Comparison of the Effectiveness of Dialectical Behavior Therapy and Cognitive-Behavioral Therapy on Self-Management in Obese People

Document Type : Research Paper

Authors

1 Ph.D. student of health psychology, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran

2 Assistant Professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

3 Assistant professor, Department of Clinical Psychology, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Iran

4 Assistant professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

Abstract

Obesity is a pervasive problem that can severely impair physical health. The aim of this study was to compare the effectiveness of dialectical behavior therapy and cognitive-behavioral therapy on self-management in obese people. The present study was a quasi-experimental pretest-posttest with follow-up and control group. The statistical population of the study included all patients referred to the counseling and psychological center of the best way in Qazvin in 1398 who were diagnosed with obesity by physicians and nutritionists. Using purposive sampling method, 60 people were selected and randomly assigned to three groups (dialectical behavior therapy and cognitive behavioral therapy and control) (20 people in each group). Cognitive-behavioral therapy and dialectical behavior therapy were performed for 10 sessions for the experimental groups and no treatment was performed for the control group. The bariatric surgery self-management questionnaire was completed by the participants in the pre-test, post-test and six-month follow-up stages. Mixed analysis of variance test was used to analyze the data. Due to the difference between the test stages after performing two interventions of dialectical behavior therapy and cognitive-behavioral therapy, group membership and interaction of stages and groups were significant for self-management (P <0.05). The effectiveness of dialectical behavior therapy was greater than cognitive-behavioral therapy. Based on the results of this study, it seems that dialectical behavior therapy and cognitive behavioral therapy can be effective in increasing self-management in obese people.

Keywords

References

رحمانی، ملیحه و امیدی، عبداله. (1398). اثربخشی رفتاردرمانی دیالکتیکی بر کیفیت زندگی زنان مبتلا به چاقی و اضافه وزن و اختلال پرخوری: یک کارآزمایی بالینی. علوم پزشکی رفسنجان، 18(2)، 146-133
سبحانی، زهرا؛ احدی، حسن؛ خسروی، صدراله؛ پورشریفی، حمید و صیرفی، محمد رضا. (1396). شاخص‌های روان‌سنجی پرسش‌نامه رفتارهای خود - مدیریتی پس از عمل جراحی چاقی . مجله دانشگاه علوم پزشکی اراک، ۲۰ (۱)، 95-84
شریفی، غنچه؛ نظرپور، داود؛ داورنیا، محمد و داورنیا، رضا. (1400). اثربخشی روان درمانی مثبت نگر بر بهزیستی ذهنی زنان چاق مبتلا به دیابت نوع ۲. فصلنامه علمی پژوهشی علوم روانشناختی، ۲۰ (۹۷) :۱۰۲-۸۹
فولادوند، مریم؛ فراهانی، حجت اله؛ باقری، فریبرز و فولادوند، مهسا. (۱۳۹۱). اثربخشی درمان شناختی - رفتاری در درمان دختران مبتلا به چاقی. پژوهش در سلامت روانشناختی، ۶(۲)، ۲۲-۱۰.
لطفی کنگرشاهی، آرش؛ دهقانی آرانی، فاطمه؛ رستمی، رضا؛ اشرف تالش، سیده هاله و ابوالحسنی، مریم. (1398). مقایسه اثربخشی درمان شناختی-رفتاری با درمان شناختی مبتنی بر ذهن آگاهی در افزایش فعالیت و کاهش وزن افراد چاق مبتلا به بیماری گرفتگی عروق کرونر قلبی. روانشناسی سلامت، 8(3)، 78-53.
کوپر، زفرا. (2003). درمان شناختی رفتاری چاقی (راهنمای عملی برای متخصصان بالینی). ترجمه صادقی، خیرالله. (1388). تهران: پایگان.
گل‌کاریان، پریسا؛ شفیع‌آبادی، عبدالله و دلاور، علی. (1397). مقایسۀ اثربخشی درمان شناختی ـ رفتاری و رژیم‌درمانی بر کاهش وزن و ارتقای خودکارآمدی سبک زندگی در افراد مبتلا به چاقی. آموزش بهداشت و ارتقای سلامت، ۶ (۴)، 348-340.
مرتضایی شمیرانی، شهره؛ ثنایی ذاکر، باقر؛ تاجری، بیوک؛ سوداگر، شیدا و مسچی فرحناز. (1399). مقایسه اثربخشی گروه‌درمانی مبتنی بر پذیرش و تعهد و گروه‌درمانی شناختی رفتاری بر عادات زندگی، رفتار خوردن آشفته و سبک زندگی ارتقا‌دهنده سلامت در زنان مبتلا به چاقی. مجله دانشگاه علوم پزشکی اراک، ۲۳ (۶)، ۹۵۷-۹۴۴.
Abedishargh, N., Farani, A. R., Gharraee, B., & Farahani, H. (2021). Effectiveness of Internet-based Cognitive Behavioral Therapy in Weight Loss, Stress, Anxiety, and Depression via Virtual Group Therapy. Iranian Journal of Psychiatry and Behavioral Sciences, 15(3).
Akalestou, E., Miras, A. D., Rutter, G. A., & le Roux, C. W. (2022). Mechanisms of weight loss after obesity surgery. Endocrine Reviews, 43(1), 19-34.
Cancian, A. C. M., de Souza, L. A. S., Liboni, R. P. A., Machado, W. D. L., & Oliveira, M. D. S. (2019). Effects of a dialectical behavior therapy-based skills group intervention for obese individuals: A Brazilian pilot study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 24(6), 1099-1111.
David, D., Cristea, I., & Hofmann, S. G. (2018). Why cognitive behavioral therapy is the current gold standard of psychotherapy. Frontiers in psychiatry, 4.
Delli Bovi, A. P., Manco Cesari, G., Rocco, M. C., Di Michele, L., Rimauro, I., Lugiero, A., ... & Vajro, P. (2021). Healthy lifestyle management of pediatric obesity with a hybrid system of customized mobile technology: The pediafit pilot project. Nutrients, 13(2), 631.
Gulley, L. D., Shomaker, L. B., Kelly, N. R., Chen, K. Y., Olsen, C. H., Tanofsky-Kraff, M., & Yanovski, J. A. (2022). Examining cognitive-behavioral therapy change mechanisms for decreasing depression, weight, and insulin resistance in adolescent girls at risk for type 2 diabetes. Journal of Psychosomatic Research, 157, 110781.
Hu, X., Wang, T., Huang, D., Wang, Y., & Li, Q. (2021). Impact of social class on health: The mediating role of health self-management. PloS one, 16(7), e0254692.
Kazantzis, N., Luong, H. K., Usatoff, A. S., Impala, T., Yew, R. Y., & Hofmann, S. G. (2018). The processes of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 42(4), 349-357.
Lammers, M. W., Vroling, M. S., Crosby, R. D., & van Strien, T. (2020). Dialectical behavior therapy adapted for binge eating compared to cognitive behavior therapy in obese adults with binge eating disorder: a controlled study. Journal of eating disorders, 8(1), 1-11.
Lynch, T. R., Chapman, A. L., Rosenthal, M. Z., Kuo, J. R., & Linehan, M. M. (2006). Mechanisms of change in dialectical behavior therapy: Theoretical and empirical observations. Journal of clinical psychology, 62(4), 459-480.
Ohta, R., Sato, M., Kitayuguchi, J., Maeno, T., & Sano, C. (2021). The association between the self-management of mild symptoms and quality of life of elderly populations in rural communities: a cross-sectional study. International Journal of Environmental Research and Public Health, 18(16), 8857.
Piri, T., & Saeidi, S. (2022). The Effect of Cognitive-behavioral Therapy on Communication Skills and Eating Disorders among Adolescents with Eating Disorders. Journal of Health Sciences & Surveillance System, 10(2), 183-188.
Robins, C. J., & Chapman, A. L. (2004). Dialectical behavior therapy: Current status, recent developments, and future directions. Journal of personality disorders, 18(1), 73-89.
Safer, D. L., Adler, S., & Masson, P. C. (2018). The DBT Solution for Emotional Eating: A Proven Program to Break the Cycle of Bingeing and Out-of-Control Eating. Guilford Publications.
 Seirafi, M., Homayounpor, P., & Ghareh, S. (2022). Efficacy of Dialectical Behavior Therapy in Reduction of Negative Emotions in Obese Women. Iranian Journal of Health Psychology, 5(1).
Simon, G. E., Shortreed, S. M., Rossom, R. C., Beck, A., Clarke, G. N., Whiteside, U., ... & Smith, J. (2022). Effect of offering care management or online dialectical behavior therapy skills training vs usual care on self-harm among adult outpatients with suicidal ideation: a randomized clinical trial. JAMA, 327(7), 630-638.
Sockalingam, S., Leung, S. E., Ma, C., Hawa, R., Wnuk, S., Dash, S., ... & Cassin, S. E. (2022). The Impact of Telephone-Based Cognitive Behavioral Therapy on Mental Health Distress and Disordered Eating Among Bariatric Surgery Patients During COVID-19: Preliminary Results from a Multisite Randomized Controlled Trial. Obesity Surgery, 32(6), 1884-1894.
Sumińska, M., Podgórski, R., Bogusz‐Górna, K., Skowrońska, B., Mazur, A., & Fichna, M. (2022). Historical and cultural aspects of obesity: From a symbol of wealth and prosperity to the epidemic of the 21st century. Obesity Reviews, 13440-48.
Valli, C., Suñol, R., Orrego, C., Niño de Guzmán, E., Strammiello, V., Adrion, N., ... & Alonso‐Coello, P. (2022). The development of a core outcomes set for self‐management interventions for patients living with obesity. Clinical Obesity, 12(1), e12489.
Welch, G., Wesolowski, C., Piepul, B., Kuhn, J., Romanelli, J., & Garb, J. (2008). Physical activity predicts weight loss following gastric bypass surgery: findings from a support group survey. Obesity surgery, 18(5), 517-524.

Files

History

  • Receive Date: 05 December 2022
  • Revise Date: 06 January 2023
  • Accept Date: 15 January 2023

Share

How to cite

Statistics