Behavioral treatment of obesity: thirty years and counting

Wilson, G.Terence

doi:10.1016/0146-6402(94)90002-7

Cited by 159Eating Disorders and BehaviorsObesity, Physical Activity, DietObesity and Health Practices

Behavioral treatment of obesity: thirty years and counting

Wilson, G.Terence·1994·Advances in Behaviour Research and Therapy

DOI 10.1016/0146-6402(94)90002-7

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Participants in behavioral treatments on average do not maintain prescribed calorie and physical activity levels and lose less weight than expected from those prescriptions.
“Yet, participants in behavioral treatments, on average, fall far short of maintaining prescribed calorie and PA levels, and lose far less weight than would be expected given these prescriptions.2,3”
From The mind your health project: a randomized controlled trial of an innovative behavioral treatment for obesity (2013) · cites this paper as [3]

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Increasing the Effectiveness of the National Cholesterol Education Program: Dietary and Behavioral Interventions for Clinical Settings
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Behavioral Treatment of Eating Disorders
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Flagged first, then by citations

2 of the 169 references couldn’t be matched to a known paper.

Sorted by citations

The Objectified Body Consciousness Scale
McKinley, N. M., & Hyde, J. S. (1996) · Psychology of Women Quarterly · doi:10.1111/j.1471-6402.1996.tb00467.x · Cited by 1,724 · see citing works
“Although there is some controversy about the effectiveness of restricted eating (Rodin & Brownell, 1994), studies report that weight loss using current methods is poorly maintained in the long run (Wadden, Sternberg, Letizia, Stunkard, & Foster, 1989; Wilson, 1994) and studies that report higher maintenance rates show…”
A Text Message–Based Intervention for Weight Loss: Randomized Controlled Trial
Patrick, K., Raab, F., Adams, M. A., Dillon, L., Zabinski, M., Rock, C. L., Griswold, W. G., & Norman, G. J. (2009) · Journal of Medical Internet Research · doi:10.2196/jmir.1100 · Cited by 671 · see citing works
“Clinical and commercial weight loss programs can produce short-term weight loss, but a majority of adults regain about 40% of the lost weight in the first year and continue to regain [9].”
Background
Obesity: Responding to the global epidemic.
Wadden, T. A., Brownell, K. D., & Foster, G. D. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.3.510 · Cited by 594 · see citing works
“A 20-week program induces an average loss of 8.5–9.0 kg (i.e., 9% of initial weight; Foreyt & Goodrick, 1993; Wadden & Foster, 2000; Wilson, 1994; Wing, 2002).”
BackgroundInfluential
Pulmonary Complications of Obesity
Koenig, S. M. (2001) · The American Journal of the Medical Sciences · doi:10.1097/00000441-200104000-00006 · Cited by 517 · see citing works
What is a reasonable weight loss? Patients' expectations and evaluations of obesity treatment outcomes.
Foster, G. D., Wadden, T. A., Vogt, R. A., & Brewer, G. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.1.79 · Cited by 460 · see citing works
Assessment of emotional, externally induced and restrained eating behaviour in nine to twelve-year-old obese and non-obese children
Braet, C., & van Strien, T. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)00045-4 · Cited by 377 · see citing works
Childhood obesity: a societal problem to solve
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Is the sequencing of change processes by stage consistent across health problems? A meta-analysis.
Rosen, C. S. (2000) · Health Psychology · doi:10.1037/0278-6133.19.6.593 · Cited by 295 · see citing works
Weighing the Options: Criteria for Evaluating Weight-Management Programs
Thomas, P. (2013) · Cited by 285 · see citing works
The dieting maelstrom: Is it possible and advisable to lose weight?
Brownell, K. D., & Rodin, J. (1994) · American Psychologist · doi:10.1037//0003-066x.49.9.781 · Cited by 278 · see citing works
A new cognitive behavioural approach to the treatment of obesity.
Cooper, Z., & Fairburn, C. (2001) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(00)00065-6 · Cited by 307 · see citing works
Evaluating a ‘non-diet’ wellness intervention for improvement of metabolic fitness, psychological well-being and eating and activity behaviors
Bacon, L., Keim, N., Loan, M. D. V., Derricote, M., Gale, B., Kazaks, A., & Stern, J. (2002) · International Journal of Obesity · doi:10.1038/sj.ijo.0802012 · Cited by 246 · see citing works
Prevalence of attention deficit/hyperactivity disorder among adults in obesity treatment
Altfas, J. R. (2002) · BMC Psychiatry · doi:10.1186/1471-244x-2-9 · Cited by 240 · see citing works
Obesity: What Mental Health Professionals Need to Know
Devlin, M. J. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.6.854 · Cited by 233 · see citing works
An Open Trial of an Acceptance-Based Behavioral Intervention for Weight Loss
Forman, E. M., Butryn, M. L., Hoffman, K. L., & Herbert, J. D. (2009) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2008.09.005 · Cited by 211 · see citing works
“Yet behavioral treatments have consistently achieved only modest outcomes, typically resulting in weight loss of 5% to 10% of initial body weight over 6 to 12 months, most of which time participants are receiving the active intervention (Brownell & Jeffery, 1987; Wilson, 1994).”
Background
A New Look at the Science of Weight Control: How Acceptance and Commitment Strategies Can Address the Challenge of Self-Regulation
Forman, E. M., & Butryn, M. L. (2015) · Appetite · doi:10.1016/j.appet.2014.10.004 · Cited by 208 · see citing works
“…and, as a result, participants receiving behavioral treatment lose far less weight than is achieved by individuals in a controlled environment in which adherence to these same prescriptions is guaranteed (Brownell & Jeffery, 1987; Hall, 2010; Heymsfield et al., 2007; K. G. Wilson, 1994).”
Self‐Regulation of Energy Intake in the Prevention and Treatment of Obesity: Is It Feasible?
Lowe, M. R. (2003) · Obesity Research · doi:10.1038/oby.2003.223 · Cited by 190 · see citing works
“As Wilson (48) has suggested, the slow pace of progress in lifestyle change programs over the past several decades suggests that investing efforts to further refine such programs is unlikely to yield substantial benefits.”
Background
A qualitative study of GPs' views of treating obesity.
Epstein, L., & Ogden, J. (2005) · Europe PMC (PubMed Central) · Cited by 189 · see citing works
The mind your health project: a randomized controlled trial of an innovative behavioral treatment for obesity
Forman, E. M., Butryn, M. L., Juarascio, A. S., Bradley, L. E., Lowe, M. R., Herbert, J. D., & Shaw, J. A. (2013) · Obesity · doi:10.1002/oby.20169 · Cited by 182 · see citing works
“ing prescribed calorie and PA levels, and lose far less weight than would be expected given these prescriptions.(2,3) Moreover, most ex-”
Background
Eating disorders, obesity and addiction
Wilson, G. T. (2010) · European Eating Disorders Review · doi:10.1002/erv.1048 · Cited by 171 · see citing works
“The distinctive pattern of relapse that characterizes obesity treatment programs makes good behavioural sense (Wilson, 1994).”
BackgroundSelf-citation
Inpatient Treatment for Children With Obesity: Weight Loss, Psychological Well-being, and Eating Behavior
Braet, C. (2004) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsh054 · Cited by 169 · see citing works
The impact of obesity surgery and the paradox of control: A qualitative study
Ogden, J., Clementi, C., & Aylwin, S. J. B. (2006) · Psychology and Health · doi:10.1080/14768320500129064 · Cited by 152 · see citing works
“At three- and five-year follow ups, however, the data tend to show weight regain back to baseline weight (Brownell & Wadden, 1992; Wadden, 1993; Wilson, 1995).”
Background
Acceptance-based versus standard behavioral treatment for obesity: Results from the mind your health randomized controlled trial
Forman, E. M., Butryn, M. L., Manasse, S. M., Crosby, R. D., Goldstein, S. P., Wyckoff, E. P., & Thomas, J. G. (2016) · Obesity · doi:10.1002/oby.21601 · Cited by 145 · see citing works
Evaluation of a modified cognitive-behavioural programme for weight management
Rapoport, L., Clark, M., & Wardle, J. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801465 · Cited by 141 · see citing works
The maintenance of treatment effects in the long-term management of obesity.
Perri, M. G. (1998) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.1998.tb00172.x · Cited by 141 · see citing works
Psychological aspects of weight maintenance and relapse in obesity
Byrne, S. M. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00487-7 · Cited by 135 · see citing works
The role of dieting in binge eating disorder
Howard, C. E., & Porzelius, L. K. (1999) · Clinical Psychology Review · doi:10.1016/s0272-7358(98)00009-9 · Cited by 130 · see citing works
Long-term follow-up of a cognitive behavioral treatment program for obese children
Braet, C., & Winckel, M. V. (2000) · Behavior Therapy · doi:10.1016/s0005-7894(00)80004-0 · Cited by 118 · see citing works
Adding cognitive therapy to dietetic treatment is associated with less relapse in obesity
Werrij, M. Q., Jansen, A. T. M., Mulkens, S., Elgersma, H. J., Ament, A. J. H. A., & Hospers, H. J. (2009) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2008.12.011 · Cited by 114 · see citing works
“The pattern of findings clearly shows that the usual weight regain after behavior treatment [12–14] did occur in participants treated by the exercise dietetic treatment, but not in those who received the cognitive dietetic treatment.”
Background
Acceptance and change in the treatment of eating disorders and obesity
Wilson, G. T. (1996) · Behavior Therapy · doi:10.1016/s0005-7894(96)80025-6 · Cited by 114 · see citing works
Self-citation
Return of the JITAI: Applying a Just-in-Time Adaptive Intervention Framework to the Development of m-Health Solutions for Addictive Behaviors
Goldstein, S. P., Evans, B. C., Flack, D., Juarascio, A., Manasse, S., Zhang, F., & Forman, E. M. (2017) · International Journal of Behavioral Medicine · doi:10.1007/s12529-016-9627-y · Cited by 112 · see citing works
“the source of calories that lead to weight regain [23].”
The dieting dilemma in patients with newly diagnosed type 2 diabetes: Does dietary restraint predict weight gain 4 years after diagnosis?
van Strien, T., de Laar, F. A. V., van Leeuwe, J. F. J., Lucassen, P. L., van den Hoogen, H. J. M., Rutten, G. E. H. M., & van Weel, C. (2007) · Health Psychology · doi:10.1037/0278-6133.26.1.105 · Cited by 107 · see citing works
Randomized controlled trial of OnTrack, a just-in-time adaptive intervention designed to enhance weight loss
Forman, E. M., Goldstein, S. P., Crochiere, R. J., Butryn, M. L., Juarascio, A. S., Zhang, F., & Foster, G. D. (2019) · Translational Behavioral Medicine · doi:10.1093/tbm/ibz137 · Cited by 94 · see citing works
Awareness and prevention of bias against fat clients in psychotherapy.
Davis-Coelho, K., Waltz, J. A., & Davis-Coelho, B. (2000) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.31.6.682 · Cited by 99 · see citing works
Ecological Momentary Assessment of Dietary Lapses Across Behavioral Weight Loss Treatment: Characteristics, Predictors, and Relationships with Weight Change
Forman, E. M., Schumacher, L. M., Crosby, R. D., Manasse, S. M., Goldstein, S. P., Butryn, M. L., Wyckoff, E. P., & Thomas, J. G. (2017) · Annals of Behavioral Medicine · doi:10.1007/s12160-017-9897-x · Cited by 98 · see citing works
A comparison between a cognitive and a behavioral treatment for obese binge eaters and obese non-binge eaters
Nauta, H., Hospers, H. J., Kok, G., & Jansen, A. T. M. (2000) · Behavior Therapy · doi:10.1016/s0005-7894(00)80024-6 · Cited by 98 · see citing works
“Despite encouraging results in the short term, there remains a continuing failure to achieve long-term maintenance of weight: After 1 year almost all participants return to their baseline weights, regardless of the length or method of the initial treatment (Perri, Nezu, Patti, & McCann, 1989; Wilson, 1994).”
Background
Follow‐up results of different treatment programs for obese children
Braet, C., Winckel, M. V., & Leeuwen, K. G. V. (1997) · Acta Paediatrica · doi:10.1111/j.1651-2227.1997.tb09030.x · Cited by 97 · see citing works
Inpatient treatment of obese children: a multicomponent programme without stringent calorie restriction
Braet, C., Tanghe, A., Bode, P. D., Franckx, H., & Winckel, M. V. (2003) · European Journal of Pediatrics · doi:10.1007/s00431-003-1155-5 · Cited by 89 · see citing works
“Whereas adult obesity is known to be resistant to treatment [ 33 ], intervention programmes for children show more promising results [5, 11, 10, 22].”
OnTrack: development and feasibility of a smartphone app designed to predict and prevent dietary lapses
Forman, E. M., Goldstein, S. P., Zhang, F., Evans, B. C., Manasse, S. M., Butryn, M. L., Juarascio, A. S., Abichandani, P., Martin, G. J., & Foster, G. D. (2019) · Translational Behavioral Medicine · doi:10.1093/tbm/iby016 · Cited by 77 · see citing works
Worksite Intervention for Weight Control: A Review of the Literature
Hennrikus, D. J., & Jeffery, R. W. (1996) · American Journal of Health Promotion · doi:10.4278/0890-1171-10.6.471 · Cited by 84 · see citing works
Obesity and ADHD may represent different manifestations of a common environmental oversampling syndrome: a model for revealing mechanistic overlap among cognitive, metabolic, and inflammatory disorders
Bazar, K. A., Yun, A. J., Lee, P. Y., Daniel, S. M., & Doux, J. D. (2005) · Medical Hypotheses · doi:10.1016/j.mehy.2005.02.042 · Cited by 76 · see citing works
“The rising prevalence of obesity is generally attributed to greater nutritional accessibility and more sedentary lifestyles, but many aspects of the condition remain enigmatic, and effective treatment continues to prove elusive [1].”
Background
Combining Behavioral and Pharmacological Treatments for Obesity
Phelan, S., & Wadden, T. A. (2002) · Obesity Research · doi:10.1038/oby.2002.77 · Cited by 73 · see citing works
“As others have suggested (27), it may be asking too much for overweight individuals to exert continuous control in the face of unremitting biological factors and an environment that supplies an abundance of ready-made high-calorie, high-fat foods, as well as a multitude of energy-saving devices.”
Background
Can the artificial intelligence technique of reinforcement learning use continuously-monitored digital data to optimize treatment for weight loss?
Forman, E. M., Kerrigan, S. G., Butryn, M. L., Juarascio, A. S., Manasse, S. M., Ontañón, S., Dallal, D. H., Crochiere, R. J., & Moskow, D. M. (2018) · Journal of Behavioral Medicine · doi:10.1007/s10865-018-9964-1 · Cited by 67 · see citing works
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Background

Authors: Wilson, G. T.
Affiliations: Rutgers, The State University of New Jersey (US)
Corresponding author: Wilson, G.Terence
ORCID: Wilson, G.Terence
Venue: Advances in Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 1994-01
Volume: 16
Issue: 1
Pages: 31-75
ISSN: 0146-6402 (ISSN-L)
DOI: 10.1016/0146-6402(94)90002-7
OpenAlex: W2115017918
Cited by: 159
References: 169
Citations by year: 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 1 · 2018: 7 · 2017: 4 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 7 · 2012: 4
FWCI: 12.74
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Advances in Behaviour Research and Therapy (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
Keywords: obesity, behavior therapy, weight loss, relapse, weight maintenance, very low calorie diet, cognitive behavioral therapy, binge eating, dietary habits, obesity phenotypes, body weight regulation

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Behavioral treatment of obesity: thirty years and counting

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