Showing 12 results for Obesity
حسن میرزاحسینی, سوگند ارجمند, هدی لاجوردی,
Volume 14, Issue 4 (2-2017)
Abstract
Aim and Background: This study aimed to investigate the role of early maladaptive schemas, personality disorders, and coping styles in predicting binge eating behavior. Methods and Materials: The study subjects included 150 students of Qom Branch, Islamic Azad University with body mass index (BMI) of higher than 25 kg/m2. They were selected through convenience sampling based on the inclusion and exclusion criteria. After explaining the purpose of the study, they were asked to fill out the questionnaires. The research tools included the Young-Rygh Avoidance Inventory (YRAI), Millon Clinical Multiaxial Inventory-III (MCMI-III), Young Schema Questionnaire-Short Form 3 (YSQ-S3), Binge Eating Scale (BES), and Young Compensation Inventory (YCI). Data were analyzed using the Pearson correlation and simultaneous regression in SPSS. Findings: The abandonment/instability, emotional deprivation, dependence/incompetence, insufficient self-control, emotional inhibition, and defectiveness/shame schemas were able to explain 37.2% of variance in binge eating. In addition, avoidance and compensation coping styles explained 12.3% of variance in binge eating, and borderline, avoidant, and passive-aggressive personality disorders explained 18.5% of variance in binge eating. Conclusions: It seems that early maladaptive schemas areas of impaired autonomy, inhibition, and limits, especially disconnection and rejection, as well as coping styles, and borderline and passive-aggressive personality disorders have an important role in the pathology and treatment of binge eating disorder. Use of psychological interventions for the reduction of behaviors caused by the mentioned schemas and alterations in the coping style of overweight individuals may accelerate the healing process.
آسيه کريمی, صديقه رضايي دهنوي, کمال مقتدايی,
Volume 15, Issue 1 (4-2017)
Abstract
Aim and Background: A reason for the higher prevalence of psychological problems in individuals with obesity is their lack of emotional control. The aim of this study was the assessment of the effectiveness of emotion regulation techniques on the psychopathological problems in women with obesity. Methods and Materials: The present clinical trial was conducted through pretest-posttest method and follow-up. From among all women with BMI of over 25 in Isfahan, Iran, in 2015, 24 women were selected through convenience sampling and randomly assigned to two experimental (emotion regulation techniques) and control groups. Data were collected using the Symptom Checklist-90 (SCL-90) questionnaire. The collected data was analyzed using ANCOVA in SPSS software. Findings: The results of psychopathology dimensions indicated that the effect of emotion regulation on the reduction of anxiety and obsession was not significant in the posttest stage (P > 0.05), but it was significant in the follow-up stage (P < 0.05). However, emotion regulation had a significant effect on the reduction of depression and somatization in the posttest and follow-up stages (P < 0.05). Conclusions: It can be concluded that emotion regulation education is effective on the improvement of psychopathological symptoms in patients with obesity and it has some important implications in the consideration of emotion regulation group therapy in the reduction of the problems of patients with obesity.
الهام شکرانه, حمید طاهر نشاطدوست, محمد رضا عابدی, هوشنگ طالبی,
Volume 15, Issue 3 (10-2017)
Abstract
Aim and Background: Obesity in childhood, as a global and growing health problem, is the cause of many chronic diseases in adulthood, which is associated with several socio-psychological problems such as low self-confidence and social isolation. In order to improve the psychosomatic problems of obese children, this study aimed to investigate the effect of motivational interviewing on body mass index (BMI) and self-esteem in obese girls. Methods and Materials: This experimental study was conducted with experimental and control groups. A pretest and a posttest were performed and the process was followed up for 3 months. The sample was comprised of twenty-four 10-12-year girl students who were obese with BMI more than 25 in 2015. They were selected through cluster-random sampling from a school in the first district of Isfahan city. The mothers of both groups were trained about the principles of healthy feeding in 4 sessions. Psychodrama intervention motivational interviewing was applied only in the experimental group during the six 2-hour sessions of group therapy. The data collection tools consisted of the BMI and Rosenberg self-esteem scale (RSES). The data were analyzed via analysis of variance with repeated measures. Findings: The effects of motivational interviewing in BMI and self-esteem of the experimental group were statistically significant (P ≤ 0.05). Conclusions: The therapeutic intervention of motivational interviewing would be helpful in order to reduce the weight of obese children and to increase their self-esteem.
محسن بختی, حمید افشار, محسن محمودیه, زهره صید مرادی, مرضیه مستوفی, آوات فیضی,
Volume 15, Issue 3 (10-2017)
Abstract
Aim and Background: Obesity has been increasing significantly during the past decade in Iran due to changes in lifestyle and nutrition patterns. Many people turn to obesity surgery after failing in all other methods of weight reduction; however, they face failure again as they do not consider psychological factors. This study was conducted to assess the psychological profile of patients with obesity attended for obesity surgery. Methods and Materials: The current research was a descriptive study and had been completed periodically over the course of 2012-2013. The studied population included individuals with obesity that has the body mass index (BMI) of above 30 kg/m 2 . The sample population of 115 people was chosen via convenience sampling method and their psychological data were gathered through various standard questionnaires including hospital anxiety and depression scale (HADS), neuroticism-extraversion-openness five-factor inventory (NEO-FFI), quality of life survey [short form 36 (SF-36)] and coping operations preference enquiry (COPE) survey. In the next step, raw data were processed and analyzed using the software SPSS in order to compare men and women mean scores. Findings: The studied population had an average level of anxiety and depression. Among the personality characteristics, amiability has the most and responsibility has the least mean. Problem-solving method has the most and acceptance has the least mean among coping styles. Mean of quality of life score had an average level. There was a significant difference between the anxiety score among men and women; and avoidance and quality of life coping styles were the most used ones among women and men, respectively. Conclusions: The patients who volunteer for obesity surgical treatment methods suffer from some degrees of anxiety and depression, and use problem-solving coping style to manage their stress. In addition, they have incompatible personality dimensions and average quality of life. These characteristics can alter treatment, and reversibility of surgery outcomes.
مريم فولادوند, فرح لطفی کاشانی, شهرام وزیری, حسن احدی,
Volume 15, Issue 4 (8-2017)
Abstract
Aim and Background: Today, due to changes in lifestyle and weight gain, the age of diabetes is reduced, and the prevalence of diabetes is increasing. The aim of this study was to determine the effectiveness of cognitive-behavioral group therapy on weight loss, and blood glucose level in women with type 2 diabetes mellitus. Methods and Materials: In a semi-experimental, and pretest, posttest study with control group, 40 obese (body mass index of more than 30 kg/m 2 ) women with an age range of 30-65 years and with type 2 diabetes mellitus were randomly selected and divided into two equal groups of experimental and control. The patients were referred to the Iranian Diabetes Association (Central Branch), Tehran, Iran. The experimental group participated in a program of 24 sessions of 60 minutes based on cognitive-behavioral obesity intervention, that included two phases of reduction and weight retention; but the control group did not receive any training. Weighing and taking blood samples (for evaluation of the average level of three-month blood glucose) were performed at the first and last session of the intervention. Findings: The cognitive-behavioral obesity therapy led to weight loss in patients with type 2 diabetes mellitus, and also reduced the level of blood glucose in them. Conclusions: The results indicate the effectiveness of cognitive-behavioral therapy in patients with type 2 diabetes mellitus. These findings are of great importance in controlling the weight, and blood glucose level in these patients; since it is possible to use alternative therapies, such as cognitive-behavioral therapy in treatment of obesity, as non-conventional medical treatments.
زهره کاتوزی, رخساره بادامی, فرزانه تقیان, میترا ملایینژاد,
Volume 15, Issue 4 (8-2017)
Abstract
Aim and Background: Obesity is the cause of many physical and psychological problems. The present study aimed to compare the effect of three methods of aerobic exercise, Kegel, and combinatorial (aerobic and Kegel), on body image, and sexual and marital satisfaction in obese women. Methods and Materials: This was a quasi-experimental study with a pretest-posttest design. 60 obese women with an age range of 35 to 40 years, and body mass index of higher than 30 kg/m 2 , were selected through convenience sampling method. They were randomly divided into three experimental groups of aerobic, Kegel, and combinatorial, and one control group. Experimental groups participated in their sports activities for eight weeks. The research tools consisted of Fisher Body Image, Yavari Sexual Satisfaction, and ENRICH Marital Satisfaction Scale. The validity and reliability of all four questionnaires had been examined and confirmed in Iran before. Findings: The positive effects of all three exercises on sexual and marital satisfaction were approved using the covariance analysis. In addition, the effects of combined training on sexual and marital satisfaction were more than the other two method of practice. Aerobic and combined exercises improved body image, but the Kegel exercise did not have a significant effect on body image. Conclusions: Physical activity is recommended to increase sexual and marital satisfaction in obese women.
Farzanef Noroozi, Shohreh Ghorban Shiroodi, Ali Reza Khalaj,
Volume 18, Issue 4 (1-2021)
Abstract
Aim and Background: Obesity is a complex problem that can be caused by a large number of biological, psychological and social factors. The study aimed to examine the effectiveness of compassion-focused therapy on self-control and flexibility of body image in obese patients volunteering for sleeve and gastric bypass surgery.
Methods and Materials: The method of the study was semi-experimental with pretest, posttest, and follow-up with control group design. The research population included all obese patients who volunteered for sleeve and gastric bypass surgery referred to Tehran Obesity Treatment Center in 2020 and in the period from January to February. Among them, a 30-subject sample was selected by convenience sampling and were assigned randomly in tow groups (15 subjects in each group). The experimental group received eight 90-minute sessions two days a week of compassion-focused treatment intervention, and the control group were on the waiting list. Collecting the data were gathered Tanji et al.'s self-control questionnaire (2004) and Sands et al.'s body image flexibility questionnaire (2013). Data were analyzed using SPSS software version 24 and statistical test of analysis of variance with repeated measures.
Findings: The results of repeated measure ANOVA showed the subjects of experimental group, after receiving intervention, had better self-control and flexibility of body image than subjects of control group.
Conclusions: Therefore, it seems that compassion-focused therapy significantly increased self-control and flexibility of body image of obese patients. Theoretical and practical implications have been discussed in this article.
Maryam Tat, Hassan Rezayi Jamaloei, Mostafa Khanzadeh, Mojtaba Ansari Shahidi, Dr Mehdi Taheri,
Volume 19, Issue 4 (1-2022)
Abstract
Aim and Background: The present study was conducted to investigate the informational-motivational-behavioral structural model based on the role of impulsivity moderator among women with body mass index above 25.
Methods and Materials: The present study was a cross-sectional correlation of structural equations. The statistical population of the study was all women referring to diet centers, health centers and sports clubs in Isfahan in 2020-2021, from which 444 people were selected by multi-stage sampling method. A researcher-made information-motivational-behavioral questionnaire and Patton et al.'s (1959) impulsivity questionnaire were used to collect data. Amos software (24V-) was used for data analysis.
Findings: The results showed the moderating role of impulsivity in the mentioned model (X2/df = 3.46, GFI = 0.981, CFI = 0.977, RMSEA = 0.08, SRMR = 0.073, NFI = 0.970, TLI = 0.928 and AGFI= 0.924). In the three groups of low, medium and high impulsivity, health behavior was influenced by information. In the moderate impulsivity group, health behavior was influenced by motivation. In the three groups of low, medium and high impulsivity, health behavior was affected by behavioral skills. In individuals with low and high impulsivity, information had a significant indirect effect on health behavior through behavioral skills. In individuals with high impulsivity, motivation had a significant indirect effect on health behavior through behavioral skills.
Conclusions: The application of these structures such as information, motivation, behavioral skills and attention to levels of impulsivity can help researchers and therapists in the field to prevent obesity and even design appropriate treatments and good diets.
Saide Elahedost, Mohamad Ansaripour, Ali Rabbani, Mahboubeh Hojati,
Volume 20, Issue 3 (12-2022)
Abstract
Aim and Background: Obesity is one of the chronic diseases and health problems in all countries, which is related to behavioral factors. New studies show that food consumption and lifestyle patterns that lead to obesity are largely influenced by factors such as social networks, communication with family and friends, media, etc.
Methods and Materials: In this review article, to find documents related to the topic of the article, the author systematically reviewed the published background on the factors affecting obesity and the methods used in weight loss, and related studies in PubMed, Medline, Elsevier, google scholar IranDoc, Magiran, SID were used using related keywords such as: obesity, overweight, effective factors, in Farsi and obesity, overweight, determinant in English.
Findings: The results of the review of various published studies show that the behavioral factors affecting obesity are divided into three levels: individual, family and social. Effective factors at the individual level include religious beliefs, lifestyle, media and game consumption, education level, and food attitude. At the family level, it includes mother's employment, social support and family. At the community level, it includes social networks, modern culture, capitalism, school, physical environment of society, network of social relations and friends, social comparison, social class and social welfare. Strategies to control social factors affecting obesity at three individual levels (health belief-behavior model), family level (family-centered therapy, lifestyle modification in a health-oriented way) and community level (health-oriented space creation and advertising, community action, network-mediated control social activities, health promotion program, media and health culture, culture-oriented control measures and social marketing method).
Conclusions: According to the results, knowing the factors affecting obesity and using methods to control them is an effective solution in reducing overweight and obesity in the individual and social dimension.
Mr. Aryan Rezai, Dr. Akram Dehghani, Dr. Sayed Abbas Haghayegh,
Volume 22, Issue 2 (8-2024)
Abstract
Aim and Background: Children with chronic obesity suffer from more unbalanced eating behaviors. For this reason, the purpose of this study was to investigate the effectiveness of the play therapy package based on Hall and Fong's temporal self-regulation theory on their eating behaviors.
Methods and Materials: This research was quantitative and semi-experimental type and was implemented in the form of a pre-test, post-test design with a control group and a 2-month follow-up period. Also, its statistical population was all the parent-child pairs referred to Iranian Health Centers-Isfahan City, where, among them, 45 pairs by convenience sampling method were selected and randomly into two groups of experimental (22 pairs), and control (23 pairs), were assigned. To collect data, the Children's Eating Behavior Questionnaire was used, and along with providing 11 sessions of 45-minute play therapy package training to the experimental group, the control group did not receive any intervention. In the end, data analysis by SPSS-29 software and statistical methods of Chi-square and covariance analysis at significant level (p<0.05), was done.
Findings: According to the result of the chi-square test, no significant difference between the 2 groups in terms of parents' age and education; and children's age, gender, birth rank, number of siblings, and education was observed. Also, the results of covariance analysis showed that there were significant changes (p<0.05) in the eating behaviors of children in the experimental group compared to children in the control group.
Conclusions: The findings indicate the positive effect of the play therapy package used in the research on the adjustment of eating behaviors of children with chronic obesity. Therefore, it could be used to help treat children with chronic obesity.
Seyed Mohsen Nemati, Mohammad Narimani, Parviz Porzoor, Sajjad Basharpoor, Ghasem Fattahzade,
Volume 22, Issue 3 (10-2024)
Abstract
Aim and Background: Obesity has spread among societies and most countries and has become a general and global issue. The present study was conducted with the aim of the effectiveness of a combined weight loss program on cravings and anthropometric indicators in obese women.
Methods and Materials: The current research was semi-experimental with a pre-test design the test boy was with the control group. The statistical population included all obese women who referred to the nutrition clinic of Ardabil city in 1402. Considering that at least 15 samples are considered in experimental research, as a result, 45 obese women (15 people in the treatment situation with integrated weight loss program and 15 people in the situation without treatment) were randomly selected and placed in the group. Each of the experimental group was treated separately daily for 50 minutes and with 14 sessions, and the control group did not receive treatment. The members of each group were evaluated using the Cepeda-Benito craving questionnaire and anthropometric indices in the pre-test and post-test stages, and multivariate analysis of variance was used to analyze the data.
Findings: Based on the obtained results, the integrated weight loss program had a positive and significant effect on food cravings, Body Mass Index and WHtR index (P<0.001), so that the scores of the subjects of the experimental group decreased significantly in the post-test of these variables, but on WHR and AVI had no significant effect (P<0.05).
Conclusions: Based on the results of this study, it seems that the integrated weight loss program method can be used in weight loss and lifestyle change programs and improving community health.
Sara Azadi, Fatemeh Nemati Sogolitappeh, Mostafa Zarean,
Volume 22, Issue 3 (10-2024)
Abstract
Aim and Background: Weight-based rejection sensitivity is a significant psychological factor in individuals with overweight and obesity, which can have considerable negative impacts on their mental and physical health. this study aimed to examine the factor structure and psychometric properties of the Persian version of the Weight-Based Rejection Sensitivity Scale (W-RS) in overweight and obese individuals.
Methods and Materials: The research followed a descriptive validation design. The study population included overweight and obese individuals, from which 372 participants with a body mass index over 25 were selected using convenience sampling. Participants completed the Weight-Based Rejection Sensitivity questionnaire. The scale's factor structure was assessed through exploratory factor analysis and confirmatory factor analysis, while test-retest reliability, internal consistency, and convergent validity were also evaluated. Data analysis was performed using SPSS version 26 and AMOS version 24 softwares.
Findings: The exploratory factor analysis results indicated that the scale consists of two factors: "Interpersonal Sensitivity" and "Situational Sensitivity." The confirmatory factor analysis supported the two-factor structure identified. The test-retest reliability coefficients for the subscales and the overall scale ranged from 0.85 to 0.91 Additionally, Cronbach's alpha coefficients were between 0.92 and 0.95, indicating strong internal consistency. A composite reliability above 0.7 and an average variance extracted above 0.5 further confirmed the scale's convergent validity.
Conclusions: The confirmatory factor analysis fit indices indicated that the two-factor model of the Weight-Based Rejection Sensitivity Scale showed a good fit with the data. Thus, the scale is a valid and reliable tool for assessing anxious expectations of rejection in overweight and obese individuals