Volume 15, Issue 1 (3-2023)                   IJDO 2023, 15(1): 44-50 | Back to browse issues page


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Rouyan M, Torab E, Montazer S, Agha Babaie M, Sepahram S, Shast Fouladi K. Effectiveness of Cognitive-Behavioral Therapy on Body Shaming and Self-Criticism of Obese Adolescents Referred to Nutrition Clinics in Tehran in 2019. IJDO 2023; 15 (1) :44-50
URL: http://ijdo.ssu.ac.ir/article-1-777-en.html
M.A. of Personality Psychology, Faculty of Educational Sciences and Psychology, Azad University of Science and Research, Tehran, Iran.
Abstract:   (605 Views)
Objective: Obesity is one of the most frequent concerns among teenagers, and it may lead to a variety of chronic disorders including heart disease and cancer. The present study aimed to assess the effectiveness of cognitive-behavioral therapy (CBT) on body shay and self-criticism of obese adolescents referred to nutrition clinics in Tehran in 2019.
Materials and Methods: This study used a quasi-experimental method and a pre-test-post-test with a control group. Twenty-four obese volunteer adolescents were selected and assigned to an experimental group (n=12) and a control group (n=12). The experimental group received 90-minute weekly sessions for 2.5 months (10 sessions), while the control group did not receive any intervention. Before and after the training phase, all the participants completed the body image shame scale (BISS ) and the Forms of Self-Criticizing/Attacking and Self-Reassuring Scale (FSCRS). Data were analyzed through multivariate analysis of variance (ANCOVA) by using SPSS 22 software.
Results: The CBT group decreased significantly more in body shaming and self-criticism of obese adolescents compared with the control group (P< 0.001).
Conclusion: In general, the findings revealed a substantial difference in body shaming and self-criticism among obese teenagers between the experimental groups. In obese teens, CBT reduced body shaming and self-criticism. Furthermore, this research showed that CBT could help obese teenagers with body shaming and self-criticism.
Full-Text [PDF 214 kb]   (348 Downloads)    
Type of Study: Research | Subject: Special
Received: 2022/10/15 | Accepted: 2023/01/2 | Published: 2023/03/19

References
1. Branco BH, Mariano IR, De Oliveira LP, Bertolini SM, De Oliveira FM, Araújo CG, et al. Sports and functional training improve a subset of obesity-related health parameters in adolescents: a randomized controlled trial. Frontiers in Psychology. 2021;11:589554. [DOI:10.3389/fpsyg.2020.589554]
2. González-Hernández J, López-Mora C, Portolés-Ariño A, Muñoz-Villena AJ, Mendoza-Díaz Y. Psychological well-being, personality and physical activity. One life style for the adult life. Acción Psicológica. 2017;14(1):65-78. [DOI:10.5944/ap.14.1.19262]
3. Gouveia MJ, Canavarro MC, Moreira H. Is mindful parenting associated with adolescents' emotional eating? The mediating role of adolescents' self-compassion and body shame. Frontiers in Psychology. 2018:2004. [DOI:10.3389/fpsyg.2018.02004]
4. Duarte C, Stubbs J, Pinto-Gouveia J, Matos M, Gale C, Morris L, Gilbert P. The impact of self-criticism and self-reassurance on weight-related affect and well-being in participants of a commercial weight management programme. Obesity facts. 2017;10(2):65-75. [DOI:10.1159/000454834]
5. Duarte C, Gilbert P, Stalker C, Catarino F, Basran J, Scott S, et al. Effect of adding a compassion-focused intervention on emotion, eating and weight outcomes in a commercial weight management programme. Journal of health psychology. 2021;26(10):1700-15. [DOI:10.1177/1359105319890019]
6. Iturbe I, Pereda-Pereda E, Echeburúa E, Maiz E. The Effectiveness of an Acceptance and Commitment Therapy and Mindfulness Group Intervention for Enhancing the Psychological and Physical Well-Being of Adults with Overweight or Obesity Seeking Treatment: The Mind&Life Randomized Control Trial Study Protocol. International Journal of Environmental Research and Public Health. 2021;18(9):4396. [DOI:10.3390/ijerph18094396]
7. Castelnuovo G, Pietrabissa G, Manzoni GM, Cattivelli R, Rossi A, Novelli M, et al. Cognitive behavioral therapy to aid weight loss in obese patients: current perspectives. Psychology research and behavior management. 2017:165-73. [DOI:10.2147/PRBM.S113278]
8. Christenson A. Shame and Stigma in Weight Management During Pregnancy and Post Bariatric Surgery: Perspectives of Patients and Healthcare Providers (Doctoral dissertation, Karolinska Institutet (Sweden)).
9. Branco BH, Bernuci MP, Marques DC, Carvalho IZ, Barrero CA, De Oliveira FM, Ladeia GF, Júnior NN. Proposal of a normative table for body fat percentages of Brazilian young adults through bioimpedanciometry. Journal of exercise rehabilitation. 2018;14(6):974. [DOI:10.12965/jer.1836400.200]
10. Branco BH, Carvalho IZ, de Oliveira HG, Fanhani AP, Dos Santos MC, de Oliveira LP, et al. Effects of 2 types of resistance training models on obese adolescents' body composition, cardiometabolic risk, and physical fitness. The Journal of Strength & Conditioning Research. 2020;34(9):2672-82. [DOI:10.1519/JSC.0000000000002877]
11. Ehtesham N, Shahrbanian S, Valadiathar M, Mowla SJ. Modulations of obesity-related microRNAs after exercise intervention: a systematic review and bioinformatics analysis. Molecular biology reports. 2021;48(3):2817-31. [DOI:10.1007/s11033-021-06275-3]
12. Cash TF, Pruzinsky TE. Body images: Development, deviance, and change. Guilford press; 1990. [DOI:10.1097/00006534-199108000-00041]
13. Duarte C, Pinto‐Gouveia J, Ferreira C, Batista D. Body image as a source of shame: A new measure for the assessment of the multifaceted nature of body image shame. Clinical psychology & psychotherapy. 2015;22(6):656-66. [DOI:10.1002/cpp.1925]
14. Khanjani S, Gharraee B, Farani AR, Foroughi A. Psychometric properties of Persian version of body image shame scale: A study in cosmetic surgery clinics. Iranian Journal of Psychiatry and Behavioral Sciences. 2020;14(2). [DOI:10.5812/ijpbs.99492]
15. Gilbert P, Clarke M, Hempel S, Miles JN, Irons C. Criticizing and reassuring oneself: An exploration of forms, styles and reasons in female students. British Journal of Clinical Psychology. 2004;43(1):31-50. [DOI:10.1348/014466504772812959]
16. Castilho P, Pinto‐Gouveia J, Duarte J. Exploring self‐criticism: Confirmatory factor analysis of the FSCRS in clinical and nonclinical samples. Clinical psychology & psychotherapy. 2015;22(2):153-64. [DOI:10.1002/cpp.1881]
17. Miri SF, Javadi M, Lin CY, Griffiths MD, Björk M, Pakpour AH. Effectiveness of cognitive-behavioral therapy on nutrition improvement and weight of overweight and obese adolescents: A randomized controlled trial. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2019;13(3):2190-7. [DOI:10.1016/j.dsx.2019.05.010]
18. Navidian A, Moudi Z, Esmaealzade M. The effectiveness of group cognitive behavioral therapy based on cash's eight-step model in body image of primiparous women. Iranian Journal of Psychiatry and Behavioral Sciences. 2017;11(2). [DOI:10.5812/ijpbs.7236]
19. Ahmadi Z, Abbaspoor Z, Behroozy N, Malehi AS. The effects of cognitive behavioral therapy on body image in infertile women. Iranian Red Crescent Medical Journal. 2017;19(10). [DOI:10.5812/ircmj.14903]
20. Tsiros MD, Sinn N, Brennan L, Coates AM, Walkley JW, Petkov J, et al. Cognitive behavioral therapy improves diet and body composition in overweight and obese adolescents. The American journal of clinical nutrition. 2008;87(5):1134-40. [DOI:10.1093/ajcn/87.5.1134]
21. Esmalian Khamseh L, Asadi Mofarah M, Toorani S. The effectiveness of cognitive behavioral therapy based on Cash's eight-step model in body image of women with psoriasis. Iranian Journal of Dermatology. 2020;23(1):1-8.
22. Mazloomy-Mahmoodabad SS, Navabi ZS, Ahmadi A, Askarishahi M. The effect of educational intervention on weight loss in adolescents with overweight and obesity: Application of the theory of planned behavior. ARYA atherosclerosis. 2017;13(4):176.
23. Wilfley DE, Kolko RP, Kass AE. Cognitive-behavioral therapy for weight management and eating disorders in children and adolescents. Child and Adolescent Psychiatric Clinics. 2011;20(2):271-85. [DOI:10.1016/j.chc.2011.01.002]
24. Lee CT, Lin CY, Strong C, Lin YF, Chou YY, Tsai MC. Metabolic correlates of health-related quality of life among overweight and obese adolescents. BMC pediatrics. 2018;18:1-8. [DOI:10.1186/s12887-018-1044-8]
25. Dobson D, Dobson KS. Evidence-based practice of cognitive-behavioral therapy. Guilford publications; 2018.

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