Obesity has reached pandemic proportions in recent years, affecting not only the physical health, but also the mental health, of obese people. According to Spain's National Health Survey 2011-12, the prevalence of obesity in the adult population of Spain was 17%, having increased by 2.5% since 2006. Therefore, a constant and worrying increase in the prevalence of obesity is being observed, which is having a great impact, both individually, in terms of health and quality of life, and socially, inter alia, by raising health expenditure due to increased morbidity. In this context, the desirability of a comprehensive approach that includes psychological intervention in attending obese patients (Rev Cochrane, 2006), has been given greater prominence. Paying attention to the emotional and psychopathological aspects related to obesity has proven to be an action that could have positive impact on obesity intervention models. The aim of this project is to measure, through a clinical trial, the efficacy of a psychotherapy group program for obesity patients who are attended by the consulting endocrinologist at the Infanta Leonor Hospital (Madrid). The impact of body mass index, psychological wellbeing, psychopathology and quality of life of two experimental study groups will be compared, one a control group of patients that follows the standard treatment, the other an experimental group that follows not only the standard treatment, but also the psychotherapy group intervention program.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
180
Added to standard treatment patients will participate in a standardized group of psychological intervention. 21 sessions with 10 to 12 members closed-ended groups.
Hospital Universitario Infanta Leonor
Madrid, Spain
weight difference
Difference between the initial and final weight in kilograms
Time frame: 1 year
Global Severity Index (GSI)
Global psychopathology measured by Symptom Checklist-90-Revised (SCL-90-R). T score.
Time frame: 1 year
Positive Symptom Distress Index (PSDI)
Style of response to distress measured by Symptom Checklist-90-Revised (SCL-90-R). T score.
Time frame: 1 year
Positive Symptom Total (PST).
count of all the items with non-zero responses at Symptom Checklist-90-Revised (SCL-90-R). T score.
Time frame: 1 year
Eating disorder risk (EDRC)
disfunctional eating behavior assessed by Eating Disorders Inventory 3rd Edition (EDI-3). T score. It is an index calculated by combining 3 scales: drive for thinness, body dissatisfaction, and bulimia
Time frame: 1 Year
Physical quality of life
perceived physical quality of life assessed by Quality of Life Cuestionnaire SF-36
Time frame: 1 year
Mental quality of life
perceived mental or psychic quality of life assessed by Quality of Life Cuestionnaire SF-36
Time frame: 1 year
Mediterranean Diet Adherence
Mediterranean Diet Adherence measured by Test KIDMED
Time frame: 1 year
Motivation to change
Motivation to change assessed by University of Rhode Island Change Assessment (URICA). 4 scales are measured: precontemplation, contemplation, action and maintenance.
Time frame: 1 year
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