Healthy Lifestyle Deck of cards as a tool for cognitive-behavioral therapy in adults with obesity

Almeida, Vanessa Ponstinnicoff de; Oliveira, Milena Santos de; Moraes, Amanda dos Santos; Padovani, Ricardo da Costa; Caranti, Danielle Arisa

doi:10.1590/1982-0275202340e210162

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Brasil

Estudos de Psicologia (Campinas)

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Sumário

RESEARCH REPORT - Health Psychology • Estud. psicol. 40 • 2023 • https://doi.org/10.1590/1982-0275202340e210162 copy

Healthy Lifestyle Deck of cards as a tool for cognitive-behavioral therapy in adults with obesity

Baralho do Estilo de Vida como ferramenta da terapia cognitivo-comportamental de adultos com obesidade

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

This is a mixed-methodology controlled clinical study that assessed the effect of the Health Lifestyle Deck of cards as a Cognitive-Behavioral Group Therapy tool for obese adults.

Method

The sample was divided into two groups: Intervention group and Intervention+Deck. The therapy was interdisciplinary handled by psychology, nutrition and physical education professionals, along 12 sessions. The following measures were performed: anthropometric assessment, indicators of binge eating, depression, anxiety and stress, quality of life, self-efficacy for eating habits, and physical activity at the beginning and the end of the intervention. Participants’ written and verbal reports’ content was analyzed.

Results

The results were: a reduction in body mass, binge eating, and improvement of self-efficacy to regulate eating habits in both groups. There was an improvement in the psychological domain of quality of life only in the Intervention+Deck group.

Conclusion

The study concluded that the intervention favored participants’ cognitive and behavioral changes.

Keywords
Cognitive behavioral therapy; Coping skills; Interdisciplinary research; Obesity

Nº	Theme – CBGT and CBGT+Deck
01	Presentation of the research, dynamic presentation of the team and participants, application of instruments
02	Psychoeducation on the cognitive-behavioral model and how to identify environmental triggers for eating; use of food diary
03	Session with the nutritionist (Guidelines based on the Food Guide for the Brazilian Population) (Brasil, 2014Ministério da Saúde (Brasil). (2014). Guia alimentar para a população brasileira (2nd ed.). Secretaria de Atenção à Saúde; Departamento de Atenção Básica. https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf https://bvsms.saude.gov.br/bvs/publicaco... )
04	Use of CBT techniques: Socratic Questioning, Problem Solving, Positive Enhancement of desirable behaviors; use of food diary
05	Session of Physical Educators (importance of regular physical activity and practice of functional exercises)
06	Use of CBT techniques: Role Play and Assertiveness Training, Problem Solving, positive enhancement of desirable behaviors
07	Use of CBT techniques: Psychoeducation and Decision Making, time management strategies, positive enhancement of desirable behaviors
08	Psychoeducation about anxiety, fear and stress and use of CBT techniques such as Socratic Debate
09	Breathing practice, relaxation and mindful eating (Salvo et al., 2018Salvo, V., Kristeller, J., Montero Marin, J., Sanudo, A., Lourenço, B. H., Schveitzer, M. C., D’Almeida, V., Morillo, H., Gimeno, S. G. A., Garcia-Campayo, J., & Demarzo, M. (2018). Mindfulness as a complementary intervention in the treatment of overweight and obesity in primary health care: study protocol for a randomised controlled trial. Trials, 19(1), 277. https://doi.org/10.1186/s13063-018-2639-y https://doi.org/10.1186/s13063-018-2639-... )
10	Dynamics about saboteur/permissive diet thoughts. Use of sentences written in the CBT group and the deck in the CBGT+Deck group
11	Continuation of the dynamic on saboteur/permissive thoughts. Use of sentences written in the CBT group and the deck in the CBGT+Deck group
12	Relapse prevention: survey of risk situations and coping strategies.; application of instruments; closing dynamics

Variables		CBGT Mean Final Ass. (SD)	Δ CBGT (SD) (n = 8)	ES values	CBGT+Deck Mean Final Ass. (SD)	Δ CBGT+Deck (SD) (n = 8)	ES values	p-value
Anthropometric
	Body mass (kg)	88.69 ± 7.58	-4.73 ± 4.22	1.00	94.53 ± 8.01	-1.45 ± 2.76	0.47	000.003
	BMI (kg/m²)	33.58 ± 3.53	-1.77 ± 1.57	1.00	33.59 ± 3.43	-083 ± 1.39	0.53	000.002
	Neck circumference (cm)	36.69 ± 3.51	-1.56 ± 1.88	0.74	36.94 ± 2.74	-0.63 ± 0.83	0.67	000.006
	Hip circumference (cm)	118.63 ± 8.08	-4.63 ± 4.02	1.02	121.31 ± 8.80	-0.69 ± 3.66	0.17	000.005
Instrumentals
	BES	9.13 ± 6.13	-9.88 ± 7.43	1.18	9.75 ± 3.69	-7.50 ± 4.57	1.46	< 0.001
	Physical D.	3.60 ± 0.86	0.27 ± 0.62	0.39	3.89 ± 0.53	0.39 ± 0.47	0.73	000.020
	Psychol. D.	3.31 ± 0.66	0.11 ± 0.51	0.18	3.79 ± 0.36	0.62 ± 0.29	1.91	000.015
	Social relationship	3.37 ± 1.06	0.25 ± 0.43	0.52	3.79 ± 0.82	0.42 ± 0.59	0.63	00.015
	Environ-ment	3.55 ± 0.70	0.27 ± 0.56	0.42	4± 0.21	0.37 ± 0.27	1.25	< 0.001
	S.Ef. eating habits	59.42 ± 19.25	10.50 ± 16.30	0.57	62.69 ± 17.29	15.97 ± 18.48	0.77	00.04

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Raquel Souza Lobo Guzzo