Obesity
Conditions
Brief summary
The investigators hypothesized that hypnosis is an alternative technique that could be applied to help patients with obesity to lose weight. The possibility that a self-conditioning technique (self-hypnosis) added to traditional approach (diet, exercise and behavioral recommendations) will be effective in determining weight loss with respect to the traditional approach in subjects with a body mass index (BMI) between 35 and 50 kg/m2 will be studied.
Detailed description
Obesity is a serious health concern. Most lifestyle interventions fail over time; indeed, overeating often involves loss of control and compulsive behaviors. Hypnosis could increase the ability to control emotional impulses. Self-conditioning techniques borrowed from hypnosis (self-hypnosis) increase self-control and self-management of emotions. Recent hypnosis techniques with a rapid-induction phase allow the trained patients to go into self-hypnosis in a few minutes and to repeat the experience in complete autonomy, employing a short time of the day only.
Interventions
Self-hypnosis to increase self-control before meals and every food compulsion episode
dietary recommendations, exercise recommendations, and behavioral recommendations
Sponsors
Study design
Eligibility
Inclusion criteria
* Able to give written informed consent * BMI between 35 and 50 kg/m2 * Age 20-70 years
Exclusion criteria
* Current or previous mental disorders and/or on any psychotropic drug * Insulin treatment * Candidates for bariatric surgery * Current (or discontinued for less than 6 months) treatment with anti-obesity drugs * Patients at risk of heart failure, edema, ascites (heart diseases, chronic liver diseases, nephrotic syndrome, renal failure) * Patients with untreated or uncompensated thyroid diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| weight loss | 12 months after randomization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in body fat percentage | 12 months after randomization | Dual Energy X-Ray Absorptiometry (DEXA) |
| Change in fasting glucose | 12 months after randomization | — |
| Change in insulin circulating values | 12 months after randomization | — |
| Change in quality of life | 12 months after randomization | EuroQol (EQ)-5D \[Index and Visual Analog Scale (VAS) |
Countries
Italy