Shame and Self-compassion in Predicting Weight Loss Maintenance and Weight Regain in Obesity

Shame and Self-compassion in Predicting Weight Loss Maintenance and Weight Regain in Obesity
Author: Kerri Michelle Bojman
Publisher:
Total Pages:
Release: 2017
Genre:
ISBN:

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Obesity is a serious health condition characterized by excess adiposity and associated with physical and mental health difficulties (Health Canada, 2003; Petry, Barry, Pietrzak, & Wagner, 2008; Tjepkema, 2006). Among individuals with obesity who successfully lose weight, most individuals are unable to sustain their weight loss over time (e.g., Kramer, Jeffrey, Forster, & Snell, 2010). Weight regain has been associated with psychological variables including weight stigmatization, depression, binge eating, and emotional eating (Ashmore, Friedman, Reichmannm & Musante, 2008; McGuire, Wing, Klem, Lang, & Hill, 1999; Konttinen et al., 2010; as cited in Kemp, Bui, & Grier, 2013; Sutin & Terracciano, 2013). Shame, an aversive emotion focused on one"s sense of self, has been strongly associated with these variables (American Psychiatric Association, 2013; Conradt, Dierk, Schlumberger, Rauh, Hebebrand, & Rief, 2007; Wong & Qian, 2016). However, the role of shame in relation to weight loss maintenance over time in a community sample of individuals with obesity has yet to be fully explored. Recently, self-compassion has been identified as being an important counterbalance to shame. Compassion-focused therapy (CFT) is based on a biopsychosocial model of affect regulation that proposes treating oneself compassionately may counteract negative feelings, such as shame, that are thought to underlie maladaptive behaviors (Gilbert, 2010). CFT interventions have been shown to decrease disordered eating behaviours, such as binge eating, in clinical samples (Gale, Gilbert, Read, & Goss, 2014). This study investigated whether compassion-focused interventions that have been found to be effective in clinical eating disordered populations may be helpful for subgroups in obese populations who struggle with high shame and unhelpful eating behaviours that interfere with weight loss maintenance. It was hypothesized that greater levels of baseline shame would predict weight regain and greater levels of self-compassion would predict weight loss maintenance. Seventy-one adults (males = 26, females = 45) who were obese and had recently lost at least 5% of their body weight through behavioural methods were recruited from the community. At baseline, six months, and twelve months, participants completed questionnaires pertaining to depression, shame, self-compassion, emotional eating, and binge eating. Participants" body mass index was also calculated at each time point. Results were opposite to initial predictions. After initial weight loss, baseline shame predicted weight loss and weight loss maintenance. Over time, this relationship weakened. Conversely, following initial weight loss self-compassion predicted weight regain. Over time, this relationship disappeared. Novel subgroups of individuals were found who reported positive effects of shame and negative effects of self-compassion on weight loss maintenance, particularly at six months. Results further indicated that baseline emotional eating played a critical role in moderating the relationship between shame and weight change, as baseline shame predicted weight regain at higher levels of emotional eating but predicted weight loss at lower levels of emotional eating. This research clarifies the roles of shame and self-compassion in relation to weight loss maintenance and weight regain over time. This study illustrated that not all individuals in the community show the same relationships between shame, self-compassion, and weight regulation. Based on these findings, future research can assess whether subgroups of individuals in obese populations who engage in high levels of emotional eating may benefit from CFT interventions for weight loss maintenance.

A Prospective Investigation of the Role of Mindfulness and Self-compassion in Weight Loss and Weight Loss Maintenance in Adults with Obesity

A Prospective Investigation of the Role of Mindfulness and Self-compassion in Weight Loss and Weight Loss Maintenance in Adults with Obesity
Author: Brittany Thomas
Publisher:
Total Pages: 0
Release: 2018
Genre:
ISBN:

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Understanding the psychological factors implicated in weight loss and weight loss maintenance is integral to the development of effective weight loss treatment approaches. Emerging evidence suggests that the psychological constructs of mindfulness and self-compassion may play a role in weight loss outcomes, though limitations of previous research prevent definitive conclusions. As such, the current study aimed to investigate the association between both mindfulness and self-compassion, and weight loss. The participants were 201 adults with obesity who participated in a cognitive behavioural weight loss program and were assessed on their levels of, and changes in, mindfulness and self-compassion across the treatment and follow-up phases. Results revealed that neither baseline levels nor changes in self-compassion (measured using the Self-Compassion Scale Short Form) significantly predicted weight loss. There was some, albeit limited, evidence that mindfulness predicted weight change using the Kentucky Inventory of Mindfulness Skills, which measures four components of mindfulness (Acting with Awareness, Accepting without Judgement, Observing, and Describing). Specifically, higher baseline levels of Accepting without Judgement was a significant predictor of weight loss at post-treatment, yet increases on the same scale across the course of treatment predicted weight gain at post-treatment. Moreover, higher levels of Acting with Awareness at post-treatment approached significance in predicting weight loss at follow-up. Overall, the findings provide somewhat limited support for the role of mindfulness in weight loss and weight loss maintenance, and no support for self-compassion. The results have potential implications for the assessment of these constructs in the obesity context and their role in obesity interventions.

Obesity Treatment

Obesity Treatment
Author: Angela Lee
Publisher:
Total Pages: 103
Release: 2017
Genre: Compassion
ISBN:

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The prevalence of obesity has reached epidemic levels worldwide. Obesity has also been responsible for various diseases, premature deaths, and financial burdens. This paper examines the effective interventions that are being utilized in obesity treatment, particularly in the area of weight maintenance following successful weight loss. The paper also investigates the difficulties individuals face when sustaining lost weight and the ways in which weight regain can be addressed. One way is the utilization of mindfulness-based interventions, specifically in the realm of self-compassion. The author proposes that self-compassion functions as a curating agent for weight relapse issues. This paper concludes by discussing implications for the necessary cultivation of self-compassion in the weight maintenance process and includes special recommendations for practitioners working with individuals struggling with weight regain.

Body Image, Eating, and Weight

Body Image, Eating, and Weight
Author: Massimo Cuzzolaro
Publisher: Springer
Total Pages: 437
Release: 2018-11-03
Genre: Medical
ISBN: 3319908170

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This book equips readers with the knowledge required to improve diagnosis and treatment and to implement integrated prevention programs in patients with eating and weight disorders. It does so by providing a comprehensive, up-to-date review of research findings and theoretical assumptions concerning the interface and interactions between body image and such disorders as anorexia nervosa, bulimia nervosa, binge eating disorder, other specified feeding and eating disorders, orthorexia nervosa, overweight, and obesity. After consideration of issues of definition and classification, the opening part of the book examines the concept of body image from a variety of viewpoints. A series of chapters are then devoted to the assessment of the multidimensional construct “body image”, to dysmorphophobia/body dysmorphic disorder, and to muscle dysmorphia. The third part discusses body image in people suffering from different eating disorders and/or overweight or obesity, and two final chapters focus on body image in the integrated prevention of eating disorders and obesity, and cultural differences regarding body image. The book will be of interest to all health professionals who work in the fields of psychiatry, clinical psychology, eating disorders, obesity, body image, adolescence, public health, and prevention.

Small Sample Size Solutions

Small Sample Size Solutions
Author: Rens van de Schoot
Publisher: Routledge
Total Pages: 270
Release: 2020-02-13
Genre: Psychology
ISBN: 1000760944

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Researchers often have difficulties collecting enough data to test their hypotheses, either because target groups are small or hard to access, or because data collection entails prohibitive costs. Such obstacles may result in data sets that are too small for the complexity of the statistical model needed to answer the research question. This unique book provides guidelines and tools for implementing solutions to issues that arise in small sample research. Each chapter illustrates statistical methods that allow researchers to apply the optimal statistical model for their research question when the sample is too small. This essential book will enable social and behavioral science researchers to test their hypotheses even when the statistical model required for answering their research question is too complex for the sample sizes they can collect. The statistical models in the book range from the estimation of a population mean to models with latent variables and nested observations, and solutions include both classical and Bayesian methods. All proposed solutions are described in steps researchers can implement with their own data and are accompanied with annotated syntax in R. The methods described in this book will be useful for researchers across the social and behavioral sciences, ranging from medical sciences and epidemiology to psychology, marketing, and economics.

The Surgeon General's Vision for a Healthy and Fit Nation, 2010

The Surgeon General's Vision for a Healthy and Fit Nation, 2010
Author:
Publisher:
Total Pages:
Release: 2010
Genre: Health behavior
ISBN:

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In the 2001 Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity, former Surgeon General David Satcher, MD, PhD, warned of the negative effects of the increasing weight of American citizens and outlined a public health response to reverse the trend. The Surgeon General plans to strengthen and expand this blueprint for action created by her predecessor. Although the country has made some strides since 2001, the prevalence of obesity, obesity-related diseases, and premature death remains too high.

Weight Bias

Weight Bias
Author: Kelly D. Brownell
Publisher: Guilford Press
Total Pages: 320
Release: 2005-08-24
Genre: Psychology
ISBN: 9781593851996

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Discrimination based on body shape and size remains commonplace in today's society. This important volume explores the nature, causes, and consequences of weight bias and presents a range of approaches to combat it. Leading psychologists, health professionals, attorneys, and advocates cover such critical topics as the barriers facing obese adults and children in health care, work, and school settings; how to conceptualize and measure weight-related stigmatization; theories on how stigma develops; the impact on self-esteem and health, quite apart from the physiological effects of obesity; and strategies for reducing prejudice and bringing about systemic change.

Intuitive Eating, 2nd Edition

Intuitive Eating, 2nd Edition
Author: Evelyn Tribole, M.S., R.D.
Publisher: St. Martin's Griffin
Total Pages: 305
Release: 2007-04-01
Genre: Health & Fitness
ISBN: 1429909692

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We've all been there-angry with ourselves for overeating, for our lack of willpower, for failing at yet another diet that was supposed to be the last one. But the problem is not you, it's that dieting, with its emphasis on rules and regulations, has stopped you from listening to your body. Written by two prominent nutritionists, Intuitive Eating focuses on nurturing your body rather than starving it, encourages natural weight loss, and helps you find the weight you were meant to be. Learn: *How to reject diet mentality forever *How our three Eating Personalities define our eating difficulties *How to feel your feelings without using food *How to honor hunger and feel fullness *How to follow the ten principles of Intuitive Eating, step-by-step *How to achieve a new and safe relationship with food and, ultimately, your body With much more compassionate, thoughtful advice on satisfying, healthy living, this newly revised edition also includes a chapter on how the Intuitive Eating philosophy can be a safe and effective model on the path to recovery from an eating disorder.

The Science of Lay Theories

The Science of Lay Theories
Author: Claire M. Zedelius
Publisher: Springer
Total Pages: 380
Release: 2017-07-14
Genre: Psychology
ISBN: 3319573063

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This timely and important collection broadens our understanding of the ways in which lay theories (also known as folk psychologies, implicit theories, naïve theories, or mindsets) impact our lives and social relations. Moving well beyond lay theories as applied to intelligence and achievement, this volume considers lay theories in an admirably wide context, including perspectives on prejudice, creativity, self-regulation, health, free will, justice, magic, religion and more. Eminent and emerging scholars alike provide a comprehensive overview that presents and synthesizes cutting edge contemporary research on lay theories, spanning social, cognitive, developmental, cultural, and clinical psychology. Structurally, this volume is organized in three parts. Beginning with a preface by renowned scholar Carol Dweck, the first part looks at the origins and nature of lay theories, and how malleable they are. The second part explores lay theories about common psychological phenomena. The third section discusses lay theories about the metaphysical or supernatural. Finally, the last section explores the important question of how lay theories impact health and health behavior. Taken together, the chapters provide an integrative survey of the science of lay theories, bringing together many perspectives that previously have been studied largely in isolation. This volume is more than the sum of its parts—perspectives from different strands of research provide insights that cut across research disciplines, making novel connections and prompting new directions for this field of study. Shedding light on how our beliefs shape all facets of our lives, The Science of Lay Theories: How Beliefs Shape Our Cognition, Behavior, and Health will appeal to researchers and practitioners in psychology, as well as philosophers, cognitive and developmental neuroscientists, religious scholars, sociologists, and anthropologists. It is very rare to say of an edited volume of scholarly chapters “I couldn’t put it down!” Yet that was the case with this book. It’s not just that I have worked in this field for many years, but rather, with every chapter I felt I was gaining new insights into what, deep down, people really believe and how these beliefs influence their lives—Carol Dweck, Stanford University, Palo Alto, CA, USA

Brief Interventions for Radical Change

Brief Interventions for Radical Change
Author: Kirk D. Strosahl
Publisher: New Harbinger Publications
Total Pages: 327
Release: 2012-10-01
Genre: Psychology
ISBN: 1608823474

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As a mental health professional, you know it’s a real challenge to help clients develop the psychological skills they need to live a vital life. This is especially true when you are working with time constraints or in settings where contacts with the client will be brief. Brief Interventions for Radical Change is a powerful resource for any clinician working with clients who are struggling with mental health, substance abuse, or life adjustment issues. If you are searching for a more focused therapeutic approach that requires fewer follow-up visits with clients, or if you are simply looking for a way to make the most of each session, this is your guide. In this book, you’ll find a ready-to-use collection of brief assessment and case-formulation tools, as well as many brief intervention strategies based in focused acceptance and commitment therapy (ACT). These tools and strategies can be used to help your clients stop using unworkable behaviors, and instead engage in committed, values-based actions to change their lives for the better. The book includes a practical approach to understanding how clients get stuck, focusing questions to help clients redefine their problem, and tools to increase motivation for change. In addition, you will learn methods for rapidly constructing effective treatment plans and effective interventions for promoting acceptance, present-moment awareness, and contact with personal values. With this book, you will easily integrate important mindfulness, acceptance, and values-based therapeutic work in their interactions with clients suffering from depression, anxiety, or any other mental health problem.