Health Psychology Commons^™

Motivation, Mindfulness, And Metabolic Factors Predicting Adolescent Adherence And Attrition In A Multidisciplinary Weight Management Program, Stephen Trapp

Theses and Dissertations

Estimated rates of obesity are notably high in the United States and pose a significant public health concern. A number of deleterious physical and psychosocial conditions are associated with pediatric obesity and the cost of its treatment is considerable. Accordingly, the number of weight management treatments has increased to meet this growing public health challenge. Unfortunately, insufficient participation in weight management treatment, namely low adherence and high attrition, often impede the effectiveness of these programs. Although the barriers associated with inadequate adherence and elevated rates of attrition are documented, there is a dearth of research on the predictors of the …

An Examination Of Weight, Weight Bias, And Health Care Utilization And Attitudes Among Emerging Adults, Jessica M. Mccauley

Theses and Dissertations

Individuals with overweight/obesity have been found to exhibit more negative attitudes toward health care and disproportionate rates of health care delay and avoidance, compared to their healthy weight peers. The present study sought to examine potential mechanisms through which weight status influences health care utilization and attitudes. Six hundred and thirty-three students completed a questionnaire measuring weight status, perceived weight bias, patient-provider relationship, and health care utilization and attitudes. Although the majority of the paths in the proposed theoretical mediation model were supported by the present findings, there was no support for the anticipated link between perceived weight bias and …

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, …

Reimagining My Body, Center For Public Service

SURGE

I stood there, shoulders slouched, elbows locked, hands glued to the side of the toilet. My body convulsing, I told myself, “this is the last time, just one more time and you’ll get back on track tomorrow.” It wasn’t the last time. I had been forcing myself to purge for months at this point, and each time I hated myself for it.

It was something I couldn’t control. It wasn’t out of a need for attention as so commonly thought, but a pure need to be the unreachable level of thin that I thought would make me beautiful. I was …

Child Emotional Abuse And Its Relationship To Obesity, Kelly Anderson Driscoll

Sociology & Criminal Justice Theses & Dissertations

Over the past 30 years in the United States childhood obesity has more than tripled (Center for Disease Control and Prevention, 2010). In 2008, 18.5% of adolescents of the age 12-18 years old were obese in the United States (Center for Disease Control and Prevention, 2010). With the increase of obesity Americans have spent approximately 9% of their total medical costs on obesity-related illnesses (Finkelstein, Fiebelkorn, &Wang, 2003). Previous research documented the relationship between virtually every form of child abuse and subsequent obesity. Restricting focus to child emotional abuse, while studies have linked emotional abuse to the long-term consequence of …

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 …

Self-Regulatory Skills For Controlled Eating Emanating From Newly Initiated Physical Activity, James J. Annesi Ph.D., Kandice Johnson Porter

Journal of Social, Behavioral, and Health Sciences

The relationship of physical activity with weight loss may largely be due to its association with psychosocial factors. The goal of this research was to clarify such relationships using a field design lasting 24 weeks. In Study 1, change in self-regulation for controlled eating, but not energy expenditure, mediated the relationship between changes in physical activity and weight in formerly sedentary, severely obese adults (n = 174). In Study 2 (n = 148), the addition of a cognitive-behavioral nutrition treatment was associated with significantly greater improvement in self-regulation for eating. Physical activity-related self-regulation changes were related to those …

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 …

Comparison And Correlates Of Three Preference-Based Healthrelated Quality-Of-Life Measures Among Overweight And Obese Women With Urinary Incontinence, Angela Marinilli Pinto, Miriam Kupperman, Sanae Nakagawa, Eric Vittinghoff, Rena R. Wing, John W. Kusek, William H. Herman, Leslee L. Subak

Publications and Research

PURPOSE: To compare three preference-based health-related quality-of-life (HRQL) measures and examine independent correlates of HRQL among overweight and obese women with urinary incontinence (UI) enrolled in a weight loss intervention trial.

METHODS: Participants completed baseline questionnaires, which included the Health Utilities Index 3 (HUI3) and Medical Outcomes Study Short Form-36 (SF-36). The SF-36 was used to derive SF-6D and estimated Quality of Well-Being (eQWB) scores. Height, weight, medical history, incontinence measures, and level of physical activity also were assessed. The intraclass correlation coefficient (ICC) was computed, and differences in mean scores across HRQL measures were examined. Potential correlates of HUI3, …

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 …

Psychosocial Concerns And Childhood Overweight In Pediatric Primary Care Clinics Serving Rural Appalachia., Suzanne Allen

Electronic Theses and Dissertations

Objective: To examine the prevalence of psychosocial concerns presenting in 3 pediatric primary care clinics serving rural Appalachia. The association between pediatric weight status and psychosocial concerns was examined. Methods: Caregivers of children presenting in one of 3 pediatric primary care facilities completed a demographic questionnaire and the Pediatric Symptom Checklist. Results: Approximately 21.4% of children were identified as having a clinically significant behavioral health concern. Among children with available weight status data, ~53% of the children were identified as overweight. Children identified having significant behavioral concerns were more likely to have a lower weight status than those with nonsignificant …

A Statewide Intervention Reduces Bmi In Adults: Shape Up Rhode Island Results, Rena R. Wing, Angela Marinilli Pinto, Melissa M. Crane, Rajiv Kumar, Brad Weinberg, Amy A. Gorin

Publications and Research

Given the epidemic of obesity, approaches to weight loss that can be applied on a community, state, or national level are needed. We report results from Shape Up Rhode Island 2007 (SURI), a state-wide Internet based program involving team-based competition to increase physical activity and achieve weight loss. A total of 4,717 adults (84% female; mean BMI = 29.6 kg/m2 ) enrolled in the 16 week weight loss competition of SURI and 3311 completed at least 12 weeks. Completers reported losing 3.2 ± 3.4 kg, and 30% achieved a clinically significant weight loss of 5% or more. Although modest, these …

Obesity-Relevant Behaviors: Patterns And Correlates In A Hispanic College Sample., D. Hu, T. Taylor, Theodore Cooper

Selected Works Temporary Series

No abstract provided.

Responses To Weight Loss Treatment Among Obese Individuals With And Without Bed: A Matched-Study Meta-Analysis, Bruce E. Blaine, J. Rodman

Statistics Faculty/Staff Publications

The moderating influence of binge eating status on obese individuals’ responses to weight loss treatment was evaluated with a meta-analysis of 36 tests of weight loss treatment (n=792) that were matched to control key background variables. After controlling for pre-treatment weight, treatment produced more weight loss in samples of obese non- BED compared with obese BED participants. Weight loss treatment produced large posttreatment reductions in depression in both obese BED and non-BED samples. The results indicate that BED status moderated post-treatment weight loss among people in weight treatment programs. Obese BED (average weight loss= 1.3 kg) samples lost negligible weight …

An Assessment Of Obese And Non Obese Girls’ Metabolic Rate During Television Viewing, Reading, And Resting., Theodore Cooper, L. Klesges, M. Debon, R. Klesges, M. Shelton

Selected Works Temporary Series

No abstract provided.

An Assessment Of Obese And Non Obese Girls’ Metabolic Rate During Television Viewing, Reading, And Resting., Theodore Cooper, L. Klesges, M. Debon, R. Klesges, M. Shelton

Departmental Papers (Psych)

No abstract provided.

Obesity, Self-Complexity, And Compartmentalization: On The Implications Of Obesity For Self-Concept Organization, Bruce E. Blaine, C. E. Johnson

Statistics Faculty/Staff Publications

The relationship between obesity and structural aspects of the self-concept was examined in adult women. Participants were 119 adult women [age range: 18-73, M=26.9; body mass index (BMI) range: 16.2-54.7, M=27.3] who completed measures of self-esteem, self-complexity, and the spontaneous self-concept. BMI was associated with less complex and more compartmentalized self-knowledge and more frequent mention of weight-stereotypic traits as self-descriptive. The findings are discussed in the context of research on obesity- related stigma.

An Interactional Approach To Weight Reduction, Carole T. Gygi

Dissertations and Theses

A treatment program was designed to enable subjects to lose weight through the use of self-confrontation as described in Saslow (1969), and the use of the General Relationship Improvement of the Human Development Institute (HDI), Berlin and Wyckoff (1964).

Self-confrontation is a programmed rehearsal of a specific problem by one person alone, for a five-minute period. The rehearsal, or self-confrontation is to be as vivid as possible, intellectually, emotionally, visually and physically.

The General Relationship Improvement Program is a 10-week text, worked in pairs, which is aimed at better intrapsychic and interpersonal communication and understanding.

Four matched groups were used …