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Does acceptance-based treatment moderate the effect of stress on dietary lapses?
Journal article   Open access   Peer reviewed

Does acceptance-based treatment moderate the effect of stress on dietary lapses?

Donna L Coffman, Isabela Batista Oliva and Evan M Forman
Translational behavioral medicine, v 11(12), pp 2110-2115
14 Dec 2021
DOI: https://doi.org/10.1093/tbm/ibab078
PMID: 34245302
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1093/tbm/ibab078View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Behavior Therapy Diet Ecological Momentary Assessment Female Humans Overweight - therapy Weight Loss
Weight loss interventions are successful to the extent that participants adhere to calorie-reduced dietary prescriptions and may be undermined by dietary lapses triggered by external or internal factors, such as stress. The purpose of this study was to examine whether an acceptance-based treatment (ABT) versus a standard behavioral treatment (SBT) moderated the effect of stress on dietary lapses. Ecological momentary assessment data were collected from 189 participants who were randomly assigned to either ABT or SBT. Between-subject and within-subject stress were used to predict lapse occurrence along with intervention condition, and the interaction between intervention condition and stress using a generalized linear mixed-effects model. Gender, time of day, and baseline mean lapses/day were included as control variables. Higher mean baseline lapses/day, female gender, and later time of day were significantly associated with increased odds of lapse. Between-subject stress was positively and significantly related to the odds of lapse. Compared to SBT, ABT showed a significant decrease in the odds of lapse at an individual's average level of within-subject stress, but the interaction of intervention condition with within-subject stress was not statistically significant. Participants with high overall stress levels lapsed more frequently than those with low overall stress levels. There was a significant decrease in the odds of lapse for the ABT group at a participant's own average stress level, suggesting that ABT may be beneficial at participants' usual stress levels but when they deviate from their usual stress level, there are no treatment differences.

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2 citations in Web of Science
1 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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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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