Predictors of Dropout by Female Obese Patients Treated with a Group Cognitive Behavioral Therapy to Promote Weight Loss

Abstract

Objective: To investigate predictors of dropout from a group cognitive behavioral therapy (CBT) intervention for overweight or obese women. Methods: 119 overweight and obese Japanese women aged 25-65 years who attended an outpatient weight loss intervention were followed throughout the 7-month weight loss phase. Somatic characteristics, socioeconomic status, obesity-related diseases, diet and exercise habits, and psychological variables (depression, anxiety, self-esteem, alexithymia, parenting style, perfectionism, and eating attitude) were assessed at baseline. Significant variables, extracted by univariate statistical analysis, were then used as independent variables in a stepwise multiple logistic regression analysis with dropout as the dependent variable. Results: 90 participants completed the weight loss phase, giving a dropout rate of 24.4%. The multiple logistic regression analysis demonstrated that compared to completers the dropouts had significantly stronger body shape concern, tended to not have jobs, perceived their mothers to be less caring, and were more disorganized in temperament. Of all these factors, the best predictor of dropout was shape concern. Conclusion: Shape concern, job condition, parenting care, and organization predicted dropout from the group CBT weight loss intervention for overweight or obese Japanese women.

Oral Recombinant Methioninase Prevents Obesity in Mice on a High-fat Diet

“…However, it is difficult to maintain dietary restriction in daily life. Dropout is a serious problem in weight-loss intervention programs for obese patients and up to 80%, depending on the type and setting of the treatment program (8)(9)(10)(11)(12), regained the lost weight or more. Bariatric surgery is wide-spread as a therapy for severe obesity and refractory diabetes.…”

Tipping the scales: Provider perspectives on a multi-disciplinary approach to obesity

“…loss, [24][25][26][27][28] while the other 5 focused on factors that impacted successful weight loss and retention in a WMP. [29][30][31][32][33] Two of the studies included primary care physicians, 25,28 but one study only included the PCP as a supportive/peripheral role in the multi-disciplinary team. 25 The average duration of the weight management interventions was 13.6 months (range 3-24 months).…”

“…decreasing caloric intake by 500-600 kcal/day). 28,[30][31][32] Three studies by Lih et al, 24 Jennings et al, 28 and Mottalib et al 27 provided individualized diet instructions. In all the WMP studies, dietary education was given to study participants by an RD, diabetes educator or nutritionist (see Table 1), except one where a trained health coach delivered dietary education.…”

“…27,28 Protocols of moderate to vigorous exercise regimens were used in several studies: one study included this regimen three months after the initial gradual increase in exercise, 26 while three prescribed the increased intensity from the start of the program. 24,30,33 Although participants were instructed/educated about need for exercise, two studies did not specify instructions or education for participants. 25,32 Michelini et al 31 provided less emphasis on exercise and more focus on cognitive behavior treatment in the form of group visits in addition to using a hypocaloric diet.…”

Can Body Group Therapy after Bariatric Surgery be Effective to Avoid Weight Regain? A Clinical Experience

“…Poor outcome after the first surgery may happen as follow-up studies underline stressing the importance of psychiatric or psychological factors in inducing it [1]. The persistence of body shape concern and uneasiness after weight loss determining the inability to recognize one-self as an individual with own desire and capacity, is considered a risk factor for weight regain [2]. Psychotherapy is the most useful instrument to reconstruct body image and achieve weight maintenance [3][4][5][6][7].…”