Cognitive remediation-enabled cognitive behaviour therapy for obesity: a case series.

Gilbert, M; Raman, J; Sui, Z

Cognitive remediation-enabled cognitive behaviour therapy for obesity: a case series.

Gilbert, M Raman, J

Sui, Z

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Publisher:: Springer
Publication Type:: Journal Article
Citation:: Eating and weight disorders : EWD, 2021, 26, (1), pp. 103-114
Issue Date:: 2021

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Field	Value	Language
dc.contributor.author	Gilbert, M
dc.contributor.author	Raman, J https://orcid.org/0000-0002-1320-6177
dc.contributor.author	Sui, Z
dc.date.accessioned	2021-09-14T02:20:02Z
dc.date.available	2019-11-22
dc.date.available	2021-09-14T02:20:02Z
dc.date.issued	2021
dc.identifier.citation	Eating and weight disorders : EWD, 2021, 26, (1), pp. 103-114
dc.identifier.issn	1124-4909
dc.identifier.issn	1590-1262
dc.identifier.uri	http://hdl.handle.net/10453/150526
dc.description.abstract	PURPOSE:Despite varied treatment effects, weight recidivism is common and typically associated with the abandonment of prescribed weight management strategies. Literature suggests that difficulty with weight management is associated with deficits in executive functioning, in particular cognitive flexibility and response inhibition, the neurocognitive processes that are involved in goal-directed behaviours, such as dietary adherence. These processes are overlooked by mainstream weight loss programmes. The aim of the study was to assess the effectiveness of a cognitive remediation-enabled cognitive behaviour therapy (CR-CBT) in addressing the neurocognitive, psychological and behavioural correlates of weight loss. It was hypothesised that CR-CBT would improve cognitive flexibility and response inhibition, reduce binge eating, aid weight loss and improve metabolic health. METHODS:Four adults with obesity (body mass index > 30 kg/m2) received 7 weeks of manualised CR-CBT and were assessed via a case series analysis at baseline, end of treatment and 3-month follow-up. Treatment included 3 weekly 90-min group-based behaviour weight loss sessions for 3 weeks, followed by twice-weekly 50-min individualised CR-CBT sessions for 4 weeks. RESULTS:Cognitive remediation-enabled cognitive behaviour therapy produced improvements in response inhibition and cognitive flexibility, and reductions in binge eating frequency, weight, and metabolic health readings between baseline and 3-month follow-up. CONCLUSIONS:This is the first study to assess the effectiveness of CR-CBT in the treatment of obesity. Preliminary indications of treatment success are discussed with respect to study limitations. In light of these results, we recommend further investigation via a randomised control trial (RCT). LEVEL OF EVIDENCE:Level IV, case series.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Springer
dc.relation.ispartof	Eating and weight disorders : EWD
dc.relation.isbasedon	10.1007/s40519-019-00823-4
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1701 Psychology
dc.subject.classification	Clinical Psychology
dc.subject.mesh	Humans
dc.subject.mesh	Obesity
dc.subject.mesh	Weight Loss
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Adult
dc.subject.mesh	Binge-Eating Disorder
dc.subject.mesh	Cognitive Remediation
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Adult
dc.subject.mesh	Binge-Eating Disorder
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Cognitive Remediation
dc.subject.mesh	Humans
dc.subject.mesh	Obesity
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Weight Loss
dc.title	Cognitive remediation-enabled cognitive behaviour therapy for obesity: a case series.
dc.type	Journal Article
utslib.citation.volume	26
utslib.location.activity	Germany
utslib.for	1103 Clinical Sciences
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Teaching and Learning)
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	true
dc.date.updated	2021-09-14T02:20:01Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	26
utslib.citation.issue	1

Abstract:

PURPOSE:Despite varied treatment effects, weight recidivism is common and typically associated with the abandonment of prescribed weight management strategies. Literature suggests that difficulty with weight management is associated with deficits in executive functioning, in particular cognitive flexibility and response inhibition, the neurocognitive processes that are involved in goal-directed behaviours, such as dietary adherence. These processes are overlooked by mainstream weight loss programmes. The aim of the study was to assess the effectiveness of a cognitive remediation-enabled cognitive behaviour therapy (CR-CBT) in addressing the neurocognitive, psychological and behavioural correlates of weight loss. It was hypothesised that CR-CBT would improve cognitive flexibility and response inhibition, reduce binge eating, aid weight loss and improve metabolic health. METHODS:Four adults with obesity (body mass index > 30 kg/m2) received 7 weeks of manualised CR-CBT and were assessed via a case series analysis at baseline, end of treatment and 3-month follow-up. Treatment included 3 weekly 90-min group-based behaviour weight loss sessions for 3 weeks, followed by twice-weekly 50-min individualised CR-CBT sessions for 4 weeks. RESULTS:Cognitive remediation-enabled cognitive behaviour therapy produced improvements in response inhibition and cognitive flexibility, and reductions in binge eating frequency, weight, and metabolic health readings between baseline and 3-month follow-up. CONCLUSIONS:This is the first study to assess the effectiveness of CR-CBT in the treatment of obesity. Preliminary indications of treatment success are discussed with respect to study limitations. In light of these results, we recommend further investigation via a randomised control trial (RCT). LEVEL OF EVIDENCE:Level IV, case series.

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http://hdl.handle.net/10453/150526