Stalonas P M, Perri M G, Kerzner A B
Addict Behav. 1984;9(2):175-83. doi: 10.1016/0306-4603(84)90054-6.
Although the long-term maintenance of therapy induced behavior changes and the resulting weight loss represent critical issues in the treatment of obesity, there is a paucity of available data. The present study assessed the durability of treatment induced weight losses 5 years after treatment and the long-term adherence to treatment strategies. Thirty-six of the original 44 subjects who participated in a 10-week behavioral weight control program were interviewed in person (28), by mail (5) or reported their weights by phone (3). Results indicated that most subjects gained back a major portion of the weight they lost during treatment. The average subject had gained 11.94 lb. since treatment termination and was now 1.49 lb. heavier than when he/she entered treatment. Despite the fact that program adherence following the termination of treatment was typically low, both the number of program techniques conscientiously used and the months of conscientious technique use showed significant negative correlations with posttreatment weight gains. Subjects reported that numerous situational, social and emotional factors impacted upon their weight control efforts.
尽管治疗引起的行为改变的长期维持以及由此导致的体重减轻是肥胖治疗中的关键问题，但可用数据匮乏。本研究评估了治疗5年后治疗引起的体重减轻的持续性以及对治疗策略的长期依从性。参与为期10周行为体重控制计划的44名受试者中的36名接受了面对面访谈（28名）、邮寄访谈（5名）或通过电话报告了他们的体重（3名）。结果表明，大多数受试者重新获得了他们在治疗期间减掉的大部分体重。自治疗结束以来，受试者平均体重增加了11.94磅。现在比开始治疗时重1.49磅。尽管治疗结束后对计划的依从性通常较低，但认真使用的计划技术数量和认真使用技术的月数均与治疗后体重增加呈显著负相关。受试者报告说，许多情境、社会和情感因素影响了他们的体重控制努力。
