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Module 5: Addressing Weight-Loss Dissatisfaction

  • Riccardo Dalle Grave
  • Massimiliano Sartirana
  • Marwan El Ghoch
  • Simona Calugi
Chapter

Abstract

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.

References

  1. 1.
    Dalle Grave R, Melchionda N, Calugi S, Centis E, Tufano A, Fatati G, et al. Continuous care in the treatment of obesity: an observational multicentre study. J Intern Med. 2005;258(3):265–73.  https://doi.org/10.1111/j.1365-2796.2005.01524.x.CrossRefPubMedGoogle Scholar
  2. 2.
    Calugi S, Marchesini G, El Ghoch M, Gavasso I, Dalle Grave R. The influence of weight-loss expectations on weight loss and of weight-loss satisfaction on weight maintenance in severe obesity. J Acad Nutr Diet. 2017;117(1):32–8.  https://doi.org/10.1016/j.jand.2016.09.001.CrossRefPubMedGoogle Scholar
  3. 3.
    Calugi S, Marchesini G, El Ghoch M, Gavasso I, Dalle Grave R. The association between weight maintenance and session-by-session diet adherence, weight loss and weight-loss satisfaction. Eat Weight Disord. 2018. https://doi.org/10.1007/s40519-018-0528-8.
  4. 4.
    Dalle Grave R, Calugi S, Compare A, El Ghoch M, Petroni ML, Tomasi F, et al. Weight loss expectations and attrition in treatment-seeking obese women. Obes Facts. 2015;8(5):311–8.  https://doi.org/10.1159/000441366.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Dalle Grave R, Calugi S, Molinari E, Petroni ML, Bondi M, Compare A, et al. Weight loss expectations in obese patients and treatment attrition: an observational multicenter study. Obes Res. 2005;13(11):1961–9.  https://doi.org/10.1038/oby.2005.241.CrossRefPubMedGoogle Scholar
  6. 6.
    Cooper Z, Fairburn CG. A new cognitive behavioural approach to the treatment of obesity. Behav Res Ther. 2001;39(5):499–511.CrossRefPubMedGoogle Scholar
  7. 7.
    Cooper Z, Fairburn CG, Hawker DM. Cognitive-behavioral treatment of obesity: a clinician’s guide. New York: Guilford Press; 2003.Google Scholar
  8. 8.
    Rodin J, Silberstein LR, Striegel-Moore RH. Women and weight: a normative discontent. In: Sonderegger TB, editor. Nebraska symposium on motivation: psychology and gender. Lincoln: University of Nebraska Press; 1984. p. 267–307.Google Scholar
  9. 9.
    Foster GD, Wadden TA, Vogt RA. Body image in obese women before, during, and after weight loss treatment. Health Psychol. 1997;16(3):226–9.CrossRefPubMedGoogle Scholar
  10. 10.
    Adami GF, Meneghelli A, Bressani A, Scopinaro N. Body image in obese patients before and after stable weight reduction following bariatric surgery. J Psychosom Res. 1999;46(3):275–81.CrossRefPubMedGoogle Scholar
  11. 11.
    Cash TF. Body-image attitudes: evaluation, investment, and affect. Percept Mot Skills. 1994;78(3 Pt 2):1168–70.  https://doi.org/10.2466/pms.1994.78.3c.1168.CrossRefPubMedGoogle Scholar
  12. 12.
    Dalle Grave R, Cuzzolaro M, Calugi S, Tomasi F, Temperilli F, Marchesini G, et al. The effect of obesity management on body image in patients seeking treatment at medical centers. Obesity (Silver Spring). 2007;15(9):2320–7.  https://doi.org/10.1038/oby.2007.275.CrossRefGoogle Scholar
  13. 13.
    Fairburn CG. Cognitive behavior therapy and eating disorders. New York: Guilford Press; 2008.Google Scholar
  14. 14.
    Wilson GT. Acceptance and change in the treatment of eating disorders and obesity. Behav Ther. 1996;27:417–39.CrossRefGoogle Scholar
  15. 15.
    Cash TF. What do you see when you look in the mirror? New York: Bantam Books; 1995.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Riccardo Dalle Grave
    • 1
  • Massimiliano Sartirana
    • 1
  • Marwan El Ghoch
    • 1
  • Simona Calugi
    • 1
  1. 1.Department of Eating and Weight DisordersVilla Garda HospitalGardaItaly

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