The Impact of Psychological Flexibility on Psychological Well-Being in Adults With Obesity

Usubini, Anna Guerrini; Varallo, Giorgia; Granese, Valentina; Cattivelli, Roberto; Consoli, Simone; Bastoni, Ilaria; Volpi, Clarissa; Castelnuovo, Gianluca; Molinari, Enrico

doi:10.3389/fpsyg.2021.636933

Cited by 16 publications

(18 citation statements)

References 35 publications

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“…The correlation of PF with personality traits, which influence the quality of life, shows the possibility of developing adaptive resources along with the development of PF, regardless of the basic structure of personality [26]. A higher PF is associated with a better mental well-being of obese people, with a higher quality of life in people with type I diabetes, and it also positively correlates with a higher mental resistance of people after trauma [27][28][29].…”

Section: Psychological Flexibility and Acceptance And Commitment Therapymentioning

confidence: 96%

Health in the context of psychological flexibility and acceptance and commitment therapy

Prokopowicz

Stańczykiewicz

Uchmanowicz

2021

Medical Research Journal

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Losing health is associated with an imbalance in one or more areas that are important to an individual. The spectacular achievements of modern medicine have made people believe that the only source of health is the treatment and reduction of symptoms. The ability to function in conditions of unavoidable discomfort can bring back an individual's loss of balance. The article aims to present the model of Psychological Flexibility and its relationship with selected health aspects of an individual. According to the statement of the founders of Acceptance and Commitment Therapy (ACT), suffering in various forms is an integral part of human life. In situations of discomfort that cannot be avoided, and with which an individual must learn to function on a daily basis over a longer period of time, ACT proposes the development of Psychological Flexibility, which strengthens the psyche and body's immune resistance. The Covid-19 pandemic, which has been going on for a year, has disrupted the macro balance. At the micro-scale, this balance can be disturbed by chronic disease states such as pain, anxiety and depression. The above conditions reduce the quality of life and health. Psychological Flexibility shapes a set of skills that improve the quality of life and also affect balance despite perceived discomfort. Psychological Flexibility is a base that has a wide application and significance for the quality of life and health. Its higher resources help an individual live a rich, worthwhile life despite suffering from pain, anxiety or pandemic stress.

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Section: Psychological Flexibility and Acceptance And Commitment Therapymentioning

confidence: 96%

Health in the context of psychological flexibility and acceptance and commitment therapy

Prokopowicz

Stańczykiewicz

Uchmanowicz

2021

Medical Research Journal

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show abstract

“…A modern clinical therapeutic approach fostering such self-regulation skills is Acceptance and Commitment Therapy (ACT) [ 18 , 19 , 20 , 21 ]. ACT is one of the third waves of CBT aimed to promote psychological flexibility [ 19 ]: Described as the ability of “contacting the present moment fully as a conscious human being, and basing on what the situation affords, changing or persisting in behavior in the service of chosen values” [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

ACTonFood. Acceptance and Commitment Therapy-Based Group Treatment Compared to Cognitive Behavioral Therapy-Based Group Treatment for Weight Loss Maintenance: An Individually Randomized Group Treatment Trial

Cattivelli

Usubini

Manzoni

et al. 2021

IJERPH

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The purpose of this Individually Randomized Group Treatment Trial was to compare an Acceptance and Commitment Therapy-based (ACT) group intervention and a Cognitive Behavioral Therapy-based (CBT) group intervention for weight loss maintenance in a sample of adult patients with obesity seeking treatment for weight loss. One hundred and fifty-five adults (BMI: Kg/m2 = 43.8 [6.8]) attending a multidisciplinary rehabilitation program for weight loss were randomized into two conditions: ACT and CBT. Demographical, physical, and clinical data were assessed at the beginning of the program (t0), at discharge (t1), and at 6-month follow-up (t2). The following measures were administered: The Acceptance and Action Questionnaire-II (AAQ-II) and the Clinical Outcome in Routine Evaluation-Outcome Measure (CORE-OM). Generalized linear mixed models were performed to assess differences between groups. Moderation effects for gender and Eating Disorders (ED) have been considered. From baseline to discharge, no significant differences between interventions were found, with the only exception of an improvement in the CORE-OM total score and in the CORE-OM subjective wellbeing subscale for those in the CBT condition. From discharge to follow-up, ACT group participants showed significant results in terms of weight loss maintenance, CORE-OM total score, and CORE-OM and AAQ-II wellbeing, symptoms, and psychological problems subscales. Gender moderated the effects of time and intervention on the CORE-OM subscale reporting the risk for self-harm or harm of others. The presence of an eating disorder moderated the effect of time and intervention on the CORE-OM total score, on the CORE-OM symptoms and psychological problems subscales, and on the AAQ-II. Patients who received the ACT intervention were more likely to achieve a ≥ 5% weight loss from baseline to follow-up and to maintain the weight loss after discharge. The ACT intervention was thus effective in maintaining weight loss over time.

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Section: Introductionmentioning

confidence: 99%

“…A modern clinical therapeutic approach fostering such self-regulation skills is Acceptance and Commitment Therapy (ACT) [18][19][20][21]. Raising in the last twenty years, ACT is one of the third waves of CBT aimed to promote psychological flexibility [19]: described as the ability of "contacting the present moment fully as a conscious human being, and basing on what the situation affords, changing or persisting in behavior in the service of chosen values" [18]. Psychological flexibility results from the interaction of six core therapeutic processes: a) getting in contact with what is happening in the present moment, b) learning to distance from a person's thoughts, c) developing a more open attitude to and accepting painful internal experiences, including sensations, emotions, and thoughts, d) contacting a stable sense of self, regardless of one's personal experiences, e) clarifying values, conceptualizing chosen life directions, and f) pursuing actions or stable behaviors driven by personal values [22].…”

Section: Introductionmentioning

confidence: 99%

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ACTonFood. Acceptance and Commitment Therapy-Based Group Treatment Compared to Cognitive Behavioral Therapy-Based Group Treatment for Weight Maintenance: An Individually Randomized Group Treatment Trial

Cattivelli¹,

Usubini²,

Manzoni³

et al. 2021

Preprint

Self Cite

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The purpose of this Individually Randomized Group Treatment Trial was to compare an Acceptance and Commitment Therapy-based (ACT) group intervention and a Cog-nitive Behavioral Therapy-based (CBT) group intervention for weight loss maintenance in a sample of adult patients with obesity seeking treatment for weight loss. 155 over-weight adults (BMI: Kg/m2= 43.8[6.8]) attending a multidisciplinary rehabilitation program for weight loss were randomized into two conditions: ACT and CBT. Demo-graphical, physical, and clinical data were assessed at the beginning of the program (t0), at discharge (t1), and at 6-month follow-up (t2). The following measures were ad-ministered: The Acceptance and Action Questionnaire-II (AAQ-II) and the Clinical Outcome in Routine Evaluation-Outcome Measure (CORE-OM). Generalized linear mixed models were performed to assess differences between groups. Moderation ef-fects for gender and eating disorders (ED) have been considered. From baseline to dis-charge no significant differences between interventions were found, with the only ex-ception of an improvement in the CORE-OM total score and in the CORE-OM subjective well-being subscale for those in the CBT condition. From discharge to follow-up ACT group participants showed significant results in terms of weight loss maintenance, CORE-OM total score, and CORE-OM and AAQ-II’s wellbeing, symptoms, and psy-chological problems subscales. Gender moderated the effects of time and intervention on the CORE-OM’ subscale reporting the risk for self-harm or harm others. The pres-ence of an eating disorder moderated the effect of time and intervention on the CORE-OM total score, on the CORE-Om’ symptoms and psychological problems sub-scales, and on the AAQ-II. Patients who received the ACT intervention were more likely to achieve a ≥5% weight loss from baseline to follow-up and to maintain the weight loss after discharge. The ACT intervention was thus effective in maintaining weight loss over time.

show abstract

The Impact of Psychological Flexibility on Psychological Well-Being in Adults With Obesity

Cited by 16 publications

References 35 publications

Health in the context of psychological flexibility and acceptance and commitment therapy

Health in the context of psychological flexibility and acceptance and commitment therapy

ACTonFood. Acceptance and Commitment Therapy-Based Group Treatment Compared to Cognitive Behavioral Therapy-Based Group Treatment for Weight Loss Maintenance: An Individually Randomized Group Treatment Trial

ACTonFood. Acceptance and Commitment Therapy-Based Group Treatment Compared to Cognitive Behavioral Therapy-Based Group Treatment for Weight Maintenance: An Individually Randomized Group Treatment Trial

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