An evaluation of the Garren-Edwards diet and behavior modification program

This study evaluated the efficacy of the Garren-Edwards Behavior Modification Program, which uses the Garren-Edwards Gastric Bubble as an adjunct to treatment. Group therapy sessions were conducted with 23 morbidly obese subjects for 6 months on a biweekly basis. Each therapy session used a five-stage problem-solving sequence designed to facilitate adaptive behavioral alternatives. In evaluating weight change, a multivariate analysis of variance was conducted along with two preplanned orthogonal comparisons. Patients lost significant amounts of weight between initial to 3-month (p<.0001) and 3- to 6-month intervals (p<0001). A similar treatment effect was noted in an additional sample of 24 morbidly obese subjects following 3 months of treatment (p<0005). The findings support the value of longer goal-oriented programs in promoting continued weight loss. Implications for treatment process and therapist interventions prompted by this new format are discussed.     

Humor and the coronary-prone behavior pattern

The belief is widely held that humor is related to recovery from, and perhaps an increased resistance to, coronary and other stress-related diseases. Such generalizations do not typically distinguish between benign and hostile humor. In the present research, the relationship between a measure of proneness to coronary heart disease (CHD) and appreciation of hostile and nonhostile humor is examined. In two studies, one with college students and one with patients suffering from CHD, the relationship between humor preferences and the coronary-prone (Type A) behavior pattern was examined. Each subject was given the Jenkins Activity Survey as a measure of the coronary-prone personality type, and aggressive and nonaggressive jokes to rate for funniness. Hostile humor was preferred to nonhostile humor by all groups, but among those suffering from CHD, those who could be classified as “Type B’s” preferred nonhostile humor. The results indicate that those less prone to CHD appreciate both hostile and nonhostile humor, while Type A’s seem to enjoy hostile humor only.