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The use of motivational enhancement strategies for the maintenance of weight loss among obese individuals: a preliminary investigation |
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| Authors: | E Rieger H Y Dean K S Steinbeck I D Caterson and E Manson |
| Institution: | School of Psychology, University of Sydney, Sydney, NSW, Australia; Metabolism and Obesity Services, Royal Prince Alfred Hospital, Sydney, NSW, Australia |
| Abstract: | Aim: To investigate the efficacy of motivational enhancement strategies integrated within a standard lifestyle modification program for the maintenance of weight loss and improved psychosocial functioning of obese adults. Methods: Twenty-two obese adults completed 20 sessions of a motivationally informed cognitive behavioural treatment for weight loss and maintenance. Treatment outcome measures included anthropometrics, obesity-specific quality of life, impulsive eating tendencies, body dissatisfaction, mood disturbance and maladaptive cognitions. Results: At post-treatment, there was a significant decrease in body weight (123.04 ± 22.06 vs. 116.84 ± 23.53, p < 0.001) with no significant change by the 12-month follow-up. Patients also reported significant improvements in obesity-related quality of life, impulsive eating tendencies, body dissatisfaction and maladaptive cognitions at post-treatment that were maintained at the 1-year follow-up. Conclusions: The implementation of motivational enhancement strategies within a cognitive behavioural program results in sustained weight loss that compares favourably to previous lifestyle modification programs. |
| Keywords: | cognitive behaviour therapy motivational enhancement therapy obesity weight-loss maintenance |