THEORETICAL, PRACTICAL, AND SOCIAL ISSUES IN BEHAVIORAL TREATMENTS OF OBESITY

Journal of Applied Behavior Analysis - Tập 12 Số 1 - Trang 3-25 - 1979
Susan C. Wooley1, Orland W. Wooley1, Susan R. Dyrenforth1
1University of Cincinnati

Tóm tắt

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 greatest 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.

Từ khóa


Tài liệu tham khảo

Meyer J. Stunkard A. J. andColl M.Eating in public places: There is no “obese eating style ” it's where you eat that matters. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy Atlanta December 1977.

Wooley O. W. Wooley S. C. andWilliams B. S.Effect of prior protein intake on appetite for palatable food. Paper presented to the meeting of the American Psychological Association San Francisco September 1977.

Brownell K. D., 1978, Evaluation and modification of activity patterns in the natural environment

Stunkard A. J.Personal communication February 1975.

Wooley O. W.andWooley S. C.Out of touch with the body: Internal signals awareness and obesity. Paper presented at the meeting of the American Psychological Association Washington D.C. September 1976.

Dyrenforth S. R., 1978, Self‐esteem, body type preference, and sociometric ratings of peers in pre‐school children

Aldebaran, 1975, Uptight and hungry: The contradiction in the psychology of fat, RT: A Journal of Radical Therapy, 5

Alderbaran.Fat liberation—A luxury? An open letter to radical (and other) therapists. (Quotes taken from an unpublished manuscript supplied by the author; this article subsequently appeared in State and Mind 1977 5 35.).

10.1016/S0300-595X(76)80029-1

Apfelbaum M., 1971, Effect of caloric restriction and excessive caloric intake on energy expenditure, American Journal of Clinical Nutrition, 24, 1405, 10.1093/ajcn/24.12.1405

10.1016/S0140-6736(62)90502-0

10.1037/h0048051

Bellack A. S., 1977, Progress in behavior modification, 1

10.1016/S0005-7894(74)80042-0

Bloom W. L., 1959, Fasting as an introduction to the treatment of obesity, Metabolism, 8, 214

10.1016/0026-0495(67)90015-7

10.1016/0022-3999(61)90043-5

Booth D. A., 1976, Appetite and food intake, 417

10.1016/0031-9384(72)90302-2

10.1016/0031-9384(70)90044-2

10.1086/493362

Boskind‐Lodahl M., 1977, The gorging purging syndrome, Psychology Today, 10, 50

10.1016/0031-9384(78)90050-1

10.1016/S0140-6736(69)90109-3

Bullen B. A., 1964, Physical activity of obese and non‐obese adolescent girls, appraised by motion picture sampling, American Journal of Clinical Nutrition, 14, 211, 10.1093/ajcn/14.4.211

10.1111/j.1749-6632.1963.tb15811.x

10.1056/NEJM196011102631902

10.2466/pms.1971.33.1.119

Cohn C., 1959, Changes in body composition attendant on force feeding, American Journal of Physiology, 196, 965, 10.1152/ajplegacy.1959.196.5.965

Coll M., Obesity and food choices in public places, Archives of General Psychiatry

10.1016/0031-9384(72)90038-8

Collier G., 1977, Handbook of operant behavior, 28

Crisp A. H., 1977, Some psychobiological aspects of adolescent growth and their relevance for the fat/thin syndrome (anorexia nervosa), International Journal of Obesity, 1, 231

10.2466/pms.1974.39.1.499

Drenick E. J., 1973, Energy expenditure in fasting men, Journal of Laboratory and Clinical Medicine, 81, 421

10.1001/jama.1964.03060150024006

10.1016/S0140-6736(64)90510-0

Ferster C. B., 1962, The control of eating, Journal of Mathetics, 1, 87

10.1037/0033-295X.83.6.409

Garrow J., 1974, Energy balance and obesity in man

10.2307/2090353

Greenfield N. S., 1969, Resting level of physical activity in obese females (Guest Editorial), American Journal of Clinical Nutrition, 22, 1418, 10.1093/ajcn/22.11.1418

Gross L. P., 1968, Scarcity, unpredictability and eating in rats

10.1017/S0033291700029330

10.1111/j.1749-6632.1969.tb12933.x

Hampton M., 1967, Calorie and nutrient intakes of teen‐agers, Journal of American Dietetic Association, 50, 385, 10.1016/S0002-8223(21)20746-3

Hanley T., 1969, Obesity: medical and scientific aspects

Hejda S., 1964, Frequency of food intake in relation to some parameters of the nutritional status, Nutrition Dieta, 6, 216

10.1111/j.1467-6494.1975.tb00727.x

10.1037/0021-843X.84.6.666

10.1037/h0077334

Howard A., 1978, Recent advances in obesity research

10.1111/j.1749-6632.1969.tb12939.x

10.1016/S0005-7894(78)80104-X

Johnson M. L., 1956, Relative importance of inactivity and over‐eating in the energy balance of obese high school girls, American Journal of Clinical Nutrition, 4, 37, 10.1093/ajcn/4.1.37

10.1037/h0041128

Kaplan M. L., 1974, Calorigenic effect of a high protein meal in obese and nonobese subjects, Federation Proceedings, 33, 701

10.5749/j.ctv9b2tqv

Kissileff K., 1978, Recent advances in obesity research

Kleiber M., 1961, The fire of life: An introduction to animal energetics

10.1001/archpsyc.1964.01720260007002

Konorski J., 1967, Integrative activity of the brain

10.1037/h0045974

10.1037/0033-2909.83.4.557

10.2307/1127162

10.1080/00223980.1973.9923836

Lerner R. M., 1969, Body build identification, preference, and aversion in children, Developmental Psychology, 5, 256

10.2307/1127641

Lindner P. C., 1976, Multidisciplinary approach to obesity utilizing fasting modified by protein‐sparing therapy, Obesity/Bariatric Medicine, 5, 198

10.2307/2948537

Mahler R., 1972, The relationship between eating and obesity, Acta Diabetologica Latina, 449

10.1016/S0306-4603(75)80017-7

10.1016/S0005-7894(75)80121-3

10.1126/science.126.3272.505-a

10.1056/NEJM195509012530901

10.2307/2091664

Miller D. S., 1967, Gluttony: An experimental study of overeating on low or high protein diets, American Journal of Clinical Nutrition, 20, 1212, 10.1093/ajcn/20.11.1212

10.1093/ajcn/20.11.1223

Monello L. F., 1963, Obese adolescent girls: An unrecognized “minority” group?, American Journal of Clinical Nutrition, 13, 35, 10.1093/ajcn/13.1.35

10.1192/bjp.120.558.541

10.1079/BJN19550007

10.1079/BJN19630040

10.1037/h0077474

10.1079/BJN19760033

10.1037/0021-843X.85.3.338

10.1037/0033-295X.84.1.89

10.2307/2089861

Revusky S. H., 1970, The psychology of learning and motivation. Advances in research and theory, 1

Rixon R. H., 1957, Factors influencing survival of rats in fasting. Metabolic rate and body weight loss, American Journal of Physiology, 188, 332, 10.1152/ajplegacy.1957.188.2.332

Rodin J., 1976, Appetite and Food Intake, 265

10.1079/BJN19610003

10.1037/h0031878

10.1126/science.161.3843.751

Sims E. A. H., 1968, Endocrine and metabolic adaptation to obesity and starvation, American Journal of Clinical Nutrition, 21, 1945

10.1037/h0030305

10.1037/h0021227

10.1037/h0032211

10.1093/ajcn/7.1.55

10.1097/00000441-193107000-00008

10.1056/NEJM197805042981809

Stunkard A. J., 1976, Handbook of behavior modification and behavior therapy, 45

10.7326/0003-4819-81-4-526

Szepesi B., 1978, Recent advances in obesity research

Tepperman H., 1964, Adaptive hyperlipogenesis, Federation Proceedings, 23, 73

10.1016/S0140-6736(61)91832-3

Warwick P., 1978, Recent advances in obesity research

10.1037/h0033142

10.1037/0022-006X.46.4.687

10.1037/h0077484

10.1007/978-94-011-7155-7_4

10.1016/0031-9384(76)90062-7

Wooley O. W., Obesity and women II: A neglected feminist topic, Women's Studies International Quarterly

Wooley O. W., 1975, Recent advances in obesity research, 212

Wooley O. W., 1978, Recent advances in obesity research

10.1037/h0077455

Wooley S. C., A naturalistic observation of the influence of palatability on food choices of the obese and nonobese, International Journal of Obesity

Yates A. J., 1975, Theory and practice in behavior therapy

Young C. M., 1971, Frequency of feeding, weight reduction and body composition, Journal of the American Dietetic Association, 59, 466, 10.1016/S0002-8223(21)14115-X