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Associations between causal attributions for obesity and long-term weight loss.
Pearl, Rebecca L; Wadden, Thomas A; Chao, Ariana M; Alamuddin, Naji; Berkowitz, Robert I; Walsh, Olivia; Allison, Kelly C; Tronieri, Jena Shaw.
Afiliação
  • Pearl RL; Center for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
  • Wadden TA; Center for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
  • Chao AM; Center for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
  • Alamuddin N; Department of Biobehavioral Health Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA.
  • Berkowitz RI; Center for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
  • Walsh O; Institute for Diabetes, Obesity, and Metabolism, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
  • Allison KC; Center for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
  • Tronieri JS; Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, PA.
Behav Med ; 46(2): 87-91, 2020.
Article em En | MEDLINE | ID: mdl-30657439
Obesity is a complex disease caused by a wide array of behavioral, biological, and environmental factors. However, obesity is often attributed to oversimplified and stigmatizing causal factors such as laziness, lack of willpower, and failure to take personal responsibility for one's health. Understanding of the causal factors that contribute to obesity among people with obesity may affect their weight management efforts. The current study explored associations between causal attributions for obesity and long-term weight loss, as well as examined potential changes in attributions with weight reduction. The 16-item Causal Attributions for Obesity scale (rated 1-7) was administered to 178 patients seeking behavioral/pharmacological weight-loss treatment. Causal attributions and weight were assessed at baseline, after 14 weeks of a low-calorie diet, and again at weeks 24 and 52 of a subsequent randomized trial (i.e., 66 weeks total). Logistic and linear regression examined effects of baseline causal attribution ratings on weight loss. Higher baseline ratings of personal responsibility attributions predicted 38% reduced odds of achieving ≥10% weight loss at week 52 (p = 0.02). Causal attribution ratings did not change over time or correlate continuously with weight change. Thus, attributing obesity to a failure of personal responsibility may impair long-term weight management efforts for individuals seeking ≥10% weight loss. Targeted techniques are needed to reduce patients' stigmatizing beliefs about the causes of obesity.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Redução de Peso / Atitude Frente a Saúde / Manejo da Obesidade / Obesidade Tipo de estudo: Clinical_trials / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Behav Med Assunto da revista: CIENCIAS DO COMPORTAMENTO / PSIQUIATRIA Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Redução de Peso / Atitude Frente a Saúde / Manejo da Obesidade / Obesidade Tipo de estudo: Clinical_trials / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Behav Med Assunto da revista: CIENCIAS DO COMPORTAMENTO / PSIQUIATRIA Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos