Skip to main content
SpringerLink
Log in

Alliance thérapeutique et abandon des traitements de l’obésité

Therapeutic alliance and drop out in obesity treatment

  • Article / Article
  • Published:
Obésité

Résumé

Perdre du poids est un processus complexe dont l’une des principales difficultés consiste à prévenir l’abandon du traitement. En psychothérapie, plusieurs métaanalyses ont démontré l’influence de l’alliance thérapeutique sur l’abandon des traitements, quels qu’ils soient. Or, dans le traitement de l’obésité, peu d’études se sont intéressées à cette variable. En s’appuyant sur des études empiriques, cet article vise à décrire et à analyser des facteurs personnels et interpersonnels qui complexifient l’établissement et le maintien, dans le traitement de l’obésité, d’une alliance thérapeutique optimale.

Abstract

Dropout rate from obesity treatment is highly problematic. In psychotherapy, a number of Meta analyses have demonstrated a significant relationship between treatment drop out and therapeutic alliance. Very few studies, however, have paid attention to this relationship in obesity treatment. This review aims to investigate how personal and interpersonal variables impact alliance and drop out.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Jacobi D, Buzelé R, Couet C (2010) Peut-on parler de pandémie d’obésité? Presse Med 39: 902–906

    Article  PubMed  Google Scholar 

  2. Organisation Mondiale de la Santé (OMS) (2008) Obésité et surpoids. http://www.who.int/mediacentre/factsheets/fs311/fr/

  3. Organisation Mondiale de la santé (OMS) (2010) Principaux faits et chiffres sur l’obésité. http://www.who.int/features/factfiles/obesity/fr/

  4. Olds T, Maher C, Zumin S (2011) Evidence that the prevalence of childhood overweight is plateauing: Data from nine countries. Int J Ped Obes 6:342–360

    Article  Google Scholar 

  5. Grave RD, Calugi S, Molinari E, et al (2005) Weight loss expectations in obese patients and treatment attrition: An observational multicenter Study. Obes Res 13:1961–1969

    Article  Google Scholar 

  6. Grossi E, Grave DR, Mannucci E, et al (2006) Complexity of attrition in the treatment of obesity: Clues from a structured telephone interview. Int J Obes 30:1132–1137

    Article  CAS  Google Scholar 

  7. Inelmen EM, Toffanello ED, Enzi G, et al (2005) Predictors of drop-out in overweight and obese outpatients. Int J Obes Relat Metab Disord 29:122–128

    Article  CAS  Google Scholar 

  8. Wierzbicki M, Pekarik G (1993) A meta-analysis of psychotherapy dropout. Professional Psychol: Res Practice 24:190–195

    Article  Google Scholar 

  9. Sharf J, Primavera LH (2010) Dropout and therapeutic alliance a meta-analysis of adult individual psychotherapy. Psychother: Theory, Res, Practice, Training 47:637–645

    Article  Google Scholar 

  10. McMurran M, Huband N, Overton E (2010) Non-completion of personality Disorder treatments: A systematic review of correlates, consequences, and interventions. Clin Psycho Rev 30:277–287

    Article  Google Scholar 

  11. Honas JJ, Early JL, Frederickson DD, O’Brien MS (2003) Predictors of attrition in a large clinic-based weight-loss program. Obes Res 11:888–894

    Article  PubMed  Google Scholar 

  12. Teixeira PJ, Going SB, Houtkooper LB, et al (2004) Pretreatment predictors of attrition and successful weight management in women. Int J Obes 28:1124–1133

    Article  CAS  Google Scholar 

  13. Fabricatore AN, Wadden TA, Rohay JM, et al (2008) Weight loss expectations and goals in a population sample of overweight and obese US adults. Obes 16:2445–2450

    Article  Google Scholar 

  14. De Panfilis C, Torre M, Cero S, et al (2008) Personality and attrition from behavioural weight-loss treatment for obesity. Gen Hosp Psychiatry 30:515–520

    Article  PubMed  Google Scholar 

  15. Fabricatore AN, Wadden TA, Moore RH, et al (2009) Predictors of attrition and weight loss success: Results from a randomized controlled trial. Behav Res Ther 47: 685–691

    Article  PubMed  Google Scholar 

  16. Horvath AO, Del Re AC, Flückiger C, Symonds D (2011) Alliance in individual psychotherapy. Psychother 48:9–16

    Article  Google Scholar 

  17. Bordin ES (1979) The generalizability of the psychoanalytic concept of the working alliance. Psychother: Theory Research Practice 16:252–260

    Article  Google Scholar 

  18. Obegi JH (2008) The development of the client-therapist bond through the lens of attachment theory. Psychother Theory, Research, Practice, Training 45:431–446

    Article  Google Scholar 

  19. Steiger H, Gauvin L, Jabalpurwala S, et al (1999) Hypersensitivity to social interactions in bulimic syndromes: Relationship to binge eating. J Consult Clin Psychol 67:765–775

    Article  PubMed  CAS  Google Scholar 

  20. Tasca G A, Ritchie K, Balfour L (2011) Implications of attachment theory and research for the assessment and treatment of eating disorders. Psychother 48:249–259

    Article  Google Scholar 

  21. Satir DA, Goodman DM, Shingleton, et al (2011) Alliance-Focused Therapy for anorexia nervosa: Integrative relational and behavioral change treatments in a single-case experimental design. Psychother 48:401–420

    Article  Google Scholar 

  22. Zachrisson HD, Vedul-Kjelsas E, Götestan KG, Mykletun A (2008) Time trends in obesity and eating disorders. Int J Eat Disord 41:673–680

    Article  PubMed  Google Scholar 

  23. Puhl RM, Brownell KD (2001) Bias, discrimination, and obesity. Obes Res 9:788–905

    Article  PubMed  CAS  Google Scholar 

  24. Puhl RM, Heuer CA (2009) The stigma of obesity: A review and update. Obes 17:941–964

    Article  Google Scholar 

  25. Puhl RM, Latner JD (2007) Stigma, obesity, and the health of the Nation’s children. Psychol Bull 133: 557–580

    Article  PubMed  Google Scholar 

  26. Cramer P, Steinwert T (1998) Thin is good, fat is bad: How early does it begin? J Appl Devl Psychol 19: 429–451

    Article  Google Scholar 

  27. Askevis-Leherpeux F, Schiaratura LT (2009) Dès 5 ans, les filles rejettent l’obésité. Enfance 61:241–256

    Article  Google Scholar 

  28. Richardson LP, Goodman N, Hastorf AH, Dornbusch SM (1961) Cultural uniformity in reaction to physical disabilities. Am Sociological Rev 26:241–247

    Article  Google Scholar 

  29. Latner JD, Stunkard AJ (2003) Getting worse: The stigmatisation of obese children. Obes Res 11:452–456

    Article  PubMed  Google Scholar 

  30. Sobal J (2005) Social consequences of weight bias by partners, friends and strangers. In: Brownell KD, et al (eds), Weight Bias: Nature, consequences, and Remedies. The Guilford Press, New York, London, 150–164

    Google Scholar 

  31. Bocquier A, Verger P, Basdevant A, et al (2005) Overweight and obesity: Knowledge, attitudes, and practices of general practitioners in France. Obes Res 13:787–795

    Article  PubMed  Google Scholar 

  32. Hebl MR, Xu J (2001) Weighing the care: Physicians’ reactions to the size of a patient. Int J Obes 25:1246–1252

    Article  CAS  Google Scholar 

  33. Amy NK, Aalborg A, Lyons P, Keranen L (2006) Barriers to routine gynecological cancer screening for White and African obese women. Int J Obes 30:147–155

    Article  CAS  Google Scholar 

  34. Mitchell RS, Padwal RS, Chuck AW, Klarenbach SW (2008) Cancer screening among the overweight and obese in Canada. Am J Prev Med 35:127–132

    Article  PubMed  Google Scholar 

  35. Dunkle JH, Friedlander ML (1996) Contribution of therapist experience and personal characteristics to the working alliance. J Counsel Psychol 43:456–460

    Article  Google Scholar 

  36. Van Walsun KL, Lawson DM, Bramson R (2004) Physicians’ intergenerational family relationships and patients’ perceptions of working alliance. Families, Systems, and Health 22:457–473

    Article  Google Scholar 

  37. Lutz W, Leon SC, Martinovich Z, et al (2007) Therapist effects in outpatient psychotherapy: A three-level growth curve approach. J Counseling Psychol 54:32–39

    Article  Google Scholar 

  38. Anderson T, Ogles BM, Patterson CL, et al (2009) Therapist effects: Facilitative interpersonal skills as a predictor of therapist success. J Clin Psychol 65:755–768

    Article  PubMed  Google Scholar 

  39. Wampold BE (2001) The greate psychotherapy debate: Models, methods, and findings. Lawrence Erlbaum Associates Publishers, Mahwah, NJ, US, 263

    Google Scholar 

  40. Kim DM, Wampold BE, Bolt DM (2006) Therapist effects in psychotherapy: A random-effects modeling of the national institute of mental health treatment of depression collaborative research program data. Psychother Res 16:161–172

    Article  Google Scholar 

  41. Diener MJ, Monroe JM (2011) The relationship between adult attachment style and therapeutic alliance in individual psychotherapy: A meta-analytic review. Psychother 48:237–248

    Article  Google Scholar 

  42. Gilchrist DW (1994) The Relationship of attachment style and anxiety to eating disordered behavior. Dissertation presented for the doctor of philosophy degree. University of Memphis.

  43. D’Argenio A, Mazzi C, Pecchioli L, et al (2009) Early trauma and adult obesity: Is psychological dysfunction the mediating mechanism? Physiol Behav 98:543–546

    Article  PubMed  Google Scholar 

  44. Bowlby J (1982) Attachment and loss: Volume 1: Attachment (2nd ed.) Basic Books, New York

    Google Scholar 

  45. Trombini E, Baldaro B, Bertaccini R, et al (2003) Maternal attitudes and attachment styles in mothers of obese children. Percept Mot Skills 97:613–620

    Article  PubMed  Google Scholar 

  46. Valtolina G, Ragazzoni P (1995) Systemic perspective on obesity in childhood: A preliminary study on power interactions between mother and child. Psychol Rep 77:1219–1228

    Article  PubMed  CAS  Google Scholar 

  47. Castonguay LG, Beutler LE (2006) Common and unique principles of therapeutic change: What do we know and what do we need to know? In: Castonguay LG, Beutler LE (eds), Principles of therapeutic change that work. University Press, Oxford 353–369

    Google Scholar 

  48. Lecomte C, Savard R, Drouin MS, Guillon V (2004) Qui sont les psychothérapeutes efficaces? Implications pour la formation en psychologie. Rev québécoise psychol 25:73–102

    Google Scholar 

  49. Norcross JC, Wampold BE (2011) Evidence-based therapy relationships: Research conclusions and clinical practices. Am Psychol Association 48:98–102

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. l’Université de Sherbrooke au Canada, 1318 rue Georges St-Hubert, Sherbrooke, Québec, Canada, J4T 1V4

    C. Larocque

  2. département d’orientation professionnelle, Université de Sherbrooke, Sherbrooke, Canada

    R. Savard

  3. département de psychologie, l’Université de Montréal, Montréal, Canada

    C. Lecomte

  4. l’Université du Québec à Montréal, Montréal, Québec, Canada

    C. Lecomte

  5. l’Université de Paris 8, Paris, France

    C. Lecomte

Authors
  1. C. Larocque
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Savard
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Lecomte
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to C. Larocque, R. Savard or C. Lecomte.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Larocque, C., Savard, R. & Lecomte, C. Alliance thérapeutique et abandon des traitements de l’obésité. Obes 7, 191–198 (2012). https://doi.org/10.1007/s11690-012-0340-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11690-012-0340-y

Mots clés

Keywords

Search

Navigation