Relapse prevention training and problem-solving therapy in the long-term management of obesity.
This study compared 2 extended therapy programs for weight management with standard behavioral treatment (BT) without additional therapy contacts. Participants were 80 obese women who completed 20 weekly group sessions of BT and achieved a mean initial weight loss of 8.74 kg. Participants were randomly assigned to a no-further-contact condition (BT only) or to one of two extended interventions consisting of relapse prevention training (RPT) or problem-solving therapy (PST). No significant overall weight-change differences were observed between RPT and BT or between RPT and PST. However, participants who completed the PST intervention had significantly greater long-term weight reductions than BT participants, and a significantly larger percentage of PST participants achieved clinically significant losses of 10% or more in body weight than did BT participants (35% vs. 6%).
Perri
M G
MG
Department of Clinical and Health Psychology, University of Florida, Gainesville 32610-0165, USA. mperri@hp.ufl.edu
Nezu
A M
AM
McKelvey
W F
WF
Shermer
R L
RL
Renjilian
D A
DA
Viegener
B J
BJ
D000328:Adult; D000359:Aftercare; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D011340:Problem Solving; D011615:Psychotherapy, Group / Q000379:methods*; D015431:Weight Loss