The Impact of Lived-Experience Based Therapy and Cognitive-Behavior Therapy on Body Mass Index and Self-Esteem among Obese Women
International Journal of Applied Behavioral Sciences,
Vol. 6 No. 3 (2019),
18 September 2019
Introduction: Culturally sensitive psychological intervention among individuals with obesity has gained major attention among experts in psychological fields. The current study was to examine and compare the impact of the Lived–Experienced Based Therapy (LEBT) and Cognitive-Behavioral Therapy (CBT) on BMI and self-esteem among Iranian obese women in Esfahan City, Iran. Method: The study used quasi-experimental method with pre-test, post-test and 3-month follow-up. The study population consisted of all females with BMI above 30, in Esfahan. Overall, 45 women (M= 34.11, SD= 5.60) were purposefully selected and randomly divided into three study groups. The sample was selected using online and display ads. Both treatment groups received 8 sessions of specific interventions from April to June 2018, while the control group did not receive any therapies. Data were collected using the global formula calculating BMI and Rosenberg Self-Esteem Scale (1965) and analyzed by SPSS-21 software. The ANCOVA and repeated measure ANOVA (i.e., Bonferroni test analysis) were used to compare three groups at three stages of pre-test, post-test and follow-up. Results: The results showed that BMI and self-esteem in both experiment groups were significantly improved at both post-test and follow-up, compared to the pre-test and control group (p<.001). However, there was no significant difference between the effectiveness of CBT and LEBT in both stages of post-test and follow-up. Conclusion: Both psychological therapies are effective to address low self-esteem and high BMI of obese women.
Declaration of Interest: None
- Lived-Experience Based Therapy
- Cognitive-Behavioral Therapy
- Body Mass Index
James PT, Rigby N, Leach R, Force IT. The obesity epidemic, metabolic syndrome and future prevention strategies. European Journal of Cardiovascular Prevention & Rehabilitation. 2004;11(1):3-8.
Mustillo S, Worthman C, Erkanli A, Keeler G, Angold A, Costello EJ. Obesity and psychiatric disorder: developmental trajectories. Pediatrics. 2003;111(4):851-859.
WHO. Obesity and Overweight: World Health Organization; 2016. Retrieved Feb 2020 from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Alwan A. Global status report on non-communicable diseases 2010: World Health Organization; 2011.
Blüher M. Adipose tissue inflammation: a cause or consequence of obesity-related insulin resistance? Clinical science. 2016;130(18):1603-14.
Wilfley DE, Staiano AE, Altman M, Lindros J, Lima A, Hassink SG, et al. Improving access and systems of care for evidence‐based childhood obesity treatment: Conference key findings and next steps. Obesity. 2017;25(1):16-29.
Yu Y, Shiffman S, Rohay JM, Ma Q, Sereika SM, Sun R, et al. Psychometric evaluation of the relapse situation efficacy questionnaire in a weight loss treatment study. American journal of health behavior. 2018;42(4):80-9.
Alimoradi M, Abdolahi M, Aryan L, Vazirijavid R, Ajami M. Cognitive behavioral therapy for treatment of adult obesity. International Journal of Medical Reviews. 2016;3(1):371-9.
Castelnuovo G, Pietrabissa G, Manzoni GM, Cattivelli R, Rossi A, Novelli M, et al. Cognitive behavioral therapy to aid weight loss in obese patients: Current perspectives. Psychology Research and Behavior Management. 2017;10:165-71.
Wooley CS, Garner DM. Controversies in management: Dietary treatments for obesity are ineffective. BMJ. 1994;309(6955):655-65.
Health NIo. Methods for voluntary weight loss and control. National Institutes of Health Technology conference statement Bethesda, Maryland: National Library of Medicine, Office of Medical Applications of Research. 1992.
Reynolds KA, Boudoures AL, Chi MM-Y, Wang Q, Moley KH. Adverse effects of obesity and/or high-fat diet on oocyte quality and metabolism are not reversible with resumption of regular diet in mice. Reproduction, Fertility and Development. 2015;27(4):716-24.
Emery CF, Olson K, Lee V, Habash DL, Nasar JL, Bodine A. Home environment and psychosocial predictors of obesity status among community-residing men and women. International journal of obesity. 2015;39(9):1401-17.
Hill AJ. Obesity in children and the ‘Myth of Psychological Maladjustment’: self-esteem in the spotlight. Current Obesity Reports. 2017;6(1):63-70.
Durso LE, Latner JD, Ciao AC. Weight bias internalization in treatment-seeking overweight adults: Psychometric validation and associations with self-esteem, body image, and mood symptoms. Eating Behaviors. 2016;21:104-8.
Friedman MA, Brownell KD. Psychological correlates of obesity: Moving to the next research generation. Psychological Bulletin. 1995;117(1):3-20.
Sohrabi F, Pasha R, Naderi F, Askary P, Ehteshamzadeh P. Effectiveness of cognitive-behavioral therapy on Body Mass Index and self-concept perceptions of overweight individuals. Iranian Journal of Nutrition Sciences & Food Technology. 2018;12(4):43-51.
Amel AK, Amel SK, Erfan A. Effectiveness of parents-focused cognitive-behavioral therapy on attention deficit hyperactivity disorder symptoms, obesity and self-esteem of overweight children with attention deficient hyperactivity disorder. Advanced biomedical research. 2018;7:73.
Reece LJ, Bissell P, Copeland RJ. ‘I just don't want to get bullied anymore, then I can lead a normal life’; Insights into life as an obese adolescent and their views on obesity treatment. Health Expectations. 2016;19(4):897-907.
Haga BM, Furnes B, Dysvik E, Ueland V. Putting life on hold: lived experiences of people with obesity. Scandinavian Journal of Caring Sciences. 2019.
Heslehurst N, Dinsdale S, Brandon H, Johnston C, Summerbell C, Rankin J. Lived experiences of routine antenatal dietetic services among women with obesity: A qualitative phenomenological study. Midwifery. 2017;49:47-53.
Gündüzoğlu N, S. T. The perception of obese persons: Cross-cultural considerations. Holistic Nursing Practice. 2015;29(4):225-31.
Mendelson BK, White DR, Mendelson MJ. Self-esteem and body esteem: Effects of gender, age, and weight. Journal of Applied Developmental Psychology. 1996;17(3):321-46.
Reynolds KJ, Subasic E. “We see things not as they are, but as we are”: Social identity, self-categorization, and perception. Psychological Inquiry. 2016;27(4):348-51.
Caprio S, Daniels SR, Drewnowski A, Kaufman FR, Palinkas LA, Rosenbloom AL, et al. Influence of race, ethnicity, and culture on childhood obesity: Implications for prevention and treatment. Obesity. 2008;16(12):2566-77.
Nobakht M, Dezhkam. Epidemological study of eating disorders in Iran. International Journal Eating Disorder. 2000;28(3):265-78.
Valizadeh A, Aripooran S. Prevalence of eating disorders and their role in psychological signs among women with sport activities. Journal of Gilan University of Medical Science 2011;79:15-23. [Persian].
Ayatollahi SMT, Ghoreshizadeh Z. Prevalence of obesity and overweight among adults in Iran. Obesity Reviews. 2010;11(5):335-7.
Sadati AK, Rahnavard F, Ebrahimzadeh N, Rezaei A. Obesity, lived experience, and the self: A qualitative study of overweight people in Iran. Women's Health Bulletin. 2016;3(3).
Alvani SR, Hosseini SMP, Kimura LW. Relationship between body weight and self-esteem: A study of young men and women in Iran. Journal of Obesity and Overweight. 2016;2(2):16-29.
Babadie A, Kajbaf MB, Nouri Ab, Abedi, M. The Lived experience of obese individuals in overeating: Exploring the psychological reasons of overeating in obese individuals. Journal of Psychological Science. In press; 19: 86. [Persian].
Whitehead AL, Julious SA, Cooper CL, Campbell MJ. Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable. Statistical methods in medical research. 2016;25(3):1057-73.
Julious SA. Sample size of 12 per group rule of thumb for a pilot study: Pharmaceutical statistics. Journal of Applied Statistics in the Pharmaceutical Industry. 2005;4(4):287-91.
Curran LA. 101 trauma-informed interventions: Activities, exercises and assignments to move the client and therapy forward: PESI Publishing & Media; 2013. NY: PESI Publishing & Media.
Mahan LK, Escott-Stump S, Krause MV. Krause's food & nutrition therapy: Elsevier Saunders; 2007.The US: Philadelphia.
Naeimi AF, Haghighian HK, Gargari BP, Alizadeh M, Rouzitalab T. Eating disorders risk and its relation to self-esteem and body image in Iranian university students of medical sciences. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2016;21(4):597-605.
Nederkoorn C, Braet C, Van Eijs Y, Tanghe A, Jansen A. Why obese children cannot resist food: the role of impulsivity. Eating behaviors. 2006;7(4):315-22.
McDermott KED, Lillis J, McCaffery JM, Wing RR. Effects of cognitive strategies on neural food cue reactivity in adults with overweight/obesity. Obesity. 2019;27(10):1577-83.
Wadden TA, Butryn ML, Sarwer DB, Fabricatore AN, Crerand CE, Lipschutz PE, et al. Comparison of psychosocial status in treatment‐seeking women with class III vs. class I–II obesity. Obesity. 2006;14(S3):90S-8S.
Klaczynski PA, Goold KW, Mudry JJ. Culture, obesity stereotypes, self-esteem, and the “thin ideal”: A social identity perspective. Journal of Youth and Adolescence. 2004;33(4):307-17.
Ranjbar Noushari F, Basharpoor S, Hajloo N, Narimani M. The effect of emotion regulation skills’ training on self-control, eating styles and Body Mass Index in overweight students. Iranian Journal of Health Education and Health Promotion. 2018;6(2):125-33. [Persian].
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