Purpose: Severe obesity is difficult to treat, and non-surgical treatment is not supported by robust evidence. The aim of the present study was to establish the immediate and longer-term outcomes following “personalized” form of group cognitive behavioural therapy for obesity (CBT-OB)—a new treatment designed to address specific cognitive processes that have been associated with attrition, weight loss, and weight maintenance in previous studies. Methods: Sixty-seven adult patients with obesity (body mass index (BMI) ≥ 30 kg/m2) were recruited from consecutive referrals to an Italian National Health Service obesity clinic. Each patient was offered 22 group sessions of CBT-OB (14 in the 6-month weight-loss phase and 8 in the subsequent 12-month weight-maintenance phase). Results: 76.2% patients completed the treatment, with an average weight loss of 11.5% after 6 months (10% in the intention-to-treat analysis) and 9.9% (7.5% in the intention-to-treat analysis) after 18 months. Weight loss was associated with a significant reduction in cardiovascular risk factors, anxiety, depression, and eating disorder psychopathology, and an improvement in obesity-related quality of life. Conclusions: These findings provide strong preliminary support for the use of CBT-OB for obesity in standard clinical settings, and justify its further evaluation in randomized controlled trials. Level of evidence: Level III, longitudinal cohort study.

Personalized group cognitive behavioural therapy for obesity: a longitudinal study in a real-world clinical setting / Dalle Grave, R.; Calugi, S.; Bosco, G.; Valerio, L.; Valenti, C.; El Ghoch, M.; Zini, D.. - In: EATING AND WEIGHT DISORDERS. - ISSN 1124-4909. - 25:2(2020), pp. 337-346. [10.1007/s40519-018-0593-z]

Personalized group cognitive behavioural therapy for obesity: a longitudinal study in a real-world clinical setting

El Ghoch M.;
2020

Abstract

Purpose: Severe obesity is difficult to treat, and non-surgical treatment is not supported by robust evidence. The aim of the present study was to establish the immediate and longer-term outcomes following “personalized” form of group cognitive behavioural therapy for obesity (CBT-OB)—a new treatment designed to address specific cognitive processes that have been associated with attrition, weight loss, and weight maintenance in previous studies. Methods: Sixty-seven adult patients with obesity (body mass index (BMI) ≥ 30 kg/m2) were recruited from consecutive referrals to an Italian National Health Service obesity clinic. Each patient was offered 22 group sessions of CBT-OB (14 in the 6-month weight-loss phase and 8 in the subsequent 12-month weight-maintenance phase). Results: 76.2% patients completed the treatment, with an average weight loss of 11.5% after 6 months (10% in the intention-to-treat analysis) and 9.9% (7.5% in the intention-to-treat analysis) after 18 months. Weight loss was associated with a significant reduction in cardiovascular risk factors, anxiety, depression, and eating disorder psychopathology, and an improvement in obesity-related quality of life. Conclusions: These findings provide strong preliminary support for the use of CBT-OB for obesity in standard clinical settings, and justify its further evaluation in randomized controlled trials. Level of evidence: Level III, longitudinal cohort study.
2020
25
2
337
346
Personalized group cognitive behavioural therapy for obesity: a longitudinal study in a real-world clinical setting / Dalle Grave, R.; Calugi, S.; Bosco, G.; Valerio, L.; Valenti, C.; El Ghoch, M.; Zini, D.. - In: EATING AND WEIGHT DISORDERS. - ISSN 1124-4909. - 25:2(2020), pp. 337-346. [10.1007/s40519-018-0593-z]
Dalle Grave, R.; Calugi, S.; Bosco, G.; Valerio, L.; Valenti, C.; El Ghoch, M.; Zini, D.
File in questo prodotto:
Non ci sono file associati a questo prodotto.
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1339563
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 18
  • ???jsp.display-item.citation.isi??? 10
social impact