Psychological interventions in the treatment of obesity: an integrative review
DOI:
https://doi.org/10.33448/rsd-v11i9.31689Keywords:
Obesity; Aptitude; Cognition; Behavior; Psychology; Quality of life.Abstract
Emotional eating refers to the urge to eat as a reaction to stressors or euphoria in the face of emotions of sadness and fear. Coping skill deficit levels predict binge eating behaviors. The objective of this research was to identify the psychological interventions used by psychologists in the treatment of obesity. This is an integrative review that began with consultation of the Health Sciences descriptors (DeCS), through the VHL and Publisher Medline (PUBMED), with the following controlled descriptors: "Cognitive Behavioral Therapy", "Dialectial Behavior Therapy", “Dialectial Behavioral Therapy”, “Behavior Therapy” and “Obesity” with the Boolean operators “OR” and “AND”. At the end of the searches, 13 publications met the analysis criteria and were selected for the study. In view of the selected studies, we found 4 interventions divided into categories: emotional regulation, Mindful eating, cognitive restructuring and contingency management. The study showed, through the findings, that the psychological interventions found in this study are fundamental for the treatment of the obese person, to overcome the difficulties that these patients find in weight control, as these are important interventions for the psychologist in the care of the different health care settings.
References
Alvarenga, M., Figueiredo, M., Timerman, F., & Antonaccio, C. (2015). Nutrição Comportamental. Manoele.
Afari, N., Herbert, M. S., Godfrey, K. M., Cuneo, J. G., Salamat, J. S., Mostoufi, S., … Wetherell, J. L. (2019). Acceptance and commitment therapy as an adjunct to the MOVE! programme: a randomized controlled trial. Obesity Science & Practice, 5(5), 397–407. https://doi.org/10.1002/osp4.356
Arterburn, L. M., Coleman, C. D., Kiel, J., Kelley, K., Mantilla, L., Frye, N., … Cook, C. M. (2018). Randomized controlled trial assessing two commercial weight loss programs in adults with overweight or obesity. Obesity Science & Practice, 5(1), 3–14. https://doi.org/10.1002/osp4.312
Beaulac, J., Sandre, D., & Mercer, D. (2018). Impact on mindfulness, emotion regulation, and emotional overeating of a DBT skills training group: a pilot study. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 24(2), 373–377. https://doi.org/10.1007/s40519-018-0616-9
Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. (2016). Rio de Janeiro: ANS. https://abeso.org.br/wpcontent/uploads/2019/12/Diretrizes-Download-Diretrizes-Brasileiras-de-Obesidade-2016.pdf
Ärvelä-Reijonen, E., Karhunen, L., Sairanen, E., Muotka, J., Lindroos, S., Laitinen, J., … Kolehmainen, M. (2018). The effects of acceptance and commitment therapy on eating behavior and diet delivered through face-to-face contact and a mobile app: a randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 15(1). https://doi.org/10.1186/s12966-018-0654-8
Beck, J. S. Pense Magro: a dieta definitiva de beck. Porto Alegre: Artmed, 2009. p.317
Beaulac, J., Sandre, D., & Mercer, D. (2018). Impact on mindfulness, emotion regulation, and emotional overeating of a DBT skills training group: a pilot study. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 24(2), 373–377. https://doi.org/10.1007/s40519-018-0616-9
Burlandy, L., Teixeira, M. R. M., Castro, L. M. C., Cruz, M. C. C., Santos, C. R. B., Souza, S. R. de, … Souza, T. R. (2020). Modelos de assistência ao indivíduo com obesidade na atenção básica em saúde no Estado do Rio de Janeiro, Brasil. Cadernos de Saúde Pública, 36(3). https://doi.org/10.1590/0102-311x00093419
Cavalcante, L. C. Obesidade e análise do comportamento. Belém: Unama, 2016. p.116
Cancian, A. C. M., de Souza, L. A. S., Liboni, R. P. A., Machado, W. de L., & Oliveira, M. da S. (2017). Effects of a dialectical behavior therapy-based skills group intervention for obese individuals: a Brazilian pilot study. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 24(6), 1099–1111. https://doi.org/10.1007/s40519-017-0461-2
Coutinho, W. (1999). Consenso latino-americano de obesidade. Arquivos Brasileiros de Endocrinologia & Metabologia, 43(1), 21–67. https://doi.org/10.1590/s0004-27301999000100003
Cooney, L. G., Milman, L. W., Hantsoo, L., Kornfield, S., Sammel, M. D., Allison, K. C., … Dokras, A. (2018). Cognitive-behavioral therapy improves weight loss and quality of life in women with polycystic ovary syndrome: a pilot randomized clinical trial. Fertility and Sterility, 110(1), 161-171.e1. https://doi.org/10.1016/j.fertnstert.2018.03.028
Dalle Grave, R., Sartirana, M., & Calugi, S. (2020). Personalized cognitive-behavioural therapy for obesity (CBT-OB): theory, strategies and procedures. BioPsychoSocial Medicine, 14(1). https://doi.org/10.1186/s13030-020-00177-9
Daubenmier, J., Moran, P. J., Kristeller, J., Acree, M., Bacchetti, P., Kemeny, M. E., … Hecht, F. M. (2016). Effects of a mindfulness-based weight loss intervention in adults with obesity: A randomized clinical trial. Obesity, 24(4), 794–804. https://doi.org/10.1002/oby.21396
De Lorenzo, A., Gratteri, S., Gualtieri, P., Cammarano, A., Bertucci, P., & Di Renzo, L. (2019). Why primary obesity is a disease? Journal of Translational Medicine, 17(1). https://doi.org/10.1186/s12967-019-1919-y
De Souza, L. A. S., Cancian, A. C. M., de Castro, T. G., & da Silva Oliveira, M. (2019). Problematic and adaptive eating in people with obesity after a DBT-based skills training intervention: 3- and 8-month follow-up and mediation analysis. Psicologia: Reflexão E Crítica, 32(1). https://doi.org/10.1186/s41155-019-0116-5
Fereidouni, F., Atef-Vahid, M. K., Fathali Lavasani, F., Jamshidi Orak, R., Klonsky, E. D., & Pazooki, A. (2014). Are Iranian obese women candidate for bariatric surgery different cognitively, emotionally and behaviorally from their normal weight counterparts? Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 20(3), 397–403. https://doi.org/10.1007/s40519-014-0168-6
Gadde, K. M., Martin, C. K., Berthoud, H.-R., & Heymsfield, S. B. (2018). Obesity: pathophysiology and management. Journal of the American College of Cardiology, 71(1), 69–84. https://doi.org/10.1016/j.jacc.2017.11.011
Fox, J. R. E., Msetfi, R. M., Johnson, R. S., & Haigh, E. (2016). The Perception of Threat from Emotions in Predicting Binge Eating Behaviours in People Who Are Obese and Seeking Treatment for Their Weight. Clinical Psychology & Psychotherapy, 23(5), 452–459. https://doi.org/10.1002/cpp.1972
Litwin, R., Goldbacher, E. M., Cardaciotto, L., & Gambrel, L. E. (2016). Negative emotions and emotional eating: the mediating role of experiential avoidance. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 22(1), 97–104. https://doi.org/10.1007/s40519-016-0301-9
Lima, A. C. R., & Oliveira, A. B. (2016). Fatores Psicológicos da Obesidade e Alguns Apontamentos Sobre a Terapia Cognitivo-Comportamental. Mudanças - Psicologia Da Saúde, 24(1), 1–14. https://doi.org/10.15603/2176-1019/mud.v24n1p1-14
Leahy, R. L., tirch, D., Napolitano, L.A. Regulação Emocional em Psicoterapia: um guia para o terapia cognitivo-comportamental. Porto Alegre: Artmed, 2013. p.416
Manzoni, G. M., Cesa, G. L., Bacchetta, M., Castelnuovo, G., Conti, S., Gaggioli, A., … Riva, G. (2016). Virtual Reality–Enhanced Cognitive–Behavioral Therapy for Morbid Obesity: A Randomized Controlled Study with 1 Year Follow-Up. Cyberpsychology, Behavior, and Social Networking, 19(2), 134–140. https://doi.org/10.1089/cyber.2015.0208
McLean, R. C., Morrison, D. S., Shearer, R., Boyle, S., & Logue, J. (2016). Attrition and weight loss outcomes for patients with complex obesity, anxiety and depression attending a weight management programme with targeted psychological treatment. Clinical Obesity, 6(2), 133–142. https://doi.org/10.1111/cob.12136
Melo, W. V., Bergmann, C., Neufeld, C. B., Machado, P. P. P., & Conceição, E. (2014). Cognitive behavioral therapy and bariatric surgery as treatments for obesity. Revista Brasileira de Terapias Cognitivas, 10(2). https://doi.org/10.5935/1808-5687.20140014
Mota, D. M., & Kuchenbecker, R. de S. (2020). Considerações sobre o uso de evidências científicas em tempos de pandemia: o caso da COVID-19. Vigilância Sanitária Em Debate: Sociedade, Ciência & Tecnologia, 8(2), 2–9. Retrieved from https://www.redalyc.org/articulo.oa?id=570567430002
Mushquash, A. R., & McMahan, M. (2015). Dialectical behavior therapy skills training reduces binge eating among patients seeking weight-management services: preliminary evidence. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 20(3), 415–418. https://doi.org/10.1007/s40519-015-0177-0
Nádia, O., Silvia, K., De Souza, R., Gil, A., Luzia, J., & Gamba, J. (n.d.). ANÁLISE DO COMPORTAMENTO Conceitos e aplicações a processos educativos, clínicos e organizacionais Universidade Estadual de Londrina. Retrieved from http://www.uel.br/pos/pgac/wp-content/uploads/2019/01/UELlivro5dez18press.pdf
Nico, Y. C. (2001). A contribuição de B. F. Skinner para o ensino do autocontrole como objetivo da educação. Tede2.Pucsp.br. Retrieved from https://tede2.pucsp.br/handle/handle/16807
Oliveira, L. M. R., Vergara, C. M. A. C., Sampaio, H. A. de C., & Vasconcelos Filho, J. E. de. (2018). Tecnologia mHealth na prevenção e no controle de obesidade na perspectiva do letramento em saúde: Lisa Obesidade. Saúde Em Debate, 42(118), 714–723. https://doi.org/10.1590/0103-1104201811814
Pataky, Z., Carrard, I., Gay, V., Thomas, A., Carpentier, A., Bobbioni-Harsch, E., & Golay, A. (2018). Effects of a Weight Loss Program on Metabolic Syndrome, Eating Disorders and Psychological Outcomes: Mediation by Endocannabinoids? Obesity facts, 11(2), 144–156. https://doi.org/10.1159/000487890.
Poubel. L. N., & Rodrigues, P. (2018). Manual de inteligência psicológica para felicidade integral. Letras e Versos.
Linehan, M. M. Treinamento de habilidades em DBT: manual de terapia comportamental dialética para o terapeuta. 2. ed. Porto Alegre: Artmed, 2018. p.528
Raman, J., Hay, P., Tchanturia, K., & Smith, E. (2018). A randomised controlled trial of manualized cognitive remediation therapy in adult obesity. Appetite, 123, 269–279. https://doi.org/10.1016/j.appet.2017.12.023
Salvo, V. Ferreira, H. Mindfulness as a complementary intervention in the treatment of overweight and obesity in primary health care: study protocol for a randomised controlled trial. Trials, v. 19, n. 1, 11 maio 2018.
Safer, D. L., Adler, S., & Masson, P. C. (2020). Programa DBT para o comer emocional e compulsivo, Hofref
Spadaro, K. C., Davis, K. K., Sereika, S. M., Gibbs, B. B., Jakicic, J. M., & Cohen, S. M. (2017). Effect of mindfulness meditation on short-term weight loss and eating behaviors in overweight and obese adults: A randomized controlled trial. Journal of Complementary and Integrative Medicine, 15(2). https://doi.org/10.1515/jcim-2016-0048
Silva, V. G. Santo, F. E. Análise funcional do comportamento de escolha alimentar. O cuidado: contextos e práticas interdisciplinares; saúde, filosofia e Educação. [et al.] (org.). - 1. ed. - Curitiba: Appris, 2021.p.65-71
Validate User. (n.d.). Retrieved from academic.oup.com website: https://academic.oup.com/advances/article/10/suppl_1/S4/5307222
Wright, J. H. et al. Aprendendo a Terapia Cognitivo-Comportamental: Um Guia Ilustrado. Porto Alegre: Artmed Editora, 2018. p.224
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Vanderson Garcia da Silva; Fátima Helena do Espírito Santo; Maria de Nazaré de Souza Ribeiro
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
