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| Name | Class |
|---|---|
| Centre for Addiction and Mental Health | OTHER |
| Wharton Medical Clinic | UNKNOWN |
| Women's College Hospital | OTHER |
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Women with mood disorders are vulnerable to the negative consequences associated with obesity, and face considerable challenges with adherence to behavioral weight management interventions. Strategies are needed to support the psychological well-being of this population, and improve adherence to weight-related treatment. The goal of this preliminary study is to determine the acceptability of a group-based compassion-focused psychoeducational intervention among women with mood disorders who are attending a behavioral weight management program.
Pilot feasibility trial to examine the acceptability and efficacy of compassion-based intervention in reducing indices of psychopathology (i.e., internalized weight stigma, mood symptoms), and improving weight management outcomes (i.e., physical activity behaviour, dieting behaviour, weight loss) among women with mood disorders undergoing lifestyle weight management. In this proof of concept study, adult females with a diagnosis of major depressive disorder of bipolar disorder will be randomized into two arms: weight management treatment as usual + psychoeducation group; weight management as usual + control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Compassion-focused psychoeducation group | Experimental | Receiving 2-hours of group-based in-person psychoeducational sessions weekly for 6-weeks. |
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| Control group | No Intervention | Weight management treatment as usual |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Compassion-focused psychoeducation group | Behavioral | Attending six 2-hour weekly group-based psychoeducation sessions and participating in mindfulness, meditation, and acceptance-based experiential exercises |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility of recruitment from community-based clinic | Proportion of eligible participants who agree to participate in the study | 7-months (from baseline to 6-month follow-up) |
| Adherence to the 6-week intervention | Proportion of sessions attended, and minutes spent weekly on home practice exercises | 6 weeks (from baseline to end of treatment) |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in internalized weight bias | Weight Bias Internalization Scale (measures internalization of weight bias; mean score calculated, and ranges from 1 to 7) | 7 months (from baseline to 6-month follow-up) |
| Changes in depressive symptoms |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Western University | London | Ontario | N6G 1G9 | Canada |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D019964 | Mood Disorders |
| D003863 | Depression |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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Beck Depression Inventory (measures depressive symptoms; total score calculated, and ranges from 0 to 63)
| 7 months (from baseline to 6-month follow-up) |
| Changes in physical activity engagement | International Physical Activity Questionnaire (measures physical activity frequency and intensity; continuous score of MET [Metabolic Equivalent Task] minutes per week) | 7 months (from baseline to 6-month follow-up) |
| Future adherence to weight management program | Attending follow-up appointments | 7 months (from baseline to 6-month follow-up) |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |