Psychology Commons^™

Weight-Related Psychological Inflexibility As A Mediator Between Weight Self-Stigma And Health-Related Outcomes, Julie M. Petersen, Carrie Durward, Michael Levin

Psychology Student Research

Weight self-stigma, the internalization of negative societal stereotypes, is a problem amongst populations with high weight. Weight self-stigma is associated with psychological inflexibility and maladaptive health-related behaviors. In this study, we explore how weight-related psychological inflexibility may influence weight self-stigma and health-related outcomes in 79 adults with high weight. Participants were primarily white (92.4%) and female (82.3%), with an average age of 39.56 and average body mass index of 33.78. The present study uses baseline, self-report data from a larger trial. Results indicate that weight self-stigma was negatively correlated with maladaptive eating behaviors, weight, and mental health. Weight-related psychological inflexibility …

A Randomized Controlled Trial Of Online Acceptance And Commitment Therapy To Improve Diet And Physical Activity Among Adults Who Are Overweight/Obese, Michael E. Levin, Julie M. Petersen, Carrie Durward, Brittany Bingeman, Elizabeth Davis, Cindy Nelson, Shannon Cromwell

Psychology Student Research

Background: Acceptance and commitment therapy (ACT) has shown benefit for improving diet, physical activity, and weight among adults who are overweight and obese. However, research to date in this area has primarily evaluated ACT delivered through in-person interventions, which has more limited access relative to online formats. Purpose: The present study evaluated an online guided self-help program that integrated ACT with nutrition education to improve healthy eating and physical activity. Methods: A sample of 79 adults who were overweight/obese were randomized to receive the 8-week ACT on Health program plus weekly phone coaching or to a waitlist. Results: Participants completed …

A Pilot Randomized Controlled Trial Of Acceptance And Commitment Therapy Guided Self-Help For Overweight And Obese Adults High In Weight Self-Stigma, Sarah Ann Potts, Jennifer Krafft, Michael E. Levin

Psychology Student Research

Weight self-stigma, in which individuals internalize stigmatizing messages about weight, is a prevalent problem that contributes to poor quality of life and health. This pilot randomized controlled trial evaluated acceptance and commitment therapy (ACT) guided self-help using The Diet Trap (Lillis, Dahl, & Weineland, 2014) for 55 overweight/obese adults high in weight self-stigma. Participants were randomized to the ACT self-help book plus phone coaching (GSH-P; n=17), self-help book plus email prompts only (GSH-E; n=20), or a waitlist condition (n=18), with online self-report assessments at baseline and posttreatment (8 weeks later). Participants reported high satisfaction ratings and engagement with the ACT …

Putting Weight In Context: Acceptance And Commitment Therapy (Act) Guided Self-Help For Weight Self-Stigma, Sarah A. Potts

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Obesity is a serious public health issue within the U.S. and minimal long-term success is found with standard behavioral weight-loss treatments. Typical weight-loss interventions do not acknowledge psychological factors, such as weight-related stigma, which may play a role in the development and maintenance of poor coping behaviors, such as unhealthy eating patterns. Individuals who are obese may often experience weight-related stigma present in society and are ultimately at risk for weight self-stigma, which is related to poor health behaviors and increased psychological distress. Acceptance and commitment therapy (ACT), can be effective for treating numerous mental health presentations, might also be …

Self-Stigma And Weight Loss: The Impact Of Fear Of Being Stigmatized, Jason Lillis, J. G. Thomas, Michael E. Levin, R. R. Wing

Psychology Faculty Publications

The current study sought to examine whether two facets of weight self-stigma (fear of enacted stigma and self-devaluation) were associated with weight change and treatment engagement for 188 individuals participating in a 3-month online weight loss program. Fear of enacted stigma predicted less weight loss 3-months later after controlling for demographics, eating problems, and psychological symptoms. Self-devaluation did not predict weight loss. Neither weight self-stigma variable predicted engagement in the online program. These results add to the literature indicating the negative effects of weight self-stigma while highlighting the central role of fear of being stigmatized by others in this process.

Delivering Acceptance And Commitment Therapy For Weight Self-Stigma Through Guided Self-Help: Results From An Open Pilot Trial, Michael E. Levin, Sarah Potts, Jack Haegar, Jason Lillis

Psychology Faculty Publications

Weight self-stigma is a promising target for innovative interventions seeking to improve outcomes among overweight/obese individuals. Preliminary research suggests acceptance and commitment therapy (ACT) may be an effective approach for reducing weight self-stigma, but a guided self-help version of this intervention may improve broad dissemination. This pilot open trial sought to evaluate the potential acceptability and efficacy of a guided self-help ACT intervention, included coaching and a self-help book, with a sample of 13 overweight/obese individuals high in weight self-stigma. Results indicated a high degree of program engagement (77% completed the intervention) and satisfaction. Participants improved on outcomes over time …

Making Healthy Choices: Adolescent Preference Ratings Of School-Based Health Interventions, Nicholas Glover Baird

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study investigated the effect of a Making Healthy Choices lesson on junior high school students' preference rankings of items used to motivate students to increase academic performance. Results indicated that the lesson resulted in increased ranking scores on healthy items. This study used an assessment procedure that may be used to identify healthy rewards that may motivate students to increase academic performance as well as practice healthy decision making to prevent obesity.

Binge Eating Disorder And Its Relationship To Bulimia Nervosa And Obesity, Lara Schultz Lacaille

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Recent research indicates that 2% to 4% of the population meet diagnostic criteria for the newly proposed binge eating disorder, and that it is much more common (30%) among the treatment-seeking obese. Although recognized as a significant problem, binge eating disorder is l1l not well understood, and there is debate about whether binge eating disorder is a distinct disorder. It has been argued that binge eating disorder is simply a variant or milder form of bulimia nervosa and not a separate and distinct disorder. Researchers have begun to study this population in greater depth in order to assess the characteristics …

The Development Of An Instrument For The Assessment Of Obesity-Related Cognitions, David E. Christian

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This dissertation involved the design and validation of the Obesity Cognitions Inventory (OCI) which was intended to quantify cognitions associated with obesity. An initial pool of 117 items was refined through expert ratings, a pilot test involving 59 subjects, and a major test and validation using 217 subjects.

The resulting 56-item instrument contains scales measuring five types of cognitions: Personal Control, Dietary Restraint, Cost-Benefit Beliefs, Health Knowledge, and Self-Concept. Test-retest reliabilities for these scales range from .69 to .83 and Cronbach alphas range from .57 to .82. Concurrent criterion validity of the OCI was assessed through two methods (a) correlations …

Ego Strengthening Hypnotic Suggestions Versus Specific Hypnotic Suggestions In The Treatment Of Obesity, Richard A. Hutchison

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

A comparison was made of two types of hypnotic suggestions. Twenty seven subjects in two groups participated in eight weekly one-hour group hypnotic sessions. All subjects were given the Minnesota Multiphasic Personality Inventory, the Tennessee Self-Concept Scale, and were weighed pre, post and at four month follow-up. Both types of hypnotic suggestions were equally effective in helping individuals lose weight. The average weight loss was 10 pounds at follow up. Both groups showed improvement on the personality tests. Those who received the ego-strengthening hypnotic suggestions showed more improvement and more long lasting improvement than did those who received the specific …

The Self-Recording Of Weight And Bites In The Treatment Of Obesity, Cris Quayle

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The effects of self-recording bites and weight on subsequent weight was assessed utilizing a single-subject design. Subjects were exposed to a similar sequence of conditions which included: (1) weekly weigh-ins, (2) self-recording daily weights, (3) a control for observation, (4) self-recording bites, and finally (5) a reversal condition in which subjects stopped recording bites but continued recording weights and meeting for weekly weigh-ins. No significant weight reductions occurred in conjunction with weekly weigh-ins, self-recording daily weights, or the control for observation. Five of the six subjects lost more than 2 pounds while recording bites along with monitoring daily weights and …