عنوان پایان‌نامه
طراحی و ارزیابی مدل پیش بینی نگهداری وزن در افراد مبتلا به چاقی
- رشته تحصیلی
- روانشناسی بالینِی
- مقطع تحصیلی
- کارشناسی ارشد
- محل دفاع
- کتابخانه موسسه روانشناسی شماره ثبت: 553;کتابخانه مرکزی -تالار اطلاع رسانی شماره ثبت: 58850
- تاریخ دفاع
- ۰۲ مهر ۱۳۹۱
- دانشجو
- مریم بیدادیان
- استاد راهنما
- هادی بهرامی احسان
- چکیده
- چاقی یکی از مشکلات تهدیدکننده سلامتی و دومین عامل عمده قابل ¬پیشگیری مرگ است کهشیوعآنروبهافزایشاست. شایع¬ترین پیامد درمان چاقی در میان بزرگسالان، بازگشت وزن است و اولین هدف در این حیطه باید جلوگیری از بازگشت وزن تدریجی باشد. پژوهش حاضر به منظور تعیین قدرت پیش‌بینی عوامل زیستی ـ روانی ـ اجتماعی در نگهداری وزن افراد مبتلا به اضافه¬وزن و چاقی صورت گرفته است. به همین منظور 157 نفر از زنان چاق مراجعه کننده به کلینیک کاهش وزن بیمارستان سینا به روش نمونه‌گیری هدفمند انتخاب شدند. این افراد پرسشنامه¬های فضای مراقبتی، تفکر دوقطبی در اختلالات خوردن (نسخه 11 سؤالی)، چند بعدی روابط بدن ـ خود، سه عاملی رفتار خوردن (نسخه 21 سؤالی)، اضطراب حالت ـ صفت اسپیلبرگر و سؤالات محقق ساخته جهت ارزیابی انتظارات پیامد درمان و تاریخچه نوسان وزن را در ابتدای ورود به درمان تکمیل کردند و سپس مورد مداخله رژیم غذایی و طب ورزش قرار گرفتند. در پایان ماه ششم، وزن افراد سنجیده شد و میزان کاهش وزن صورت گرفته ارزیابی شد. نتایج حاصل از تحلیل رگرسیون نشان داد که ارزشیابی قیافه با موفقیت در نگهداری وزن رابطه منفی معنادار دارد. همچنین، متغیرهای وزن ذهنی و رضایت بدنی با موفقیت در نگهداری وزن رابطه مثبت معنادار دارند.نتایج حاصل از تحلیل رگرسیون گام به گام نیز نشان داد که از میان متغیرهای پژوهش، متغیرهای وزن ذهنی، نوسان وزن، اضطراب صفت، اضطراب حالت، رضایت بدنی و ارزشیابی قیافه از قدرت پیش¬بینی بیشتری در تبیین واریانس نگهداری وزن برخوردارند و در مجموع توانستند 37% از توفیق نگهداری وزن را تبیین کنند. بر اساس پژوهش حاضر می¬توان نتیجه گرفت که نگهداری وزن با وزن ذهنی، نوسان وزن، اضطراب حالت و رضایت بدنی، رابطه مثبت معنادار و با اضطراب صفت و ارزشیابی قیافه، رابطه منفی معنادار دارد. بنابراین، ضروری است تا در مداخلات بالینی درمان چاقی، برنامه¬ریزی لازم برای مداخله در سطوح شناختی و نیز هیجانی صورت گیرد. کلید واژگان: چاقی، نگهداری وزن، بازگشت وزن، انتظارات پیامد درمان، نوسان وزن، تفکر دوقطبی، رفتارهای خوردن، تصویر بدنی، حمایت از خودمختاری ادراک¬شده، اضطراب حالت و صفت. فهرست مطالب
- Abstract
- A BSTRACT Obesity is one of the health threatening problems and the second preventable mortality factor, the prevalence of which is increasing. The most frequent consequence of obesity treatment among adults is weight regain; so, preventing gradual weight regain should be the first goal in this case. The present study aims at determining the predictive power of biological, psychological and social factors in maintaining weight in the overweight and the obese. Therefore, 157 obese women referred to Sina Hospital Obesity Clinic were selected by purposeful sampling method. The subjects filled out the Health Care Climate Questionnaire (HCCQ), Dichotomous Thinking in Eating Disorders Scale-11 (DTEDS-11), Multidimensional Body-Self Relations Questionnaire (MBSRQ), Revised Three Factor Eating Questionnaire-21 (TFEQ-R21), Spielberger State-Trait Anxiety Inventory (STAI-Y) and researcher-made questions at the beginning of the study to assess their treatment outcome expectation and history of weight cycling. Then, they underwent diet and sport medicine interventions. At the end of the sixth month, weight of the subjects was measured and the weight loss was studied. Findings of the regression analysis showed that there is a negative meaningful relationship between appearance evaluation (AE) and successful weight maintenance. Moreover, subjective weight (SW) and body areas satisfaction (BAS) have a positive meaningful relationship with the said variable. Results obtained from stepwise regression analysis indicated that among the studied variables of the research, subjective weight (SW), weight cycling, state and trait anxiety, body areas satisfaction (BAS) and appearance evaluation (AE) have more predictive power in explaining weight maintenance variance and could explain successful weight maintenance by 37%. The findings of the study show that weight maintenance has a positive meaningful relationship with subjective weight (SW), weight cycling, state anxiety and body areas satisfaction (BAS); also, there is a meaningful negative relationship with the said variable and trait anxiety and appearance evaluation (AE). Hence, programming for cognitive and emotional interventions is assumed necessary in clinical interventions for obesity. Keywords: Obesity, Weight maintenance, Weight regain, Outcome expectation, Weight cycling, Dichotomous thinking, Eating behavior, Body image, Perceived autonomy support, State and trait anxiety A BSTRACT Obesity is one of the health threatening problems and the second preventable mortality factor, the prevalence of which is increasing. The most frequent consequence of obesity treatment among adults is weight regain; so, preventing gradual weight regain should be the first goal in this case. The present study aims at determining the predictive power of biological, psychological and social factors in maintaining weight in the overweight and the obese. Therefore, 157 obese women referred to Sina Hospital Obesity Clinic were selected by purposeful sampling method. The subjects filled out the Health Care Climate Questionnaire (HCCQ), Dichotomous Thinking in Eating Disorders Scale-11 (DTEDS-11), Multidimensional Body-Self Relations Questionnaire (MBSRQ), Revised Three Factor Eating Questionnaire-21 (TFEQ-R21), Spielberger State-Trait Anxiety Inventory (STAI-Y) and researcher-made questions at the beginning of the study to assess their treatment outcome expectation and history of weight cycling. Then, they underwent diet and sport medicine interventions. At the end of the sixth month, weight of the subjects was measured and the weight loss was studied. Findings of the regression analysis showed that there is a negative meaningful relationship between appearance evaluation (AE) and successful weight maintenance. Moreover, subjective weight (SW) and body areas satisfaction (BAS) have a positive meaningful relationship with the said variable. Results obtained from stepwise regression analysis indicated that among the studied variables of the research, subjective weight (SW), weight cycling, state and trait anxiety, body areas satisfaction (BAS) and appearance evaluation (AE) have more predictive power in explaining weight maintenance variance and could explain successful weight maintenance by 37%. The findings of the study show that weight maintenance has a positive meaningful relationship with subjective weight (SW), weight cycling, state anxiety and body areas satisfaction (BAS); also, there is a meaningful negative relationship with the said variable and trait anxiety and appearance evaluation (AE). Hence, programming for cognitive and emotional interventions is assumed necessary in clinical interventions for obesity. Keywords: Obesity, Weight maintenance, Weight regain, Outcome expectation, Weight cycling, Dichotomous thinking, Eating behavior, Body image, Perceived autonomy support, State and trait anxiety A BSTRACT Obesity is one of the health threatening problems and the second preventable mortality factor, the prevalence of which is increasing. The most frequent consequence of obesity treatment among adults is weight regain; so, preventing gradual weight regain should be the first goal in this case. The present study aims at determining the predictive power of biological, psychological and social factors in maintaining weight in the overweight and the obese. Therefore, 157 obese women referred to Sina Hospital Obesity Clinic were selected by purposeful sampling method. The subjects filled out the Health Care Climate Questionnaire (HCCQ), Dichotomous Thinking in Eating Disorders Scale-11 (DTEDS-11), Multidimensional Body-Self Relations Questionnaire (MBSRQ), Revised Three Factor Eating Questionnaire-21 (TFEQ-R21), Spielberger State-Trait Anxiety Inventory (STAI-Y) and researcher-made questions at the beginning of the study to assess their treatment outcome expectation and history of weight cycling. Then, they underwent diet and sport medicine interventions. At the end of the sixth month, weight of the subjects was measured and the weight loss was studied. Findings of the regression analysis showed that there is a negative meaningful relationship between appearance evaluation (AE) and successful weight maintenance. Moreover, subjective weight (SW) and body areas satisfaction (BAS) have a positive meaningful relationship with the said variable. Results obtained from stepwise regression analysis indicated that among the studied variables of the research, subjective weight (SW), weight cycling, state and trait anxiety, body areas satisfaction (BAS) and appearance evaluation (AE) have more predictive power in explaining weight maintenance variance and could explain successful weight maintenance by 37%. The findings of the study show that weight maintenance has a positive meaningful relationship with subjective weight (SW), weight cycling, state anxiety and body areas satisfaction (BAS); also, there is a meaningful negative relationship with the said variable and trait anxiety and appearance evaluation (AE). Hence, programming for cognitive and emotional interventions is assumed necessary in clinical interventions for obesity. Keywords: Obesity, Weight maintenance, Weight regain, Outcome expectation, Weight cycling, Dichotomous thinking, Eating behavior, Body image, Perceived autonomy support, State and trait anxiety A BSTRACT Obesity is one of the health threatening problems and the second preventable mortality factor, the prevalence of which is increasing. The most frequent consequence of obesity treatment among adults is weight regain; so, preventing gradual weight regain should be the first goal in this case. The present study aims at determining the predictive power of biological, psychological and social factors in maintaining weight in the overweight and the obese. Therefore, 157 obese women referred to Sina Hospital Obesity Clinic were selected by purposeful sampling method. The subjects filled out the Health Care Climate Questionnaire (HCCQ), Dichotomous Thinking in Eating Disorders Scale-11 (DTEDS-11), Multidimensional Body-Self Relations Questionnaire (MBSRQ), Revised Three Factor Eating Questionnaire-21 (TFEQ-R21), Spielberger State-Trait Anxiety Inventory (STAI-Y) and researcher-made questions at the beginning of the study to assess their treatment outcome expectation and history of weight cycling. Then, they underwent diet and sport medicine interventions. At the end of the sixth month, weight of the subjects was measured and the weight loss was studied. Findings of the regression analysis showed that there is a negative meaningful relationship between appearance evaluation (AE) and successful weight maintenance. Moreover, subjective weight (SW) and body areas satisfaction (BAS) have a positive meaningful relationship with the said variable. Results obtained from stepwise regression analysis indicated that among the studied variables of the research, subjective weight (SW), weight cycling, state and trait anxiety, body areas satisfaction (BAS) and appearance evaluation (AE) have more predictive power in explaining weight maintenance variance and could explain successful weight maintenance by 37%. The findings of the study show that weight maintenance has a positive meaningful relationship with subjective weight (SW), weight cycling, state anxiety and body areas satisfaction (BAS); also, there is a meaningful negative relationship with the said variable and trait anxiety and appearance evaluation (AE). Hence, programming for cognitive and emotional interventions is assumed necessary in clinical interventions for obesity. Keywords: Obesity, Weight maintenance, Weight regain, Outcome expectation, Weight cycling, Dichotomous thinking, Eating behavior, Body image, Perceived autonomy support, State and trait anxiety
