Effectiveness of Cognitive Behaviour Therapy Targeting Eating Behaviour for Patients with Abdominal Obesity in an Ordinary Primary Health Care Setting | Chapter 8 | Novel Research Aspects in Medicine and Medical Science Vol. 8

 The purpose concerning this study is to explain in what way or manner Cognitive Behavioural Therapy Targeting Eating Behavior (CBT-TEB) was applied and to evaluate the therapy's short-term efficiency in lowering abdominal corpulence and body mass index (BMI) in routine first-contact medical care settings. Obesity is a weighty public health issue and associated with an raised risk of cardiovascular disease events and humanness. The risk of cardiovascular complications is directly had connection with excess frame fat mass and ectopic fat dethroning, but also other corpulence-related complexities such as pre-type 2 diabetes, obstructive sleep apnoea, and non-alcoholic greasy liver diseases.A screening inquiry was given to consecutive sufferers and after that a fitness dialogue, blood pressure and skin glucose check were offered. Eighty- three bodies aged 18-69 age consented to participate in the CBT-TEB invasion. Inclusion criteria were the combination of intestinal obesity and BMI ≥ 25. Primary outcome measures were changes from criterion to six months after end of remedy in waist circumference (WC), midriff-to-hip ratio (WHR), pressure, and BMI. Changes in eating behaviours: cognitive limitation eating, poignant eating and uncontrolled consuming. Obesity related psychosocial problems in addition to patients´ and group rulers´ experiences of the CBT-TEB programme were also evaluated. Pulse, systolic and diastolic blood pressure, total cholesterol, high-bulk lipoproteins (HDL-C), low-density lipoproteins (LDL-C) and triglycerides were calculated.Mean reductions after six months (total sample, last attention carried forward): WC 4.8 (sd 7.0) cm, WHR 0.027 (sd 0.04), weight 4.4 (sd 4.9) kg, BMI 1.6 (sd 1.8) kg/m2. Mean reductions afterwards six months in therapy completers: WC 5.5 (7.3) cm, WHR 0.031 (0.05), weight 5.0 (5.0) kg, BMI 1.8 (1.8) kg/m2. Cognitive limitation eating raised and uncontrolled eating, touching eating and obesity-accompanying psychosocial problems decreased considerably during remedy. Patients´ experiences of the therapy surpassed their expectations. Group leaders´ knowledge were positive. After a brief training ending, it was possible to redistribute CBT-TEB in primary care using precinct nurses and health educators as group leaders. Both cases and staff replied favorably to the treatment. The CBT-TEB program's temporary success in reducing pressure and abdominal obesity in subjects receiving first-contact medical care was pleasing and seems expected superior to the majority of different reported CBT-located programs.

Author(s) Details:

Lisbeth Stahre,
Department of Clinical Neuroscience, Section for Psychiatry, Huddinge, Karolinska Institutet, Stockholm, Sweden.

Ann Blomstrand,
Department of Primary Health Care, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Tore Hällström,
Department of Clinical Neuroscience, Section for Psychiatry, Huddinge, Karolinska Institutet, Stockholm, Sweden and Department of Neuroscience, Section of Psychiatry and Neurochemistry, Unit for Neuropsychiatric Epidemiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Please see the link here: https://stm.bookpi.org/NRAMMS-V8/article/view/12187