Module 5: Addressing Weight-Loss Dissatisfaction
Satisfaction with the amount of weight lost is one the most important cognitive factors involved in long-term body weight maintenance. Moreover, a decline in weight-loss satisfaction about 4–5 months after the start of the treatment is associated with poor long-term weight-loss outcomes. To address these obstacles to weight maintenance, cognitive behavioural therapy for obesity (CBT-OB) incorporates Module 5, which is designed to help patients who report weight-loss dissatisfaction in the later phase of weight loss to arrive at the start of the weight-maintenance phase satisfied with the weight they have lost. Positively acceptance of the current weight and therefore the right attitude to establishing a long-term weight-maintenance mindset are essential at this stage. Hence, patients who report a decline in weight-loss satisfaction, assessed session by session using the Weight-Loss Obstacles Questionnaire, are helped to identify the reasons behind their weight-loss dissatisfaction. These reasons generally fall into three main, often interrelated, categories, unrealistic weight-loss expectations, dysfunctional primary goals for weight loss and negative body image, and are addressed in this module through a personalised set of specific strategies and procedures.
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