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Manizhe Haddadi Barzoki; azra zebardast; sajjad rezaei
Abstract
Objective: Obesity and overweight impose significant health care costs, while being preventable and treatable. Prevention of obesity is the best treatment strategy. Research results show that many internal and external factors can be considered as obstacles to obesity prevention or weight loss. This ...
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Objective: Obesity and overweight impose significant health care costs, while being preventable and treatable. Prevention of obesity is the best treatment strategy. Research results show that many internal and external factors can be considered as obstacles to obesity prevention or weight loss. This study was conducted with the aim of investigating the mediating role of cognitive errors in the relationship between socio-cultural pressure and fear of body image in obese women without a history of weight loss. Method: The descriptive cross-sectional research design was of the correlation type, which was carried out with 200 obese women aged 30 to 55 without a history of weight loss, using available sampling method from the cities of Tehran, Rasht and Kashan, in the second half of 2012. To measure, body mass index (BMI) was used and Subjects answered demographic questionnaires, Littleton's fear of body image (BICI), perceived cultural-social pressure (PSPS) and Ellis' cognitive errors (CDQ). Data analysis was done with SPSS and Amos software version 22. Results: The average and standard deviation of the variables according to the age group of 46 to 50 years, the most cognitive error, the most average fear of body image and cultural-social pressure has been assigned to itself. These estimates are true in working women compared to housewives and also in married women compared to single women. The findings showed a relationship between cultural-social pressure and fear of body image (p<0.05, r=0.38), cognitive errors and fear of body image (p<0.05, r=0.50) and cultural-social pressure and cognitive errors (p<0.05 , r=0.65) there is a significant relationship; One unit of change of cultural-social pressure leads to 0.36 changes in fear of body image, one unit of change in cognitive errors leads to 0.55 changes in body image, and one unit of change in cultural-social pressure leads to 0.66 changes in cognitive errors. The proposed mediation model had a relatively good fit, and the drawn model explained 63% of the variable scores of fear of body image (χ2/df=2.503, RMSEA=0.088, CFI=0.609, PCFI=0.695, IFI=0.730, GFI=0.609). Bootstrap analysis showed that cognitive errors significantly mediate the relationship between socio-cultural pressure scores and fear of body image (95% CI: 0.172 to 0.154). Conclusion: According to the findings, which showed that the mediating role of cognitive errors in the relationship between socio-cultural pressure and body image in obese women without a history of weight loss is significant, cognitive errors such as bipolar thinking and attention bias have the destructive effect of cultural-social pressure to create more fear of body image intensifies in obese women. That is, although cultural-social pressure can be the trigger for weight loss, if there are cognitive errors, instead of the cultural-social pressure being the trigger, it turns it into obstacles. Therefore, it is possible to develop educational programs for obesity therapists and general health policy makers to increase awareness of cognitive errors in order to promote a correct understanding of body image and cultural -social pressure regarding persuasion to reduce or maintain weight loss.
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Saman Nonahal; shahram mohammadkhani; Jafar Hasani; mehdi akbari
Abstract
Objective: Given cultural differences, therapies that prove effective in one context may not be equally effective in others. Therefore, our study aimed to culturally adapt the acceptance and commitment therapy matrix protocol for health behaviors (eating and exercise) in the Iranian population with obesity. ...
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Objective: Given cultural differences, therapies that prove effective in one context may not be equally effective in others. Therefore, our study aimed to culturally adapt the acceptance and commitment therapy matrix protocol for health behaviors (eating and exercise) in the Iranian population with obesity. Method: The cultural adaptation study was conducted in five stages: Protocol Translation, Information Gathering, Preliminary Adaptation, Preliminary Test, and Final Adaptation. In stage 2, three professionals specializing in third-wave behavior therapy, one nutritionist, and one bodybuilding coach participated. In stage 4, five individuals with obesity were involved, and, in stage 5, seven professionals in third-wave behavior therapy participated. Data were analyzed quantitatively (mean and content validity index) and qualitatively. Results: A protocol consisting of 12 sessions was developed, assigning two sessions to each of the six steps of the acceptance and commitment therapy matrix. The adapted protocol differed from the original protocol in terms of metaphors, exercises, and materials. We added three metaphors: The Compass, the Noticing Muscle, and the Monsters on the Bus. Additionally, Matrix cards were introduced, including Goals & Directions, The Magic Wand, Who Is Important, Important, Stuff That Shows Up, Behavior, Toward Moves, Toward & Away, Surfing The Waves, Am I Important, Choosing My Life, Psychological Flexibility, Noticing Muscle, Practice, Stuck Loops, Monster Tug-Of-War, Don't Think of It, Don't Feel It, The 2 Rules, Dead Person's Goals, Hooks, Catch & Release, Verbal Aikido, U-Turn, Monsters on the Bus, Two Friends, Texting My Future Self. We also included four worksheets: The Compass, Who or What Is Important, Two Friends, and Texting My Future Self. Excluded items were The Hooky Words Game and Sorting Five-Senses and Inner Experience. The Monster Tug-Of-War metaphor was used instead of the Man in The Hole metaphor; for an experiential exploration of controlling thoughts, the term “pink elephant” was used instead of “purple unicorn;” the new version of the Verbal Aikido Worksheet was used instead of the existing one; and the Two Friend metaphor was replaced with the Mother Cat Exercise. Furthermore, a short video about physical aikido was added, and the perspective-taking dialogue shifted from verbal format to writing format. The content validity index for each session in the adapted protocol, as well as for the entire adapted protocol, was excellent. Conclusion: The study provides valuable insights into the use of the acceptance and commitment therapy matrix in the Iranian population with obesity. It underscores the importance of considering cultural nuances during intervention design.
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sara zarieh; Farah Naderi; Saeid Bakhtiarpoor; parviz askari
Abstract
Objective: The present research was aimed to study the effectiveness of emotion-focused therapy in cognitive emotion regulation and ego strength among cardiovascular patients with obesity.Method: The method was semi-experimental with pretest, posttest and 3-month follow-up with control group design. ...
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Objective: The present research was aimed to study the effectiveness of emotion-focused therapy in cognitive emotion regulation and ego strength among cardiovascular patients with obesity.Method: The method was semi-experimental with pretest, posttest and 3-month follow-up with control group design. The statistical population included all cardiovascular patients with obesity in Tehran who referred to Shariati and Rajaei hospitals in 2019-2020. The sampling method was purposive method. Thirty patients were assigned in two groups randomly (15 patients in each group). The experimental group received emotion-focused intevention in 90-minute weekly sessions for eight weeks. The control group were in waitting list. To gather the data, the cognitive emotion regulation (Garnefsk and Kraaij., 2007) and the psychosocial inventory of ego strengths (Markstrom, et al., 1997) questionairs were implemented. The data were analyzed by SPSS-24 via analysis of variance with repeated measures.Results: Results showed that emotion-focused therapy was effective in increasing positive emotional cognitive regulation (p<0.001) and ego strength (p<0.001). The effectiveness of this treatment in negative emotional cognitive regulation was not significant (p>0.05). The interactive effect of time group for the components of hope (P = 0.170, h2 = 0.018), desire (h2=0.182, P = 0.012), goal (h2 = 0.207, P = 0.005), competence (h2=0.141, P=0.042), loyalty h2=0.296, P = 0.001, F = 6.95), love (h2=0.317, P=0.001), care (h2=0.274, P=0.001) and wisdom (h2=0.190, P=0.011) are significant. The results of the Ben Feroni test comparing the effect of time showed that the difference in the average scores of the eight components of my strength in the pre-test-post-test and pre-test-follow-up stages is statistically significant, but the difference in the average scores in the post-test-follow-up stages is not significant.Conclusion: According to the findings, it could be said that emotion-focused therapy was a reliable and a stable method in order to improving the psychological conditions of cardiovascular patients, especially ego strength and positive emotional cognitive regulation. In explaining the effectiveness of emotion-oriented therapy in increasing the strength of cardiovascular patients with obesity, it can be said that emotion-oriented therapy is by processing emotional experiences to cardiovascular patients in regulating their emotional functions and in this way achieve more consistent emotional responses that increase resilience and strength. Achieving adaptive emotional responses by modulating emotional responses and coping with disempowering maladaptive emotions increases my resilience in these individuals.
shahnaz nouhi; masood janbozorgi; mojgan agah haris; Avisa Najimi
Abstract
Objective: In creating weight problems in children and adults, individual differences in several dimensions of eating and eating style have been indicated. In this study, standardization, validity and reliability of the children's eating behavior questionnaire were examined. Method: This questionnaire ...
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Objective: In creating weight problems in children and adults, individual differences in several dimensions of eating and eating style have been indicated. In this study, standardization, validity and reliability of the children's eating behavior questionnaire were examined. Method: This questionnaire consists of 35 questions that include eight factors affecting eating behavior (food enjoyment, food responsiveness, food sensitivity, relaxation, satiety response, emotional overeating, desire to drink, and less). Measures emotional eating. The subjects were 325 elementary school students who were randomly selected for multi-stage cluster sampling. To investigate the validity of the questionnaire, the exploratory factor analysis method was analyzed by analysis of the main components and Cranbach's alpha method was used to investigate the reliability. Findings: The findings of the factor analysis section showed that by factor analysis, questions and rotation of results are revealed by warimax method of eight components, the number of these components obtained and also the questions that had a high factor load with these components. To a large extent, it is consistent with the findings of the authors of the questionnaire. Conclusion: Due to the strength of the structure and having appropriate psychometric apecifications, the final questionnarie had the capability to be used by researchers.
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Arash Lotfi Kangarshahi; Fateme dehghani Arani; Reza Rostami; Seyede Hale Ashrat Talesh; Maryam Abolhasani
Abstract
Objective: Obesity as a metabolical disorder is the origin of some health problems such as cardiovascular diseases. The purpose of this study was comparing efficacy of cognitive behavioral therapy and mindfulness-based cognitive therapy on activity and weight in obese individuals with cardiovascular ...
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Objective: Obesity as a metabolical disorder is the origin of some health problems such as cardiovascular diseases. The purpose of this study was comparing efficacy of cognitive behavioral therapy and mindfulness-based cognitive therapy on activity and weight in obese individuals with cardiovascular disease. Method: The design of this semi-experimental research was pre/posttest with control group. Statistical population included all obese patients with cardiovascular disease referred to Sina clinic hospital in Tehran. 45 patients were selected by convenience sampling method and then randomly assigned into three groups. First group received CBT, second group received MBCT and third group considered as control group. Baecke habitual physical activity questionnaire and body mass index (BMI) were used as research tools. Mixed analysis of variance method was used for analyzing. .Result: Results indicated the significant effect of within subject factors in BMI and activity in leisure time, but in between subject factors groups has significant difference only in activity in leisure time, so that CBT and MBCT groups got higher scores in this variable. Conclusion: Based on results of this study, it can be said that CBT and MBCT can lead to increase activity in patients with obesity and cardiovascular diseases by changing the life style and cognitions.
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Mohammad Javad Rabbani Parsa; Ali Mashhadi; Imanollah Bigdeli
Volume 7, Issue 26 , September 2018, , Pages 44-61
Abstract
Objective: The aim of this study was to investigate the effectiveness of motivational interviewing in reducing emotional eating and anxiety considering the moderator role of impulsivity in obese people. Method: This is a quasi-experimental study with pretest-posttest and control group. 20 obese patients, ...
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Objective: The aim of this study was to investigate the effectiveness of motivational interviewing in reducing emotional eating and anxiety considering the moderator role of impulsivity in obese people. Method: This is a quasi-experimental study with pretest-posttest and control group. 20 obese patients, who had referred to Jooyandegane Salamat, Dr. Sobhani and Rosha diet therapy clinics at Mashhad, selected voluntarily regarding inclusion criteria. Results: ANCOVA results showed that levels of emotional eating (F(1,15)=5/89, P≤ 0/05) and anxiety (F(1,17)=6/87, P≤0/05) have significantly reduced in examination group. Also, it was found that impulsivity has not a moderator role in the effect of motivational intervention on emotional eating. Conclusion: the Motivational interviewing is an effective method to reduce emotional eating and anxiety in obese people and so is a way to help them control their weight
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Rasool Abedanzadeh; Kobra Javadian; Rezvan Kheirandish; Rouhollah Ranjbar
Volume 7, Issue 26 , September 2018, , Pages 62-74
Abstract
Objective: The motivation for various activities is strongly influenced by individual perceptions of one’s activities toward those activities. The purpose of this study was to investigate the relationship between situational motivation and perceived intensity of exercise in obese women to predict ...
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Objective: The motivation for various activities is strongly influenced by individual perceptions of one’s activities toward those activities. The purpose of this study was to investigate the relationship between situational motivation and perceived intensity of exercise in obese women to predict a change in positive effect from a Pilates exercise session. Methods: In this quasi-experimental study, 17 obese women with a mean weight of 87.4 ± 0.10, age 39.10 ± 10.0, and a body mass index of 35.9 ± 3.5 voluntarily participated. They responded to the positive affective questionnaire and situational motivation scale before the exercise program. Then performed Pilates training and immediately after the training, they again completed the positive affective questionnaire. The perceived was also measured after exercise. Data were analyzed by paired t-test and hierarchical regression. Results: The results showed a significant difference in the level of positive affect after-before exercise (P≤0.05). Predictive regression analysis was a positive effect on the interaction of internal motivation and perceived severity, as well as their interaction with the identified adjustment factor (P≤0.05). Conclusion: The current findings showed that Pilates exercises improve positive effect in obese women, also internal motivation was seen to be a strong predictor. According to the finding, strengthening the internal motivation in obese women is recommended for physical activity and attaining the positive effect of it.
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Ali Pakize; Maryam Behzadfar
Volume 7, Issue 25 , June 2018, , Pages 7-20
Abstract
Objective: The prevalence of obesity in the world is rising. Among the various influential factors, sensitivity to rewards as a psycho-biological personality trait which is rooted in dopamine pathways can be a major contributor to food habits. The aim of this study was to examine the relationship between ...
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Objective: The prevalence of obesity in the world is rising. Among the various influential factors, sensitivity to rewards as a psycho-biological personality trait which is rooted in dopamine pathways can be a major contributor to food habits. The aim of this study was to examine the relationship between sensitivity to reward with overweight and obesity and also the mediating role of emotional eating in their relationship. Method: the research method is descriptive correlation type. The research Statistical Society have consisted of all high schools the city of Rasht. The sample have consisted of 650 students (400 girls and 250 boys) that selected with clustered sampling and were asked to complete sensitivity to reward and emotional eating scales and also used the balance for measurement of weight. To investigate the hypothesis, regression was used. Results: The results showed the relationship between high sensitivity to reward with overweight is significantly positive and emotional eating have a mediating role in their relationship. Also, the relation between low sensitivity to reward with obesity is significantly positive. Conclusion: The results of this research confirmed the role of the brain's reward system in the body weight
Asiyeh Rezaei Niyasr; Hossein Zare; Farzaneh Barjesteh
Volume 6, Issue 22 , September 2017, , Pages 35-50
Abstract
Introduction: Studies have shown that overweight and obesity are associated with poor executive function and cognitive abilities. This can be due to changes in the structure and function of the brain, the aim of the study was to investigate executive functions, particularly inhibition control system ...
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Introduction: Studies have shown that overweight and obesity are associated with poor executive function and cognitive abilities. This can be due to changes in the structure and function of the brain, the aim of the study was to investigate executive functions, particularly inhibition control system and problem - solving in groups of overweight and obese children compared with normal weight children. Method: design study is causal- comparative. 41 primary school students, in 7 to 12 year age, Of the population of primary school of Tehran were selected as samples available in 1395. 21 students with excess weight and 20 students with normal weight were measured in Strop test, the Tower of London tools and BMI. Results: The results of T-test showed significant differences in the ability in inhibitory system function between two groups Conclusion: According to the findings, it seems the obese children and adolescents have poorer inhibition control system than normal weight peers. This deficiency can reduce the other cognitive abilities in long term and have an impact on children's academic and social success.
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Hamid Poursharifi; Touraj Hashemi nosrat abad; Mohammad Ahmadi
Volume 6, Issue 21 , May 2017, , Pages 86-103
Abstract
Introduction: The purpose of the present research was to compare body image problems and Social Physique Anxiety between obese and normal weight adolescents by examining the moderating role of sociocultural influence on weight loss and body change. Method: In this cross-sectional-descriptive study, 70 ...
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Introduction: The purpose of the present research was to compare body image problems and Social Physique Anxiety between obese and normal weight adolescents by examining the moderating role of sociocultural influence on weight loss and body change. Method: In this cross-sectional-descriptive study, 70 obese adolescent girls and 72 adolescent girls with normal weight were selected from among Tabriz City high school students and were matched according to education, gender, and age. Results: The results of two-factor ANOVA showed significant difference between obese adolescents and normal weight adolescents with regard to body image and Social Physique Anxiety. Also the results showed that a high Sociocultural influence on Weight loss and body change have significant role in the rise of the Social Physique Anxiety. However, it did not have any significant moderating role in the social physique anxiety or the body image problems. Conclusion: According to the results obtained, we can conclude that obesity and high sociocultural influence on Weight Loss and body change are important factors in rising body image problems and Social Physique Anxiety. But sociocultural influence does not modify the role of obesity on the increase or decrease of body image problems and social anxiety.
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azra zebardast; mohamad ali besharat; hadi bahrami ahsan
Volume 4, Issue 15 , October 2015, , Pages 49-74
Abstract
Objective: Interpersonal problems and emotional regulation skills in studies as psychological differences of obese and overweight women has been reviewed and approved. The present study compared the efficacy between interpersonal therapy and emotional management of weight loss in obese and overweight ...
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Objective: Interpersonal problems and emotional regulation skills in studies as psychological differences of obese and overweight women has been reviewed and approved. The present study compared the efficacy between interpersonal therapy and emotional management of weight loss in obese and overweight women. Method: The method of this research is semi-experimental. 80 women with a BMI over 24/9 participated in this study. Asked subjects to complete Interpersonal Problems (IPP-127, Horovitz, et al, 1988) and emotional regulation Questioners (ERSQ-27, Berking & znoj, 2008). The two obese and overweight groups were intervened during 6 months with interpersonal relationships and emotional management. At the end of treatment, were investigated weight losses as BMI. Findings: result showed that IPT and ITEC are different on weight loss in obese and overweight women. Obese women with IPT compared obese with ITEC loss weight greater. While weight loss in overweight women with ITEC compared overweight with IPT was not significant. Conclusion: Based in the findings, we conclude that IPT and ITEC are an effective treatment for weight loss in obese and overweight women.
Alireza Aghayousefi; Majid Safarinia; Hamidreza Imanifar
Volume 4, Issue 13 , February 2015, , Pages 89-98
Abstract
Objective: This study examines the predictive power of impulsiveness and obesity on time perception. Method: In this descriptive study, 50 women with normal weight and 50 obese women with accessible method were selected. Research Tools was the Barratt Impulsiveness questionnaire and reproduction method ...
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Objective: This study examines the predictive power of impulsiveness and obesity on time perception. Method: In this descriptive study, 50 women with normal weight and 50 obese women with accessible method were selected. Research Tools was the Barratt Impulsiveness questionnaire and reproduction method to measure time perception time. Result: Motor impulsiveness prospected time perception to be negative. Between obese and normal weight subjects did not show significant differences in impulsiveness and perception of time, but Were dispersed time perception scores in obese patients, results are discussed. Conclusion: Different prior researches results, various methods of measuring impulsivity, the time perception and different classes of obesity, it is suggested, further research in this area should be conducted according to all methods of measurement .
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Volume 2, Issue 7 , November 2013, , Pages 21-31
Abstract
Objective: The aim of this study was to investigating the effectiveness of emotional eating intervention on modifying emotional eating and weight management in obese and overweight women. Method: With convenient sampling method, among female volunteers who were eligible to participate in research regarding ...
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Objective: The aim of this study was to investigating the effectiveness of emotional eating intervention on modifying emotional eating and weight management in obese and overweight women. Method: With convenient sampling method, among female volunteers who were eligible to participate in research regarding to include-exclude criteria, 22 participants were selected and assigned randomly in to two groups (experimental and control groups). Prior to and after conducting the intervention, all participants of two groups filled out the items of emotional eating scale and their anthropometric characteristics were measured, too. Results: data analysis by 16th version of SPSSand applying independent t test revealed that emotional eating intervention could modify emotional eating (anger, anxiety and depression) and weight reduction significantly in experimental group compared with control group (pConclusion: This intervention could reduce the weight and modify emotional eating by regulating emotions, correcting sabotage beliefs about eating and eating and cognitive restructuring, among people with emotional eating.
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Volume 2, Issue 8 , June 2013, , Pages 5-21
Abstract
Objective: Obesity and Overweight is increasing in developing countries. Obesity has undesired consequences especially in children and adolescents. The purpose of this study was to compare attachment rate to parents, and affective control in adolescents (11-18) regarding to body mass index.
Method: ...
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Objective: Obesity and Overweight is increasing in developing countries. Obesity has undesired consequences especially in children and adolescents. The purpose of this study was to compare attachment rate to parents, and affective control in adolescents (11-18) regarding to body mass index.
Method: So, 366 adolescents were selected using multi-step cluster sampling. Participants were overweight (n=145), BMI>25, and normal (n= 211), BMI<25, that completed Inventory of Parent and Peer Attachment-Revised,( IPPA-R), and Affective Control Scale.
Results:One-way analysis of variance and multivariate analysis of variance by using SPSS-16 at p<0/05, indicated that there was a significant difference among attachment rate to mother, and depression control in two groups.
Conclusion: The results of this study suggest that attachment to mother is an important factor that can contribute to the weight gain and obesity.
