Long-term weight loss maintenance after inpatient psychotherapy of severely obese patients based on a randomized study: Predictors and maintaining factors of health behavior

Wiltink, Joerg; Dippel, A. Louis; Szczepański, Marek S.; Thiede, R. T.; Alt, Christiane; Beutel, Manfred E.

doi:10.1016/j.jpsychores.2006.12.014

Cited by 43 publications

(31 citation statements)

References 28 publications

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“…The main limitations address the relatively low sample size of 65 and the questionnaire survey without renewed clinical examinations at the 3-year follow-up. Nevertheless, our response rate of 70.7% was in the range of studies with comparable follow-up durations (Bleichhardt et al, 2004;Linden et al, 2005;Wiltink et al, 2007). This is the first study exploring the long-term course of psychogenic dizziness in a relatively small but psychometrically and neuro-otologically wellcharacterized group of patients with primary SVD.…”

Section: Limitations and Strengths Of This Studymentioning

confidence: 58%

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Tschan¹,

Best²,

Wiltink³

et al. 2013

Journal of Nervous &Amp; Mental Disease

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The aim of this study was to perform a 3-year follow-up of primary somatoform vertigo and dizziness (SVD) regarding health care use and treatment. Ninety-two patients with dizziness underwent detailed vestibular neurophysiological testing and a Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Psychometric assessments comprised the Vertigo Symptom Scale, the Vertigo Handicap Questionnaire, the SCL-90-R, and the Short-FormY36 Health Survey. At the 3-year follow-up, 65 patients with primary SVD (anxiety, n = 29; depression, n = 14; somatoform disorders, n = 22) were reassessed (70.7% response). The patients improved in symptom severity (p G 0.05), handicap (p G 0.01), and physical quality of life (QoL; p G 0.05) but showed no change in emotional distress. A total of 63.1% (of n = 65) had ongoing SVD. A total of 69.2% (of n = 65) received different forms of treatments. A total of 46.1% (of n = 65) searched redundant medical diagnostic procedures. The patients with decreased coping capacity over time obtained the best prognosis. Primary SVD is an ineffectively treated disorder. Recommendations for specific complaint-oriented psychotherapy programs were given.

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Section: Limitations and Strengths Of This Studymentioning

confidence: 58%

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Tschan¹,

Best²,

Wiltink³

et al. 2013

Journal of Nervous &Amp; Mental Disease

Self Cite

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“…Wamsteker et al [44] found that less weight reduction is associated with the beliefs that obesity has a physical origin and is not under behavioral control. Wiltink et al [52] identified the attribution of overweight to eating habits as a factor predicting long-term weight loss in severe obese patients attending psychotherapy; whereas Nir and Neumann [53] found that an internal locus of control was related to a lower weight regain after a weight reduction program. However, some studies failed to identify differences between "internals" and "externals" in terms of weight loss and weight maintenance [54] .…”

Section: Locus Of Controlmentioning

confidence: 99%

Assessment of psychological predictors of weight loss: How and what for?

Lazzeretti¹,

Rotella²,

Pala³

et al. 2015

WJP

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Obesity is a multifactorial disease and the prominent factors playing a role in its pathogenesis are biological, environmental and psychological. There is a growing interest in understanding psychological functioning of obese subjects and the influence of psychological factors on treatment outcome. The aim of the present narrative review is to critically analyze the current literature, in order to point out the most common psychological constructs studied in obesity and to give an overview of the main existing tools investigating psychological features which have been considered significant for the prediction of success in weight loss and maintenance programs in obese patients. In this framework, the most common psychological constructs studied are: self-motivation, self-efficacy, locus of control, health related quality of life, self-esteem, self-control, concerns about body image, outcome expectations, and personality traits. These features have been explored through a wide variety of psychometric instruments. However, as an overall, studies evaluating the association between psychological features and treatment outcome failed to give consistent results. A possible explanation may consist on the fact that many tools widely used to explore psychological features were not specifically designed for obese patients and none of them was comprehensive of all possible psychological features involved. The identification of well-defined subgroups of patients and the validation of more reliable and comprehensive tools, specifically designed for obese subjects, should be forecasted in order to reach a better knowledge of psychological functioning of obese individuals and to improve the outcome of weight loss programs.

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“…The acquisition of health behavior knowledge may enhance self-efficacy and interventions promoting this knowledge enhancement have shown correlations between health behaviors, self-efficacy, and weight status (Gallagher, Jakicic, Napolitano, & Marcus, 2006;Linde, Rothman, Baldwin, & Jeffery, 2006;Wilson-Barlow, Hollins, & Clopton, 2014;Wiltink et al, 2007). A change in child health behaviors and weight status may be influenced by parental cognition and behavioral change, environmental changes, and role modeling (Golan & Weizman, 2001).…”

Section: Background To the Problemmentioning

confidence: 99%

“…Research has indicated correlations between weight management behaviors, selfefficacy and weight status (Gallagher et al, 2006;Linde et al, 2006;Wilson-Barlow et al, 2014;Wiltink et al, 2007). Reports suggest higher baseline levels of eating selfefficacy predict greater weight loss during treatment (Bas & Donmez, 2009;Linde et al, 2006).…”

Section: Social Cognitive Theorymentioning

confidence: 99%

Exploring Parental Perceptions of Self-Efficacy, Role Modeling and Factors Contributing to Family Health Practices from an Employer-Provided Family Weight Management Program: A Mixed Methods Study

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Long-term weight loss maintenance after inpatient psychotherapy of severely obese patients based on a randomized study: Predictors and maintaining factors of health behavior

Cited by 43 publications

References 28 publications

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Assessment of psychological predictors of weight loss: How and what for?

Exploring Parental Perceptions of Self-Efficacy, Role Modeling and Factors Contributing to Family Health Practices from an Employer-Provided Family Weight Management Program: A Mixed Methods Study

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