Weight management and psychological flexibility Raimo Lappalainen Professor in Clinical Psychology...

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Weight management and psychological flexibilityRaimo LappalainenProfessor in Clinical Psychology and PsychotherapyDepartment of Psychology University of Jyvskyl, Finland

Behavioral case formulation and motivation for changeImpaired SocialRelationshipsDepressive moodWeightProblems:overweightSocial SkillsDeficitsHigh Caloric Intake: Family/Social Stressors: Relationship with the spouseLimitedExerciseSocialIsolationHealthproblemsWorried about the futureLoss ofworkplaceNegative self-image:Negative thoughts

Contextual analysesweight in context:

Get a larger picture over the weight management problem3----- Kokousmuistiinpanot (16.6.2014 22:00) -----Those persons who have weight concerns may also have other concerns or problems. These concerns may be related to the weight. Impaired SocialRelationshipsDepressive moodWeightProblems:overweightSocial SkillsDeficitsHigh Caloric Intake: Family/Social Stressors: Relationship with the spouseLimitedExerciseSocialIsolationHealthproblemsWorried about the futureLoss ofworkplaceNegative self-image:Negative thoughts

Contextual analyses:

There might be other or additional alternatives for intervention4----- Kokousmuistiinpanot (16.6.2014 22:05) -----It is possible that weight management programs have been too limited.Consider weight or weight management problem in contextModelModelBuild individual reinforcersfor lifestylechanges Psychological flexibility

Essi Sairanen, Raimo Lappalainen, Anja Lapvetelainen, Asko Tolvanen, & Leila Karhunen (2014). Flexibility in weight management. Eating Behaviors 15, 218224

The aim was to achieve an understanding about the mechanism of change during weight maintenance, especially related to control and flexibility. Results These results suggest that an increase in flexible control during weight loss and a reduction of rigid control after an active weight loss phase may enhance well-being. In other words, the ability to increase flexible control and ability to give up rigid control may be beneficial to weight management and well-being.

Different behavioral change strategies may be needed over time

Behavioral ChangeStrategy 1Behavioral ChangeStrategy 2Behavioral ChangeStrategy 311Mobile- and web- based interventions

Combining mobile- and web based interventions with some personal contact Vision: Web- and Mobile psychological interventions

Vision: Web- and Mobile psychological interventions

Training skills in daily lifeLappalainen et al. (Accepted): Depression symptoms, Face-to-Face vs. mainly web-based intervention. Behaviour Research & TherapyWeb-basedFace-to-FaceConclusionsAdvantages of using case formulation models > broader interventions(Develop) programs for increasing motivation for changeInterventions should teach flexible strategies, what are these strategies in practice and how to teach them?Advantages of using web- and mobile-interventionsCombine all these together