Virtual reality-enhanced cognitive-behavioral therapy for morbid obesity: A randomized controlled study with 1 year follow-up
| Autor: | Gian Luca Cesa, Georgina Cárdenas-López, Sara Conti, Gian Mauro Manzoni, Monica Bacchetta, Gianluca Castelnuovo, Fabrizia Mantovani, Enrico Molinari, Andrea Gaggioli, Giuseppe Riva |
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| Přispěvatelé: | Manzoni, M, Cesa, G, Bacchetta, M, Castelnuovo, G, Conti, S, Gaggioli, A, Mantovani, F, Molinari, E, Cárdenas López, G, Riva, G |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
050103 clinical psychology
020205 medical informatics medicine.medical_treatment Settore M-PSI/08 - PSICOLOGIA CLINICA Personal Satisfaction 02 engineering and technology Body Mass Index law.invention Virtual Reality Obesity Cognitive-behavioral therapy randomized controlled study DIETARY RESTRAINT Randomized controlled trial Weight loss law 0202 electrical engineering electronic engineering information engineering CLINICAL-PSYCHOLOGY Young adult Applied Psychology LONG-TERM MAINTENANCE Communication 05 social sciences ITALIAN VERSION General Medicine Middle Aged Obesity Morbid Computer Science Applications Cognitive behavioral therapy Treatment Outcome Female medicine.symptom Psychology Clinical psychology Adult medicine.medical_specialty Social Psychology BODY-IMAGE DISSATISFACTION WEIGHT-LOSS MAINTENANCE EATING-DISORDERS ALLOCENTRIC LOCK SELF-EFFICACY Virtual Reality Exposure Therapy Young Adult Memory Weight Loss Body Image medicine Settore M-PSI/01 - PSICOLOGIA GENERALE Humans 0501 psychology and cognitive sciences Cognitive Behavioral Therapy Original Articles Feeding Behavior medicine.disease Obesity Human-Computer Interaction Physical therapy Cognitive therapy M-PSI/08 - PSICOLOGIA CLINICA Body mass index Follow-Up Studies |
| Popis: | It is well known that obesity has a multifactorial etiology, including biological, environmental, and psychological causes. For this reason, obesity treatment requires a more integrated approach than the standard behavioral treatment based on dietary and physical activity only. To test the long-term efficacy of an enhanced cognitive–behavioral therapy (CBT) of obesity, including a virtual reality (VR) module aimed at both unlocking the negative memory of the body and to modify its behavioral and emotional correlates, 163 female morbidly obese inpatients (body mass index >40) were randomly assigned to three conditions: a standard behavioral inpatient program (SBP), SBP plus standard CBT, and SBP plus VR-enhanced CBT. Patients' weight, eating behavior, and body dissatisfaction were measured at the start and upon completion of the inpatient program. Weight was assessed also at 1 year follow-up. All measures improved significantly at discharge from the inpatient program, and no significant difference was found among the conditions. However, odds ratios showed that patients in the VR condition had a greater probability of maintaining or improving weight loss at 1 year follow-up than SBP patients had (48% vs. 11%, p = 0.004) and, to a lesser extent, than CBT patients had (48% vs. 29%, p = 0.08). Indeed, only the VR-enhanced CBT was effective in further improving weight loss at 1 year follow-up. On the contrary, participants who received only the inpatient program regained back, on average, most of the weight they had lost. Findings support the hypothesis that a VR module addressing the locked negative memory of the body may enhance the long-term efficacy of standard CBT. |
| Databáze: | OpenAIRE |
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