行为矫正在肥胖治疗中的作用.ppt

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1、TheRoleofBehaviorModificationinObesityTherapyBehaviorModificationComponentsofBehavioralTherapyforObesityOBESITYWaddenandFoster.MedClinNorthAm2000:84:441.SelfMonitoringProblemSolvingContingencyManagementCognitiveRestructuringSocialSupportStressManagementStimulusCont

2、rolCardinalBehaviorsofSuccessfulLong-termWeightManagementNationalWeightControlRegistryDataSelf-monitoring:Diet:recordfoodintakedaily,limitcertainfoodsorfoodquantityWeight:checkbodyweight>1x/wkLow-calorie,low-fatdiet:Totalenergyintake:1300-1400kcal/dEnergyintakefromfat:20%

3、-25%EatbreakfastdailyRegularphysicalactivity:2500-3000kcal/wk(eg,walk4miles/d)Klemetal.AmJClinNutr1997;66:239.McGuireetal.IntJObesRelatMetabDisord1998;22:572.Reviewwhen,where,andhowbehaviorswillbeperformedIdentifybehaviorchangegoalHavepatientkeeprecordofbehaviorchangeRev

4、iewprogressatnexttreatmentvisitFiveStepstoFacilitateBehaviorChangeWaddenandFoster.MedClinNorthAm2000;84:441.12534Congratulatepatientonsuccesses(donotcriticizeshortcomings)SelfMonitoring:FoodDiaryTimeFoodAmountPlaceCaloriesMood9:15amCoffee1cupBedroom0Neutral12:15pmBagel1wh

5、oleCar250Rushed12:15pmCreamcheese1ozCar100Rushed12:15pmCoffee1cupCar0Rushed3:30pmOreocookies12Den640Stressed6:30pmFriedchicken3ozKitchen435Neutral6:30pmJuice8ozKitchen120Neutral6:30pmRollw/butterKitchen125Neutral6:30pmMashedpotatoes½cupKitchen170Neutral8:30pmYogurt1cupKit

6、chen100Bored8:30pmApple1largeKitchen140BoredTotalfortheDay2080Self-MonitoringConsistencyandWeightLossWeightchange(lb)at18wkofbehaviortherapy1BakerandKirschenbaum.BehavTher1993;24:377.Self-MonitoringIndexQuartiles234P=0.01forweightchangeamongquartilesSummaryofRandomizedCli

7、nicalTrials*ofBehavioralTherapyforWeightLoss197419841990-951996-99Numberoftrials1515149Treatmentduration(wk)8132621Rateofweightloss(kg/wk)0.50.50.40.5Weightloss(kg)3.86.99.09.6Lengthoffollow-up(wk)6584074Weightlossatfollow-up(kg)4.04.45.26.0*Publishedin4journals:Addictive

8、Behaviors,BehaviorTherapy,BehaviourResearchandTherapy,andJournalofConsultingandClinicalPsycholog