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Obesity pp 349–371Cite as

Psychological Approaches in the Treatment of Obesity

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Part of the book series: Endocrinology ((ENDOCR))

Abstract

There are a wide range of psychological approaches for addressing issues of obesity from population level to individually responsive interventions; this chapter focuses on clinically based interventions. However, regardless of the type of intervention, a psychological perspective helps us to acknowledge and address the context in which a person experiences their weight, including bias and stigma which has considerable impact on physical and emotional wellbeing. Difficulties with weight do not occur in isolation but are a result of a complex interaction between physiological, psychological and social factors but too often this is over-simplified and results in a narrow focus on behaviour change. This chapter begins with consideration of the role that weight and food can have for individuals in order to understand why changing eating habits is challenging. It also highlights a range and combination of therapeutic models which have been found to be useful in working with obesity.

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References

  • Aaron DJ, Hughes TL. Association of childhood sexual abuse with obesity in a community sample of lesbians. Obesity. 2007;15(4):1023–8.

    Article  PubMed  Google Scholar 

  • Achtziger A, Gollwitzer PM, Sheeran P. Implementation intentions and shielding goal striving from unwanted thoughts and feelings. Personal Soc Psychol Bull. 2008;34:381–93.

    Article  Google Scholar 

  • Adam TC, Epel ES. Stress, eating and the reward system. Physiol Behav. 2007;91(4):449–58.

    Article  CAS  PubMed  Google Scholar 

  • Adiraanse MA, De Ridder DTD, Evers C. Emotional eating: eating when emotional or emotional when eating? Psychol Health. 2011;26(1):23–39.

    Article  Google Scholar 

  • Agras WS, Telch CF, Linehan MM. Group dialectical behaviour therapy for binge eating disorder: a preliminary, uncontrolled trial. Behav Ther. 2000;31:569–82.

    Article  Google Scholar 

  • Akabas S, Lederman S, Moore B. Textbook of obesity: biological, psychological and cultural influences. Chichester: Wiley; 2012.

    Google Scholar 

  • Almeida L, Savoy S, Boxer P. The role of weight stigmatisation in cumulative risk for binge eating. J Clin Psychol. 2011;67(3):278–92.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.

    Book  Google Scholar 

  • Armitage CJ, Wright CL, Parfitt G, Pegington M, MLS D, Harvie MN. Self-efficacy for temptations is a better predictor of weight loss than motivation and global self-efficacy: evidence from two prospective studies among overweight/obese women at high risk of breast cancer. Patient Educ Couns. 2014;95(2):254–8.

    Article  PubMed  Google Scholar 

  • Armstrong MJ, Mottershead TA, Ronksley PE, Sigal RJ, Campbell TS, Hemmelgarn BR. Motivational interviewing to improve weight loss in overweight and/or obese patients: a systematic review and meta-analysis of randomized controlled trials. Obes Rev. 2011;12(9):709–23.

    CAS  PubMed  Google Scholar 

  • Ashmore JA, Friedman KE, Reichmann SK, Mustante GJ. Weight-based stigmatisation, psychological distress and binge eating among obese treatment-seeking adults. Eat Behav. 2008;9(2):203–9.

    Article  PubMed  Google Scholar 

  • Barnes RD, Ivezaj V. A systematic review of motivational interviewing for weight loss among adults in primary care. Obes Rev. 2015;16(4):304–18.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Baumeister RF. Anxiety and deconstruction: on escaping the self. In: Olson JM, Zanna MP, editors. Self-inference processes: the Ontario symposium, vol. 6. Hillsdale: Erlbaum; 1990. p. 259–91.

    Google Scholar 

  • Benas JS, Gibb EE. Weight-related teasing, dysfunctional cognitions and symptoms of depression and eating disturbances. Cogn Ther Res. 2008;32(2):143–60.

    Article  Google Scholar 

  • Bertakis KD, Azari R. The impact of obesity on primary care visits. Obes Res. 2005;13(9):1615–23.

    Article  PubMed  Google Scholar 

  • Blocher-McCabe E, La Via M, Marcus MD. Dialectical behaviour therapy for eating disorders. In: Thompson K, editor. Handbook of eating disorders and obesity. Hoboken: Wiley; 2004. p. 232–45.

    Google Scholar 

  • Brown I. Nurses attitudes towards patients who are obese: literature review. J Adv Nurs. 2006;53(2):221–32.

    Article  PubMed  Google Scholar 

  • Brown I, McClimens A. Ambivalence and obesity stigma in decisions about weight management: a qualitative study. Health. 2012;4(12A):1562–9. https://doi.org/10.4236/health.2012.412A224.

    Article  Google Scholar 

  • Brown I, Thompson J. Primary care nurses’ attitudes, beliefs and own body size in relation to obesity management. J Adv Nurs. 2007;60:35–543.

    Article  Google Scholar 

  • Brownell K, Puhl R, Schwartz M, Rudd L. Weight bias: nature, consequences and remedies. New York: Guilford Press; 2005.

    Google Scholar 

  • Bulik CM, Sullivan PF, Kendler KS. Medical and psychiatric morbidity in obese women with and without binge eating. Int J Eat Disord. 2002;32(1):72–8.

    Article  PubMed  Google Scholar 

  • Burk-Braxton CL. Is shame a factor in overweight relapse? Unpublished dissertation, University of Texas, Austin. 1996.

    Google Scholar 

  • Caballero D, Finer N, Wurtman RJ. Plasma amino acids and insulin levels in obesity: response to carbohydrate intake and tryptophan supplements. Metabolism. 1988;37:672–6.

    Article  CAS  PubMed  Google Scholar 

  • Carels RA, Darby L, Cacciapaglia HM, Konrad K, Coit C, Harper J, Kaplar ME, Young K, Baylen CA, Versland A. Using motivational interviewing as a supplement to obesity treatment: a stepped-care approach. Health Psychol. 2007;26(3):369–74.

    Article  PubMed  Google Scholar 

  • Carr D, Friedman MA. Is obesity stigmatising? Body weight, perceived discrimination and psychological well-being in the United States. J Health Soc Behav. 2005;46:244–59.

    Article  PubMed  Google Scholar 

  • Cassin SE, Atwood M. Cognitive behavioural therapy for severe obesity. In: Psychiatric care in severe obesity. Springer. 2017; pp 245–56.

    Google Scholar 

  • Castelnuovo G, Manzoni GM, Villa V, Cesa GL, Pietrabissa G, Molinari E. The STRATOB study: design of a randomized controlled clinical trial of cognitive behavioral therapy and brief strategic therapy with telecare in patients with obesity and binge-eating disorder referred to residential nutritional rehabilitation. Trials. 2011;12:114.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chwastiak LA, Rosenheck RA, Kazis LE. Association of psychiatric illness and obesity, physical inactivity, and smoking among a national sample of veterans. Psychosomatics. 2011;52(3):230–6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Coelho do Vale R, Pieters R, Zeelenberg M. The benefits of behaving badly on occasion: successful regulation by planned hedonic deviations. J Consum Psychol. 2016;26(1):17–28.

    Article  Google Scholar 

  • Cohen S. Relationships and health. Am Psychol. 2004;59:676–84.

    Article  PubMed  Google Scholar 

  • Cohen S, Gottlieb B, Underwood L. Social relationships and health. In: Cohen S, Underwood L, Gottlieb B, editors. Social support measurement and intervention: a guide for health and social scientists. New York: Oxford University Press; 2000. p. 368.

    Chapter  Google Scholar 

  • Conrad M, Dierk J, Schlumberger P, Albohn C, Rauh E, Hinney A, Hebebrand J, Rief WA. Consultation with genetic information about obesity decreases self-blame about eating and leads to realistic weight loss goals in obese individuals. J Psychosom Res. 2009;66:287–95.

    Article  Google Scholar 

  • Cooper Z, Doll HA, Hawker DM, Byrne S, Bonner G, Eeley E, O’Connor ME, Fairburn CG. Testing a new cognitive behavioural treatment for obesity: a randomized controlled trial with three-year follow-up. Behav Res Ther. 2010;48(8):706–71.

    Article  PubMed  PubMed Central  Google Scholar 

  • Corrigan PW, Druss BG, Perlick DA. The impact of mental illness stigma on seeking and participating in mental health care. Psychol Sci Public Interest. 2014;15(2):37–70.

    Article  PubMed  Google Scholar 

  • Dallman MF. Stress-induced obesity and the emotional nervous system. Trends Endocrinol Metab. 2010;21(3):159–65.

    Article  CAS  PubMed  Google Scholar 

  • Daria ES, Latner JD. Stigmatizing attitudes differ across mental health disorders: a comparison of stigma across eating disorders, obesity, and major depressive disorder. J Nerv Ment Dis. 2013;201(4):281–5.

    Article  Google Scholar 

  • Dawes AJ, et al. Mental health conditions among patients seeking and undergoing bariatric surgery: a meta-analysis. JAMA. 2016;315(2):150–63.

    Article  CAS  PubMed  Google Scholar 

  • Deci EL, Ryan RM. The “what” and “why” of goal pursuits: human needs and the self-determination of behavior. Psychol Inq. 2000;11:227–68.

    Article  Google Scholar 

  • DiClemente CC, Prochaska JO. Toward a comprehensive, transtheoretical model of change: stages of change and addictive behaviors. In: Treating addictive behaviors, Applied clinical psychology, vol. 13. New York: Plenum Press; 1998. p. 3–27.

    Chapter  Google Scholar 

  • Epstein RM. Mindful practice. J Am Med Assoc. 1999;282(9):833–9.

    Article  CAS  Google Scholar 

  • Faith MS, Allison DB, Geliebter A. Emotional eating and obesity: theoretical considerations and practical recommendations. In: Dalton S, editor. Obesity and weight control: the health professional’s guide to understanding and treatment. Gaithersburg: Aspen; 1997. p. 439–65.

    Google Scholar 

  • Fandiño J, Moreira RO, Preissler C, Gaya CW, Papelbaum M, Coutinho WF, Appolinario JC. Impact of binge eating disorder in the psychopathological profile of obese women. Compr Psychiatry. 2010;51(2):110–4.

    Article  PubMed  Google Scholar 

  • Fava M, Judge R, Hoog SL, et al. Fluoxetine versus sertraline and paroxetine in major depressive disorder: changes in weight with long-term treatment. J Clin Psychiatry. 2000;61:863–7.

    Article  CAS  PubMed  Google Scholar 

  • Foresight. Tackling obesities: future choices – project report. London: The Stationery Office; 2007. http://www.foresight.gov.uk/Obesity/obesity_final/Index.html

    Google Scholar 

  • Foster GD, Wadden TA, Makris AP, et al. Primary care physicians’ attitudes about obesity and its treatment. Obes Res. 2003;11:1168–77.

    Article  PubMed  Google Scholar 

  • Gabert DL, Majumdar SR, Sharma AM, Rueda-Clausen CF, Klarenbach SW, Birch DW, Karmali S, McCargar L, Fassbender K, Padwal RS. Prevalence and predictors of self-reported sexual abuse in severely obese patients in a population-based bariatric program. J Obes. 2013;2013:1–7.

    Article  Google Scholar 

  • Gatineaum M, Dent M. Obesity and mental health. Oxford: National Obesity Observatory; 2011.

    Google Scholar 

  • Glisenti K, Strodl E. Cognitive behavior therapy and dialectical behavior therapy for treating obese emotional eaters. Clin Case Stud. 2012;11(2):71–88.

    Article  Google Scholar 

  • Godfrey KM, Gallo LC, Afari N. Mindfulness-based interventions for binge eating: a systematic review and meta-analysis. J Behav Med. 2015;38(2):348–62.

    Article  PubMed  Google Scholar 

  • Goldschmidt AB, Crosby RD, Engel SG, Crow SJ, Cao L, Peterson CB, Durkin N. Affect and eating behavior in obese adults with and without elevated depression symptoms. Int J Eat Disord. 2014;47(3):281–6.

    Article  PubMed  Google Scholar 

  • Gollust SE, Eboh I, Barry CL. Picturing obesity: analyzing the social epidemiology of obesity conveyed through US news media images. Soc Sci Med. 2012;74(10):1544–51.

    Article  PubMed  Google Scholar 

  • Gollwitzer PM, Sheeran P. Self-regulation of consumer decision making and behaviour: the role of implementation intentions. J Consum Psychol. 2009;19:593–607.

    Article  Google Scholar 

  • Green AR, Larkin M, Sullivan V. ‘Oh stuff it!’ The experience and explanation of diet failure: an exploration using interpretative phenomenological analysis. J Health Psychol. 2009;14(7):997–1008.

    Article  CAS  PubMed  Google Scholar 

  • Grilo CM, Masheb RM, Wilson GT, Gueorguieva R, White MA. Cognitive behavioral therapy, behavioural weight loss and sequential treatment for obese patients with binge-eating disorder. J Consult Clin Psychol. 2011;79(5):675–85.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gross JJ. Handbook of emotion regulation. New York: Guilford Press; 2007.

    Google Scholar 

  • Gu J, Strauss C, Bond R, Cavanagh K. How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clin Psychol Rev. 2015;37:1–12.

    Article  CAS  PubMed  Google Scholar 

  • Guertin C, Rocchi M, Pelletier LG. The role of motivation and eating regulation on the physical and psychological health of cardiovascular disease patients. J Health Psychol. 2015;20:543–55.

    Article  PubMed  Google Scholar 

  • Haedt-Matt AA, Keel PK. Revisiting the affect regulation model of binge eating: a meta-analysis of studies using ecological momentary assessment. Psychol Bull. 2011;137(4):660.

    Article  PubMed  PubMed Central  Google Scholar 

  • Harding JL, Backholer K, Williams ED, Peeters A, Cameron AJ, Hare MJ, Shaw JE, Magliano DJ. Psychosocial stress is positively associated with body mass index gain over 5 years: evidence from the longitudinal AusDiab study. Obesity. 2014;22(1):277–86.

    Article  PubMed  Google Scholar 

  • Hawkins RC, Clement PF. Binge eating: measurement problems and a conceptual model. In: Hawkins RC, Fremouw WJ, Clement PF, editors. The binge purge syndrome: diagnosis, treatment, and research. New York: Springer; 1984. p. 229–51.

    Google Scholar 

  • Heatherton TF, Baumeister RF. Binge eating as escape from self-awareness. Psychol Bull. 1991;110:86–108.

    Article  CAS  PubMed  Google Scholar 

  • Hemmingsson E. A new model of the role of psychological and emotional distress in promoting obesity: conceptual review with implications for treatment and prevention. Obes Rev. 2014;15:769–79.

    Article  CAS  PubMed  Google Scholar 

  • Herman C, Polivy J. Anxiety, restraint, and eating behavior. J Abnorm Psychol. 1975;84(6):666.

    Article  Google Scholar 

  • Hilbert A, Braehler E, Schmidt R, Löwe B, Häuser W, Zenger M. Self-compassion as a resource in the self-stigma process of overweight and obese individuals. Obes Facts. 2015;8(5):293–301.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hirth JM, Rahman M, Berenson AB. The association of posttraumatic stress disorder with fast food and soda consumption and unhealthy weight loss behaviors among young women. J Womens Health (Larchmt). 2011;20(8):1141–9.

    Article  Google Scholar 

  • Hohlstein LA, Smith GT, Atlas JG. An application of expectancy theory to eating disorders: development and validation of measures of eating and dieting expectancies. Psychol Assess. 1998;10:49–58.

    Article  Google Scholar 

  • Hudson JI, Hiripi E, Pope HG, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007;61:348–58.

    Article  Google Scholar 

  • Hudson JI, Lalonde JK, Coit CE, Tsuang MT, McElroy SL, Crow SJ, Pope HG Jr. Longitudinal study of the diagnosis of components of the metabolic syndrome in individuals with binge-eating disorder. Am J Clin Nutr. 2010;91:1568–73.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Jackson SE, Wardle J, Johnson F, Finer N, Beeken RJ. The impact of a health professional recommendation on weight loss attempts in overweight and obese British adults: a cross-sectional analysis. BMJ Open. 2013;3(11):e003693.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kirk SF, Price SL, Penney TL, Rehman L, Lyons RF, Piccinini-Vallis H, Vallis TM, Curran J, Aston M. Blame, shame, and lack of support: a multilevel study on obesity management. Qual Health Res. 2014;24(6):790–800.

    Article  PubMed  Google Scholar 

  • Kristeller JL, Wolever RQ. Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual foundation. Eat Disord. 2010;19(1):49–61.

    Article  Google Scholar 

  • Kubzansky LD, et al. The weight of traumatic stress: a prospective study of posttraumatic stress disorder symptoms and weight status in women. JAMA Psychiat. 2014;71(1):44–51.

    Article  Google Scholar 

  • Langerak M. Evaluation of a non-diet cognitive behavioural treatment for overweight adults. Unpublished thesis, Department of Medical Psychology and Neuropsychology Tilburg University. 2009. http://arno.uvt.nl/show.cgi?fid=97344.

  • Latner J, Durso LE, Mond JM. Health and health-related quality of life among treatment seeking overweight and obese adults: associations with internalised weight bias. J Eat Disord. 2013;1(1):1–6.

    Article  Google Scholar 

  • LeBlanc V, Bégin C, Corneau L, et al. Gender differences in dietary intakes: what is the contribution of motivational variables? J Hum Nutr Diet. 2015;28(1):37–46.

    Article  CAS  PubMed  Google Scholar 

  • Linehan. Cognitive behaviour therapy of borderline personality disorder. Guilford: New York; 1993.

    Google Scholar 

  • Lustman PJ, Clouse RE. Depression in diabetic patients: the relationship between mood and glycemic control. J Diabetes Complicat. 2005;19(2):113–22.

    PubMed  Google Scholar 

  • Magallares A, Pais-Ribeiro JL. Mental health and obesity: a meta-analysis. Appl Res Qual Life. 2014;9:295.

    Article  Google Scholar 

  • Major B, Hunger JM, DP B, Miller CT. The ironic effects of weight stigma. J Exp Soc Psychol. 2014;51:74–80.

    Article  Google Scholar 

  • Malterud K, Ulriksen K. Obesity, stigma and responsibility in health care: a synthesis of qualitative studies. Int J Qual Stud Health Well-Being. 2011;6:e8404. https://doi.org/10.3402/qhw.v6i4.8404.

    Article  Google Scholar 

  • Mantzios M, Wilson JC. Exploring mindfulness and mindfulness with self-compassion-centered interventions to assist weight loss: theoretical considerations and preliminary results of a randomized pilot study. Mindfulness. 2015a;6(4):824–35.

    Article  Google Scholar 

  • Mantzios M, Wilson JC. Making concrete construals mindful: a novel approach for developing mindfulness and self-compassion to assist weight loss. Psychol Health. 2015b;29(4):422–41.

    Article  Google Scholar 

  • Markey CN. Smart people don’t diet: how psychology, common sense and the latest science can help you lose weight permanently. Boston: Da Capo/Lifelong Books; 2014.

    Google Scholar 

  • Markey CN, August KJ, Bailey LC, Markey PM, Nave CS. The pivotal role of psychology in a comprehensive theory of obesity. Health Psychol Open. 2016;3(1):2055102916634365.

    Article  Google Scholar 

  • Marks DF. Homeostatic theory of obesity. Health Psychol Open. 2015;2(1), Article first published online: June 23, 2015;Issue published: January 21.

    Article  Google Scholar 

  • Masheb RM, Grilo CM. Eating patterns and breakfast consumption in obese patients with binge eating disorder. Behav Res Ther. 2006;44(11):1545–53.

    Article  PubMed  Google Scholar 

  • Mathes WF, Brownley KA, Mo X, Bulik CM. The biology of binge eating. Appetite. 2009;52(3):545–53.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mayhew SL, Gilbert P. Compassionate mind training with people who hear malevolent voices: a case series report. Clin Psychol Psychother. 2008;15:113–38.

    Article  PubMed  Google Scholar 

  • McElroy SL, Kotwal R, Malhotra S, Nelson EB, Keck PE, Nemeroff CB. Are mood disorders and obesity related? A review for the mental health professional. J Clin Psychiatry. 2004;65(5):634–51.

    Article  PubMed  Google Scholar 

  • McEvoy PM, Nathan P. Perceived costs and benefits of behavioral change: reconsidering the value of ambivalence for psychotherapy outcomes. [comparative study]. J Clin Psychol. 2007;63:1217–29.

    Article  PubMed  Google Scholar 

  • McPherson K, Kopelman P, Butland B, Jebb S, Thomas S et al. Tackling obesities: future choices-project report. 2nd ed. Government; Office for Science; 2007. Available: http://www.bis.gov.uk/assets/foresight/docs/obesity/17.pdf

  • Michopoulos V, Powers A, Moore C, Villarreal S, Ressler KJ, Bradley B. The mediating role of emotion dysregulation and depression on the relationship between childhood trauma exposure and emotional eating. Appetite. 2015;91:129–36.

    Article  PubMed  PubMed Central  Google Scholar 

  • Miller CE, Johnson JL. Motivational interviewing. Can Nurse. 2001;97:32–3.

    CAS  PubMed  Google Scholar 

  • Miller WR, Rose GS. Motivational interviewing and decisional balance: contrasting responses to client ambivalence. Behav Cogn Psychother. 2015;43:129–41.

    Article  PubMed  Google Scholar 

  • Moulton SJ, Newman E, Power K, Swanson V, Day K. Childhood trauma and eating psychopathology: a mediating role for dissociation and emotion dysregulation? Child Abuse Negl. 2015;39:167–74.

    Article  PubMed  Google Scholar 

  • Mushquash AR, McMahan M. Dialectical behavior therapy skills training reduces binge eating among patients seeking weight-management services: preliminary evidence. Eat Weight Disord-Stud Anorexia, Bulimia Obes. 2015;20(3):415–8.

    Article  Google Scholar 

  • Nauta H, Hospers H, Kok G, Jansen A. A comparison between a cognitive and a behavioral treatment for obese binge eaters and obese non-binge eaters. Behav Ther. 2000;31(3):441–61.

    Article  Google Scholar 

  • Neff KD, Vonk R. Self-compassion versus global self-esteem: two different ways of relating to oneself. J Pers. 2009;77(1):23–50.

    Article  PubMed  Google Scholar 

  • Ogden J. Some problems with social cognition models: a pragmatic and conceptual analysis. Health Psychol. 2003;22:424–8.

    Article  PubMed  Google Scholar 

  • Ogden J, Clementi C. The experience of being obese and the many consequences of stigma. J Obes. 2010;2010:429098. https://doi.org/10.1155/2010/429098. 9 pages

    Article  PubMed  PubMed Central  Google Scholar 

  • Ormston R, Curtice J, editors. British social attitudes: the 32nd report. London: NatCen Social Research; 2015.

    Google Scholar 

  • Otis N, Pelletier LG. Women’s regulation styles for eating behaviors and outcomes: the mediating role of approach and avoidance food planning. Motiv Emot. 2008;32:55–67.

    Article  Google Scholar 

  • Pagoto SL, Schneider KL, Bodenlos JS, Appelhans BM, Whited MC, Ma Y, Lemon SC. Association of post-traumatic stress disorder and obesity in a nationally representative sample. Obesity. 2012;20(1):200–5.

    Article  PubMed  Google Scholar 

  • Palacios JM, Pazos A, Hoyer D. A short history of the 5-HT2C receptor: from the choroid plexus to depression, obesity and addiction treatment. Psychopharmacology. 2017;234:1395. https://doi.org/10.1007/s00213-017-4545-5.

    Article  CAS  PubMed  Google Scholar 

  • Peat CM, Shapiro JR, Bulik CM, Brownley KA. Evidence-informed strategies for binge eating disorder and obesity. In: Evidence based treatments for eating disorders: children, adolescents and adults. 2nd ed. New York: Nova Science Publishers; 2014.

    Google Scholar 

  • Pelletier LG, Dion SC, Slovenic-D’Angelo M. Why do you regulate what you eat? Relationship between forms of regulation, eating behaviors, sustained dietary behavior change, and psychological adjustment. Motiv Emot. 2004;28:245–77.

    Article  Google Scholar 

  • Pelletier LG, Guertin C, Pope JP, Rocchi M. Homeostasis balance, homeostasis imbalance or distinct motivational processes? Comments on Marks (2015) ‘Homeostatic Theory of Obesity’. Health Psychol Open. 2016;3(1):2055102915624512.

    Article  PubMed  PubMed Central  Google Scholar 

  • Perkonigg A, Owashi T, Stein MB, Kirschbaum C, Wittchen HU. Posttraumatic stress disorder and obesity: evidence for a risk association. Am J Prev Med. 2009;36(1):1–8.

    Article  PubMed  Google Scholar 

  • Phelan SM, Burgess DJ, Yeazel MW, Hellerstedt WL, Griffiin JM, VanRyn M. Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obes Rev. 2015;16:319–26.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pietrabissa G, Manzoni GM, Corti S, Vegliante N, Molinari E, Castelnuovo G. Addressing motivation in globesity treatment: a new challenge for clinical psychology. Front Psychol. 2012;3:317.

    Article  PubMed  PubMed Central  Google Scholar 

  • Puhl R, Heuer C. The stigma of obesity: a review and update. Obesity. 2009;17:941–64.

    Article  PubMed  Google Scholar 

  • Puhl RM, Andreyeva T, Brownell KD. Perceptions of weight discrimination: prevalence and comparison to race and gender discrimination in American. Int J Obes. 2008;32:992–1000.

    Article  CAS  Google Scholar 

  • Rapoport L, Clark M, Wardle J. Evaluation of a modified cognitive-behavioural programme for weight management. Int J Obes Relat Metab Disord. 2000;24:1726–114.

    Article  CAS  PubMed  Google Scholar 

  • Ratcliffe D, Ellison N. Obesity and internalized weight stigma: a formulation model for an emerging psychological problem. Behav Cogn Psychother. 2015;43(02):239–52.

    Article  PubMed  Google Scholar 

  • Roosen MA, Safer D, Adler S, Cebolla A, Van Strien T. Group dialectical behavior therapy adapted for obese emotional eaters; a pilot study. Nutr Hosp. 2012;27(4):1141–7.

    CAS  PubMed  Google Scholar 

  • Ryan RM, Connell JP. Perceived locus of causality and internalization: examining reasons for acting in two domains. J Pers Soc Psychol. 1989;57:749–61.

    Article  CAS  PubMed  Google Scholar 

  • Sabin JA, Marini M, Nosek BA. Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender. PLoS One. 2012;7(11):e48448.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Schwartz TL, Nihalani N, Jindal S, Virk S, Jones N. Psychiatric medication-induced obesity: a review. Obes Rev. 2004;5(2):115–21.

    Article  CAS  PubMed  Google Scholar 

  • Sharma AM, Kushner RF. A proposed clinical staging system for obesity. Int J Obes. 2009;33(3):289–95.

    Article  CAS  Google Scholar 

  • Sinha R, Jastreboff AM. Stress as a common risk factor for obesity and addiction. Biol Psychiatry. 2013;73(9):827–35.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Southwick SM, Bonanno GA, Masten AS, PanterBrick C, Yehuda R. Resilience definitions, theory, and challenges: interdisciplinary perspectives. Eur J Psychotraumatol. 2014;5(1):25338. https://doi.org/10.3402/ejpt.v5.25338.

    Article  Google Scholar 

  • Sumithran P, Proietto J. The defence of body weight: a physiological basis for weight regain after weight loss. Clin Sci. 2013;124(4):231–41.

    Article  PubMed  Google Scholar 

  • Swift JA, Hanlon S, El-Redy L, Puhl RM, Glazebrook C. Weights bias among UK trainee dietitians, doctors, nurses and nutritionists. J Hum Nutr Diet. 2013;26(4):395–402.

    Article  CAS  PubMed  Google Scholar 

  • Tagliabue A, Repossi I, Trentani C, Ferraris C, Martinelli V, Vinai P. Cognitive-behavioral treatment reduces attrition in treatment-resistant obese women: results from a 6-month nested case-control study. Neuro Endocrinol Lett. 2015;36(4):368–73.

    PubMed  Google Scholar 

  • Tang DW, Fellows LK, Small DM, Dagher A. Food and drug cues activate similar brain regions: a meta-analysis of functional MRI studies. Physiol Behav. 2012;106(3):317–24.

    Article  CAS  PubMed  Google Scholar 

  • Telch CF. Skills training treatment for adaptive affect regulation in a woman with binge eating disorder. Int J Eat Disord. 1997;22:77–81.

    Article  CAS  PubMed  Google Scholar 

  • Thomas C, Hyppönen E, Power C. Obesity and type 2 diabetes risk in midadult life: the role of childhood adversity. Pediatrics. 2008;121(5):e1240–9.

    Article  PubMed  Google Scholar 

  • Tomiyama AJ. Weight stigma is stressful. A review of evidence for the Cyclic Obesity/Weight-Based Stigma model. Appetite. 2014;82:8–15.

    Article  PubMed  Google Scholar 

  • Tuah NAA, Amiel C, Qureshi S, Car J, Kaur B, Majeed A. Transtheoretical model for dietary and physical exercise modification in weight loss management for overweight and obese adults. Cochrane Database Syst Rev. 2011;5(10):CD008066.

    Google Scholar 

  • Turnball J. The context of therapy. In: Marshall S, Turnball J, editors. Cognitive behaviour therapy: an introduction to theory and practice. London: Baillière Tindall; 1996.

    Google Scholar 

  • van Strien T, van de Laar FA, Van Leeuwe JFL, Lucassen PLBJ, van der Hoogen HJM, al RGEHM. The dieting dilemma in patients with newly diagnosed type 2 diabetes: does dietary restraint predict weight gain 4 years after diagnosis? Health Psychol. 2007;26:105–12.

    Article  PubMed  Google Scholar 

  • Vanitallie TB. Stress: a risk factor for serious illness. Metabolism. 2002;51(6 Suppl 1):40–5.

    Article  CAS  PubMed  Google Scholar 

  • Villarejo C, Fernández-Aranda F, Jiménez-Murcia S, Peñas-Lledó E, Granero R, Penelo E, Tinahones FJ, Sancho C, Vilarrasa N, Montserrat-Gil de Bernabé M, Casanueva FF. Lifetime obesity in patients with eating disorders: increasing prevalence, clinical and personality correlates. Eur Eat Disord Rev. 2012;20(3):250–4.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wagner HS, Ahlstrom B, Redden JP, Vickers Z, Mann T. The myth of comfort food. Health Psychol. 2014;33(12):1552.

    Article  PubMed  Google Scholar 

  • Welch E, Jangmo A, Thornton LM, Norring C, von Hausswolff-Juhlin Y, Herman BK, Pawaskar M, Larsson H, Bulik CM. Treatment-seeking patients with binge-eating disorder in the Swedish national registers: clinical course and psychiatric comorbidity. BMC Psychiatry. 2016;16(1):163.

    Article  PubMed  PubMed Central  Google Scholar 

  • Werrij MQ, Jansen A, Mulkens S, Elgersma HJ, Ament HJ, Hospers HJ. Adding cognitive therapy to dietetic treatment is associated with less relapse in obesity. J Psychosom Res. 2009;67(4):315–24.

    Article  PubMed  Google Scholar 

  • Westenhoefer J. The therapeutic challenge: behavioural changes for long term weight maintenance. Int J Obes Relat Metab Disord. 2001;25(Supp 1):S851p.

    Google Scholar 

  • Wilson GT, Brownell KD. Behavioral treatment for obesity. In: Fairburn CG, Brownell KD, editors. Eating disorders and obesity: a comprehensive handbook. 2nd ed. New York: The Guilford Press; 2002. p. 460–4.

    Google Scholar 

  • Wingo BC, Desmond RA, Brantley P, Appel L, Svetkey L, Stevens VJ, Ard JD. Self-efficacy as a predictor of weight change and behavior change in the PREMIER trial. J Nutr Educ Behav. 2013;45(4):314–21.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wiser S, Telch CF. Dialectical behaviour therapy for binge eating disorder. J Clin Psychol. 1999;55:755–68.

    Article  CAS  PubMed  Google Scholar 

  • Wott CB, Carels RA. Overt weight stigma, psychological distress and weight loss treatment outcomes. J Health Psychol. 2010;15(4):608–14.

    Article  PubMed  Google Scholar 

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Snowdon-Carr, V. (2019). Psychological Approaches in the Treatment of Obesity. In: Sbraccia, P., Finer, N. (eds) Obesity. Endocrinology. Springer, Cham. https://doi.org/10.1007/978-3-319-46933-1_30

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