Psychology Commons^™

Working Together? A Situational Analysis Of Combining Prevention Efforts Targeting Obesity And Eating Disorders In Schools, Alana Ireland, Shelly Russell-Mayhew

The Qualitative Report

The serious consequences and difficulties with treatment of obesity and eating disorders have prompted many to suggest focusing on prevention. Although most often considered distinct conditions with competing needs, some have advocated for an integrated approach to the prevention of a spectrum of weight-related issues including obesity and eating disorders. Despite a strong rationale for focusing prevention on the spectrum of weight-related issues, tensions exist with regard to whether this is feasible or best practice. The current study used situational analysis to explore the tensions associated with the broader situation of preventing weight-related issues in schools. Semi-structed interviews and document …

The Effects Of Childhood Adversity, Juvenile Arrest, And Self-Regulation On Adults With Delinquency Histories, Michelle Ann Rhoden

FIU Electronic Theses and Dissertations

Previous studies reported that childhood adversity has debilitating effects on adult well-being. A high prevalence of youths with delinquency histories experience childhood adversity and are at high risk for lasting negative outcomes. Research identifies that the disruption in self-regulation (SR) development explains the effects of childhood adversity on well-being outcomes.

Using data from Add Health, a national study, this dissertation (1) developed a valid and reliable measure of adult SR deficiency, (2) assessed the mediating effects of adult SR deficiency on the association between childhood adversity (i.e., child maltreatment [CM], violent victimization [VV], and economic hardship [EH]) and adult well-being …

A Survey Of Providers And Patients Assessing The Need For And Use Of Prevention Practitioners To Combat Obesity In The Primary Care Setting, Amanda R. Lyons

DNP Projects

Purpose: The overall aim of this project was to gather information from two groups of stakeholders, providers and patients, on the feasibility of implementing prevention practitioners in the primary care system to address overweight and obesity.

Methods: This study utilized a quantitative descriptive design through the use of electronic surveys. Provider surveys were explained and presented during a monthly provider meeting. Patient flyers were posted in exam rooms and surveys were accessible through a provided link and QR code.

Results: Providers (N=10) agreed that they saw a need for the use of a prevention practitioner (Mean=4.44, SD=.88) as well as …

A Stakeholder Examination Of Gestational Weight Gain Guidelines, Melissa Kwitowski

Theses and Dissertations

Obesity is a significant health concern for women of childbearing age. More than 40% of women have a Body Mass Index (BMI) in the overweight or obese ranges at the time they conceive, posing significant health risks for both mother and child. Excessive weight gain during pregnancy is common and associated with numerous deleterious complications. The Institute of Medicine published gestational weight gain (GWG) guidelines based on prepregnancy BMI. However, more than 50% of women gain in excess of these recommendations. Further, many women report receiving minimal guidance from their healthcare providers regarding weight gain, nutrition, and physical activity during …

Pathways Linking Sleep Timing To Obesity In Midlife Women, Dana R. Schreiber

Theses and Dissertations

Midlife women are vulnerable to developing obesity. Both sleep timing and negative emotion are risk factors, yet limited research has explored their role on weight outcomes in this population. The current investigation explored the association of sleep timing (i.e., mean sleep time, sleep time variability) and obesity (i.e., BMI, waist circumference) in midlife women, considering emotional pathways (i.e., depressive symptoms, anger) that might mediate this association. PROCESS parallel mediation models assessed direct and indirect pathways. In follow-up analyses, sleep duration was explored as an indirect pathway linking sleep timing to obesity. Results demonstrated that sleep timing does not directly predict …

Feeding Feelings: Is There A Relationship Between Emotional Eating And Body Mass Index In Adults?, Peta Stapleton, Eleanor Mackay

Peta B. Stapleton

The present study aimed to investigate the relationship between emotional eating and body mass index (BMI) in an international sample of healthy weight, overweight, and obese adults (N = 226). It was hypothesised emotional eating scores would differ significantly between the BMI classification groups. Consistent with expectations, ANCOVA results revealed significant differences in emotional eating scores across weight groups, after controlling for gender. Post-hoc analyses revealed participants who were overweight or obese reported higher emotional eating levels than participants who were normal weight. An analysis of variance indicated that being over the age of 50 was the strongest predictor of …

Beliefs About Causes Of Obesity: A Comparison Of Australian Doctors, Psychologists And Community Members, Peta Stapleton

Peta B. Stapleton

The current study aimed to investigate differences in beliefs about causes of obesity between Australian doctors, psychologists and a community sample. Forty-one doctors, 66 psychologists and 98 community members completed questionnaires regarding beliefs about causes to obesity, including measures of obesity stigma. The results showed a consistent pattern of beliefs across groups, with all three groups having strong beliefs about behavioural and psychological causes to obesity. Further, results showed that the three groups did not have particularly strong or weak antifat attitudes and although they did not have overly favourable attitudes towards obese people, their attitudes were not highly negative. …

Nourish-C: Implementing A Family Based Weight Loss Intervention In A Church Community, Jacqueline Woods

Theses and Dissertations

Increasing rates of obesity across all race, ethnic, gender, and age groups over the past thirty years have generated significant public health concern. Black children face disproportionately higher risk for overweight and obesity compared with their White peers. Substantial evidence suggests that parent involvement improves pediatric obesity treatment outcomes. Moreover, churches are feasible and culturally congruent places to host health promotion interventions within the Black community. The current study examined the feasibility of disseminating an existing pediatric obesity intervention, NOURISH, in Black church communities. Twenty-five families participated in baseline assessment of the NOURISH-C. Five churches hosted the intervention and eight …

An Exploration Of Factors Influencing Attrition From A Pediatric Weight Management Intervention, Melissa Ann Kwitowski

Theses and Dissertations

Childhood obesity is a serious health problem in the United States. Numerous weight management programs attempt to address this issue. However, attrition poses significant treatment efficacy challenges. Understanding attendance and attrition from childhood obesity programs is crucial for effective and appropriate resource utilization. NOURISH+ is a community-based treatment program for parents of overweight and obese children (age 5–11 years, BMI ≥ 85th percentile). The current study investigated attrition from NOURISH+ to enhance understanding of pediatric obesity treatment retention factors. NOURISH+ participants (n=70) completed a questionnaire assessing barriers to adherence and general program feedback. Data were analyzed using frequencies, …

Clinical Benefits Of Emotional Freedom Techniques On Food Cravings At 12-Months Follow-Up: A Randomized Controlled Trial, Peta Stapleton, Teri Sheldon, Brett Porter

Peta B. Stapleton

This randomized, single-blind, crossover trial tested whether participants who used Emotional Freedom Techniques (EFT) maintained reduced food cravings after 12-months and updates previously reported 6 month findings. Ninety-six overweight/obese adults were allocated to a 4-week EFT treatment or wait list condition. Degree of food craving, perceived power of food, restraint capabilities, and psychological symptoms were assessed pre- and post-test and at 12-month follow-up for collapsed groups. Significant improvements occurred in weight, body mass index, food cravings, subjective power of food, craving restraint, and psychological coping for EFT participants from pre-test to 12 months (p < .05). It appears EFT can result in participants maintaining reduced cravings over time and affect weight and BMI in overweight and obese individuals.

Parental And Family Predictors Of Adolescent Weight Loss And Health Change In A Multidisciplinary Obesity Intervention, Jacqueline Woods

Theses and Dissertations

The home environment, parental health attitudes, and parental diet and exercise behaviors have been associated with childhood obesity. The current study utilized a family systems framework to examine the effect of these variables on weight and health changes in a primarily Black sample of 530 parent-adolescent dyads enrolled in a multidisciplinary weight loss intervention. Parent-reported psychosocial variables and demographic information were used to test models predicting changes in adolescents’ body mass index, cholesterol, and percentage body fat over the first six months of the intervention. The effect of parent participation in a psycho-education parent group on adolescent health outcomes was …

Adolescent Girls' Experience Of Binge And Loss Of Control Eating, Allison Palmberg

Theses and Dissertations

The current investigation used qualitative methodology to examine adolescent girls’ perceptions of control over their eating, as well as triggers, and consequences of binge and related eating behaviors. Focus groups were completed with 19 adolescent girls (aged 13-17, 58% African American, 41% White) who endorsed the behaviors. Responses to focus group questions were qualitatively analyzed using a grounded theory approach and constant comparison coding. Results reflected a fundamental lack of awareness of the loss of control (LOC) eating behaviors. Yet, the data did reflect a central theme of the need to affirm independence and autonomy through eating behaviors via three …

An Obsessive-Compulsive View Of Obesity And Its Treatment, Raymond Mount, Fugen Neziroglu, Christina J. Taylor

Psychology Faculty Publications

It was hypothesized that some obese individuals who are obsessed with food and who eat compulsively may not respond to the stimulus control techniques widely used in treating obesity. Sixty-eight participants were ad- ministered a measure of obsessive tendencies and randomly assigned to three treatment modalities: (a) Exposure and response prevention; (b) Stimulus control; (c) Control. Results indicated that participants who scored high on the Eating Obsessive Compulsive questionnaire (EOC) maintained weight loss significantly better with exposure and response prevention (ERP) training than did either the stimulus control or the control group. It was concluded that for the obsessive-compulsive eater, …