Charles Swencionis1,2,3, Lucia Smith-Wexler4, Michelle R Lent5, Christopher Cimino6, C J Segal-Isaacson2, Mindy Ginsberg2, Arlene Caban-Pocai2, Sylvia Wassertheil-Smoller2, John L Theodore7, Judith Wylie-Rosett2,8. 1. Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, New York, USA. 2. Department of Epidemiology/Population Health, Albert Einstein College of Medicine of Yeshiva University, Bronx, New York, New York, USA. 3. Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine of Yeshiva University, Bronx, New York, New York, USA. 4. Rusk Rehabilitation, NYU Langone Health, New York, New York, USA. 5. Department of Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, USA. 6. Department of Neurology, Albert Einstein College of Medicine, Bronx, New York, New York, USA. 7. Department of Psychology, Iona College, New Rochelle, New York, USA. 8. Department of Medicine, Albert Einstein College of Medicine of Yeshiva University, Bronx, New York, New York, USA.
Abstract
OBJECTIVE: This study aimed to (1) develop instruments to evaluate situations that lead to lapse and relapse in diet and exercise and (2) prospectively investigate when and which psychosocial situations predict failure to lose weight in a clinical trial of intentional weight loss. METHODS: Participants were 469 individuals with overweight or obesity participating in a behavioral weight loss program (age: mean = 53.6 years, SD = 11.4; BMI: mean = 35.7 kg/m2 , SD = 6.5). RESULTS: The Cronbach alphas for the Diet Lapse and Relapse Triggers Scale and the Exercise Lapse and Relapse Triggers Scale were 0.93 and 0.91, respectively. Subscale alphas ranged from 0.60 to 0.96. Lapse and relapse were assessed at 3 and 9 months for associations with weight loss at 12 months. At 9 months, diet triggers were negative emotional states (beta = 0.11, P = 0.02) and urges (beta = 0.14, P = 0.01). Predicted social situations showed the opposite (beta = -0.09, P = 0.02). Exercise subscales were all nonsignificant. CONCLUSIONS: Findings suggest the ongoing importance of addressing negative emotional states and the contributing influence of urges. The novel finding that participants whose difficulties arise in social situations may do better over time requires further study.
OBJECTIVE: This study aimed to (1) develop instruments to evaluate situations that lead to lapse and relapse in diet and exercise and (2) prospectively investigate when and which psychosocial situations predict failure to lose weight in a clinical trial of intentional weight loss. METHODS:Participants were 469 individuals with overweight or obesity participating in a behavioral weight loss program (age: mean = 53.6 years, SD = 11.4; BMI: mean = 35.7 kg/m2 , SD = 6.5). RESULTS: The Cronbach alphas for the Diet Lapse and Relapse Triggers Scale and the Exercise Lapse and Relapse Triggers Scale were 0.93 and 0.91, respectively. Subscale alphas ranged from 0.60 to 0.96. Lapse and relapse were assessed at 3 and 9 months for associations with weight loss at 12 months. At 9 months, diet triggers were negative emotional states (beta = 0.11, P = 0.02) and urges (beta = 0.14, P = 0.01). Predicted social situations showed the opposite (beta = -0.09, P = 0.02). Exercise subscales were all nonsignificant. CONCLUSIONS: Findings suggest the ongoing importance of addressing negative emotional states and the contributing influence of urges. The novel finding that participants whose difficulties arise in social situations may do better over time requires further study.
Authors: Evan M Forman; Leah M Schumacher; Ross Crosby; Stephanie M Manasse; Stephanie P Goldstein; Meghan L Butryn; Emily P Wyckoff; J Graham Thomas Journal: Ann Behav Med Date: 2017-10
Authors: J Wylie-Rosett; C Swencionis; M Ginsberg; C Cimino; S Wassertheil-Smoller; A Caban; C J Segal-Isaacson; T Martin; J Lewis Journal: J Am Diet Assoc Date: 2001-10
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