Experimental effects of receiving negative weight-related feedback: a weight guessing study

The effects of receiving negative verbal weight-related feedback on the mood, self-esteem, and body image of restrained and unrestrained eaters were investigated. Female undergraduate students either reported their current weight (no feedback) or had their weight guessed as 15 lb higher than their actual weight (negative feedback) by an experimenter who presented herself as either an undergraduate (peer) or graduate student (non-peer). Participants overall had higher anxiety and felt “fatter” in the negative feedback condition. When this feedback came from a peer they felt fatter, more dissatisfied with their bodies, and, for restrained eaters, more depressed, as compared to when it came from a non-peer. These results provide empirical evidence that negative weight-related feedback produces adverse psychological consequences for young women, especially restrained eaters, and suggest the importance of peers’ perceptions of weight.     

TREATING OVERWEIGHT CHILDREN THROUGH PARENTAL TRAINING AND CONTINGENCY CONTRACTING1

Fifteen overweight girls aged 5 to 11 yr were randomly assigned to one of two weight-reduction treatments: response-cost plus reinforcement, response-cost only, or a no-treatment control group. In the response-cost plus reinforcement group, parents contracted to facilitate their child's weight loss by carrying out reinforcement and stimulus control techniques, completing weekly charts and graphs, and encouraging their child to exercise. The response-cost only group parents did not contract to reinforce their child's performance. The response-cost program applied to both experimental groups was conducted in weekly meetings in which parents lost previously deposited sums of money. Twenty-five per cent was deducted for missing the weekly meeting, 25% for failing to fill out charts and graphs, and 50% if their child failed to meet her specified weekly weight-loss goal. At the end of the 12-week treatment period, both experimental groups had lost significantly more weight than the control group. After an eight-week, no-contact follow-up, some of the lost weight was regained. The response-cost plus reinforcement group was still significantly below the controls. The response-cost group just missed significance. A 31-week, no-contact follow-up failed to show a treatment effect, but did show a trend towards slower weight gain by the response-cost plus reinforcement group.     

Weight approximations in multi‐attribute decision models

The use of surrogate weights based on rankings has been proposed as a method for avoiding difficulties associated with the elicitation of weights in multi‐attribute decision analysis. When the simple multiattribute rating technique using swings (SMARTS) method is being employed it has been suggested that rank order centroid (ROC) weights are the best surrogate weights to use. This study shows that ROC weights are appropriate to use as a substitute for original weights that are constrained to sum to a fixed total (usually 1 or 100) as used in the point allocation method. If, however, the original weights are determined without any initial restrictions, as in the direct rating method, and are then normalized, which is the common procedure in SMARTS analysis, then the ROC weights do not provide the best approximations to the original weights. This paper shows how to obtain rank order distribution (ROD) weights that provide a better approximation than the ROC approach to unrestricted original weights. The paper also shows that, as the number of attributes in a decision problem increases, the ROD weights approximate to the more easily calculated rank sum weights. Copyright © 2003 John Wiley & Sons, Ltd.     

Lean and mean rats: Some effects of acute changes in the food supply upon territorial aggression

In experiment 1, individually housed rats subjected to short-term food restriction displayed more territorial aggression toward conspecific intruders than controls maintained on a free-feeding diet. In experiment 2, small groups of three adult male rats had access to either a standard laboratory diet or the standard diet plus sucrose. Groups with the sucrose supplement were significantly less aggressive toward intruders than controls. Sucrose availability did not produce appreciable gains in body weight but it did reliably decrease within-colony weight variation. The results suggest the existence of an effective dietary mechanism that enables a social species such as Rattus norvegicus to tolerate each other in dense feeding aggregations when food is abundant. Conversely, when food is limited, social intolerance increases and serves to limit the development of large feeding groups.     

Addressing Weight Suppression to Improve Treatment Outcome for Bulimia Nervosa

Cognitive behavioral therapy (CBT) is regarded as the gold-standard treatment for bulimia nervosa (BN), yet despite impressive empirical support for its effectiveness, over 50% of patients fail to achieve abstinence from binge eating and purging by the end of treatment. One factor that may contribute to reduced efficacy rates in CBT is weight suppression (WS; the difference between a person's highest weight ever at their adult height and current weight). A growing body of research indicates that WS in patients with BN may have a clinically significant effect on symptomatology and prognosis. However, the current cognitive behavioral framework for BN does not explicitly acknowledge the role of WS in the onset or maintenance of BN symptoms and does not provide guidance for clinicians on how to address WS during treatment. The relationship between WS, biological pressure to regain lost weight, and the maintenance of BN symptoms suggest that current cognitive behavioral models of BN may be improved by considering the role of WS and exploring needed treatment modifications. Indeed, a reconceptualization of existing models may offer insight into potential strategies that can be used to reduce the susceptibility to treatment dropout, nonresponse, and relapse. It is therefore necessary to consider whether, and how, clinicians' consideration of WS during case conceptualization and treatment planning could serve to improve CBT outcomes. The current review explores ways in which high WS could contribute to poor CBT outcomes, provides preliminary clinical recommendations for incorporating WS into existing cognitive behavioral treatments based on extant data and clinical wisdom, and proposes suggestions for future research needed in this domain.     

Coping,social support,stigma, and gender difference among people living with HIV in Guangxi,China

The current study examined whether gender, HIV-related stigma, social support, and the interaction between gender and social support are associated with coping responses among people living with HIV and AIDS (PLWHA) in Guangxi, China. A total of 2987 PLWHA in Guangxi participated from October 2012 to August 2013. Multivariate analysis of covariance was conducted with gender and social support as main factors in the model, and stigma and other variables as covariates. After controlling for demographic variables and stigma, there were significant main effects of emotional social support (F = 1.61, p < .001), functional social support (F = 1.67, p < .001), and informational social support (F = 3.67, p < .001) on various coping strategies. The interaction between gender and informational social support (F = 1.33, p < .05), internalized stigma (F = 37.03, p < .001) and perceived stigma (F = 9.16, p < .001) were associated with various coping strategies. Findings signify the importance of HIV-related stigma and social support differences in the coping strategies among PLWHA in Guangxi, China.     

Couples' Disease: The Experience of Living with a Partner with Chronic Depression

This study is concerned with the impact of chronic depression on partners. Thirteen male and female participants who lived with a partner with chronic depression were interviewed. Data were analyzed using thematic analysis. Findings highlighted a need for caregivers to be more centrally involved in their partner's care, given that they face stigma, shifts in role identity, and uncertainty, which all potentially threaten the level of support they can give their partner. In this sense, depression might be described as a “couples disease,” suggesting that couples therapy and group support for partners should be more widely available to help reduce the burden on partners and potentially prevent relationship breakdown.