| Affiliation: | 1. Department of Personality, Assessment, and Psychological Treatment, School of Psychology, University of Granada, Granada, Spain;2. Clinical Management Unit, Department of Internal Medicine, University Hospital Complex of Granada, Granada, Spain;3. CIMCYC: Centre for Mind, Brain and Behavioral Research, University of Granada, Granada, Spain;4. Clinical Management Unit of Rheumatology, University Hospital Complex of Granada, Granada, Spain |
| Abstract: | ObjectiveVerify the efficacy of cognitive behavioral therapy (CBT) in adherence to the Mediterranean diet (MedDiet) in metabolic syndrome (MetS) patients.Design, Setting, Participants, and InterventionIn the Multimodal Intervention Program for Patients with Metabolic Syndrome clinical trial, 79 MetS patients completed the intervention. Of those, 48 belonged to the experimental group and 31 to the control group. The intervention received by the experimental group was CBT; the control group followed usual care and attended a workshop on healthy lifestyle.Main Outcome Measure(s) and AnalysisAnthropometric, biochemical, psychological, and lifestyle measures were taken before and after the intervention at 3 and 6 months. Analyses included paired t tests, ANOVA, and ANCOVA.ResultsThe ANOVA results showed a statistically significant interaction between the 2 groups in waist circumference (P?=?.009), triglycerides (P?=?.015), and adherence to the MedDiet (P?=?.026). The ANCOVA results indicated between-group difference in waist circumference (P?=?.026 and .062 at 3 and 6months, respectively), in triglycerides (P?=?.009 and .860 at 3 and 6 months, respectively), and in MedDiet (P?=?.024 and .273 at 3 and 6 months, respectively).Conclusions and ImplicationsIn interventions in which CBT was applied, significant improvements were observed in MetS patients, especially in adherence to the MedDiet. |
