weight management and psychological flexibility
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Weight management and psychological flexibility
Raimo Lappalainen
Professor in Clinical Psychology and Psychotherapy
Department of Psychology
University of Jyväskylä, Finland
Behavioral case formulation and
motivation for change
Impaired Social
Relationships
Depressive mood
WeightProblems:overweight
Social SkillsDeficits
High Caloric Intake:
Family/Social Stressors:
Relationship with the spouse
LimitedExercise
SocialIsolation
Healthproblems
Worried about
the future
Loss ofworkplace
Negative self-image:Negative thoughts
Contextual analyses”weight in context”:
Get a larger picture over the weight management problem
Impaired Social
Relationships
Depressive mood
WeightProblems:overweight
Social SkillsDeficits
High Caloric Intake:
Family/Social Stressors:
Relationship with the spouse
LimitedExercise
SocialIsolation
Healthproblems
Worried about
the future
Loss ofworkplace
Negative self-image:Negative thoughts
Contextual analyses:
There might be other or additional alternatives for intervention
Consider weight or weight management problem
in context
Model
Case formulation
Motivational analyses
(values)
Individual activation for
change –
Longer lasting lifestyle
changes
Model
Case formulation
Motivational analyses
(values)
Individual activation for
change –
Longer lasting lifestyle
changes
Build individual reinforcersfor lifestylechanges
Psychological flexibility
Essi Sairanen, Raimo Lappalainen, Anja Lapveteläinen, Asko Tolvanen, & Leila Karhunen (2014). Flexibility in weight management. Eating Behaviors 15, 218–224
The aim was to achieve an understanding about the mechanism of change during weight maintenance, especially related to control and flexibility.
Results
These results suggest that an increase in flexible control during weight loss and a reduction of rigid control after an active weight loss phase may enhance well-being.
In other words, the ability to increase flexible control and ability to give up rigid control may be beneficial to weight management and well-being.
Different behavioral change strategies may be needed over time
01/12 01/01 01/02 01/03-3.5
-3
-2.5
-2
-1.5
-1
-0.5
0
0.5
Date
Wei
ght
[kg]
Lost, N = 13
Gained or same, N = 13
Behavioral ChangeStrategy 1 Behavioral
ChangeStrategy 2
Behavioral ChangeStrategy 3
Mobile- and web- based interventions
Combining mobile- and web – based interventions with some personal contact
Vision: Web- and Mobile psychological interventions
Vision: Web- and Mobile psychological interventions
Training skills in daily life
Lappalainen et al. (Accepted): Depression symptoms, Face-to-Face vs. mainly web-based intervention.
Behaviour Research & Therapy
Pre Post F-up, 6 mo
F-up 18 mo
0
5
10
15
20
25
OnlineFace-to-face
Web-based
Face-to-Face
Conclusions
Advantages of using case formulation models > broader interventions
(Develop) programs for increasing motivation for change
Interventions should teach flexible strategies, what are these strategies in practice and how to teach them?
Advantages of using web- and mobile-interventions
Combine all these together
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