F50.9 E65-E68
Conditions
Interventions
Group 1: Group psychotherapy to improve self-regulation I (control group)
- 10 sessions à 100 minutes (Duration: 10 weeks)
- State-of-the-art treatment, which is based on already evaluated standardi
Hilbert & Tuschen-Caffier, 2010
Munsch, Biedert, & Schlup, 2011) and goes in accordance with the interdisciplinary guideline of quality S3 about “prevention and therapy of obesity” of the Deutsche Adipositas-Gesellschaft (2013)
Grou
Sponsors
Klinik für Kinder- und Jugendpsychiatrie der LWL-Universitätsklinik der Ruhr-Universität Bochum, Abt. Forschung
Eligibility
Sex/Gender
All
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: Included are people with overweight (BMI 25 - 29.9 kg/m2) or obesity (BMI 30 - 39.9 kg/m2) grade I and II (278.00, E66.9) with pathological eating habits and/or people with Binge-Eating disorder (BED. 307.51, F50.8) by DSM-5 (APA, 2013), who want to reduce or stabilize their weight long-term. Uncontrolled overeating, grazing (atypical eating attacks), sweet eating, emotion-induced eating and/or at times strongly restricted eating behaviour within the meaning of rigide cognitive control are defined as pathological eating habits of overweight or obese people. Besides the subjects have made use of interventions of weight reduction, like autonomous dietary restraint and/or increase of physical activity, participation in conservative treatments for overweight or obesity and/or bariatric interventions as well as psychotherapeutic individual or group therapy. Thereby they failed long-term in stabilize their initial “successful” weight reduction of at least 5-10% of their beginning weight. The age is limited to 18 to 45 years, to get an almost homogeneous group concerning the training of cognitive functions. The subjects should possess adequate knowledge of German and access to the Internet.
Exclusion criteria
Exclusion criteria: The subjects aren’t participating currently in other psychotherapeutic individual or group therapies. Furthermore exclusion criteria are Bulimia nervosa, Schizophrenia spectrum and other psychotic disorders, Substance-related and addictive disorders not in early or sustained remission, Neurocognitive disorders, Intellectual disabilities and severe untreated Borderline personality disorder by DSM-5 (APA, 2013) as well as acute suicidality. In case of severe physical diseases which could influence strongly the eating behavior (amongst others liver disease, diabetes mellitus, thyroid dysfunction), subjects were excluded on a case-by-case basis. Besides pregnant women can’t participate because of hormonal and physical changes and their potential influences on the measurements. Medication-induced weight gain, e.g. due to regular intake of weight loss drugs, lithium, weight-influenced antidepressants, lithium, methylphenidate, zyprexa, valproic acid, cortisone as well as sedatives, will carefully be considered in each individual case, depending on the effect size there can be an exclusion of subjects.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Self-regulation. Door Opening Task (DOT. Matthys, van Goozen, de Vries, Cohen-Kettenis, & van Engeland, 1998); Stop Signal Task (SST. Logan, Schachar, & Tannock, 1997); Stroop Task (Stroop, 1935; Bäumler, 1985); Behavioral Inhibition System/Behavioral Activation System Scales (BIS/BAS-Fragebogen. Carver & White, 1994; German version of Strobel et al., 2001): 24 items, BIS-/BAS-scales and three BAS-subscales “drive“, “fun seeking“ und “reward responsiveness“; UPPS Impulsive Behavior Scale (Whiteside & Lynam, 2001): 45 items, four subscales “urgency”, “lack of premediation”, “lack of perseverance”, “sensation seeking”. 2) Eating disorder pathology. Eating Disorder Examination-Questionnaire (EDE-Q. Fairburn & Beglin, 1994; German version of Hilbert & Tuschen-Caffier, 2006): 22 items, four subscales “restraint eating“, “eating concerns”, “weight concerns“ and “shape concerns” and a total score. Six more items were used to investigate the most important diagnostic behavourial patterns. Food Craving Questionnaire-Trait (FCQ-T. Cepeda-Benito, Gleaves, Williams, & Erath, 2000; German version of Meule, Lutz, Vögele, & Kübler, 2012): 39 items, five subscales “intentions/lack of control“, “reinforcement“, “thoughts/guilt“, “emotions”, “cues” and “hunger”. 3) Disinhibition and cognitive control of eating behaviour. Fragebogen zum Essverhalten (FEV. Pudel & Westenhöfer, 1989), Weitere Fragen zum Essverhalten (WFEV. Westenhöfer, Stunkard, & Pudel, 1999): Subscales “Störbarkeit des Essverhaltens“, 16 items; “Rigide Kontrolle des Essverhaltens (gezügeltes Essverhalten)“, 16 items and “Flexible Kontrolle“, 12 items. 4) Self-determination. Treatment Self-Regulation Questionnaire Healthy Diet & Exercise (TSRQ. Ryan & Connell, 1989): 30 items, three subscales “autonomous responses“, “controlled responses“, “amotivational responses“ and a “relative autonomy index”. 5) Anthropometry. Body mass index (BMI in kg/m2); Waist-to-hip ratio. Door Opening Task, Stop Signal Task and Str | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Weight-related quality of life. Impact of Weight on Quality of Life-Lite (IWQOL-Lite. Kolotkin, Crosby, Kosloski, & Williams, 2001; German version of Müller et al., 2011): 31 items, five subscales “physical function“, “self-esteem“, “sexual life“, “public distress“ and “work“ and a total score. 2) Comorbid psychopathology. Beck Depression Inventory-II (BDI-II. Beck, Steer & Brown, 1996; German version of Hautzinger, Keller, & Kühner, 2006): 21 items, a total score. Skala zur Erfassung der Impulsivität und emotionalen Dysregulation der Borderline-Persönlichkeitsstörung (IES-27. Kröger & Kosfelder, 2011): 27 items, a total score. 3) Self-esteem. Rosenberg Self-Esteem Scale (RSES. Rosenberg, 1965; German version of Ferring & Filipp; 1996): 10 items, a total score. All secondary outcomes are measuered in T0 (one week before therapy starts), T1 (after the fifth therapy session), T2 (after the last therapy session), T3 (four weeks after therapy ends), T4 (three months after therapy ends) and T5 (six months after therapy ends). | — |
Countries
Germany
Contacts
Public ContactHanna Maren Preuss
Poliklinische Institutsambulanz für Psychotherapie der Johannes Gutenberg-Universität Mainz, Abt. Forschung und Lehre
Outcome results
None listed