Simultaneous nutritional cognitive--behavioural therapy in obese patients.
The most important problem in cognitive-behavioural therapies for obese patients is to initiate weight loss without reinforcing the eating-behavioural disorders. We propose to assess the cognitive-behavioural therapy in obese patients suffering from eating disorders with and without combining a nutritional approach based on fat information. The patients (n = 60) have followed a group treatment of 12 weekly cognitive-behavioural therapy sessions with or without a combined nutritional approach mainly focused on fat restriction. The scores for depression (P < 0.01), anxiety (P < 0.01) and eating disorders (P < 0.001) are significantly and similarly improved with both types of treatments. The mean weight loss is significant (P < 0.001) only after a combined nutritional cognitive-behavioural approach. The Eating Disorders Inventory (EDI) subgroup 'Drive for thinness' remains only in a combined therapy (ANOVA P < 0.01), which could explain the weight loss that only occurs in this group. Finally, the association between a cognitive-behavioural therapy and a nutritional learning process improves the anxiety and depression related to eating disorders as well as the weight loss.
Painot
D
D
Division of Therapeutic Education for Chronic Diseases, University Hospital Geneva, 1211 Geneva 14, Switzerland.
Jotterand
S
S
Kammer
A
A
Fossati
M
M
Golay
A
A
D000328:Adult; D000704:Analysis of Variance; D015928:Cognitive Behavioral Therapy; D004041:Dietary Fats / Q000008:administration & dosage; D005247:Feeding Behavior; D001068:Feeding and Eating Disorders / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D009765:Obesity / Q000523:psychology* / Q000628:therapy*; D011569:Psychiatric Status Rating Scales; D016896:Treatment Outcome
D004041:Dietary Fats