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Combined Treatment for Obesity and Depression: A Pilot Study
Journal article   Open access   Peer reviewed

Combined Treatment for Obesity and Depression: A Pilot Study

Lucy F Faulconbridge, Colleen F B Driscoll, Christina M Hopkins, Brooke Bailer Benforado, Chanelle Bishop-Gilyard, Raymond Carvajal, Robert I Berkowitz, Robert DeRubeis and Thomas A Wadden
Obesity (Silver Spring, Md.), v 26(7), pp 1144-1152
Jul 2018
PMID: 29932516
url
https://doi.org/10.1002/oby.22209View
Published, Version of Record (VoR) Restricted

Abstract

Obesity and depression frequently co-occur, and each increases risk for cardiovascular disease (CVD). This study tested whether a combined treatment, targeting obesity and depression simultaneously, would yield greater improvements in weight, mood, and CVD risk factors than treatments that targeted each disease individually. Seventy-six participants with obesity and major depression were randomly assigned to (1) behavioral weight control (BWC), (2) cognitive behavioral therapy for depression (CBT-D), or (3) BWC combined with CBT-D. Participants were provided 18 group treatment sessions over 20 weeks. Mood, weight, and CVD risk were assessed at baseline and weeks 8 and 20, with a follow-up visit at week 46. At week 20, participants in combined treatment lost significantly (P < 0.02) more weight (5.2% ± 1.2%) than those assigned to CBT-D (0.8% ± 1.3%) and comparable amounts as those in BWC (3.5% ± 1.3%). Depression scores decreased significantly from baseline levels in each group, with no significant differences between groups. All three groups showed significant improvements in 10-year CVD risk, with no significant differences between groups. Groups did not differ significantly on any of these measures at week 46. BWC yielded short-term improvements in weight, mood, and CVD risk, comparable to a combined treatment that incorporated CBT-D. Results require replication with a larger sample size.

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37 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

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Web of Science research areas
Endocrinology & Metabolism
Nutrition & Dietetics
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