Theoretical, practical, and social issues in behavioral treatments of obesity.
Theoretical, practical, and social issues in behavioral treatments of obesity.
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肥胖行为治疗的理论、实践和社会问题。
DOI：
10.1901/jaba.1979.12-3
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发表时间：
1979
影响因子：
2.9
通讯作者：
S. Dyrenforth
中科院分区：
文献类型：
--
作者：
S. Wooley;O. W. Wooley;S. Dyrenforth
虽然表现出了卓越的维持性，但肥胖的行为疗法通常会以减速的速度产生少量的体重减轻。这些发现与其说反映了治疗依从性差，不如说是与已知的代偿性代谢变化相一致，这些变化起到了减缓体重减轻和促进恢复的作用。与节食相关的其他问题包括卡路里调节失败、对食物适口性的过度反应以及饥饿，在适度限制和食物获取的不可预测性的条件下，饥饿更严重。必须正视在许多情况下治疗失败的必然性，并努力防止肥胖患者的自尊进一步恶化。考虑到减肥的历史困难、饮食中的饥饿程度(这可能反映了个体之间的重要生理差异)以及利用食物来优化唤醒水平，可以帮助制定预后和治疗计划。建议患者充分参与制定目标和计划治疗。
Although showing superior maintenance, behavioral treatments of obesity typically produce small weight losses at a decelerating rate. Rather than reflecting poor compliance with treatment, these findings are consistent with known compensatory metabolic changes that operate to slow weight loss and promote regain. Other problems associated with dieting include failure of caloric regulation, hyper-responsivity to food palatability, and hunger, which is greater under conditions of moderate restriction and unpredictability of access to food. The inevitability of treatment failure in many instances must be faced and efforts made to prevent further worsening of the obese patient's self-esteem. Prognosis and treatment planning may be aided by consideration of the historical difficulties of weight loss, the degree of hunger experienced on diets, which may reflect important physiological differences among individuals, and the use of food to optimize arousal level. Full involvement of the patient in setting goals and planning treatment is recommended.