Psychology Commons^™

A Qualitative Examination Of Satisfaction And Support In Weight-Loss Surgery Patients, Simone Sims-Reiley

PCOM Psychology Dissertations

The present study investigated bariatric surgery patients’ perspectives about the factors associated with relationship success after surgery. Additionally, this study sought to recommend useful strategies to prepare partners for the postoperative changes that are required of bariatric patients. Female participants (N = 10) were chosen using voluntary response sampling to participate in semi-structured interviews before completing the Marital Adjustment Test to identify their level of relationship adjustment postoperatively. Participants reported changes to their relationship dynamic related to food choices, activities, varying levels of support from their significant others, and factors that impacted their relationship satisfaction throughout their bariatric surgery …

The Association Between Body Esteem And Post-Operative Outcomes In Adult Weight-Loss Surgery Patients, Jennifer Rohr Swetkowski

PCOM Psychology Dissertations

Bariatric surgery (weight-loss surgery) remains the most effective long-term treatment for obesity, resulting in improved obesity-related comorbidities and increased life expectancy. There remains, however, a limited understanding of predictors and patientlevel factors associated with insufficient weight loss and psychological dysfunction. Body esteem, or feelings of self-worth about one’s body and appearance, is a significant concern for individuals undergoing weight-loss surgery, although the relationship between body esteem and weight loss is complex. Indeed, there is a subset of patients who experience suboptimal weight loss and poor psychological outcomes after undergoing bariatric surgery. This retrospective, longitudinal study examined the relationship between pre-operative …

Predictors Of Successful Weight Loss Following Bariatric Surgery, Francine R. Broder

PCOM Psychology Dissertations

Obesity is a major public health problem involving both medical and quality-of-life
issues. During the past 20 years, obesity has dramatically increased and is currently at an all-time high (Centers for Disease Control and Prevention, 2011). More than two thirds of the adult population in the United States is estimated to be overweight, with over one third of the population classified as obese (National Institute of Health, 2009). While attempting to lose weight is common, calorie reduction combined with physical activity typically results in 5 to 10 % reduction of body weight over a 6-month period, yet these moderate losses …

Predictors Of Attrition And Success In A Weight Management Program For Patients With Type 2 Diabetes, Kevin O'Leary

PCOM Psychology Dissertations

Aim: To examine the factors that lead to attrition and success in a weight management program for patients diagnosed with type 2 diabetes. The current study specifically examines the effect of quality of life, expected weight loss, self-esteem, and early weight loss on attrition and success rates. Methods: Archival data from a study conducted at the University of Pennsylvania Center for Weight and Eating Disorders were used. Seventy-nine overweight and obese subjects with type 2 diabetes participated in a lifestyle modification program over 40 weeks. Logistic regression analyses were performed to explore the relationship between early weight loss, expected …

An Evaluation Of A Group Nutritional Program In A Population Of Obese Individuals With Psychiatric Disabilities, Jamie Via

PCOM Psychology Dissertations

Individuals with serious mental illnesses are at high risk for obesity. The increased risk of obesity and comorbid medical conditions among individuals with serious mental illnesses has increased the need to seek and utilize effective treatments to address obesity in this population. In efforts to address the need for effective treatment, Eli Lilly and Company developed the Solutions for Wellness program. The aim of this study was to examine if the Solutions for Wellness nutritional program was effective in increasing wellness knowledge and increasing healthy lifestyle choices within a small sample of obese individuals with serious mental illnesses. The nutritional …

Overweight, Obesity, And Mental Illnesses: Weight Loss Treatment, Michelle Huang

PCOM Psychology Dissertations

For the past 30 years, overweight and obesity has increased at alarming rates in the general population. This public health crisis has affected persons with mental illnesses as it has those in the general population. Little is known about how individuals with psychiatric problems respond to weight-loss treatment compared to the general population. The current study examines the efficacy of a cognitive-behavioral group weight-loss intervention with such individuals. The study also examines self-esteem, motivation, and the involvement of a support person in treatment as predictor variables. The treatment was shown to be effective regardless of depression severity. However, while all …

Changes In Appetite And Eating Behavior Associated With The Combination Of Sibutramine And Behavior Therapy, Raymond Carvajal

PCOM Psychology Dissertations

This archival-data study assessed the potentially complementary mechanisms of action of sibutramine and behavior therapy (also known as lifestyle modification) believed to be responsible for the greater weight loss observed with combining the two approaches than with either approach alone. One hundred and seventy-one subjects were randomly assigned to receive 15 mg of sibutramine per day alone, delivered by a primary-care provider in five brief office visits; behavior therapy alone, delivered by a psychologist in

18 group sessions; and sibutramine (15 mg/day) plus 18 group sessions of behavior therapy (i.e., combined therapy). Mixed effects linear model analysis was used to …

The Prevalence Of Adhd In Candidates For Gastric Bypass Surgery: Are Overeating And Obesity Accounted For By The Attention Deficits And Impulisivity Of Adhd?, Andrea M. Parry

PCOM Psychology Dissertations

The purpose of this study was to determine the prevalence of Attention Deficit-Hyperactivity Disorder (ADHD) and general psychological characteristics in an adult, presurgery population of patients seeking Gastric Bypass (GB). An ADHD diagnosis was defined as clinically significant scores as measured by the Conners Adult ADHD Rating Scale (CAARS). Other psychological characteristics were assessed using the Minnesota Multiphasic Personality Inventory – Second Edition (MMPI-2). The sample was selected from a homogeneous adult outpatient population. Participants meeting inclusion criteria presented for psychological assessment preparatory to GB surgery at the office of Dr. Steven Walfish. Participants were excluded if they failed to …

Preschool Teachers' Perceptions Of Obesity At Ages 3-5 Years, Jessica D. Mackinney

PCOM Psychology Dissertations

The purpose of this study was not only to investigate the knowledge of preschool teachers on the topic of obesity, but also to determine whether or not they find obesity to be a significant problem facing 3-5 year old children. Results indicate that preschool teachers agree that obesity is a concern; however, they are unclear on the causality of obesity. Preschool teachers feel the long-term consequences of being obese at ages 3-5 years affect future academic, social, and physical growth, but they do not feel intervention should take place at the preschool level. This study contributed to a better understanding …

The Relationship Between Cognitive Distortions And Psychological And Behavioral Factors In A Sample Of Individuals Who Are Average Weight, Overweight, And Obese, Christina Berchock Shook

PCOM Psychology Dissertations

The current study was designed to investigate the relationship between the frequency of cognitive distortions, as measured by the Inventory of Cognitive Distortions (ICD), and psychological and behavioral factors, as measured by the Millon Behavioral Medicine Diagnostic (MBMD), which includes negative health habits, psychiatric indications, and treatment prognostics among a sample of individuals who were average weight, who were overweight, and who were obese. The sample of 385 men and women was recruited primarily from a health and fitness center. The results of this study indicated that negative health risk behaviors such as inactivity and overeating, as well as depression …

Predictors Of Large Women's Satisfaction With Health Care, Virginia M. Koutsouros

PCOM Psychology Dissertations

This cross-sectional observational study identifies specific predictors of large women's satisfaction with health care and participation in preventive care as measured by pelvic screening examinations. A total of 87 large adult women completed a survey, including measures of self-objectification, affective experience, satisfaction with health care, and health care locus of control. Multiple regression analysis was employed to analyze results. The hypotheses of this study were as follows: (1) BMI, self-objectification, negative affect and locus of control will predict satisfaction with medical care; (2) pelvic screening examinations and patient satisfaction with medical care will be positively related (3) self-objectification and negative …

Relationship Between Body Image Dissatisfaction And Fear Of Fatness To Severity Of Smoking Behavior In A Non-Clinical Adolescent Population, Louis J. Bevilacqua, Jr.

PCOM Psychology Dissertations

Smoking is the most preventable cause of death in the U.S., yet it continues to kill more people than AIDS, automobile crashes, alcohol and drug abuse, murders, suicides, and fires---combined! In addition to a higher risk of dying prematurely, those who smoke are much more likely to experience numerous health problems. Other associated problems include dependency and tolerance to nicotine. Frequently, those who smoke are also more likely to use other substances such as marijuana, cocaine, heroine, and especially alcohol. These findings are frightening considering that it is estimated that 4.5 million are adolescents. The reasons why adolescents smoke range …