促进肥胖患者行为改变的心理因素。

Psychological factors that promote behavior modification by obese patients.

机构信息

Center for Studies on Emotions, Stress, and Health, Doshisha University, Karasuma-Higashi Imadegawa, Kamigyo-ku Kyoto-shi, Kyoto 602-8580, Japan.

出版信息

Biopsychosoc Med. 2009 Sep 25;3:9. doi: 10.1186/1751-0759-3-9.

DOI:10.1186/1751-0759-3-9

PMID:19781055

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2759949/

Abstract

BACKGROUND

The weight-loss effect of team medical care in which counseling is provided by clinical psychologists was investigated in an university hospital obesity (OB) clinic. Nutritional and exercise therapy were also studied. In our previous study, we conducted a randomized, controlled trial with obese patients and confirmed that subjects who received counseling lost significantly more weight than those in a non-counseling group. The purpose of this study was to identify the psychological characteristics assessed by ego states that promote behavior modification by obese patients.

METHODS

147 obese patients (116 females, 31 males; mean age: 45.9 +/- 15.4 years) participated in a 6-month weight-loss program in our OB clinic. Their psychosocial characteristics were assessed using the Tokyo University Egogram (TEG) before and after intervention. The Wilcoxon signed rank test was used to compare weight and psychological factors before and after intervention. Multiple regression analysis was used to identify factors affecting weight loss.

RESULTS

Overall, 101 subjects (68.7%) completed the program, and their data was analyzed. The subjects mean weight loss was 6.2 +/- 7.3 kg (Z = 7.72, p < 0.01), and their mean BMI decreased by 2.4 +/- 2.7 kg/m2 (Z = 7.65, p < 0.01). Significant differences were observed for the Adult (A) ego state (0.68 +/- 3.56, Z = 1.95, p < 0.05) and the Free Child (FC) ego state (0.59 +/- 2.74, Z = 2.46, p < 0.01). The pre-FC ego state had a significant effect on weight loss (beta = 0.33, p < 0.01), and a tendency for changes in the A ego state scores to affect weight loss (beta = - 0.20, p = 0.06) was observed.

CONCLUSION

This study of a 6-month weight-loss program that included counseling by clinical psychologists confirmed that the A ego state of obese patients, which is related to their self-monitoring skill, and the FC ego state of them, which is related to their autonomy, were increased. Furthermore, the negative aspects of the FC ego state related to optimistic and instinctive characteristics inhibited the behavior modification, while the A ego state represented objective self-monitoring skills that may have contributed to weight loss.

摘要

背景

在一家大学附属医院的肥胖症（OB）门诊中，研究了团队医疗保健中由临床心理学家提供咨询的减肥效果，并同时研究了营养和运动疗法。在我们之前的研究中，我们对肥胖患者进行了一项随机对照试验，结果证实接受咨询的患者比未接受咨询的患者体重减轻得更多。本研究旨在确定通过肥胖患者的自我状态评估来促进行为改变的心理特征。

方法

147 名肥胖患者（116 名女性，31 名男性；平均年龄：45.9 +/- 15.4 岁）参加了我们 OB 门诊的为期 6 个月的减肥计划。在干预前后，使用东京大学自我状态图（TEG）评估他们的社会心理特征。采用 Wilcoxon 符号秩检验比较干预前后的体重和心理因素。采用多元回归分析确定影响体重减轻的因素。

结果

共有 101 名患者（68.7%）完成了该计划，并对其数据进行了分析。患者的平均体重减轻量为 6.2 +/- 7.3 公斤（Z = 7.72，p < 0.01），平均 BMI 下降 2.4 +/- 2.7 公斤/平方米（Z = 7.65，p < 0.01）。成人（A）自我状态（0.68 +/- 3.56，Z = 1.95，p < 0.05）和自由儿童（FC）自我状态（0.59 +/- 2.74，Z = 2.46，p < 0.01）有显著差异。预 FC 自我状态对体重减轻有显著影响（β = 0.33，p < 0.01），观察到 A 自我状态评分的变化趋势对体重减轻有影响（β = - 0.20，p = 0.06）。