Behavioral and Psychosocial Mediators of the Effects of Increased Self-Regulation on Short- and Long-Term Weight Loss in Women Within Community-Based Obesity Treatments
Bibliographic Data
| ID | 13664603 |
|---|---|
| Authors | James J Annesi (0000-0002-5230-6365, California State University, Monterey Bay, corresponding author), Francine A Stewart (California State University, Monterey Bay) |
| Year | 2024 |
| Volume | 129 |
| Issue | 2 |
| Pages | 1180-1201 |
| Publication date | 2024-05-27 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Psychological Reports (JOURNAL) |
| Journal identifiers | ISSN: 0033-2941 • E-ISSN: 1558-691X |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/00332941241255037 |
| PMID | 38800989 |
| OpenAlex | W4399048243 |
| Language | EN |
| References cited | 56 |
The aim of this study was to evaluate behavioral mediators of relationships between increased self-regulation of eating and weight loss so that findings on psychosocial correlates of treatment-associated weight change could be extended. Participants were women enrolled in 6-month community-based obesity treatments using primarily self-regulatory (SR-treatment, n = 52) or education-focused (Didactic training, n = 54) methods. Changes from baseline in self-regulation of eating, self-efficacy for controlled eating, emotional eating propensity, exercise, and the diet were first calculated. There were significant overall improvements in each psychosocial and behavioral measure, and weight. Except for emotional eating change from baseline-Month 12, improvements were each significantly greater in the SR-treatment group. Mediation of the relationships of change in self-regulation with 6-, 12-, and 24-month weight changes, by changes in self-efficacy and emotional eating, were significant, R 2 s = .19-.26, p s R 2 s = .19-.28, p s < .001, and only changes in exercise over 12 and 24 months were significant mediators. Although group membership did not moderate effects on weight, substitution of sweets for the (composite) diet demonstrated it to be a significant mediator over 6 and 12 months. In women with obesity, self-regulation improvement was associated with short- and longer-term weight loss through changes in emotional eating, exercise, and sweets consumption. Thus, behavioral treatments will benefit from targeting those variables
Developmental psychology · Eating behavior · Emotional eating · Mediation · Obesity · Psychiatry · Psychosocial · Weight change · Weight loss · Behavioral Health and Interventions · Clinical Psychology · Eating Disorders and Behaviors · Internal Medicine · Medicine · Obesity, Physical Activity, Diet · Psychology
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| Highly cited | No |
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