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Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity.
Eat Behav 2009; 10(3):146-51EB

Abstract

OBJECTIVE

This study examined whether improvements in problem-solving abilities mediate the relation between treatment adherence and weight-loss outcome in the behavioral treatment of obesity.

METHOD

272 women (mean+/-SD age=59.4+/-6.2 years, BMI=36.5+/-4.8) participated in a 6-month lifestyle intervention for obesity. Body weight and problem-solving skills (as measured by the Social Problem Solving Inventory-Revised) were assessed pre- and posttreatment. The completion of self-monitoring logs during the intervention served as the marker of treatment adherence.

RESULTS

At posttreatment, participants lost 8.4+/-5.8 kg, an 8.8% reduction in body weight. Changes in weight were associated with increased problem-solving skills and with higher levels of treatment adherence. Improvements in problem-solving skills partially mediated the relation between treatment adherence and weight-loss outcome. Moreover, participants with weight reductions > or = 10% demonstrated significantly greater improvements in problem-solving skills than those with reductions <5%.

DISCUSSION

Improvements in problem-solving skills may enable participants to overcome barriers to adherence and thereby enhance treatment-induced weight losses.

Authors+Show Affiliations

Department of Clinical and Health Psychology, University of Florida, Gainesville, FL 32610, United States.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

19665096

Citation

Murawski, Mary E., et al. "Problem Solving, Treatment Adherence, and Weight-loss Outcome Among Women Participating in Lifestyle Treatment for Obesity." Eating Behaviors, vol. 10, no. 3, 2009, pp. 146-51.
Murawski ME, Milsom VA, Ross KM, et al. Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity. Eat Behav. 2009;10(3):146-51.
Murawski, M. E., Milsom, V. A., Ross, K. M., Rickel, K. A., DeBraganza, N., Gibbons, L. M., & Perri, M. G. (2009). Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity. Eating Behaviors, 10(3), pp. 146-51. doi:10.1016/j.eatbeh.2009.03.005.
Murawski ME, et al. Problem Solving, Treatment Adherence, and Weight-loss Outcome Among Women Participating in Lifestyle Treatment for Obesity. Eat Behav. 2009;10(3):146-51. PubMed PMID: 19665096.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity. AU - Murawski,Mary E, AU - Milsom,Vanessa A, AU - Ross,Kathryn M, AU - Rickel,Katie A, AU - DeBraganza,Ninoska, AU - Gibbons,Lauren M, AU - Perri,Michael G, Y1 - 2009/03/29/ PY - 2008/08/31/received PY - 2009/03/05/revised PY - 2009/03/20/accepted PY - 2009/8/12/entrez PY - 2009/8/12/pubmed PY - 2009/10/29/medline SP - 146 EP - 51 JF - Eating behaviors JO - Eat Behav VL - 10 IS - 3 N2 - OBJECTIVE: This study examined whether improvements in problem-solving abilities mediate the relation between treatment adherence and weight-loss outcome in the behavioral treatment of obesity. METHOD: 272 women (mean+/-SD age=59.4+/-6.2 years, BMI=36.5+/-4.8) participated in a 6-month lifestyle intervention for obesity. Body weight and problem-solving skills (as measured by the Social Problem Solving Inventory-Revised) were assessed pre- and posttreatment. The completion of self-monitoring logs during the intervention served as the marker of treatment adherence. RESULTS: At posttreatment, participants lost 8.4+/-5.8 kg, an 8.8% reduction in body weight. Changes in weight were associated with increased problem-solving skills and with higher levels of treatment adherence. Improvements in problem-solving skills partially mediated the relation between treatment adherence and weight-loss outcome. Moreover, participants with weight reductions > or = 10% demonstrated significantly greater improvements in problem-solving skills than those with reductions <5%. DISCUSSION: Improvements in problem-solving skills may enable participants to overcome barriers to adherence and thereby enhance treatment-induced weight losses. SN - 1873-7358 UR - https://www.unboundmedicine.com/medline/citation/19665096/Problem_solving_treatment_adherence_and_weight_loss_outcome_among_women_participating_in_lifestyle_treatment_for_obesity_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1471-0153(09)00032-4 DB - PRIME DP - Unbound Medicine ER -