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Journal article
Psychological and behavioral responses to daily weight gain during behavioral weight loss treatment
Journal of behavioral medicine, v 47, pp 492-503
26 Feb 2024
Featured in Collection : Research Supported by Drexel Libraries' OA Programs
Abstract
Self-weighing is consistently associated with more effective weight control. However, patterns show that participants disengage from their weight control behaviors following weight gain. Women with BMIs in the overweight/obese range (N = 50) enrolled in a long-term behavioral weight loss program completed ecological momentary assessment (EMA) surveys immediately after their daily weigh-ins. Nightly EMA surveys and self-monitoring data through Fitbit measured their weight control behavior that day. On days when participants gained weight (vs. lost or maintained), they reported more negative mood, more guilt/shame, and lower confidence in weight control. Motivation following daily weight gain depended on participants’ overall satisfaction with their weight loss so far: more satisfied participants had marginally higher, but less satisfied participants had marginally lower motivation in response to daily weight gain. Greater guilt/shame and lower motivation after the weigh-in predicted less effective weight control behavior that day (e.g., lower likelihood of calorie tracking, fewer minutes of physical activity). Results demonstrate that even small weight gain is distressing and demoralizing for women in BWL programs, which can lead to goal disengagement. These findings have implications for future BWL interventions, including the potential utility of just-in-time adaptive interventions to promote more adaptive responses in the moments after weigh-ins.
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Details
- Title
- Psychological and behavioral responses to daily weight gain during behavioral weight loss treatment
- Creators
- Charlotte Joyce Hagerman (Corresponding Author) - Drexel University, WELL CenterMichael Chidinma Onu - Drexel University, WELL CenterNicole T. Crane - Drexel UniversityMeghan L Butryn - Drexel University, WELL CenterEvan M Forman - Drexel University, WELL Center
- Publication Details
- Journal of behavioral medicine, v 47, pp 492-503
- Publisher
- Springer Nature
- Resource Type
- Journal article
- Academic Unit
- Psychological and Brain Sciences (Psychology); WELL Center
- Web of Science ID
- WOS:001172988700001
- Scopus ID
- 2-s2.0-85185964207
- Other Identifier
- 991021853209004721
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- Web of Science research areas
- Psychology, Clinical