A consultation with genetic information about obesity decreases self-blame about eating and leads to realistic weight loss goals in obese individuals
A consultation with genetic information about obesity decreases self-blame about eating and leads to realistic weight loss goals in obese individuals
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DOI：
10.1016/j.jpsychores.2008.09.003
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发表时间：
2009-04-01
影响因子：
4.7
通讯作者：
Rief, Winfried
中科院分区：
文献类型：
--
作者：
Conradt, Matthias;Dierk, Jan-Michael;Rief, Winfried
目的：这项研究测试了使用肥胖遗传信息的咨询对肥胖者对减肥目标、饮食自责和与体重相关的应对方式的态度的影响。此外，这项研究还试图探索体重增加/减少的可能预测因素。方法：将411例肥胖者随机分成两组，一组不做任何干预，另一组不做任何干预。经过6个月的随访，干预组的253名肥胖者和对照组的98名肥胖者获得了完整的数据集。对自变量评估时间、治疗组和家族倾向(至少有一个肥胖的父母或兄弟姐妹)的数据进行了分析。作为依存性测量，对减肥目标、与体重相关的自责、应对和身体羞耻的态度通过问卷或访谈进行评估。结果：有家族倾向的人和没有家族倾向的人从使用关于肥胖的遗传信息的咨询中以不同的方式受益：在随访中，有家族倾向的人报告了主要的缓解效果(较少自责于饮食)。这两组人都报告了对更现实的减肥目标的调整，并对5%的减肥感到更满意。此外，肥胖者对他们目前基线体重的负面看法越多，这些人在后续行动中体重增加的风险就越高。结论：关注遗传因素的咨询可能对肥胖个体有帮助，无论他们的家庭倾向如何，但只有易患肥胖的个体在饮食方面的自责减少。对当前体重的负面想法和感觉可能预示着未来的体重增加。(C)2009 Elsevier Inc.保留所有权利。
Objective: This study tested the effects of a consultation using genetic information about obesity on attitudes relating to weight loss goals, self-blame about eating, and weight-related coping in obese individuals. Furthermore, the study sought to explore possible predictors for weight gain/loss. Method: A total of 411 obese individuals were randomly assigned to two standardized consultations, with and without genetic information about obesity, and a control group without any intervention. After a 6-month follow-up, 253 obese individuals of the intervention groups and 98 individuals of the control group had a complete dataset. Data were analyzed regarding the independent variables assessment time, treatment group, and the familial predisposition (at least one obese parent or sibling). As dependent measures, attitudes about weight loss goals, weight-related self-blame, coping, and body shame were assessed via questionnaire or interview. Results: Individuals with and without a familial predisposition profited in different ways from a consultation using genetic information about obesity: at follow-up, individuals with a familial predisposition reported mainly a relieving effect (less self-blame about eating). Both groups reported an adjustment to more realistic weight loss goals and a greater satisfaction with a 5% weight loss. Furthermore, the more negative obese individuals felt about their current weight at baseline, the higher the risk that these individuals had gained weight at follow-up. Conclusion: A consultation focusing on genetic factors might be helpful for obese individuals regardless of their familial predisposition, but only predisposed individuals showed a decrease in self-blame about eating. Negative thoughts and feelings about current weight might predict future weight gain. (C) 2009 Elsevier Inc. All rights reserved.