Psychological and behavioral responses to daily weight gain during behavioral weight loss treatment.

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Title: Psychological and behavioral responses to daily weight gain during behavioral weight loss treatment.
Authors: Hagerman, Charlotte J., Onu, Michael C., Crane, Nicole T., Butryn, Meghan L., Forman, Evan. M.
Source: Journal of Behavioral Medicine. Jun2024, Vol. 47 Issue 3, p492-503. 12p.
Subjects: Weight loss, Patient compliance, Research funding, Regulation of body weight, Long-term health care, Treatment effectiveness, Motivation (Psychology), Health behavior, Guilt (Psychology), Women's health, Patient satisfaction, Shame, Weight gain, Behavior therapy
Abstract: Self-weighing is consistently associated with more effective weight control. However, patterns show that participants disengage from their weight control behaviors following weight gain. Women with BMIs in the overweight/obese range (N = 50) enrolled in a long-term behavioral weight loss program completed ecological momentary assessment (EMA) surveys immediately after their daily weigh-ins. Nightly EMA surveys and self-monitoring data through Fitbit measured their weight control behavior that day. On days when participants gained weight (vs. lost or maintained), they reported more negative mood, more guilt/shame, and lower confidence in weight control. Motivation following daily weight gain depended on participants' overall satisfaction with their weight loss so far: more satisfied participants had marginally higher, but less satisfied participants had marginally lower motivation in response to daily weight gain. Greater guilt/shame and lower motivation after the weigh-in predicted less effective weight control behavior that day (e.g., lower likelihood of calorie tracking, fewer minutes of physical activity). Results demonstrate that even small weight gain is distressing and demoralizing for women in BWL programs, which can lead to goal disengagement. These findings have implications for future BWL interventions, including the potential utility of just-in-time adaptive interventions to promote more adaptive responses in the moments after weigh-ins. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Psychological and behavioral responses to daily weight gain during behavioral weight loss treatment.
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  Data: <searchLink fieldCode="AR" term="%22Hagerman%2C+Charlotte+J%2E%22">Hagerman, Charlotte J.</searchLink><br /><searchLink fieldCode="AR" term="%22Onu%2C+Michael+C%2E%22">Onu, Michael C.</searchLink><br /><searchLink fieldCode="AR" term="%22Crane%2C+Nicole+T%2E%22">Crane, Nicole T.</searchLink><br /><searchLink fieldCode="AR" term="%22Butryn%2C+Meghan+L%2E%22">Butryn, Meghan L.</searchLink><br /><searchLink fieldCode="AR" term="%22Forman%2C+Evan%2E+M%2E%22">Forman, Evan. M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Medicine%22">Journal of Behavioral Medicine</searchLink>. Jun2024, Vol. 47 Issue 3, p492-503. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Weight+loss%22">Weight loss</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Regulation+of+body+weight%22">Regulation of body weight</searchLink><br /><searchLink fieldCode="DE" term="%22Long-term+health+care%22">Long-term health care</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Guilt+%28Psychology%29%22">Guilt (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+health%22">Women's health</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+satisfaction%22">Patient satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Shame%22">Shame</searchLink><br /><searchLink fieldCode="DE" term="%22Weight+gain%22">Weight gain</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Self-weighing is consistently associated with more effective weight control. However, patterns show that participants disengage from their weight control behaviors following weight gain. Women with BMIs in the overweight/obese range (N = 50) enrolled in a long-term behavioral weight loss program completed ecological momentary assessment (EMA) surveys immediately after their daily weigh-ins. Nightly EMA surveys and self-monitoring data through Fitbit measured their weight control behavior that day. On days when participants gained weight (vs. lost or maintained), they reported more negative mood, more guilt/shame, and lower confidence in weight control. Motivation following daily weight gain depended on participants' overall satisfaction with their weight loss so far: more satisfied participants had marginally higher, but less satisfied participants had marginally lower motivation in response to daily weight gain. Greater guilt/shame and lower motivation after the weigh-in predicted less effective weight control behavior that day (e.g., lower likelihood of calorie tracking, fewer minutes of physical activity). Results demonstrate that even small weight gain is distressing and demoralizing for women in BWL programs, which can lead to goal disengagement. These findings have implications for future BWL interventions, including the potential utility of just-in-time adaptive interventions to promote more adaptive responses in the moments after weigh-ins. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1007/s10865-024-00476-4
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 492
    Subjects:
      – SubjectFull: Weight loss
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Regulation of body weight
        Type: general
      – SubjectFull: Long-term health care
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Guilt (Psychology)
        Type: general
      – SubjectFull: Women's health
        Type: general
      – SubjectFull: Patient satisfaction
        Type: general
      – SubjectFull: Shame
        Type: general
      – SubjectFull: Weight gain
        Type: general
      – SubjectFull: Behavior therapy
        Type: general
    Titles:
      – TitleFull: Psychological and behavioral responses to daily weight gain during behavioral weight loss treatment.
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            NameFull: Hagerman, Charlotte J.
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            NameFull: Onu, Michael C.
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            NameFull: Crane, Nicole T.
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            NameFull: Butryn, Meghan L.
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            NameFull: Forman, Evan. M.
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            – D: 01
              M: 06
              Text: Jun2024
              Type: published
              Y: 2024
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              Value: 01607715
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              Value: 47
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