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Helping young weight controllers develop healthy obsessions: preliminary test of the Healthy Obsession Model
1Fairleigh Dickinson University, Teaneck, NJ, USANorthwestern University Medical School, Chicago, IL, USAWellspring Division of CRC Health Group, Chicago, IL, USA.
Clinical Obesity
|January 15, 2015
Summary
Sudden removal of self-monitoring tools negatively impacted obese adolescents' positive moods, especially those highly committed to weight loss programs. Staff ratings confirmed this, though adolescents' own mood ratings did not fully align with the Healthy Obsession Model.
Area of Science:
- Psychology
- Behavioral Science
- Obesity Research
Background:
- The Healthy Obsession Model suggests successful weight management requires preoccupation with target behaviors like diet, activity, and self-monitoring.
- This model predicts that barriers to these behaviors should cause distress, motivating individuals to resume them.
Purpose of the Study:
- To investigate the impact of abruptly removing self-monitoring on the moods of obese adolescents in a weight loss program.
- To test predictions of the Healthy Obsession Model regarding distress and commitment.
Main Methods:
- Fifty-five obese adolescents in a weight loss camp received cognitive-behavioral therapy.
- Self-monitoring journals were unexpectedly removed for one day after three days of mood and behavior monitoring.
- Moods were assessed daily using the Positive and Negative Affect Schedule by both campers and staff.
Main Results:
- Staff-rated positive affect decreased significantly when self-monitoring journals were removed.
- Adolescents showing higher commitment (more activity, journal entries) reacted more negatively to the removal.
- Adolescents' self-reported mood ratings did not fully support the Healthy Obsession Model's predictions.
Conclusions:
- Preliminary findings support the Healthy Obsession Model by demonstrating negative mood reactions to the withdrawal of self-monitoring.
- The negative impact was more pronounced in adolescents with higher commitment to the weight loss program.
- Further research is needed to fully understand the model's applicability and the discrepancies in self- and staff-reported moods.