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Locus of control an...
Locus of control and self-efficacy in relation to 12-month weight change after non-surgical weight loss treatment in adults with severe obesity – A clinical cohort study
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- Björkman, Sofia (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine
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Wallengren, O. (author)
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- Laurenius, Anna (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery
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- Eliasson, Björn, 1959 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine
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- Larsson, Ingrid, 1963 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine
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(creator_code:org_t)
- Elsevier BV, 2022
- 2022
- English.
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In: Obesity Medicine. - : Elsevier BV. - 2451-8476. ; 32
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https://doi.org/10.1...
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Abstract
Subject headings
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- Background: Sustainable dietary, behavioural and lifestyle changes are necessary to accomplish weight loss. Aim: Evaluate impact of internal motivation, locus of control and self-efficacy on non-surgical weight loss treatment in patients with severe obesity. Methods: A total of 1196 patients, Body Mass Index ≥35 kg/m2, referred to obesity treatment were included. Visual analogue scales for motivation, locus of control and self-efficacy were completed before starting weight loss treatment. Results: A total of 601 patients (42% drop out) completed 12-month weight loss treatment. After 12 months, 94.6% in the Very Low Energy Diet (VLED) group and 79.4% in the dietary treatment group had a weight loss of ≥5% of their body weight. No statistically significant associations were found between achieved weight loss in the VLED group, and locus of control or self-efficacy. Achieving ≥15% weight loss by dietary treatment was related to a higher score on self-efficacy compared to those who lost <5% in weight or dropped out. Conclusion: Self-efficacy appears to be important for weight loss when on dietary treatment without VLED. Attrition rate was higher among patients with lower score on self-efficacy at baseline. The study indicates that psychological factors associated with adherence to, and completion of weight loss treatment deserve attention.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- Locus of control
- Obesity
- Self-efficacy
- Very low energy diet
- Weight loss
- adult
- Article
- body mass
- body weight loss
- cohort analysis
- controlled study
- disease severity
- female
- human
- intrinsic motivation
- major clinical study
- male
- middle aged
- patient compliance
- patient dropout
- psychological aspect
- retrospective study
- self concept
- very low calorie diet
- visual analog scale
Publication and Content Type
- ref (subject category)
- art (subject category)
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