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Related Experiment Videos

Coping with dietary relapse crises and their aftermath

C M Grilo1, S Shiffman, R R Wing

  • 1Department of Psychology, Yale University, New Haven, CT 06520-7447.

Addictive Behaviors
|January 1, 1993
PubMed
Summary

Effective coping strategies are crucial for dieters facing relapse crises. Immediate cognitive and behavioral coping significantly predict survival, while restorative coping addresses aftermaths of overeating.

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Area of Science:

  • Behavioral Psychology
  • Obesity Research
  • Diabetes Management

Background:

  • Dietary relapse is a common challenge for individuals managing obesity and Type-II diabetes.
  • Understanding coping mechanisms during relapse crises is vital for treatment efficacy.

Purpose of the Study:

  • To examine immediate and restorative coping strategies used by obese individuals with Type-II diabetes during dietary relapse crises.
  • To compare the effectiveness of different coping types in surviving temptations and managing overeating aftermaths.

Main Methods:

  • Posttreatment interviews were conducted with 57 obese subjects with Type-II diabetes.
  • Coping strategies were analyzed in situations of lapse versus survival of temptations.
  • Immediate and restorative coping (cognitive and behavioral) were assessed.

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Main Results:

  • Immediate coping performance predicted survival of temptations.
  • Eight types of immediate cognitive coping were equally effective and superior to no coping.
  • Five types of immediate behavioral coping were effective, except social support and restraint.
  • Restorative coping strategies differed based on whether they addressed overeating or negative emotional responses.

Conclusions:

  • Immediate coping is key to surviving dietary temptations, with most cognitive strategies being equally effective.
  • Restorative coping addresses the consequences of lapses, with behavioral strategies for overeating and cognitive for emotional distress.
  • Findings have implications for developing targeted interventions for relapse prevention in this population.