Using Positive Psychology to Address Emotional Barriers to Physical Activity After Bariatric Surgery: Proof-of-Concept Trial of the Gaining Optimism After Weight Loss Surgery (GOALS) Project

Feig, Emily H.; Szapary, Claire; Harnedy, Lauren E.; Thorndike, Anne N.; Psaros, Christina; Millstein, Rachel; Huffman, Jeff C.

doi:10.1016/j.cbpra.2023.02.002

Cognitive and Behavioral Practice

2024

DOI: 10.1016/j.cbpra.2023.02.002

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Using Positive Psychology to Address Emotional Barriers to Physical Activity After Bariatric Surgery: Proof-of-Concept Trial of the Gaining Optimism After Weight Loss Surgery (GOALS) Project

Emily H. Feig¹,

Claire Szapary²,

Lauren E. Harnedy³

et al.

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2024

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Psychological Interventions for Internalized Weight Stigma: A Systematic Review of Feasibility, Acceptability, and Preliminary Efficacy

D’Adamo,

Shonrock,

Monocello

et al. 2024

Preprint

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Background Internalized weight stigma (IWS) is highly prevalent and associated with deleterious mental and physical health outcomes. Initiatives are needed to address IWS and promote effective coping and resilience among individuals who are exposed to weight stigma. We conducted a systematic review of psychological interventions for IWS and examined their feasibility, acceptability, and preliminary efficacy at reducing IWS and related negative physiological and psychological health outcomes. Methods Eight databases were searched. Inclusion criteria included: (1) psychological intervention; (2) published in English; and (3) included internalized weight stigma as an outcome. Exclusion criteria included: (1) commentary or review; and (2) not a psychological intervention. A systematic narrative review framework was used to synthesize results. Results Of 161 articles screened, 20 were included. Included interventions demonstrated high feasibility, acceptability, and engagement overall. Sixteen of 20 included studies observed significant reductions in IWS that were maintained over follow-up periods, yet data on whether interventions produced greater reductions than control conditions were mixed. Studies observed significant improvements in numerous physical and mental health outcomes. Conclusions Findings indicate that existing interventions are feasible, acceptable, and may provide meaningful improvements in IWS and associated health outcomes, highlighting the potential for psychological interventions to promote improved health and wellbeing in individuals with IWS. Additional research using rigorous study designs (e.g., randomized controlled trials) is needed to further evaluate the efficacy of interventions for IWS.

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Psychological Interventions for Internalized Weight Stigma: A Systematic Review of Feasibility, Acceptability, and Preliminary Efficacy

D’Adamo,

Shonrock,

Monocello

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

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Using Positive Psychology to Address Emotional Barriers to Physical Activity After Bariatric Surgery: Proof-of-Concept Trial of the Gaining Optimism After Weight Loss Surgery (GOALS) Project

Cited by 1 publication

References 45 publications

Psychological Interventions for Internalized Weight Stigma: A Systematic Review of Feasibility, Acceptability, and Preliminary Efficacy

Psychological Interventions for Internalized Weight Stigma: A Systematic Review of Feasibility, Acceptability, and Preliminary Efficacy

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