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Gepubliceerd in: Mindfulness 9/2022

13-08-2022 | ORIGINAL PAPER

Effects of a Mindfulness-Based Weight Loss Intervention on Long-term Psychological Well-being Among Adults with Obesity: Secondary Analyses from the Supporting Health by Integrating Nutrition and Exercise (SHINE) Trial

Auteurs: Andrew R. Hooker, Sara J. Sagui-Henson, Jennifer Daubenmier, Patricia J. Moran, Wendy Hartogensis, Michael Acree, Jean Kristeller, Elissa S. Epel, Ashley E. Mason, Frederick M. Hecht

Gepubliceerd in: Mindfulness | Uitgave 9/2022

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Abstract

Objectives

This study tested whether a mindfulness-based intervention for obesity that included components aimed at emotion regulation and mindful eating improved psychological outcomes including stress, anxiety, positive emotion, and depression, during the intervention period and at longer-term follow-up.

Methods

Adults with obesity (N=194) were randomized to a 5.5-month diet-exercise weight loss intervention with or without mindfulness training focused on emotion regulation and mindful eating. Participants completed self-report measures of mindfulness and psychological well-being, which were planned secondary outcomes, at baseline, at mid-intervention (3 months), and at 6, 12, and 18 months post-baseline (maintenance period). Mixed effects models and linear regression were used to test between- and within-group changes in psychological well-being. This study also explored whether changes in mindfulness (from baseline to each 6 and 18 months post-baseline) mediated the effects of intervention arm on changes in psychological outcomes during those respective time periods. Finally, this study explored whether changes in mindfulness from baseline to 6 months mediated the effects of intervention arm on changes in psychological outcomes from baseline to 18 months.

Results

Participants randomized to the mindfulness arm had significant increases in positive emotions at all follow-up times compared to controls. There were statistically significant increases in mindfulness, psychological flexibility, and reflection, as well as decreases in anxiety and depressive symptoms at 12 months compared to control participants. These changes remained significant for psychological flexibility and reflection at 18 months. There were no significant differences in perceived stress. Among mindfulness participants, greater increases in mindfulness from 6 to 18 months were associated with greater positive emotions and psychological flexibility as well as lower perceived stress, anxiety, depressive symptoms, and rumination at 18 months, adjusting for 6-month values. Mediation analyses indicated that randomization to the mindfulness intervention arm was associated with 6-month increases in mindfulness, and these increases were in turn associated with improved psychological outcomes at 6 months and 18 months. Changes from baseline to 18 months did not mediate 18-month changes in psychological outcomes.

Conclusions

Mindfulness training in emotion regulation and mindful eating may provide greater longer-term psychological well-being benefits in non-clinical populations with obesity compared to conventional diet-exercise interventions.

Trial Registration

ClinicalTrials.​gov Identifier: NCT00960414
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Literatuur
go back to reference Bacchetti, P. (2002). Peer review of statistics in medical research: the other problem. British Medical Journal, 324(7348), 1271–1273. CrossRef Bacchetti, P. (2002). Peer review of statistics in medical research: the other problem. British Medical Journal, 324(7348), 1271–1273. CrossRef
go back to reference Cohen, S. (1988). Perceived stress in a probability sample of the United States. In S. E. Spacapan, & S. E. Oskamp (Eds.), The Social Psychology of Health (pp. 31-67, 251): Sage Publications, Inc. Cohen, S. (1988). Perceived stress in a probability sample of the United States. In S. E. Spacapan, & S. E. Oskamp (Eds.), The Social Psychology of Health (pp. 31-67, 251): Sage Publications, Inc.
go back to reference Daubenmier, J., Moran, P. J., Kristeller, J., Acree, M., Bacchetti, P., Kemeny, M. E., Dallman, M., Lustig, R. H., Grunfeld, C., Nixon, D. F., Milush, J. M., Goldman, V., Laraia, B., Laugero, K. D., Woodhouse, L., Epel, E. S., & Hecht, F. M. (2016). Effects of a mindfulness-based weight loss intervention in adults with obesity: A randomized clinical trial. Obesity (Silver Spring, Md.), 24(4), 794–804. https://​doi.​org/​10.​1002/​oby.​21396 CrossRef Daubenmier, J., Moran, P. J., Kristeller, J., Acree, M., Bacchetti, P., Kemeny, M. E., Dallman, M., Lustig, R. H., Grunfeld, C., Nixon, D. F., Milush, J. M., Goldman, V., Laraia, B., Laugero, K. D., Woodhouse, L., Epel, E. S., & Hecht, F. M. (2016). Effects of a mindfulness-based weight loss intervention in adults with obesity: A randomized clinical trial. Obesity (Silver Spring, Md.), 24(4), 794–804. https://​doi.​org/​10.​1002/​oby.​21396 CrossRef
go back to reference Dreyer, D., & Dreyer, K. (2006). ChiWalking: Fitness walking for lifelong health and energy. Atria Books. Dreyer, D., & Dreyer, K. (2006). ChiWalking: Fitness walking for lifelong health and energy. Atria Books.
go back to reference Farb, N. A. S., Anderson, A. K., Irving, J. A., & Segal, Z. V. (2014). Mindfulness interventions and emotion regulation. In J. Gross (Ed.), Handbook of emotion regulation (2nd ed., pp. 548–567). The Guilford Press. Farb, N. A. S., Anderson, A. K., Irving, J. A., & Segal, Z. V. (2014). Mindfulness interventions and emotion regulation. In J. Gross (Ed.), Handbook of emotion regulation (2nd ed., pp. 548–567). The Guilford Press.
go back to reference Hayes, A. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. The Guilford Press. Hayes, A. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. The Guilford Press.
go back to reference Hedges, L. V. (2007). Effect sizes in cluster-randomized designs. Journal of Educational and Behavioral Statistics, 32(4), 341–370. CrossRef Hedges, L. V. (2007). Effect sizes in cluster-randomized designs. Journal of Educational and Behavioral Statistics, 32(4), 341–370. CrossRef
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delacorte Press. Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delacorte Press.
go back to reference Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. Hyperion. Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. Hyperion.
go back to reference Kristeller, J., & Bowman, A. (2015). The joy of half a cookie: Using mindfulness to lose weight and end the struggle with food. Tarcher Perigee. Kristeller, J., & Bowman, A. (2015). The joy of half a cookie: Using mindfulness to lose weight and end the struggle with food. Tarcher Perigee.
go back to reference Mason, A. E., Epel, E. S., Kristeller, J., Moran, P. J., Dallman, M., Lustig, R. H., Acree, M., Bacchetti, P., Laraia, B., Hecht, F. M., & Daubenmier, J. (2016b). Effects of a mindfulness-based intervention on mindful eating, sweets consumption, and fasting glucose levels in obese adults: data from the SHINE randomized controlled trial. Journal of Behavioral Medicine, 39(2), 201–213. https://​doi.​org/​10.​1007/​s10865-015-9692-8 CrossRefPubMed Mason, A. E., Epel, E. S., Kristeller, J., Moran, P. J., Dallman, M., Lustig, R. H., Acree, M., Bacchetti, P., Laraia, B., Hecht, F. M., & Daubenmier, J. (2016b). Effects of a mindfulness-based intervention on mindful eating, sweets consumption, and fasting glucose levels in obese adults: data from the SHINE randomized controlled trial. Journal of Behavioral Medicine, 39(2), 201–213. https://​doi.​org/​10.​1007/​s10865-015-9692-8 CrossRefPubMed
go back to reference Mason, A. E., Hecht, F. M., Daubenmier, J. J., Sbarra, D. A., Lin, J., Moran, P. J., Schleicher, S. G., Acree, M., Prather, A., & Epel, E. S. (2018). Weight loss, weight-loss maintenance, and cellular aging in the Supporting Health through Nutrition and Exercise (SHINE) study. Psychosomatic Medicine, 80(7), 609. CrossRef Mason, A. E., Hecht, F. M., Daubenmier, J. J., Sbarra, D. A., Lin, J., Moran, P. J., Schleicher, S. G., Acree, M., Prather, A., & Epel, E. S. (2018). Weight loss, weight-loss maintenance, and cellular aging in the Supporting Health through Nutrition and Exercise (SHINE) study. Psychosomatic Medicine, 80(7), 609. CrossRef
go back to reference Perneger, T. V. (1998). What’s wrong with Bonferroni adjustments. British Medical Journal, 316(7139), 1236–1238. CrossRef Perneger, T. V. (1998). What’s wrong with Bonferroni adjustments. British Medical Journal, 316(7139), 1236–1238. CrossRef
go back to reference Podsakoff, P. M., MacKenzie, S. B., & Podsakoff, N. P. (2012). Sources of method bias in social science research and recommendations on how to control it. Annual Review of Psychology, 63, 539–569. CrossRef Podsakoff, P. M., MacKenzie, S. B., & Podsakoff, N. P. (2012). Sources of method bias in social science research and recommendations on how to control it. Annual Review of Psychology, 63, 539–569. CrossRef
go back to reference Rand, K., Vallis, M., Aston, M., Price, S., Piccinini-Vallis, H., Rehman, L., & Kirk, S. F. L. (2017). “It is not the diet; it is the mental part we need help with.” A multilevel analysis of psychological, emotional, and social well-being in obesity. International Journal of Qualitative Studies on Health and Well-being, 12(1). https://​doi.​org/​10.​1080/​17482631.​2017.​1306421 Rand, K., Vallis, M., Aston, M., Price, S., Piccinini-Vallis, H., Rehman, L., & Kirk, S. F. L. (2017). “It is not the diet; it is the mental part we need help with.” A multilevel analysis of psychological, emotional, and social well-being in obesity. International Journal of Qualitative Studies on Health and Well-being, 12(1). https://​doi.​org/​10.​1080/​17482631.​2017.​1306421
go back to reference Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the state-trait anxiety inventory. Consulting Psychologist Press. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the state-trait anxiety inventory. Consulting Psychologist Press.
go back to reference Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: Distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76(2), 284–304. CrossRef Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: Distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76(2), 284–304. CrossRef
Metagegevens
Titel
Effects of a Mindfulness-Based Weight Loss Intervention on Long-term Psychological Well-being Among Adults with Obesity: Secondary Analyses from the Supporting Health by Integrating Nutrition and Exercise (SHINE) Trial
Auteurs
Andrew R. Hooker
Sara J. Sagui-Henson
Jennifer Daubenmier
Patricia J. Moran
Wendy Hartogensis
Michael Acree
Jean Kristeller
Elissa S. Epel
Ashley E. Mason
Frederick M. Hecht
Publicatiedatum
13-08-2022
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 9/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-022-01951-2

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