Cognitive-Behavioral Therapy Plus Healthy Lifestyle Enhancement for Depressed, Overweight/Obese Adolescents: Results of a Pilot Trial

An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity

“…In a study of obese adolescents with major depressive disorder, CBT for depression modified to address aspects of healthy living and nutrition (CBT plus healthy lifestyle, CBT-HL), including content on body image and coping with food cravings, and attention to the relationship between depressed mood and weight. CBT-HL group showed greater improvement of depressive symptoms and stabilization of weight status than CBT for depression only [56]. These findings suggest that CBT, including areas of recognition of negative emotions and negative self-image and problem solving, may be more effective than behavioral therapy, especially in obese children and adolescents with psychiatric symptoms, such as impulsivity or depression.…”

“…[53][54][55][56], most CBT interventions include 6 to 10 sessions (90 minute/session) in face to face format. Common components of CBT for obese children and adolescents…”

Cognitive-behavioral therapy improves weight loss and quality of life in women with polycystic ovary syndrome: a pilot randomized clinical trial

“…Collectively, these studies show the feasibility of achieving successful weight loss with 8–16 weeks of CBT intervention in subjects with both depression and obesity. Our duration of CBT (30 min/wk for 8 weeks) was shorter than other studies that evaluated effects of CBT for obesity management and included up to an hour of CBT per week for 16 weeks and sometimes included subsequent maintenance periods of less frequent therapy (19, 24, 34). Despite a short duration of CBT intervention, our CBT+LS group showed a quicker and more significant weight loss than LS alone.…”

“…CBT is recommended by the American Psychological Association and the American College of Physicians as a first-line treatment for depression (16, 17), and a recent meta-analysis showed moderate to large treatment effects for both major depressive disorder (MDD) and generalized anxiety disorder (18). CBT techniques have also been successful in achieving weight loss in various populations (19–22), although very few studies have included women with concurrent obesity and depression (14, 23, 24). Also, CBT has not been evaluated in adult women with PCOS to improve weight loss or depressive and anxiety symptoms.…”

Treating depression with exercise: The inflammasome inhibition perspective

“…Regular physical exercise (50 min jogging sessions; 5 sessions/week, during 8 weeks) reduced HPA disruption by decreasing cortisol urinary levels in adolescent females with depressive symptoms assessed with the CES-D [55]. In another cohort, a combined program employing cognitive behavioral therapy associated with aerobic exercise (12 weeks) and nutritional orientation reduced body weight and attenuated depressive symptoms in obese depressive teenagers [56].…”