Psychological Considerations Flashcards
What triggers individuals to want to lose weight?
Health concerns and physical appearance
What are examples of self-reporting screening measures?
▫ Beck Depression Inventory (BDI), Patient Health Questionnaire (PHQ)
▫ Beck Anxiety Inventory (BAI)
▫ Eating Disorder Inventory (EDI) - Drive for Thinness; Bulimia; Body Dissatisfaction
▫ Binge eating scale (BES)
▫ Figure Rating Scale (Body/weight disturbance/satisfaction)
▫ Eating Inventory (EI) / Three-Factor Eating Questionnaire (TFEQ) - Cognitive restraint; Disinhibition; Hunger
When would a mental health referral be appropriate?
Eating disorder
Cognitive impairment
Severe depression/suicidal
Substance abuse/dependance
What are 3 lifestyle interventions for the management of overweight and obesity?
1) calorie-restricted diet
2) increased physical activity
3) behavioral strategies
What are benefits to using OARS?
Collaborative, patient-centered, elicits ‘change talk’, reduces ambivalence, shows attentiveness
What are the 5 steps to problem-solving treatment?
Problem orientation
Defining the problem
Generating solutions to the problem
Determining what will work best
Implement determined solution/evaluate
How to initial self-regulation?
Determine how one can monitor progress
Ex. weighing self, weighing out foods, wearing fitness trackers, food logs
What are possible internal and external triggers?
Emotions
Other people
Routines
Activities
Senses
What are examples of coping strategies?
Distraction
Avoidance
Confrontation
Incompatible behaviors
Planning
What are examples of environmental modifications that INCREASE weight-reducing behaviors?
Self-monitoring
Weighing self
Stocking fridge with healthy options
Activity
What are examples of environmental modifications that DECREASE weight-promotion behaviors?
Having unhealthy foods easily available
Going down aisles with junk food
Screen time
Modifying irrational and maladaptive thoughts falls under what type of therapy strategy?
Cognitive restructuring
What are 4 types of statements that should be modified using cognitive restructuring?
All-or-none thinking
Fortune-telling
“Should” statements
Not as good as
What is helpful vs. not helpful when reviewing a slip with a patient?
Helpful…
* Lack of planning
* Learning opportunity
* Problem-solving for future
Not helpful…
* Lack of “willpower”
* Failure
* Ruminating on past
What are 4 strategies in Acceptance and Commitment Therapy?
Values clarification
Behavioral commitment
Distress tolerance
Mindful awareness
How should one address a patient with obesity without bias and discrimination?
Recognize complex etiology of obesity (not just personal control)
▫ Avoid blame & judgement
▫ Focus on modifiable behaviors, not weight
Language matters (patient-centered communication)
▫ People-first language (“person with obesity”)
▫ Selection of weight terminology
The process of asking individuals to identify their anticipated pros and cons for engaging in weight loss treatment is described as?
Decisional balance
What is an example of “applied support”?
Taking a walk with a friend
A behavioral “slip” from engaging in healthy eating and activity behaviors is best characterized by?
A temporary setback
In acceptance and commitment-based treatments for obesity, how should patients be instructed to handle unpleasant internal experiences?
Approach and accept unpleasant experiences
Extended care programs designed to promote long-term weight loss maintenance should include which of the following features?
Continuation of professional support and continuation of behavioral self-monitoring
SMART stands for?
Specific
Measurable
Achievable
Realistic
Time-oriented
