Mind/Body Stress management to improve outcomes in a workplace weight loss progra

强化行为减肥计划是有效的，帮助人们实现临床 建议5-10%的体重减轻，虽然努力传播更便宜和时间 消费计划已经发现效率降低。压力似乎是 影响减肥和维持，但尽管压力可能会在减肥中提到， 计划，具体的压力管理技能和减肥策略并不典型 重点介绍本项目建议将正念压力管理 现有的雇主赞助的电话咨询和基于互联网的减肥 以改善结果为目标的计划。项目假设是， 基于正念的压力管理与行为减肥计划将增加 该计划对那些报告与压力有关的饮食水平高的参与者的有效性。 干预的内容包括心理/身体治疗的基本原理以及直接和经验性的 正念和正念饮食指导的目标是减少感知压力和 在两年的项目资助期间， 研究人员将开发干预措施，并评估其可行性和有效性。 进行初步的随机试验。本试验将比较 183例超重和肥胖患者接受压力和减肥治疗后， 个体主要结果将包括内部去抑制（情绪反应进食或 想法），饮食自我效能，感知压力和6个月时的体重减轻。

Intensive behavioral weight loss programs are effective in helping people achieve the clinical recommendation of 5-10% weight loss, although efforts to disseminate less expensive and time consuming programs have found reduced effectiveness. Stress appears to be a critical factor impacting weight loss and maintenance, but although stress may be mentioned in weight loss programs, specific stress management skills and strategies for weight loss are not typically emphasized. The present project proposes to integrate mindfulness-based stress management into an existing employer-sponsored telephone counseling and internet-based weight loss program with the goal of improving outcomes. Project hypotheses are that the integration of mindfulness-based stress management with a behavioral weight loss program will increase the effectiveness of the program for those participants reporting high levels of stress-related eating. Content of the intervention includes a mind/body treatment rationale and direct and experiential mindfulness and mindful eating instruction with the goal of decreasing perceived stress and the associated overeating that accompanies it. During the two year project funding period, the investigators will develop the intervention and evaluate the feasibility and efficacy of the intervention by conducting a preliminary randomized trial. This trial will compare the integrated stress and weight loss treatment to weight loss treatment as usual in 183 overweight and obese individuals. Primary outcomes will include internal disinhibition (eating in response to emotion or thoughts), eating self-efficacy, perceived stress and weight lost at 6 months.