What is behavioral therapy for obesity?
What is intensive behavioral therapy for obesity? Intensive behavioral therapy is a treatment for obesity. Through this treatment, you learn how to change your eating and exercise habits. This helps you lose weight.
What behavior modifications are required for weight loss?
Do not eat at your desk or keep tempting snacks at your desk. If you get hungry between meals, plan healthy snacks and bring them with you to work. During your breaks, go for a walk instead of eating. If you work around food, plan in advance the one item you will eat at mealtime.
What is the recommended treatment for obesity?
Treating obesity The best way to treat obesity is to eat a healthy, reduced-calorie diet and exercise regularly. To do this you should: eat a balanced, calorie-controlled diet as recommended by your GP or weight loss management health professional (such as a dietitian)
What general skills are developed in behavior treatment for obesity?
Behavioral treatment usually includes multiple components, such as keeping food and activity records (ie, self-monitoring), controlling cues associated with eating (ie, stimulus control), nutrition education, slowing eating, physical activity, problem solving, and cognitive restructuring (ie, cognitive therapy) (5,6).
What are behavior modification techniques?
Behavior modification is based on the idea that good behavior should lead to positive consequences and bad behavior should lead to negative consequences. Behavior modification involves positive punishment, negative punishment, positive reinforcement, and negative reinforcement.
Is CBT effective for weight loss?
In that study, 77 patients with morbid obesity who completed the treatment achieved 9.9% weight loss after 18 months. These promising results, if confirmed by future clinical studies, suggest that CBT-OB has the potential to be more effective than traditional weight-loss lifestyle-modification programmes.
What is the procedure of obesity?
For patients with a body mass index (BMI) over 40, the health care team may recommend an obesity treatment known as bariatric surgery, or weight loss surgery. Bariatric surgeries work to either restrict the amount of food intake, limit food absorption in the small intestine, or a combination of the two.
How does behavior influence obesity?
A number of behavioural risk factors has been postulated, including diets with a high energy density, high consumption of sugar-sweetened beverages, large portion sizes, eating patterns, high levels of sedentary behaviour and low levels of physical activity.
How does CBT help obesity?
CBT can help a person to lose weight by: Helping a person control their diet. Helping to increase motivation to do exercise. Provide coping skills to handle any lapses in diet that the person will experience.
What is a cognitive behavioral approach to weight loss?
Cognitive-behavioral therapy (CBT) is designed to identify thinking patterns that may not be helpful and replacing them with thoughts and strategies that align with your goals. You may be able to apply CBT techniques for weight loss.
How does behavioral therapy help with obesity?
These include genetic, metabolic, and hormonal influences ( 2 – 4) that probably predispose some persons to obesity and may well set the range of possible weights that an individual can achieve. Some individuals may never be thin, despite Herculean efforts to modify eating and activity habits. Behavior therapy, however, can help such individuals develop a set of skills (such as eating a low-calorie, low-fat diet) to achieve a healthier weight, even if they cannot attain an ideal one.
How can health care providers help obese patients?
Health care providers can provide a great service to obese patients by reminding them that their worth is not measured on the scale. Patients should be encouraged to take themselves, their health, and, thus, their weight seriously rather than attempting to lose weight so they can like themselves. Reaffirming the patient’s self-worth, independent of body weight, is perhaps one of the most powerful interventions a health care provider can provide an obese patient. As Stunkard ( 45) suggests, “As with any chronic illness, we rarely have an opportunity to cure, but we do have an opportunity to treat the patient with respect. Such an experience may be the greatest gift that [we] can give an obese patient.”
Why are overweight patients so sensitive to medical care?
It can be argued that overweight patients are “just too sensitive,” and their perceptions about medical visits reflect their own frustration with their weight rather than any systemic bias by health care professionals. Even if patient’ bad experiences are partly attributable to their inaccurate perceptions, such experiences need to be remedied. This is necessary because these inaccurate perceptions lead to interactions that, at best, provide health care at the expense of a patient’s self-esteem or, at worst, prevent obese patients from seeking health care altogether. The following recommendations seek to put obese patients at ease in the health care setting and promote competent, compassionate care ( 45 ).
What is the responsibility of a health care provider to facilitate change through effective counseling?
Although behavioral change is the responsibility of the patient, it is the responsibility of the health care provider to facilitate change through effective counseling ( 46 ). Counseling is not an innate talent; it requires practice and fine-tuning. Many providers may feel that their primary role is to give advice to patients about healthy methods of weight control. Although some education and advice is useful, most weight control patients are well aware of what they “should” eat; the problem is doing so in an environment that encourages otherwise. Therefore, an emphasis on asking questions to clarify barriers and their solutions is more effective than giving advice about how to “fix” the problem. The former approach models for patients the manner in which a problem can be managed effectively rather depending on getting the right advice. As a rough indicator, the more a clinician speaks during the session, the less effective the session will be for the patient. If the clinician is talking >50% of the session, it is important to reassess the balance between advice giving and problem solving ( 46 ).
What are the components of behavioral therapy?
Behavioral treatment usually includes multiple components, such as keeping food and activity records (ie, self-monitoring), controlling cues associated with eating (ie, stimulus control), nutrition education, slowing eating, physical activity, problem solving, and cognitive restructuring (ie, cognitive therapy) ( 5, 6 ). These components comprise the “behavioral package” that has been summarized in manuals such as the LEARN Program for WeightManagement 2000 ( 6 ). Studies have shown that two components, self-monitoring ( 14, 15) and physical activity ( 16 ), are consistently associated with better weight control in the short- and long-term, respectively. Additional research is needed to identify the most potent components of the package, as well as additional interventions that might be added (such as body image therapy) to improve efficacy, especially in the long term. In the interim, researchers and practitioners probably will continue to use the behavioral package because it is well validated, as a whole, and different patients are drawn to different components of the intervention.
What are the characteristics of behavioral treatment?
First, it is goal directed. It specifies very clear goals in terms that can be easily measured. This is true whether the goal is walking four times per week, lengthening meal duration by 10 min, or decreasing the number of self-critical comments. Specific goals facilitate a clear assessment of success.
What is behavioral treatment?
Behavioral treatment is an approach used to help individuals develop a set of skills to achieve a healthier weight. It is more than helping people to decide what to change; it is helping them identify how to change.
Introduction
- Historically, behavioral treatment of obesity developed from the belief that obesity was the result of maladaptive eating and exercise habits, which could be corrected by the application of learning principles (1). Today, investigators realize that body weight is affected by factors other than behavior. These include genetic, metabolic, and hormona...
Defining Characteristics
- Behavioral treatment has several distinguishing characteristics (13). First, it is goal directed. It specifies very clear goals in terms that can be easily measured. This is true whether the goal is walking four times per week, lengthening meal duration by 10 min, or decreasing the number of self-critical comments. Specific goals facilitate a clear assessment of success. Second, treatme…
The Behavioral Package
- Behavioral treatment usually includes multiple components, such as keeping food and activity records (ie, self-monitoring), controlling cues associated with eating (ie, stimulus control), nutrition education, slowing eating, physical activity, problem solving, and cognitive restructuring (ie, cognitive therapy) (5,6). These components comprise the “behavioral package” that has bee…
Short-Term Results of Behavioral Treatment
- A large number of clinical studies have been conducted examining the effects of behavioral treatment on weight loss. The typical design of most behavioral treatment weight loss studies is group meetings weekly for the initial treatment phase (≈3–6 mo), biweekly (every other week) meetings for the maintenance phase (6–12 mo), and monthly or bimonthly for the later phases o…
Strategies For Augmenting Outcomes
- Although behavioral treatment provides individuals with a set of skills to handle barriers to eating healthy and being active, overcoming barriers is a difficult endeavor in a fast-paced environment that encourages overconsumption of energy-dense, palatable, low-cost foods and promotes energy-saving devices (24,25). A healthy lifestyle requires significant planning, proficiency in ma…
Setting The Stage
- Talking with patients about weight control
No matter what type of obesity treatment is ultimately recommended, effective and compassionate treatment of obese patients requires an understanding of the cultural context in which treatment occurs. As Stunkard and Sobal (39) have suggested, disparagement of obese i… - Toward more empathic encounters
It can be argued that overweight patients are “just too sensitive,” and their perceptions about medical visits reflect their own frustration with their weight rather than any systemic bias by health care professionals. Even if patient’ bad experiences are partly attributable to their inaccur…
A Final Note
- Health care providers can provide a great service to obese patients by reminding them that their worth is not measured on the scale. Patients should be encouraged to take themselves, their health, and, thus, their weight seriously rather than attempting to lose weight so they can like themselves. Reaffirming the patient’s self-worth, independent of body weight, is perhaps one of t…