Behavioural therapy for the treatment of obesity aims to systematically change the behaviour that contributes to the development and maintenance of obesity. A distinction is made between so-called lifestyle interventions and behavioural therapeutic treatment methods. The effectiveness of behavioural interventions alone, but in particular in combination with nutrition and physical activity, has been systematically investigated and well documented. It seems that more intensive behavioural programs also lead to a higher weight loss. Whether group or individual behavioural therapies are effective should be decided individually.
The spectrum of suitable interventions and methods may include the following elements, among others:
- self-observation of behaviour and progress (amount of food, body weight, exercise)
- stimulus control
- target agreements
- training in conflict resolution
- assertiveness training
- prevention of relapses
- social support
Individual areas should also be discussed in the context of behavioural therapy:
- history: weight development, failed weight loss attempts, self-esteem, stigmatization
- motivation situation
- social environment: family, partners, work, leisure, friends
- importance of food intake: relaxation, reward, frustration
Psychotherapy of any mental disorders such as anxiety disorders, depression or eating disorders that are often present in obese patients who wish to be treated should take place as part of behavioural therapy. Good evidence is also available for the psychotherapeutic treatment of binge-eating disorders.
Bilbiography sources:
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