Women with mood disorders are vulnerable to the negative consequences associated with obesity, and face considerable challenges with adherence to behavioral weight management interventions. Strategies are needed to support the psychological well-being of this population, and improve adherence to weight-related treatment. The goal of this preliminary study is to determine the acceptability of a group-based compassion-focused psychoeducational intervention among women with mood disorders who are attending a behavioral weight management program.
Pilot feasibility trial to examine the acceptability and efficacy of compassion-based intervention in reducing indices of psychopathology (i.e., internalized weight stigma, mood symptoms), and improving weight management outcomes (i.e., physical activity behaviour, dieting behaviour, weight loss) among women with mood disorders undergoing lifestyle weight management. In this proof of concept study, adult females with a diagnosis of major depressive disorder of bipolar disorder will be randomized into two arms: weight management treatment as usual + psychoeducation group; weight management as usual + control.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
47
Attending six 2-hour weekly group-based psychoeducation sessions and participating in mindfulness, meditation, and acceptance-based experiential exercises
Western University
London, Ontario, Canada
Feasibility of recruitment from community-based clinic
Proportion of eligible participants who agree to participate in the study
Time frame: 7-months (from baseline to 6-month follow-up)
Adherence to the 6-week intervention
Proportion of sessions attended, and minutes spent weekly on home practice exercises
Time frame: 6 weeks (from baseline to end of treatment)
Changes in internalized weight bias
Weight Bias Internalization Scale (measures internalization of weight bias; mean score calculated, and ranges from 1 to 7)
Time frame: 7 months (from baseline to 6-month follow-up)
Changes in depressive symptoms
Beck Depression Inventory (measures depressive symptoms; total score calculated, and ranges from 0 to 63)
Time frame: 7 months (from baseline to 6-month follow-up)
Changes in physical activity engagement
International Physical Activity Questionnaire (measures physical activity frequency and intensity; continuous score of MET \[Metabolic Equivalent Task\] minutes per week)
Time frame: 7 months (from baseline to 6-month follow-up)
Future adherence to weight management program
Attending follow-up appointments
Time frame: 7 months (from baseline to 6-month follow-up)
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