ResearchReviewBehavior Therapy and Cognitive-Behavioral Therapy of Obesity: Is There a Difference?
Section snippets
Standard Behavior Therapy of Obesity
Historically, behavioral weight-loss programs included weekly sessions of 60 to 90 minutes each, for approximately 6 months, and induced mean weight losses of approximately 10% of initial weight (19). Without continued treatment, however, participants usually regained approximately one third of their lost weight within the first 6 months after treatment ended and returned to their baseline weights within 5 years (20). Perri and colleagues found that weight regain could be minimized by offering
Conclusions
The question of whether cognitive change precedes and causes behavior change or vice versa has been the subject of theoretical debate and empirical scrutiny for several decades. Current research methods are unlikely to settle this issue definitively in laboratory settings and much less likely to identify whether cognitive or behavioral change is primary in the successful maintenance of a weight loss achieved in lifestyle modification. Randomized controlled trials of standard and CBT-based
A. N. Fabricatore is an assistant professor of Psychology in Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia.
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A. N. Fabricatore is an assistant professor of Psychology in Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia.