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Cognitive-Behavioral Management of Obesity

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The Massachusetts General Hospital Handbook of Behavioral Medicine

Part of the book series: Current Clinical Psychiatry ((CCPSY))

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Abstract

Obesity is a highly treatment-resistant condition, affecting 35 % of the adult population and increasing the risks for hypertension, dyslipidemia, type 2 diabetes mellitus, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea, respiratory problems, and some cancers. This chapter provides an overview of cognitive-behavioral strategies for weight management, as well as tools for treating binge and emotional eating. As obesity is caused by a complex interplay of genetic, environmental, and behavioral factors, the importance of a thorough initial assessment is discussed. The goal of cognitive-behavioral interventions is to normalize and regulate eating behaviors, address body image issues, and improve overall health by facilitating behavior change. Specific treatment concerns based on demographics and comorbid medical conditions are also discussed and a case example is presented to illustrate the techniques described.

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Authors and Affiliations

  1. Department of Psychiatry, Massachusetts General Hospital Weight Center, 50 Staniford Street, 4th Floor, Boston, MA, 02114, USA

    Noreen A. Reilly-Harrington Ph.D., Stephanie S. Sogg Ph.D. & Mark J. Gorman Ph.D.

  2. Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Rachel A. Millstein Ph.D., M.H.S.

Authors
  1. Noreen A. Reilly-Harrington Ph.D.
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  2. Stephanie S. Sogg Ph.D.
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  3. Rachel A. Millstein Ph.D., M.H.S.
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  4. Mark J. Gorman Ph.D.
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Correspondence to Noreen A. Reilly-Harrington Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Psychiatry Behavioral Medicine Service, Massachusetts General Hospital, Boston, Massachusetts, USA

    Ana-Maria Vranceanu

  2. Dept. of Psychiatric Oncology & Behavior, Massachusetts General Hospital Cancer Ce, Boston, Massachusetts, USA

    Joseph A. Greer

  3. Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA

    Steven A. Safren

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Reilly-Harrington, N.A., Sogg, S.S., Millstein, R.A., Gorman, M.J. (2017). Cognitive-Behavioral Management of Obesity. In: Vranceanu, AM., Greer, J., Safren, S. (eds) The Massachusetts General Hospital Handbook of Behavioral Medicine. Current Clinical Psychiatry. Humana Press, Cham. https://doi.org/10.1007/978-3-319-29294-6_3

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  • DOI: https://doi.org/10.1007/978-3-319-29294-6_3

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