoe Nishihara

Ryoko Sawamoto

Gen Komaki

Nobuyuki Sudo

Affiliations

Soon will be listed here.

Abstract

Background: Cognitive behavioral therapy (CBT) has become one of the most commonly used psychotherapeutic treatments for obesity. It stems from CBT for bulimia nervosa and binge eating disorder, which focuses on amelioration of the eating behavior and body image dissatisfaction (BID), but usually does not focus on weight loss. In contrast, CBT for obesity focuses on weight loss, as well as eating behavior and BID. It is at present unclear whether the improvement of BID during CBT for obesity is associated with improvement of factors other than weight loss.

Objective: The purpose of this study was to determine whether improvement of BID during CBT for obesity was associated with improvement of factors other than weight loss.

Methods: One hundred and sixty-five women (BMI 31.8 ± 5.2 kg/m, age 49.3 ± 10.5 years) with overweight or obesity completed a 7-month CBT-based weight loss intervention. BID, depression, anxiety, binge eating, and perfectionism were assessed at both baseline and the end of the intervention through the use of psychological questionnaires.

Results: Percent total weight loss, baseline BID, baseline binge eating disorder (BED), change in depression (Δdepression), Δstate anxiety, Δtrait anxiety, Δbinge eating, and Δperfectionism were significantly correlated with ΔBID. Multiple regression analysis showed that baseline BID, baseline BED, percent total weight loss, Δbinge eating, and Δdepression were independently associated with ΔBID.

Conclusion: Improvement of binge eating, and improvement of depression, as well as weight loss, were independently associated with amelioration of BID.

Clinical Trial Registration: [https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008052], identifier [UMIN000006803] and [https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R0000 55850], identifier [UMIN000049041].

Citing Articles

Psychological Mediators of the Association between Obesity and Symptoms of Depression, Anxiety, and Stress.

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Weight Bias Internalization and Eating Disorder Psychopathology in Treatment-Seeking Patients with Obesity.

Calugi S, Segattini B, Cattaneo G, Chimini M, Dalle Grave A, Dametti L Nutrients. 2023; 15(13).

PMID: 37447258 PMC: 10346744. DOI: 10.3390/nu15132932.

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