Efficacy of Dialectical Behavior Therapy on Decreasing Weight in Obese Women with Emotional and Behavioral Disorders: A Quasi Experimental Study

Objective: The growing worldwide prevalence of overweight and obesity, despite treatment strategies remain the health problem. Over the past decade, increasing attention has been paid to psychological factors and a potentially comprehensive, multimodal skills-based treatment. The purpose of this study was to evaluate the efficacy of dialectical behavior therapy (DBT) on weight loss in obese women with emotional and behavioral disorders. Materials and Methods: In this quasi-experimental study, statistical population from convenience sampling consisted of ۴۲ obese women with body mass index (BMI) more than ۲۹.۹ kg/m۲ divided in ۳ groups, behavioral, emotional and control. Descriptive and analytic statistics were computed according to demographic information, emotional eating scale and Dutch eating behavior questionnaire. Intervention included ۱۳ sessions of ۱.۵hr group therapy, DBT-skills training from April to September ۲۰۱۹. Mixed-effect modeling ANOVA with repeated measurements was performed by statistical analyses, IBM SPSS version ۲۴ to study changes in variables over time. Results: The results demonstrated that the emotional such as anger, anxiety and depression, significantly decrease during the study period. (P-value<۰.۰۰۱) As well as behavioral eating demonstrated significant improvement in restrained eating and decrease in emotional and external eating behaviors right after the end of intervention while trial group experienced significant weight loss. Conclusion: The present study provides some evidence that DBT-skills training can be effective in decreasing problematic eating behaviors, emotion dysregulations, decreasing BMI

کلیدواژه ها:

Dialectical behavior therapy ، Obesity ، BMI ، Behavior eating ، Emotional eating