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Weight maintenance and relapse in obesity: a qualitative study.

S Byrne1, Z Cooper, C Fairburn

  • 1University of Oxford, Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, UK. sbyrne@psy.uwa.edu.au

International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity
|July 16, 2003
PubMed
Summary

Psychological factors like dissatisfaction with weight loss and mood-related eating can predict weight regain in women with obesity. Vigilance and balanced thinking are key to successful weight maintenance.

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Area of Science:

  • Psychology
  • Obesity Research
  • Behavioral Science

Background:

  • Obesity is a significant public health concern.
  • Weight regain after loss is common among individuals with obesity.
  • Understanding psychological factors is crucial for sustainable weight management.

Purpose of the Study:

  • To identify psychological factors distinguishing women who successfully maintain weight loss from those who regain weight.
  • To compare these factors with those in healthy-weight women.

Main Methods:

  • Qualitative research using in-depth individual and group interviews.
  • Study included 76 females: 28 successful weight maintainers, 28 weight regainers, and 20 healthy-weight controls.

Main Results:

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  • Weight regainers, unlike maintainers, showed dissatisfaction with weight goals, linked self-worth to weight/shape, lacked vigilance, exhibited dichotomous thinking, and used eating for mood regulation.
  • These psychological traits were not observed in successful weight maintainers.

Conclusions:

  • Psychological factors offer potential explanations for weight regain post-obesity treatment.
  • Further prospective research is needed to validate these findings and inform interventions.