Healthy Weight, Healthy Eating: Understanding and helping individuals with weight- and...
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Healthy Weight, Healthy Eating: Understanding and helping individuals with weight- and eating-related difficulties Edie Goldbacher, Ph.D. Department of Psychology La Salle University
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Transcript of Healthy Weight, Healthy Eating: Understanding and helping individuals with weight- and...
Healthy Weight, Healthy Eating:
Understanding and helping individuals with weight- and
eating-related difficulties
Edie Goldbacher, Ph.D.
Department of Psychology
La Salle University
An overview…
Who am I?
What is the context for trying to understand, prevent and treat eating- and weight-related difficulties?
What does this look like?
How are we at La Salle contributing to these efforts?
2000
Obesity Trends* Among U.S. AdultsBRFSS, 1990, 2000, 2010
(*BMI 30, or about 30 lbs. overweight for 5’4” person)
2010
1990
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
The multifaceted nature of obesity Genetics / Biological Factors
Environmental Factors Availability / cost of food / advertising Portion sizes Characteristics of the built environment
Social Factors Social support Social / cultural / environmental
stress
Conscious Choices?
The multifaceted nature of obesity: Behavioral Factors
Mindless / unintentional eating
Ineffective eating patterns
Sedentary behaviors
Ineffective problem-solving
Sensitivity to environmental cues
Behavioral Weight Loss:Not a diet, but a lifelong change
Self-monitoring Goal setting Problem-
solving Stimulus
control Coping Relapse
prevention
Pre-determined # of sessions (12 – 20 weekly, additional if needed)
Pre-set time frame (50 minute)
Weekly weigh-ins Nutrition education Physical activity Behavior modification Identify / modify unhelpful
thinking patterns
Self-MonitoringI am going to
need more information
…
Self Monitoring
Diet Physical Activity
Weight
Stimulus control
Stimulus Control
Learning to pay attention to things that we identify in the environment and how they may alter eating habits.
Pavlov's Dogs-
The multifaceted nature of obesity: Psychological Factors
Emotions / stress Alternatives
Binge eating Approximately 1-5% of population May be associated with weight loss difficulties May require different / specialized treatment
approach (e.g., CBT)
Other psychological factors Psychological disorders
The multifaceted nature of obesity: Bias / Discrimination
Increased by about 60% over past decade
Omnipresent
Common stereotypes and attitudes
Being a victim is associated with physical and psychological consequences
Raise awareness / educate
Address in treatment as precipitant
Our work at La Salle: The community at large
La Salle University’s Community Psychological Services: Healthy Eating, Healthy Weight clinic
Low-cost, sliding scale services Individual services
Eating and weight-difficulties Individualized treatment Improving treatment options, availability and
outcomes Weight loss group
Our work at La Salle: The university community
Furthering our understanding of factors that contribute to eating and weight difficulties in students Emotional eating
Examining weight-related attitudes among health care providers in student health centers
Promoting awareness, sensitivity and change
Interested in learning more?
Yale’s Rudd Food Center http://www.yaleruddcenter.org/
The Obesity Society http://www.obesity.org/
The Academy for Eating Disorders http://aed-web.org/web/index.php
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