Baum J G, Clark H B, Sandler J
Florida Mental Health Institute, University of South Florida, Tampa 33620.
J Behav Med. 1991 Jun;14(3):287-302. doi: 10.1007/BF00845456.
The present study compared the relative effectiveness of a therapist-supported maintenance condition with a minimal contact maintenance condition in preventing relapse following an obesity treatment program. Thirty-two subjects who completed an initial 12-week cognitive/behavioral plus aerobic exercise treatment program were matched on absolute weight loss and randomly assigned to one of two maintenance conditions. Subjects were assessed at pretreatment, posttreatment, and 3, 6, and 12 months following posttreatment using measures of weight, blood pressure, and depression. Three- and six-month follow-up results indicated that subjects who participated in the therapist-supported maintenance group continued to lose weight and/or maintained therapy-induced weight loss to a greater degree than control subjects. At the 12-month follow-up assessment therapist-supported subjects maintained therapy-induced weight loss better than the control subjects. These findings suggest that maintenance programs which provide continued contact emphasizing relapse prevention training may be an important adjunct in the maintenance of therapy-induced weight loss.
本研究比较了治疗师支持维持治疗条件与最低限度接触维持治疗条件在肥胖治疗项目后预防复发方面的相对有效性。32名完成了初始12周认知/行为加有氧运动治疗项目的受试者，根据绝对体重减轻情况进行匹配，并随机分配到两种维持治疗条件之一。在治疗前、治疗后以及治疗后3个月、6个月和12个月时，使用体重、血压和抑郁测量指标对受试者进行评估。3个月和6个月的随访结果表明，参与治疗师支持维持治疗组的受试者继续减重和/或在更大程度上维持治疗引起的体重减轻，优于对照组受试者。在12个月的随访评估中，治疗师支持组的受试者比对照组受试者更好地维持了治疗引起的体重减轻。这些发现表明，提供持续接触并强调预防复发训练的维持治疗项目可能是维持治疗引起的体重减轻的重要辅助手段。
