uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Group Behavioral activation for patients with severe obesity and Binge eating disorder: A randomized controlled trial
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
2015 (English)In: Behavior modification, ISSN 0145-4455, E-ISSN 1552-4167, Vol. 39, no 2, 270-294 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to assess whether behavioral activation (BA) is an efficacious treatment for decreasing eating disorder symptoms in patients with obesity and binge eating disorder (BED). Ninety-six patients with severe obesity and BED were randomized to either 10 sessions of group BA or wait-list control. The study was conducted at an obesity clinic in a regular hospital setting. The treatment improved some aspects of disordered eating and had a positive effect on depressive symptoms but there was no significant difference between the groups regarding binge eating and most other symptoms. Improved mood but lack of effect on binge eating suggests that dysfunctional eating (including BED) is maintained by other mechanisms than low activation and negative mood. However, future studies need to investigate whether effects of BA on binge eating might emerge later than at post-assessment, as in interpersonal psychotherapy for bulimia nervosa.

Place, publisher, year, edition, pages
2015. Vol. 39, no 2, 270-294 p.
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:uu:diva-226371DOI: 10.1177/0145445514553093ISI: 000349992100002PubMedID: 25268019OAI: oai:DiVA.org:uu-226371DiVA: diva2:725246
Available from: 2014-06-16 Created: 2014-06-16 Last updated: 2017-12-05Bibliographically approved
In thesis
1. Impulsivity, Negative Mood, and Disordered Eating in Obesity
Open this publication in new window or tab >>Impulsivity, Negative Mood, and Disordered Eating in Obesity
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Bariatric surgery is a life-altering procedure that leads to substantial weight loss for most patients with obesity. Psychiatric conditions that may interfere with eating behavior and other behavioral prescriptions after surgery are common. Disordered eating is an established risk factor for inferior weight loss but the effects of negative mood and impulsivity are largely unknown. This thesis aims to investigate the prevalence of and associations between these potential risk factors and eating behavior in bariatric surgery patients.

Study I assessed the prevalence of adult Attention Deficits/Hyperactivity Disorder (ADHD) symptoms in bariatric surgery patients. Symptoms of adult ADHD were elevated compared to the normal population and associated with symptoms of disordered eating, anxiety, and depression.

Study II investigated whether treatment with Behavioral Activation (BA) could ameliorate binge eating and other symptoms of disordered eating in patients with obesity and Binge Eating Disorder. The results showed that BA was effective in increasing activity levels and improving mood but not in ameliorating binge eating in these patients.

Study III was a prospective study on disordered eating, symptoms of depression and anxiety, symptoms of adult ADHD, and alcohol risk consumption before surgery and at follow-up after 12 months. After controlling for age, no variable measured before surgery could predict weight loss after surgery. Disordered eating after surgery was associated with inferior weight loss in men and a subgroup of older female participants.

The present thesis concludes that symptoms of adult ADHD are common among bariatric surgery patients and associated with disordered eating. There is no indication that symptoms of adult ADHD are associated with short-term inferior weight loss after surgery. However, adult ADHD may be a risk factor for postsurgical alcohol abuse. The treatment study showed no direct association among activity, mood, and binge eating. BA, while effective in improving mood, was found not to be an effective treatment for BED, at least in the short group format investigated.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2014. 78 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 100
Keyword
Obesity, Eating disorder, Depression, ADHD
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:uu:diva-226380 (URN)978-91-554-8993-9 (ISBN)
Public defence
2014-09-26, Betty Pettersson-salen, Blåsenhus, von Kraemers allé 1A, Uppsala, 10:15 (Swedish)
Opponent
Supervisors
Available from: 2014-09-04 Created: 2014-06-16 Last updated: 2014-09-08

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Authority records BETA

Alfonsson, SvenParling, Thomas

Search in DiVA

By author/editor
Alfonsson, SvenParling, Thomas
By organisation
Department of Psychology
In the same journal
Behavior modification
Psychology

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 595 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf