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Body Image. 2010 Jun;7(3):187-93. doi: 10.1016/j.bodyim.2010.03.002. Epub 2010 Apr 21.

Change in body image and psychological well-being during behavioral obesity treatment: Associations with weight loss and maintenance.

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University Lusófona de Humanidades e Tecnologias, Lisbon, Portugal.


This study reports on outcomes from a behavioral obesity treatment program, evaluating if treatment-related changes in body image and psychological well-being are predictors of weight change during treatment and after follow-up. Participants were 142 overweight/obese women (BMI=30.2+/-3.7kg/m(2); age=38.3+/-5.8 years) participants in a behavioral treatment program consisting of a 4-month treatment period and a 12-month follow-up. Psychosocial variables improved during treatment and these changes were correlated with 4-month weight reduction. Short-term changes in body size dissatisfaction (p=.002) and mood (p=.003) predicted long-term weight loss. Additional results suggest that there might be a predictive role of short-term changes in body size dissatisfaction and self-esteem on long-term weight loss after accounting for initial weight change (p<.028). We conclude that, along with weight changes, cognitive and affect-related processes influenced during obesity treatment may be related long-term success, in some cases independently of initial weight loss.

[Indexed for MEDLINE]

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