Palabras clave
anxiety
stress
obesity
Primera Ayuda Psicológica,
voluntarios
empatía
estrategias de afrontamiento
Cómo citar
Resumen
Objetivo. La Terapia Cognitivo-Conductual Grupal (TCCG) es un enfoque grupal que evalúa las interconexiones entre pensamientos, emociones y comportamientos en un entorno grupal. Este estudio tuvo como objetivo evaluar la viabilidad y la efectividad preliminar de un protocolo de TCCG enfocado en la regulación emocional, en la reducción de la reactividad emocional y su posible impacto en los componentes de los comportamientos alimentarios impulsados por las emociones. Método. Veinte participantes se sometieron a una intervención de 8 semanas, con la mitad recibiendo una intervención psicoeducativa y la otra mitad recibiendo TCCG con un enfoque en la regulación emocional. Utilizamos cuestionarios para evaluar la ansiedad y el comportamiento alimentario, y medimos cambios psicofisiológicos a través de niveles de cortisol y variabilidad de la frecuencia cardíaca. Resultados. Después de seis semanas, el grupo de TCCG presentó puntuaciones más bajas en la alimentación emocional y descontrolada, junto con un aumento en la modulación parasimpática y una disminución en los niveles de cortisol. Conclusión: Estos resultados sugieren que la TCCG puede tener potencial para mejorar la regulación emocional y reducir el comportamiento alimentario basado en emociones; sin embargo, se necesita más investigación para confirmar su efectividad.
Citas
Adam, E. K., & Kumari, M. (2009). Assessing salivary cortisol in large-scale, epidemiological research. Psychoneuroendocrinology, 34(10), 1423-1436. https://doi.org/10.1016/j.psyneuen.2009.06.011
Agorastos, A., Mansueto, A. C., Hager, T., Pappi, E., Gardikioti, A., & Stiedl, O. (2023). Heart rate variability as a translational dynamic biomarker of altered autonomic function in health and psychiatric disease. Biomedicines, 11(6), 1591. https://doi.org/10.3390/biomedicines11061591
Andrade, L., Gorenstein, C., Vieira-Filho, A. H., Tung, T. C., & Artes, R. (2001). Psychometric properties of the Portuguese version of the State-Trait Anxiety Inventory applied to college students: Factor analysis and relation to the Beck Depression Inventory. Brazilian Journal of Medical and Biological Research, 34(3), 367-374. https://doi.org/10.1590/S0100-879X2001000300011
Aoun, C., Nassar, L., Soumi, S., El Osta, N., Papazian, T., & Rabbaa Khabbaz, L. (2019). The cognitive, behavioral, and emotional aspects of eating habits and association with impulsivity, chronotype, anxiety, and depression: A cross-sectional study. Frontiers in Behavioral Neuroscience, 13, 204. https://www.frontiersin.org/articles/10.3389/fnbeh.2019.00204
Arexis, M., Feron, G., Brindisi, M.-C., Billot, P.-É., & Chambaron, S. (2023). A scoping review of emotion regulation and inhibition in emotional eating and binge-eating disorder: What about a continuum? Journal of Eating Disorders, 11(1), 197. https://doi.org/10.1186/s40337-023-00916-7
Baker, J. S., Supriya, R., Dutheil, F., & Gao, Y. (2022). Obesity: Treatments, conceptualizations, and future directions for a growing problem. Biology, 11(2), 160. https://doi.org/10.3390/biology11020160
Barbosa, P., & Carvalho, E. (2023). Are dietary sugars potent adipose tissue and immune cell modulators? Diabetology, 4(1), 30-45. https://doi.org/10.3390/diabetology4010005
Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of Beck Depression Inventories-IA and-II in psychiatric outpatients. Journal of Personality Assessment, 67(3), 588-597. https://doi.org/10.1207/s15327752jpa6703_13
Benzerouk, F., Djerada, Z., Bertin, E., Barrière, S., Gierski, F., & Kaladjian, A. (2020). Contributions of emotional overload, emotion dysregulation, and impulsivity to eating patterns in obese patients with binge eating disorder and seeking bariatric surgery. Nutrients, 12(10), E3099. https://doi.org/10.3390/nu12103099
Bian, W., Zhang, X., & Dong, Y. (2022). Autonomic nervous system response patterns of test-anxious individuals to evaluative stress. Frontiers in Psychology, 13, 824406. https://doi.org/10.3389/fpsyg.2022.824406
Bieling, P. J., Antony, M. M., & Swinson, R. P. (1998). The State-Trait Anxiety Inventory, Trait version: Structure and content re-examined. Behaviour Research and Therapy, 36(7-8), 777-788. https://doi.org/10.1016/s0005-7967(98)00023-0
Bilici, S., Ayhan, B., Karabudak, E., & Koksal, E. (2020). Factors affecting emotional eating and eating palatable food in adults. Nutrition Research and Practice, 14(1), 70-75. https://doi.org/10.4162/nrp.2020.14.1.70
Bishop, S., & Forster, S. (2013). TraitAnxiety, neuroticism, and the brain basis of vulnerability to affective disorder. In J. Armony & P. Vuilleumier (Eds.), The Cambridge handbook of human affective neuroscience (pp. 553-574). Cambridge University Press. https://doi.org/10.1017/CBO9780511843716.031
Bohon, C., Stice, E., & Spoor, S. (2009). Female emotional eaters show abnormalities in consummatory and anticipatory food reward: A functional magnetic resonance imaging study. International Journal of Eating Disorders, 42(3), 210-221. https://doi.org/10.1002/eat.20615
Bond, M. J., McDowell, A. J., & Wilkinson, J. Y. (2001). The measurement of dietary restraint, disinhibition and hunger: An examination of the factor structure of the Three Factor Eating Questionnaire (TFEQ). International Journal of Obesity, 25, 900-906. https://doi.org/10.1038/sj.ijo.0801611
Bose, M., Oliván, B., & Laferrère, B. (2009). Stress and obesity: The role of the hypothalamic–pituitary-adrenal axis in metabolic disease. Current Opinion in Endocrinology, Diabetes and Obesity, 16(5), 340-346. https://doi.org/10.1097/MED.0b013e32832fa137
Candia-Rivera, D., Norouzi, K., Ramsøy, T. Z., & Valenza, G. (2023). Dynamic fluctuations in ascending heart-to-brain communication under mental stress. American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 324(4), 513-525. https://doi.org/10.1152/ajpregu.00251.2022
Cardi, V., Leppanen, J., & Treasure, J. (2015). The effects of negative and positive mood induction on eating behaviour: A meta-analysis of laboratory studies in the healthy population and eating and weight disorders. Neuroscience & Biobehavioral Reviews, 57, 299-309. https://doi.org/10.1016/j.neubiorev.2015.08.011
Casagrande, M., Boncompagni, I., Forte, G., Guarino, A., & Favieri, F. (2020). Emotion and overeating behavior: Effects of alexithymia and emotional regulation on overweight and obesity. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 25, 1333-1345. https://doi.org/10.1007/s40519-019-00767-9
Cash, T. F., & Hrabosky, J. I. (2003). The effects of psychoeducation and self-monitoring in a cognitive-behavioral program for body-image improvement. Eating Disorders, 11(4), 255-270. https://doi.org/10.1080/10640260390218657
Castelnuovo, G., Pietrabissa, G., Manzoni, G. M., Cattivelli, R., Rossi, A., Novelli, M., Varallo, G., & Molinari, E. (2017). Cognitive behavioral therapy to aid weight loss in obese patients: Current perspectives. Psychology Research and Behavior Management, 10, 165-173. https://doi.org/10.2147/PRBM.S113278
Cha, J.-Y., Kim, S.-Y., Shin, I.-S., Park, Y.-B., & Lim, Y.-W. (2020). Comparison of the effects of cognitive behavioral therapy and behavioral treatment on obesity treatment by patient subtypes: A systematic review and meta-analysis. Journal of Korean Medicine for Obesity Research, 20(2), 178-192. https://doi.org/10.15429/jkomor.2020.20.2.178
Chillemi, K., Abbott, J.-A. M., Austin, D. W., & Knowles, A. (2020). A pilot study of an online psychoeducational program on cyberbullying that aims to increase confidence and help-seeking behaviors among adolescents. Cyberpsychology, Behavior and Social Networking, 23(4), 253-256. https://doi.org/10.1089/cyber.2019.0081
Chonthannathi, B., Pisitsungkagarn, K., & Jurukasemthawee, S. (2022). The effects of cognitive behavioral group therapy on anxiety and emotion regulation in Thai middle school students. International Journal for the Advancement of Counseling, 44, 569-585. https://doi.org/10.1007/s10447-022-09482-0
Chua, J. L., Touyz, S., & Hill, A. J. (2004). Negative mood-induced overeating in obese binge eaters: An experimental study. International Journal of Obesity, 28, 606-610. https://doi.org/10.1038/sj.ijo.0802595
Clarke, S. C., Cooper, N. R., Rana, M., & Mackintosh, B. (2018). Cognitive interpretation bias: The effect of a single session moderate exercise protocol on anxiety and depression. Frontiers in Psychology, 9, 1363. https://www.frontiersin.org/articles/10.3389/fpsyg.2018.01363
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed). L. Erlbaum Associates.
Dallman, M. F. (2010). Stress-induced obesity and the emotional nervous system. Trends in Endocrinology and Metabolism, 21(3), 159-165. https://doi.org/10.1016/j.tem.2009.10.004
Dansinger, M. L., Tatsioni, A., Wong, J. B., Chung, M., & Balk, E. M. (2007). Meta-analysis: The effect of dietary counseling for weight loss. Annals of Internal Medicine, 147(1), 41-50. https://doi.org/10.7326/0003-4819-147-1-200707030-00007
Dassen, F. C. M., Houben, K., Allom, V., & Jansen, A. (2018). Self-regulation and obesity: The role of executive function and delay discounting in the prediction of weight loss. Journal of Behavioral Medicine, 41, 806-818. https://doi.org/10.1007/s10865-018-9940-9
De Medeiros, A. C. Q., Yamamoto, M. E., Pedrosa, L. F. C., & Hutz, C. S. (2017). The Brazilian version of the three-factor eating questionnaire-R21: Psychometric evaluation and scoring pattern. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 22, 169-175. https://doi.org/10.1007/s40519-016-0256-x
Debeuf, T., Verbeken, S., Boelens, E., Volkaert, B., Van Malderen, E., Michels, N., & Braet, C. (2020). Emotion regulation training in the treatment of obesity in young adolescents: Protocol for a randomized controlled trial. Trials, 21, 153. https://doi.org/10.1186/s13063-019-4020-1
Dolan, N., Simmonds-Buckley, M., Kellett, S., Siddell, E., & Delgadillo, J. (2021). Effectiveness of stress control large group psychoeducation for anxiety and depression: Systematic review and meta-analysis. British Journal of Clinical Psychology, 60(3), 375-399. https://doi.org/10.1111/bjc.12288
Esco, M. R., & Flatt, A. A. (2014). Ultra-Short-Term Heart Rate Variability Indexes at rest and post-exercise in athletes: Evaluating the agreement with accepted recommendations. Journal of Sports Science & Medicine, 13(3), 535-541. https://pmc.ncbi.nlm.nih.gov/articles/PMC4126289/
Esteves, E. A., Oliveira-Costa, M., Gomes-Moreno, L., Viana, A. M. F., Carvalho-Cabral, A., & Bressan, J. (2012). Dietary restraint, dietary disinhibition and susceptibility to hunger of normal weight and overweight women. Revista Española de Nutrición Humana y Dietética, 16(1), 10-15. https://doi.org/10.1016/S2173-1292(12)70066-2
Fioravanti, A. C. M., Santos, L. de F., Maissonette, S., Cruz, A. P. de M., & Landeira-Fernandez, J. (2006). Avaliação da estrutura fatorial da Escala de Ansiedade-Traço do IDATE. Avaliação Psicológica, 5(2), 217-224. https://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1677-04712006000200011
Flores-Kanter, P. E., Moretti, L., & Medrano, L. A. (2021). A narrative review of emotion regulation process in stress and recovery phases. Heliyon, 7(6), e07218. https://doi.org/10.1016/j.heliyon.2021.e07218
Georgieva-Tsaneva, G. N. (2019). Time and frequency analysis of heart rate variability data in heart failure patients. International Journal of Advanced Computer Science and Applications, 10(11), 456-462. https://doi.org/10.14569/IJACSA.2019.0101163
Glisenti, K., & Strodl, E. (2012). Cognitive behavior therapy and dialectical behavior therapy for treating obese emotional eaters. Clinical Case Studies, 11(2), 71-88. https://doi.org/10.1177/1534650112441701
Gomes-Oliveira, M. H., Gorenstein, C., Lotufo Neto, F., Andrade, L. H., & Wang, Y. P. (2012). Validation of the Brazilian Portuguese version of the Beck Depression Inventory-II in a community sample. Revista Brasileira da Psiquiatria, 34(4), 389-394. https://doi.org/10.1016/j.rbp.2012.03.005
Gormally, J., Black, S., Daston, S., & Rardin, D. (1982). The assessment of binge eating severity among obese persons. Addictive Behaviors, 7(1), 47-55. https://doi.org/10.1016/0306-4603(82)90024-7
Guerrini-Usubini, A., Bottacchi, M., Caroli, D., Castelnuovo, G., & Sartorio, A. (2022). Cognitive fusion and emotional eating among adolescents with obesity: A preliminary cross-sectional study. International Journal of Environmental Research and Public Health, 19(22), 14855. https://doi.org/10.3390/ijerph192214855
Hartmann, R., Schmidt, F. M., Sander, C., & Hegerl, U. (2019). Heart rate variability as indicator of clinical state in depression. Frontiers in Psychiatry, 9, 735. https://doi.org/10.3389/fpsyt.2018.00735
Intarakamhang, U., & Intarakamhang, P. (2015). Multilevel causal analysis of socio-psychological and behavioral factors of health providers and clients that affect health behavioral modification in obesity. Global Journal of Health Science, 7(6), 117-128. https://doi.org/10.5539/gjhs.v7n6p117
Kollei, I., Rustemeier, M., Schroeder, S., Jongen, S., Herpertz, S., & Loeber, S. (2018). Cognitive control functions in individuals with obesity with and without binge-eating disorder. The International Journal of Eating Disorders, 51(3), 233-240. https://doi.org/10.1002/eat.22824
Lafortuna, C. L., Tovar, A. R., Rastelli, F., Tabozzi, S. A., Caramenti, M., Orozco-Ruiz, X., Aguilar-Lopez, M., Guevara-Cruz, M., Avila-Nava, A., Torres, N., & Bertoli, G. (2017). Clinical, functional, behavioural and epigenomic biomarkers of obesity. Frontiers in Bioscience (Landmark Edition), 22(10), 1655-1681. https://doi.org/10.2741/4564
Lancaster, G. A., Dodd, S., & Williamson, P. R. (2004). Design and analysis of pilot studies: Recommendations for good practice. Journal of Evaluation in Clinical Practice, 10(2), 307-312. https://doi.org/10.1111/j..2002.384.doc.x
Leigh, S.-J., Lee, F., & Morris, M. J. (2018). Hyperpalatability and the generation of obesity: Roles of environment, stress exposure and individual difference. Current Obesity Reports, 7, 6-18. https://doi.org/10.1007/s13679-018-0292-0
Lengton, R., Iyer, A. M., van der Valk, E. S., Hoogeveen, E. K., Meijer, O. C., van der Voorn, B., & van Rossum, E. F. C. (2022). Variation in glucocorticoid sensitivity and the relation with obesity. Obesity Reviews, 23(3), e13401. https://doi.org/10.1111/obr.13401
Leutner, M., Dervic, E., Bellach, L., Klimek, P., Thurner, S., & Kautzky, A. (2023). Obesity as pleiotropic risk state for metabolic and mental health throughout life. Translational Psychiatry, 13, 175. https://doi.org/10.1038/s41398-023-02447-w
Linders, L. E., Patrikiou, L., Soiza-Reilly, M., Schut, E. H. S., van Schaffelaar, B. F., Böger, L., Wolterink-Donselaar, I. G., Luijendijk, M. C. M., Adan, R. A. H., & Meye, F. J. (2022). Stress-driven potentiation of lateral hypothalamic synapses onto ventral tegmental area dopamine neurons causes increased consumption of palatable food. Nature Communications, 13(1), 6898. https://doi.org/10.1038/s41467-022-34625-7
Lindgreen, P., Lomborg, K., & Clausen, L. (2018). Patient experiences using a self-monitoring app in eating disorder treatment: Qualitative study. JMIR mHealth and uHealth, 6(6), e10253. https://doi.org/10.2196/10253
Liu, X., Lai, H., Li, J., Becker, B., Zhao, Y., Cheng, B., & Wang, S. (2021). Gray matter structures associated with neuroticism: A meta-analysis of whole-brain voxel-based morphometry studies. Human Brain Mapping, 42(9), 2706-2721. https://doi.org/10.1002/hbm.25395
Malivoire, B. L., Stewart, K. E., Cameron, D., Rowa, K., & McCabe, R. E. (2024). Effectiveness and predictors of group cognitive behaviour therapy outcome for generalised anxiety disorder in an out-patient hospital setting. Behavioural and Cognitive Psychotherapy, 52(4), 440-455. https://doi.org/10.1017/S1352465823000632
Martens, A., Duran, B., Vanbesien, J., Verheyden, S., Rutteman, B., Staels, W., Anckaert, E., Gies, I., & De Schepper, J. (2021). Clinical and biological correlates of morning serum cortisol in children and adolescents with overweight and obesity. PloS One, 16(10), e0258653. https://doi.org/10.1371/journal.pone.0258653
Michopoulos, V., Powers, A., Moore, C., Villarreal, S., Ressler, K. J., & Bradley, B. (2015). The mediating role of emotion dysregulation and depression on the relationship between childhood trauma exposure and emotional eating. Appetite, 91, 129-136. https://doi.org/10.1016/j.appet.2015.03.036
Mielimąka, M., Rutkowski, K., Cyranka, K., Sobański, J. A., Dembińska, E., & Müldner-Nieckowski, Ł. (2017). Trait and state anxiety in patients treated with intensive short-term group psychotherapy for neurotic and personality disorders. Psychiatria Polska, 51(6), 1165-1179. https://doi.org/10.12740/PP/OnlineFirst/60537
Mikkelsen, M. B., Tramm, G., Zachariae, R., Gravholt, C. H., & O’Toole, M. S. (2021). A systematic review and meta-analysis of the effect of emotion regulation on cortisol. Comprehensive Psychoneuroendocrinology, 5, 100020. https://doi.org/10.1016/j.cpnec.2020.100020
Mitchell, R. L. C., & Kumari, V. (2016). Hans Eysenck’s interface between the brain and personality: Modern evidence on the cognitive neuroscience of personality. Personality and Individual Differences, 103, 74-81. https://doi.org/10.1016/j.paid.2016.04.009
Moltrecht, B., Deighton, J., Patalay, P., & Edbrooke-Childs, J. (2021). Effectiveness of current psychological interventions to improve emotion regulation in youth: A meta-analysis. European Child & Adolescent Psychiatry, 30(6), 829-848. https://doi.org/10.1007/s00787-020-01498-4
Morsy, K. E. (1983). The relationship between anxiety trait and neuroticism trait: A critical research by factor analysis. Journal of Islamic Studies, 5(1), 91-109.
Murray, C. J. L., Aravkin, A. Y., Zheng, P., Abbafati, C., Abbas, K. M., Abbasi-Kangevari, M., Abd-Allah, F., Abdelalim, A., Abdollahi, M., Abdollahpour, I., Abegaz, K. H., Abolhassani, H., Aboyans, V., Abreu, L. G., Abrigo, M. R. M., Abualhasan, A., Abu-Raddad, L. J., Abushouk, A. I., Adabi, M., … Lim, S. S. (2020). Global burden of 87 risk factors in 204 countries and territories, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1223-1249. https://doi.org/10.1016/S0140-6736(20)30752-2
Neufeld, C. B., Barletta, J. B., Scotton, I. L., & Rebessi, I. P. (2021). Distinctive aspects of CBT in Brazil: How cultural aspects affect training and clinical practice. International Journal of Cognitive Therapy, 14(1), 247-261. https://doi.org/10.1007/s41811-020-00098-z
Neufeld, C. B., Moreira, C. A. M., & Xavier, G. S. (2012). Terapia cognitivo-comportamental em grupos de emagrecimento: O relato de uma experiência. Psico, 43(1). https://revistaseletronicas.pucrs.br/ojs/index.php/revistapsico/article/view/11103
Norr, A. M., Gibby, B. A., & Schmidt, N. B. (2017). Is computerized psychoeducation sufficient to reduce anxiety sensitivity in an at-risk sample?: A randomized trial. Journal of Affective Disorders, 212, 48-55. https://doi.org/10.1016/j.jad.2017.01.032
O’Leary, K., O’Neill, S., & Dockray, S. (2016). A systematic review of the effects of mindfulness interventions on cortisol. Journal of Health Psychology, 21(9), 2108-2121. https://doi.org/10.1177/1359105315569095
Oliveira, L. P. M., Queiroz, V. A. de O., Da Silva, M. da C. M., Pitangueira, J. C. D., Costa, P. R. de F., Demétrio, F., Dos Anjos, M. C. G., & Assis, A. M. O. (2012). Índice de massa corporal obtido por medidas autorreferidas para a classificação do estado antropométrico de adultos: Estudo de validação com residentes no município de Salvador, estado da Bahia, Brasil. Epidemiologia e Serviços de Saúde, 21(2), 325-332. https://doi.org/10.5123/S1679-49742012000200015
O’Reilly, G. A., Cook, L., Spruijt-Metz, D., & Black, D. S. (2014). Mindfulness-based interventions for obesity-related eating behaviors: A literature review. Obesity reviews: an official journal of the International Association for the Study of Obesity, 15(6), 453-461. https://doi.org/10.1111/obr.12156
Osório, F. L., Loureiro, S. R., Hallak, J. E. C., Machado-de-Sousa, J. P., Ushirohira, J. M., Baes, C. V. W., Apolinario, T. D., Donadon, M. F., Bolsoni, L. M., Guimarães, T., Fracon, V. S., Silva-Rodrigues, A. P. C., Pizeta, F. A., Souza, R. M., Sanches, R. F., Dos Santos, R. G., Martin-Santos, R., & Crippa, J. A. S. (2019). Clinical validity and intrarater and test-retest reliability of the Structured Clinical Interview for DSM-5-Clinician Version (SCID-5-CV). Psychiatry and Clinical Neurosciences, 73(12), 754–760. https://doi.org/10.1111/pcn.12931
Ostrovsky, N. W., Swencionis, C., Wylie-Rosett, J., & Isasi, C. R. (2013). Social anxiety and disordered overeating: An association among overweight and obese individuals. Eating Behaviors, 14(2), 145-148. https://doi.org/10.1016/j.eatbeh.2013.01.009
Raman, J., Smith, E., & Hay, P. (2013). The clinical obesity maintenance model: An integration of psychological constructs including mood, emotional regulation, disordered overeating, habitual cluster behaviours, health literacy and cognitive function. Journal of Obesity, 2013, 240128. https://doi.org/10.1155/2013/240128
Raman, J., Spirou, D., Jahren, L., & Eik-Nes, T. T. (2020). The Clinical Obesity Maintenance Model: A theoretical framework for bariatric psychology. Frontiers in Endocrinology, 11, 563. https://doi.org/10.3389/fendo.2020.00563
Rebello, C. J., & Greenway, F. L. (2016). Reward-induced eating: Therapeutic approaches to addressing food cravings. Advances in Therapy, 33, 1853-1866. https://doi.org/10.1007/s12325-016-0414-6
San-Antolín, M., Rodríguez-Sanz, D., Becerro-de-Bengoa-Vallejo, R., Losa-Iglesias, M. E., Martínez-Jiménez, E. M., López-López, D., & Calvo-Lobo, C. (2020). Neuroticism traits and anxiety symptoms are exhibited in athletes with Chronic Gastrocnemius Myofascial Pain Syndrome. The Journal of Strength & Conditioning Research, 34(12), 3377-3385. https://doi.org/10.1519/JSC.0000000000003838
Saranapala, D. M. M. K., Baranoff, J., Rushworth, R. L., Westley, I., Collins, K., Burke, A. L. J., Parker, A., Licinio, J., Clifton, P. M., & Torpy, D. J. (2022). The effect of cognitive behavioral stress management on perceived stress, biological stress markers and weight loss/regain, from a diet-induced weight loss program: A randomized controlled trial. Comprehensive Psychoneuroendocrinology, 10, 100124. https://doi.org/10.1016/j.cpnec.2022.100124
Saviola, F., Pappaianni, E., Monti, A., Grecucci, A., Jovicich, J., & De Pisapia, N. (2020). Trait and state anxiety are mapped differently in the human brain. Scientific Reports, 10(1), 11112. https://doi.org/10.1038/s41598-020-68008-z
Schneider, K. L., Appelhans, B. M., Whited, M. C., Oleski, J., & Pagoto, S. L. (2010). Trait anxiety, but not trait anger, predisposes obese individuals to emotional eating. Appetite, 55(3), 701-706. https://doi.org/10.1016/j.appet.2010.10.006
Schumacher, L. M., Martinelli, M. K., Convertino, A. D., Forman, E. M., & Butryn, M. L. (2021). Weight-related information avoidance prospectively predicts poorer self-monitoring and engagement in a behavioral weight loss intervention. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 55(2), 103-111. https://doi.org/10.1093/abm/kaaa034
Shaffer, F., & Ginsberg, J. P. (2017). An overview of Heart Rate Variability Metrics and norms. Frontiers in Public Health, 5, 258. https://doi.org/10.3389/fpubh.2017.00258
Silva, I. (2015). Importance of emotional regulation in obesity and weight loss treatment. Fractal: Revista de Psicologia, 27, 286-290. https://doi.org/10.1590/1984-0292/1503
Sominsky, L., & Spencer, S. J. (2014). Eating behavior and stress: A pathway to obesity. Frontiers in Psychology, 5, 434. https://doi.org/10.3389/fpsyg.2014.00434
Spielberger, C. D. (2010). State-Trait Anxiety Inventory. Em I. B. Weiner & W. E. Craighead (Eds.), The Corsini Encyclopedia of Psychology. John Wiley & Sons, Ltd. https://doi.org/10.1002/9780470479216.corpsy0943
Strüven, A., Holzapfel, C., Stremmel, C., & Brunner, S. (2021). Obesity, Nutrition and Heart Rate Variability. International Journal of Molecular Sciences, 22(8), 4215. https://doi.org/10.3390/ijms22084215
Tatham, M., Athanasia, E., Dodd, J., & Waller, G. (2016). The effect of pre-treatment psychoeducation on eating disorder pathology among patients with anorexia nervosa and bulimia nervosa. Advances in Eating Disorders, 4(2), 167-175. https://doi.org/10.1080/21662630.2016.1172975
Tholin, S., Rasmussen, F., Tynelius, P., & Karlsson, J. (2005). Genetic and environmental influences on eating behavior: The swedish young male twins study. The American Journal of Clinical Nutrition, 81(3), 564-569. https://doi.org/10.1093/ajcn/81.3.564
Torres, S., Sales, C. M. D., Guerra, M. P., Simões, M. P., Pinto, M., & Vieira, F. M. (2020). Emotion-Focused Cognitive Behavioral Therapy in comorbid obesity with binge eating disorder: A pilot study of feasibility and long-term outcomes. Frontiers in Psychology, 11, 343. https://doi.org/10.3389/fpsyg.2020.00343
Van Strien, T., Ouwens, M. A., Engel, C., & de Weerth, C. (2014). Hunger, inhibitory control and distress-induced emotional eating. Appetite, 79, 124-133. https://doi.org/10.1016/j.appet.2014.04.020
Verdejo-Garcia, A., Martin-Perez, C., & Kakoschke, N. (2019). Chapter 16 - Stress, reward, and cognition in the obese brain. Em G. Fink (Org.), Stress: Physiology, Biochemistry, and Pathology (pp. 187-195). Academic Press. https://doi.org/10.1016/B978-0-12-813146-6.00016-3
Volkow, N. D., Wang, G.-J., & Baler, R. D. (2011). Reward, dopamine and the control of food intake: Implications for obesity. Trends in Cognitive Sciences, 15(1), 37-46. https://doi.org/10.1016/j.tics.2010.11.001
Wadden, T. A., Tronieri, J. S., & Butryn, M. L. (2020). Lifestyle modification approaches for the treatment of obesity in adults. The American Psychologist, 75(2), 235-251. https://doi.org/10.1037/amp0000517
Waller, G., & Osman, S. (1998). Emotional eating and eating psychopathology among non-eating-disordered women. International Journal of Eating Disorders, 23(4), 419-424. https://doi.org/10.1002/(SICI)1098-108X(199805)23:4<419::AID-EAT9>3.0.CO;2-L
Wilson, G. T., & Vitousek, K. M. (1999). Self-monitoring in the assessment of eating disorders. Psychological Assessment, 11(4), 480-489. https://doi.org/10.1037/1040-3590.11.4.480
Wittkamp, M. F., Krkovic, K., & Lincoln, T. M. (2023). Effectiveness of a transdiagnostic emotion regulation training in an at-risk sample: A randomized-controlled trial of group-based training versus self-help bibliotherapy. The British Journal of Clinical Psychology, 62(2), 411-430. https://doi.org/10.1111/bjc.12415
World Health Organization. (2024). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Yadav, R. L., Yadav, P. K., Yadav, L. K., Agrawal, K., Sah, S. K., & Islam, M. N. (2017). Association between obesity and heart rate variability indices: An intuition toward cardiac autonomic alteration - a risk of CVD. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 10, 57-64. https://doi.org/10.2147/DMSO.S123935
Yau, Y. H. C., & Potenza, M. N. (2013). Stress and eating behaviors. Minerva endocrinologica, 38(3), 255-267. https://pubmed.ncbi.nlm.nih.gov/24126546/
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