تعطیلات نوروز ۱۴۰۴-ضمن آرزوی قبولی طاعات و عبادات و همچنین تبریک فرارسیدن بهار و شروع سال جدید، به اطلاع می‌رساند این نشریه از تاریخ ۲۸ اسفندماه ۱۴۰۳ لغایت ۱۵ فروردین ۱۴۰۴ تعطیل می باشد.

Volume 14 - Articles-1403                   MEJDS (2024) 14: 37 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Yaraghchi A, Jomehri F, Seyrafi M, Kraskian Mujembari A, Mohammadi Farsani G. Determining the Effectiveness of Interpersonal Therapy on Weight Loss and Cognitive Emotion Regulation in Obese Individuals. MEJDS 2024; 14 :37-37
URL: http://jdisabilstud.org/article-1-2933-en.html
1- Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran
2- Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran
3- Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran & Department of Clinical Nutrition, School of Nutrition and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (1248 Views)

Abstract

Background & Objectives: Obesity, as a chronic and prevalent disorder, is directly and indirectly associated with many diseases. It is one of the most important fields of study in health psychology. In recent years, people with obesity have shown signs of maladaptive cognitive emotion regulation strategies and inefficient interpersonal behavior. Cognitive emotion regulation strategies are processes that people use to manage stress. So, thoughts and cognitions are essential in managing, regulating, and controlling emotions after experiencing a stressful event. Cognitive emotion regulation strategies are among the important aspects of obesity pathology. Therefore, it is considered one of the important diagnostic and therapeutic criteria in psychological interventions for obesity. Interpersonal psychotherapy indicates cognitive, emotional, and affective distress as a result of negative social evaluation, which makes a person suffer from eating disorder symptoms. As a result, it is recommended that thoughts and emotions and inefficiency in social situations be identified, as well as to increase self–esteem and reduce emotional responses that cause eating behavior. This study assessed the efficacy of interpersonal psychotherapy on weight loss and cognitive emotion regulation strategies in obese people.

Methods: The present study was quasi–experimental with a pretest–posttest design and a control group. The statistical population of this research comprised obese people who were referred to nutrition clinics located in a specific area of Tehran City, Iran, from November 2017 to February 2018. This research selected 28 eligible volunteers with a body mass index above 29.9 kg/m2 by purposeful sampling and considering the inclusion and exclusion criteria. They were assigned to the experimental group (interpersonal psychotherapy, n=13) and control group (n=15). The inclusion criteria in this research were as follows: living in Tehran and being able to participate in group therapy sessions, being willing to cooperate, being between 20 and 50 years old, not suffering from a chronic physical disease, lacking any psychological disorders, and being obese (BMI>29.9 kg/m2). The exclusion criteria were as follows: unwillingness to continue attending intervention sessions and failure to attend group therapy for more than two sessions. Then, after explaining the goals and conditions of the study to the participants, they were assured that while their information remains confidential, they can withdraw from the plan at any stage of the study if they wish. Informed consent was obtained from all participants. Then, they completed the demographic and emotional cognitive regulation questionnaires (Garnefski & Kraaij, 2007) at the study's beginning and end. Furthermore, the participant's body mass index was measured at the first meeting and at the treatment's end. The intervention group participated in the interpersonal group therapy for ten sessions. Statistical methods included the Chi–square test and analysis of covariance.

Results: The findings showed that interpersonal psychotherapy could reduce body mass index (p<0.001), reduce negative emotional cognitive regulation strategies (p<0.001), and increase positive emotional cognitive regulation strategies (p<0.001).

Conclusion: Interpersonal psychotherapy is an effective way to lose weight and improve cognitive emotion regulation strategies. Therefore, this treatment method is recommended to promote the physical and mental health of obese individuals. 

Full-Text [PDF 355 kb]   (285 Downloads)    
Type of Study: Original Research Article | Subject: Psychology

References
1. Buch A, Carmeli E, Shefer G, Keinan–Boker L, Berner Y, Marcus Y, et al. Cognitive impairment and the association between frailty and functional deficits are linked to abdominal obesity in the elderly. Maturitas. 2018;114:46–53. [DOI]
2. Overweight and obesity [Internet]. World Health Organization. 2018 [cited 2019 Sep 16]. Available from: [Article]
3. Ghaffari M, Rakhshandehroo S, Mehrabi Y, Besharati Far S. A study of the beliefs of female students in pakdasht city about obese people and the related factors. Journal of Human Environment and Health Promotion. 2018;4(1):40–4. [Persian] [DOI]
4. Tanaka M. Improving obesity and blood pressure. Hypertens Res. 2020;43(2):79–89. [DOI]
5. Horwich TB, Fonarow GC, Clark AL. Obesity and the obesity paradox in heart failure. Prog Cardiovasc Dis. 2018;61(2):151–6. [DOI]
6. Hruby A, Manson JE, Qi L, Malik VS, Rimm EB, Sun Q, et al. Determinants and consequences of obesity. Am J Public Health. 2016;106(9):1656–62. [DOI]
7. Kass AE, Wildes JE, Coccaro EF. Identification and regulation of emotions in adults of varying weight statuses. J Health Psychol. 2019;24(7):941–52. [DOI]
8. Yaraghchi A, Jomehri F, Seyrafi M, Kraskian Mujembari A, Mohammadi Farsani G. The effectiveness of acceptance and commitment therapy on weight loss and cognitive emotion regulation in obese individuals. Iranian Journal of Health Education and Health Promotion. 2019;7(2):192–201. [Persian] [DOI]
9. Sainsbury K, Evans EH, Pedersen S, Marques MM, Teixeira PJ, Lähteenmäki L, et al. Attribution of weight regain to emotional reasons amongst European adults with overweight and obesity who regained weight following a weight loss attempt. Eat Weight Disord. 2019;24(2):351–61. [DOI]
10. Reinelt T, Petermann F, Bauer F, Bauer CP. Emotion regulation strategies predict weight loss during an inpatient obesity treatment for adolescents. Obes Sci Pract. 2020;6(3):293–9. [DOI]
11. Taut D, Renner B, Baban A. Reappraise the situation but express your emotions: impact of emotion regulation strategies on ad libitum food intake. Front Psychol. 2012;3:359. [DOI]
12. Walenda A, Kostecka B, Santangelo PS, Kucharska K. Examining emotion regulation in binge–eating disorder. Borderline Personal Disord Emot Dysregul. 2021;8(1):25. [DOI]
13. Rostami M, Ehteshamzade P, Asgari P, Alavi Fazel SK. Effectiveness of cognitive hypnotherapy on coping self–efficacy and cognitive emotion regulation components in obese women. Shenakht Journal of Psychology and Psychiatry. 2022;9(1):118–33. [Persian] [DOI]
14. Holt RIG. The management of obesity in people with severe mental illness: an unresolved conundrum. Psychother Psychosom. 2019;88(6):327–32. [DOI]
15. Freitas CRM, Gunnarsdottir T, Fidelix YL, Tenório TRS, Lofrano–Prado MC, Hill JO, et al. Effects of a psychological intervention on the quality of life of obese adolescents under a multidisciplinary treatment. J Pediatr (Rio J). 2017;93(2):185–91. [DOI]
16. Rieger E, Van Buren DJ, Bishop M, Tanofsky–Kraff M, Welch R, Wilfley DE. An eating disorder–specific model of interpersonal psychotherapy (IPT–ED): causal pathways and treatment implications. Clin Psychol Rev. 2010;30(4):400–10. [DOI]
17. Azizi S, Memaryan N, Alavi K, Sedigh R, Jolfaei Ghanbari A. A qualitative study on patients' experiences of interpersonal relationships after bariatric surgery. Iranian Journal of Psychiatry and Clinical Psychology. 2020;26(1):102–13. [Persian] [DOI]
18. Kochkodan J, Telem DA, Ghaferi AA. Physiologic and psychological gender differences in bariatric surgery. Surg Endosc. 2018;32(3):1382–8. [DOI]
19. Pine AE, Shank LM, Burke NL, Higgins Neyland MK, Schvey NA, Quattlebaum M, et al. Examination of the interpersonal model with adolescent military dependents at high risk for adult obesity. Am J Psychother. 2020;73(2):43–9. [DOI]
20. Aldao A, Nolen-Hoeksema S. Specificity of cognitive emotion regulation strategies: a transdiagnostic examination. Behav Res Ther. 2010;48(10):974–83. [DOI]
21. Levinson CA, Rodebaugh TL. Social anxiety and eating disorder comorbidity: the role of negative social evaluation fears. Eat Behav. 2012;13(1):27–35. [DOI]
22. Wilson GT, Wilfley DE, Agras WS, Bryson SW. Psychological treatments of binge eating disorder. Arch Gen Psychiatry. 2010;67(1):94–101. [DOI]
23. Arcelus J, Haslam M, Farrow C, Meyer C. The role of interpersonal functioning in the maintenance of eating psychopathology: a systematic review and testable model. Clin Psychol Rev. 2013;33(1):156–67. [DOI]
24. Lo Coco G, Gullo S, Salerno L, Iacoponelli R. The association among interpersonal problems, binge behaviors, and self–esteem, in the assessment of obese individuals. Compr Psychiatry. 2011;52(2):164–70. [DOI]
25. Matherne CE, Munn–Chernoff MA, Thornton LM, Rhee SH, Lin S, Corley RP, et al. Perceived family functioning among adolescents with and without loss of control eating. Eat Behav. 2019;33:18–22. [DOI]
26. Karam AM, Fitzsimmons–Craft EE, Tanofsky–Kraff M, Wilfley DE. Interpersonal psychotherapy and the treatment of eating disorders. Psychiatr Clin North Am. 2019;42(2):205–18. [DOI]
27. Pine AE, Schvey NA, Shank LM, Burke NL, Neyland MKH, Hennigan K, et al. A Pilot feasibility study of interpersonal psychotherapy for the prevention of excess weight gain among adolescent military–dependent girls. Mil Med. 2021;186(3–4):344–50. [DOI]
28. Delavar A. Theoretical and practical foundations of research in humanities and social sciences. Tehran: Roshd Pub; 2020. [Persian]
29. Garnefski N, Kraaij V. The cognitive emotion regulation questionnaire. European Journal of Psychological Assessment. 2007;23(3):141–9. [DOI]
30. Samani S, Sadeghi L. Psychometric properties of the cognitive emotion regulation questionnaire. Psychological Methods and Models. 2010;1(1):51–62. [Persian] [Article]
31. Weissman MM, Markowitz JC, Klerman GL. Clinician's quick guide to interpersonal psychotherapy. New York: Oxford University Press. Research on Social Work Practice. 2008;18(5):530–1. [DOI]
32. Zebardast O, Besharat MA, Purhosein R, Bahrami Ehsan H, Pursharifi H. Comparing the effects of interpersonal therapy and regulation of emotion on the reduction of weight in obese women. Journal of Guilan University of Medical Sciences. 2015;24(94):36–47. [Persian] [Article]
33. Gholamrezaei S, Mehrabizade Honarmand M, Zargar Y, Davoudi I, Bassaknejad S. The effect of interpersonal psychotherapy on eating disorder symptoms and the psychosocial performance of female students. Psychological Achievements. 2014;21(1):33–54. [Persian] [Article]
34. Zysberg L. Emotional intelligence, anxiety, and emotional eating: a deeper insight into a recently reported association? Eat Behav. 2018;29:128–31. [DOI]
35. Asl Soleimani Z, Borjali A, Kiani Dehkordi M. Effectiveness of interpersonal psychotherapy on cognitive emotion regulation strategies and post event processing in girl students with social anxiety. Journal of Psychological Studies. 2017;13(2):7–24. [Persian] [DOI]
36. Debeuf T, Verbeken S, Boelens E, Volkaert B, Van Malderen E, Michels N, et al. Emotion regulation training in the treatment of obesity in young adolescents: protocol for a randomized controlled trial. Trials. 2020;21(1):153. [DOI]
37. Shast Fouladi K, Bashardoust S. Comparison of the levels of self-control and emotion regulation strategies among college students with high and normal body mass index. Avicenna Journal of Neuro Psycho Physiology. 2020;7(4):198–203. [Persian] [DOI]
38. Kachooei M, Moradi A, Kazemi AS, Ghanbari Z. The discriminative role of emotion regulation and impulsivity in different unhealthy eating patterns. Feyz Medical Sciences Journal. 2016;20(4):383–90. [Persian] [Article]
39. Asadollahi T, Salehi M, Jomehri F, Taghilou S. Explaining the structural relationship between mindfulness and binge eating in obese people: The mediating role of cognitive emotion regulation strategies. Chronic Diseases Journal. 2022;10(1):39–49. [Persian]
40. Miniati M, Callari A, Maglio A, Calugi S. Interpersonal psychotherapy for eating disorders: current perspectives. Psychol Res Behav Manag. 2018;11:353–69. [DOI]
41. Southward MW, Cheavens JS. Identifying core deficits in a dimensional model of borderline personality disorder features: A network analysis. Clin Psychol Sci. 2018;6(5):685–703. [DOI]
42. Lipsitz JD, Markowitz JC. Mechanisms of change in interpersonal therapy (IPT). Clin Psychol Rev. 2013;33(8):1134–47. [DOI]
43. Lipsitz JD, Gur M, Vermes D, Petkova E, Cheng J, Miller N, et al. A randomized trial of interpersonal therapy versus supportive therapy for social anxiety disorder. Depress Anxiety. 2008;25(6):542–53. [DOI]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Middle Eastern Journal of Disability Studies

Designed & Developed by : Yektaweb