Efficacy of Dialectical Behavior Therapy in Reduction of Negative Emotions in Obese Women

Homayounpour, Parisa; Seirafi, Mohammadreza; Ghareh, Sahar

doi:10.30473/ijohp.2022.56694.1155

Document Type : research

Authors

¹ Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran

² Assistant Professor ,Department of Psychology, Karaj branch, Islamic Azad University, Karaj.Iran

³ Assistant professor, Department of internal medicine, Tehran branch, Islamic Azad University, Tehran, Iran

https://doi.org/10.30473/ijohp.2022.56694.1155

Abstract

Objective: Dialectical Behavior Therapy (DBT) was originally developed to treat individuals with pervasive emotion dysregulation. Then it developed its approach in other disorders such as obesity. This research aims to found out the efficacy of DBT in the reduction of negative emotions (anxiety, depression, and anger) with weight loss in obese women with different reasons for obesity.Methods: The population of this quasi-experimental study consisted of 56 obese women with a body mass index more than 29.9 kg/m2. Descriptive statistics were computed for demographic information and self-report questionnaire. Anger, anxiety, and depression are three subscales of feelings that were tested by the 25 items of Emotional Eating Scale that was developed by Arnow, Kenardy and Agras in 1994.
Results: The results demonstrated that negative emotions such as anger, anxiety, and depression, significantly (ρ-value<0.001) decrease in obese women by weight loss during the time. Mixed-effect modeling ANOVA repeated measurements were performed to study changes in variables over time.
Conclusions: The results of the present study show that DBT-skills can be effective in decreasing emotion dysregulations and Body Mass Index (BMI).

Keywords

Article Title [Persian]

اثربخشی رفتاردرمانی دیالکتیک در کاهش هیجانات منفی و کاهش وزن در زنان چاق

Authors [Persian]

پریسا همایون پور ¹
محمدرضا صیرفی ²
سحر قره ³

¹ گروه روانشناسی سلامت ، واحد بین المللی کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران

² استادیارگروه روانشناسی، واحدکرج، دانشگاه آزاد اسلامی، کرج، ایران

³ استادیار، واحد علوم پزشکی دانشگاه آزاد اسلامی تهران

Abstract [Persian]

هدف: رفتاردرمانی‌دیالکتیک که در اصل برای بیماران با خلق و خوی به شدت هیجانی مانند بیماران دوقطبی و اختلال شخصیت مرزی طراحی شده بود، بعدها کاربرد آن در سایر اختلالات مانند چاقی نیز دیده شد. این پژوهش با هدف پیدا کردن اثربخشی رفتاردرمانی‌دیالکتیک بر کاهش هیجانات منفی (مانند اضطراب، خشم و افسردگی) با کاهش وزن زنان چاق به دلایل متفاوت چاقی می‌پردازد.
روش: این پژوهش از نوع نیمه آزمایشی و به طرح پیش‌آزمون، پس‌آزمون و پیگیری با گروه کنترل اجرا شد. جامعه آماری این پژوهش شامل خانم‌های چاق با نمایه توده بدنی بیشتر از 9/29 (کیلوگرم/متر مربع) بودند که به بیمارستان امیرالمومنین شهر تهران و یک کلینیک خصوصی مراجعه و تحت 13 جلسه گروه درمانی قرار گرفتند. داده‌ها با استفاده از پرسش‌نامه مقیاس پرخوری هیجانی به صورت خودگزارشی توسط بیماران و اندازه‌گیری وزن و قد برای نمایه توده بدنی توسط پرسنل دوره‌دیده گردآوری شد.
یافته ها: نتایج تجزیه و تحلیل داده‌ها با آزمون تحلیل کوواریانس آمیخته با اندازه‌گیری مکرر نشان داد آموزش مهارت‌های رفتاردرمانی‌دیالکتیک منجر به کاهش وزن و همچنین کاهش هیجانات منفی در مقایسه با گروه کنترل می‌شود. (001/0>ρ)
نتیجه گیری: رفتاردرمانی‌ دیالکتیک بر کاهش هیجانات منفی مانند اضطراب، خشم و افسردگی با کاهش وزن زنان چاق اثربخش است.

Keywords [Persian]

نمایه توده بدنی
رفتاردرمانی‌دیالکتیک
چاقی
کاهش وزن
هیجان

References

Arnow, B., Kenardy, J., & Agras, W. S. (1995). The Emotional Eating Scale: The development of a measure to assess coping with negative affect by eating. International Journal of Eating Disorders, 18(1), 79-90.

Bodell LP, Pearson CM, Smith KE, Cao L, Crosby RD, Peterson CB, Crow SJ, Berg KC. (2019). Longitudinal associations between emotion regulation skills, negative affect, and eating disorder symptoms in a clinical sample of individuals with binge eating. Eating behaviors. 32:69-73.

Bouchard C, Tchernof A & Tremblay A. (2014). Predictors of body composition and body energy changes in response to chronic overfeeding. International journal of obesity. 38(2):236-42.

Braden A, Musher-Eizenman D, Watford T, Emley E. (2018). Eating when depressed, anxious, bored, or happy: Are emotional eating types associated with unique psychological and physical health correlates?. Appetite. 125:410-7.

Bray GA, Barry WS, Mothon S. (1970). Lipogenesis in adipose tissue from genetically obese rats. Metabolism. 19(10):839-48.

Chen EY, Matthews L, Allen C, Kuo JR, Linehan MM. (2008 ) Dialectical behavior therapy for clients with binge-eating disorder or bulimia nervosa and borderline personality disorder. International Journal of Eating Disorders. 41(6):505-12.

Cornes BK, Zhu G, Martin NG. (2007). Sex differences in genetic variation in weight: a longitudinal study of body mass index in adolescent twins. Behavior Genetics. 37(5):648-60.

Delparte, C. A., Power, H. A., Gelinas, B. L., Oliver, A. M., Hart, R. D., & Wright, K. D. (2019). Examination of the effectiveness of a brief, adapted dialectical behavior therapy-skills training group for bariatric surgical candidates. Obesity Surgery, 29(1), 252-261.

de Souza LA, Cancian AC, de Castro TG, da Silva Oliveira M. (2019). Problematic and adaptive eating in people with obesity after a DBT-based skills training intervention: 3-and 8-month follow-up and mediation analysis. Psicologia: Reflexão e Crítica. 32(1):1.

Dube, L, Menon K. (2000). Multiple roles of consumption emotions in post-purchase satisfaction with extended service transactions. International Journal of Service Industry Management. 11(3):287-304.

Geiker NR, Astrup A, Hjorth MF, Sjödin A, Pijls L, Markus CR. (2018). Does stress influence sleep patterns, food intake, weight gain, abdominal obesity and weight loss interventions and vice versa?. Obesity Reviews. 19(1):81-97.

Gratz KL, Tull MT. (2010) Emotion regulation as a mechanism of change in acceptance-and mindfulness-based treatments. Assessing mindfulness and acceptance processes in clients: Illuminating the theory and practice of change. 107-33.

Gross JJ. (1998). The emerging field of emotion regulation: An integrative review. Review of general psychology. 2(3):271-99.

Kamody RC, Thurston IB, Burton ET. (2020 ). Acceptance-based skill acquisition and cognitive reappraisal in a culturally responsive treatment for binge eating in adolescence. Eating Disorders. 28(2):184-201.

Kenny TE, Carter JC, Safer DL. (2020) Dialectical behavior therapy guided self-help for binge-eating disorder. Eating Disorders. 28(2):202-11.

Kim Y, Kim H, Hong YC. (2016). Transmission of energy-saving efficiency from obese parents to their offspring: the Korean National Health and Nutrition Examination Survey 2007–2011. European Journal of Clinical Nutrition. 70(4):511-6.

Lasserre AM, Glaus J, Vandeleur CL, Marques-Vidal P, Vaucher J, Bastardot F, Waeber G, Vollenweider P, Preisig M. (2014). Depression with atypical features and increase in obesity, body mass index, waist circumference, and fat mass: a prospective, population-based study. JAMA psychiatry. 71(8):880-8.

Levitan RD, Davis C, Kaplan AS, Arenovich T, Phillips DI, Ravindran AV. (2012). Obesity comorbidity in unipolar major depressive disorder: refining the core phenotype. The Journal of clinical psychiatry. 73(8):1119-24.

Lothes JE, Mochrie KD, St John J. (2014) The effects of a DBT informed partial hospital program on: Depression, anxiety, hopelessness, and degree of suffering. Journal of Psychology & Psychotherapy. 4(3):1.

Michels N, Sioen I, Ruige J, De Henauw S. (2017). Children's psychosocial stress and emotional eating: A role for leptin?. International Journal of Eating Disorders. 50(5):471-80.

Neacsiu AD, Eberle JW, Kramer R, Wiesmann T, Linehan MM. (2014). Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial. Behaviour research and therapy. 59:40-51.

Nemati, S. M., Narimani, M., Ghannadiasl, F., & Sadeghi-Hashjin, G. (2021). Comparison of Training Package (SMN) and Low-Calorie Diet on Psychological Distress and Weight in Overweight People. Iranian Journal of Health Psychology; Vol, 3(2).

Ouwens MA, Van Strien T, Van Leeuwe JF, Van der Staak CP. (2009). The dual pathway model of overeating. Replication and extension with actual food consumption. Appetite. 52(1):234-7.

Quoidbach J, Mikolajczak M, Gross JJ. (2015). Positive interventions: An emotion regulation perspective. Psychological bulletin. 141(3):655.

Repetti RL, Taylor SE, Seeman TE. (2002). Risky families: family social environments and the mental and physical health of offspring. Psychological bulletin. 128(2):330.

Rommel D, Nandrino JL, Ducro C, Andrieux S, Delecourt F, Antoine P. (2012). Impact of emotional awareness and parental bonding on emotional eating in obese women. Appetite. 59(1):21-6.

Roosen MA, Safer D, Adler S, Cebolla A, Van Strien T. (2012). Group dialectical behavior therapy adapted for obese emotional eaters; a pilot study. Nutricion hospitalaria. 27(4):1141-7.

Safer DL, Jo B. (2010) Outcome from a randomized controlled trial of group therapy for binge eating disorder: Comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapy. Behavior therapy. 41(1):106-20.

Schneider KL, Appelhans BM, Whited MC, Oleski J, Pagoto SL. (2010). Trait anxiety, but not trait anger, predisposes obese individuals to emotional eating. Appetite. 55(3):701-6.

Song Y, Lindquist R. (2015) Effects of mindfulness-based stress reduction on depression, anxiety, stress and mindfulness in Korean nursing students. Nurse education today. 35(1):86-90.

Svaldi J, Werle D, Naumann E, Eichler E, Berking M. (2019). Prospective associations of negative mood and emotion regulation in the occurrence of binge eating in binge eating disorder. Journal of psychiatric research. 115:61-8.

Van Strien T, Engels RC, Van Leeuwe J, Snoek HM. (2005). The Stice model of overeating: tests in clinical and non-clinical samples. Appetite. 45(3):205-13.

Van Strien T. (2018). Causes of emotional eating and matched treatment of obesity. Current diabetes reports. 18(6):35.

Van Strien T, Roelofs K, de Weerth C. (2013). Cortisol reactivity and distress-induced emotional eating. Psychoneuroendocrinology. 38(5):677-84.

Wong L, Stammers L, Churilov L, Price S, Ekinci E, Sumithran P. (2020). Emotional eating in patients attending a specialist obesity treatment service. Appetite. 10:104708.

Yahia N, Brown C, Potter S, Szymanski H, Smith K, Pringle L, Herman C, Uribe M, Fu Z, Chung M, Geliebter A. (2017). Night eating syndrome and its association with weight status, physical activity, eating habits, smoking status, and sleep patterns among college students. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 22(3):421-33.

Efficacy of Dialectical Behavior Therapy in Reduction of Negative Emotions in Obese Women

References

References

Volume 5, Issue 1 - Serial Number 11March 2022Pages 57-64

Volume 5, Issue 1 - Serial Number 11
March 2022
Pages 57-64