Abstract
Module 2 of cognitive behavioural therapy for obesity (CBT-OB) trains the patients to change their eating habits to produce a 500–1000 kcal energy deficit per day. This should provide a weight loss of about 0.5–1 kg/week, although results will vary patient by patient and week by week. Patients are encouraged to follow a low-energy eating plan based on the Italian Mediterranean diet, but this should be adapted to the preferences and characteristics of the individual, as well as the patient’s personal metabolic targets. To improve adherence to dietary restriction, CBT-OB suggests that patients adopt the following three procedures: (1) planning ahead when, what and where to eat in the Monitoring Record, (2) monitoring food intake in real time in the Monitoring Record and (3) eating consciously (i.e. slowly, while appreciating the smell and taste of food) and adopting a mindset focused on weight control. Patients are advised to follow the meal plan without being influenced by external or internal stimuli that may negatively influence their adherence. They are encouraged to tolerate the short-term aversive experiences and loss of pleasure that they may experience when following an energy-restricted meal plan and instead to focus on their long-term goals (e.g. reaching a healthy weight loss and its associated physical and psychological advantages).
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Dalle Grave, R., Sartirana, M., El Ghoch, M., Calugi, S. (2018). Module 2: Changing Eating. In: Treating Obesity with Personalized Cognitive Behavioral Therapy . Springer, Cham. https://doi.org/10.1007/978-3-319-91497-8_5
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