The role of psychological well-being in weight loss: new insights from a comprehensive lifestyle intervention

• Boheng Zhu ^[1] ; Sara Gostoli ^[1] ; Giada Benasi ^[1] ; Chiara Patierno ^[1] ; Maria Letizia Petroni ^[1] ; Chiara Nuccitelli ^[1] ; Giulio Marchesini ^[1] ; Giovanni Andrea Fava ^[2] ; Chiara Rafanelli ^[1]
  1. [1] University of Bologna

     University of Bologna

     Bolonia, Italia

     
  2. [2] State University of New York

     State University of New York

     City of Albany, Estados Unidos

     
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 22, Nº. 1, 2022, págs. 31-40
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2021.100279
• Títulos paralelos:
  • El papel del bienestar psicológico en la pérdida de peso: nuevos conocimientos acerca de una intervención integral en el estilo de vida
• Enlaces
  • Texto completo  1    2  
• Dialnet Métricas: 1 Cita
• Resumen
  • español

    Contexto/Objetivo Aunque la literatura sugiere que el deterioro del bienestar psicológico (BP) está asociado con obesidad, la evidencia sobre el papel del BP en el peso es limitada. Se investiga el papel del BP en el logro de pérdida de peso clínicamente significativa (PPCS; pérdida del 5% del peso inicial) a través de una intervención integral sobre el estilo de vida con respecto a la obesidad.

    Método Cohorte prospectiva de 96 pacientes con obesidad que asisten a una intervención integral sobre el estilo de vida para la pérdida de peso. Se recolectaron datos sobre peso, estilo de vida, BP y angustia, antes y después de la intervención.

    Resultados El 30,5% de los participantes lograron pérdida de peso al final del tratamiento. Mayor aumento de autonomía (razón de momios = 0,80 [IC del 95%: 0,68, 0,93], p ≤ 0,01) y somatización (razón de momios = 0,83 [IC del 95%: 0,70, 0,98], p ≤ 0,05) de antes a después del tratamiento se asociaron de forma independiente con menor probabilidad de PPCS.

    Conclusiones Las dimensiones desequilibradas del BP, en particular la autonomía excesivamente alta, pueden contribuir a una pérdida de peso insuficiente. Se allana el camino para añadir estrategias psicoterapéuticas orientadas a la eutimia en la intervención integral en el estilo de vida.

  • English

    Background/Objective Although the literature suggested that impaired psychological well-being (PWB) is associated with obesity, evidence on the role of PWB in weight outcomes is limited and inconclusive. This research aimed to investigate the joint role of PWB in achieving clinically significant weight loss (CWL; loss of 5% of the initial weight) through a comprehensive lifestyle intervention for obesity using a broad-based evaluation.

    Method This study is a prospective cohort of 96 patients with obesity attending a comprehensive lifestyle intervention for weight loss. Data on weight, lifestyle, PWB, and distress, were collected before and after the intervention.

    Results 30.5% of the participants achieved CWL at the end of treatment. A more pronounced increase in autonomy (odds ratio = 0.80 [95% CI: 0.68, 0.93], p ≤ .01) and somatization (odds ratio = 0.83 [95% CI: 0.70, 0.98], p ≤ .05) from pre- to post-treatment were independently associated with a lower probability of CWL.

    Conclusions Unbalanced dimensions of PWB, in particular exceedingly high autonomy, may contribute to a poor weight loss outcome. This study paves the way for the addition of psychotherapeutic strategies geared to euthymia in comprehensive lifestyle intervention.

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