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Psychosocial outcomes of a non-dieting based positive body image community program for overweight adults: a pilot study

BACKGROUND: The limited success of traditional diet focused obesity interventions has led to the development of alternative non-dieting approaches. The current study evaluated the impact of a community based non-dieting positive body image program for overweight/obese people on a range of psychosoci...

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Autores principales: Bloom, Lisa, Shelton, Beth, Bengough, Melissa, Brennan, Leah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081825/
https://www.ncbi.nlm.nih.gov/pubmed/24999422
http://dx.doi.org/10.1186/2050-2974-1-44
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author Bloom, Lisa
Shelton, Beth
Bengough, Melissa
Brennan, Leah
author_facet Bloom, Lisa
Shelton, Beth
Bengough, Melissa
Brennan, Leah
author_sort Bloom, Lisa
collection PubMed
description BACKGROUND: The limited success of traditional diet focused obesity interventions has led to the development of alternative non-dieting approaches. The current study evaluated the impact of a community based non-dieting positive body image program for overweight/obese people on a range of psychosocial outcomes. The characteristics of this real-world sample presenting for a non-dieting weight management intervention are also described. METHOD: Overweight and obese participants enrolled in the eight week ‘No More Diets’ (NMD) group program completed self-report questionnaires assessing disordered eating thoughts and behaviours, body image, motivation for exercise and psychopathology pre- and post-treatment. RESULTS: Participants (n = 17; 16 female) were aged between 19 and 78 years, with a BMI ranging from 25.2 kg/m(2) (Overweight) to 55.9 kg/m(2) (Severely Obese). They reported elevated levels of eating disorder pathology, body shape preoccupation, depression, anxiety and stress compared to community norms (p < .05). Following treatment there were significant improvements in reported body shape preoccupation, shape concern and eating attitudes (p < .05), and clinically significant changes (small to medium effect sizes; 0.3-0.35) for improvements in reported weight concern, eating competence, stress and health evaluation. There were no changes in reported dietary restraint, emotional eating and uncontrolled eating, or eating concern (p > .05). CONCLUSION: Individuals presenting for the NMD program demonstrated increased eating disorder pathology and more generalised psychopathology compared to community norms. The NMD program was particularly beneficial for body image and shape concern. Addressing these body image factors may help to address some of the perpetuating factors of obesity and disordered eating, which are often not addressed in the traditional diet-based weight loss interventions.
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spelling pubmed-40818252014-07-05 Psychosocial outcomes of a non-dieting based positive body image community program for overweight adults: a pilot study Bloom, Lisa Shelton, Beth Bengough, Melissa Brennan, Leah J Eat Disord Research Article BACKGROUND: The limited success of traditional diet focused obesity interventions has led to the development of alternative non-dieting approaches. The current study evaluated the impact of a community based non-dieting positive body image program for overweight/obese people on a range of psychosocial outcomes. The characteristics of this real-world sample presenting for a non-dieting weight management intervention are also described. METHOD: Overweight and obese participants enrolled in the eight week ‘No More Diets’ (NMD) group program completed self-report questionnaires assessing disordered eating thoughts and behaviours, body image, motivation for exercise and psychopathology pre- and post-treatment. RESULTS: Participants (n = 17; 16 female) were aged between 19 and 78 years, with a BMI ranging from 25.2 kg/m(2) (Overweight) to 55.9 kg/m(2) (Severely Obese). They reported elevated levels of eating disorder pathology, body shape preoccupation, depression, anxiety and stress compared to community norms (p < .05). Following treatment there were significant improvements in reported body shape preoccupation, shape concern and eating attitudes (p < .05), and clinically significant changes (small to medium effect sizes; 0.3-0.35) for improvements in reported weight concern, eating competence, stress and health evaluation. There were no changes in reported dietary restraint, emotional eating and uncontrolled eating, or eating concern (p > .05). CONCLUSION: Individuals presenting for the NMD program demonstrated increased eating disorder pathology and more generalised psychopathology compared to community norms. The NMD program was particularly beneficial for body image and shape concern. Addressing these body image factors may help to address some of the perpetuating factors of obesity and disordered eating, which are often not addressed in the traditional diet-based weight loss interventions. BioMed Central 2013-12-17 /pmc/articles/PMC4081825/ /pubmed/24999422 http://dx.doi.org/10.1186/2050-2974-1-44 Text en Copyright © 2013 Bloom et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Bloom, Lisa
Shelton, Beth
Bengough, Melissa
Brennan, Leah
Psychosocial outcomes of a non-dieting based positive body image community program for overweight adults: a pilot study
title Psychosocial outcomes of a non-dieting based positive body image community program for overweight adults: a pilot study
title_full Psychosocial outcomes of a non-dieting based positive body image community program for overweight adults: a pilot study
title_fullStr Psychosocial outcomes of a non-dieting based positive body image community program for overweight adults: a pilot study
title_full_unstemmed Psychosocial outcomes of a non-dieting based positive body image community program for overweight adults: a pilot study
title_short Psychosocial outcomes of a non-dieting based positive body image community program for overweight adults: a pilot study
title_sort psychosocial outcomes of a non-dieting based positive body image community program for overweight adults: a pilot study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081825/
https://www.ncbi.nlm.nih.gov/pubmed/24999422
http://dx.doi.org/10.1186/2050-2974-1-44
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