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Related Experiment Videos

Relapse crises and coping among dieters.

C M Grilo, S Shiffman, R R Wing

    Journal of Consulting and Clinical Psychology
    |August 1, 1989
    PubMed
    Summary
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    Understanding dieting relapse is key for weight management. This study found that emotional upset situations and food cues increase relapse risk, but combining cognitive and behavioral coping strategies effectively prevents overeating.

    Area of Science:

    • Behavioral psychology
    • Obesity research
    • Diabetes management

    Background:

    • Dieting relapse is a significant challenge for individuals managing obesity and Type II diabetes.
    • Understanding the triggers and coping mechanisms associated with overeating is crucial for effective weight management interventions.

    Purpose of the Study:

    • To identify situational antecedents of dieting relapse crises in obese adults with Type II diabetes.
    • To examine dieters' coping strategies when faced with temptations to overeat.
    • To compare situations leading to relapse versus successful temptation management.

    Main Methods:

    • Analysis of posttreatment interviews with 57 obese participants with Type II diabetes.
    • Comparison of situations where participants lapsed versus overcame temptation.

    Related Experiment Videos

  • Cluster analysis to categorize relapse crisis situations.

    • Main Results:

    • Three categories of relapse crises were identified: mealtime, low-arousal, and emotional upset situations.
    • Emotional upset situations were highly associated with overeating.
    • Situational factors, particularly food cues, increased relapse risk, but coping strategy effectiveness was the strongest predictor of outcome.
    • Both cognitive and behavioral coping were equally effective; combining them further reduced overeating.

    Conclusions:

    • Situational triggers and coping behaviors significantly influence dieting relapse in obese individuals with Type II diabetes.
    • Effective coping, especially a combination of cognitive and behavioral strategies, is critical for preventing overeating and relapse.
    • The dynamics of dieting relapse share similarities with relapse patterns observed in addictive behaviors.