{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:05:27Z","timestamp":1790831127339,"version":"4.1.0"},"reference-count":66,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T00:00:00Z","timestamp":1666310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive behavioral therapy (CBT) has become one of the most commonly used psychotherapeutic treatments for obesity. It stems from CBT for bulimia nervosa and binge eating disorder, which focuses on amelioration of the eating behavior and body image dissatisfaction (BID), but usually does not focus on weight loss. In contrast, CBT for obesity focuses on weight loss, as well as eating behavior and BID. It is at present unclear whether the improvement of BID during CBT for obesity is associated with improvement of factors other than weight loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of this study was to determine whether improvement of BID during CBT for obesity was associated with improvement of factors other than weight loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      One hundred and sixty-five women (BMI 31.8 \u00b1 5.2 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , age 49.3 \u00b1 10.5 years) with overweight or obesity completed a 7-month CBT-based weight loss intervention. BID, depression, anxiety, binge eating, and perfectionism were assessed at both baseline and the end of the intervention through the use of psychological questionnaires.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Percent total weight loss, baseline BID, baseline binge eating disorder (BED), change in depression (\u0394depression), \u0394state anxiety, \u0394trait anxiety, \u0394binge eating, and \u0394perfectionism were significantly correlated with \u0394BID. Multiple regression analysis showed that baseline BID, baseline BED, percent total weight loss, \u0394binge eating, and \u0394depression were independently associated with \u0394BID.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Improvement of binge eating, and improvement of depression, as well as weight loss, were independently associated with amelioration of BID.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>\n                      [\n                      <jats:ext-link>https:\/\/center6.umin.ac.jp\/cgi-open-bin\/ctr_e\/ctr_view.cgi?recptno=R000008052<\/jats:ext-link>\n                      ], identifier [UMIN000006803] and [\n                      <jats:ext-link>https:\/\/center6.umin.ac.jp\/cgi-open-bin\/ctr_e\/ctr_view.cgi?recptno=R0000 55850<\/jats:ext-link>\n                      ], identifier [UMIN000049041].\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2022.1025946","type":"journal-article","created":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T03:10:55Z","timestamp":1666321855000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["Factors associated with the improvement of body image dissatisfaction of female patients with overweight and obesity during cognitive behavioral therapy"],"prefix":"10.3389","volume":"13","author":[{"given":"Hiroaki","family":"Yokoyama","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiro","family":"Nozaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoe","family":"Nishihara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryoko","family":"Sawamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gen","family":"Komaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Sudo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,10,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.nutres.2017.03.006","article-title":"Long-term interdisciplinary therapy decreases symptoms of binge eating disorder and prevalence of metabolic syndrome in adults with obesity.","volume":"40","author":"Leite","year":"2017","journal-title":"Nutr Res."},{"key":"B2","first-page":"p. 1","author":"Grave","year":"2018","journal-title":"Treating Obesity with Personalized Cognitive Behavioral Therapy."},{"key":"B3","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1002\/eat.22592","article-title":"Disentangling body image: the relative associations of overvaluation, dissatisfaction, and preoccupation with psychological distress and eating disorder behaviors in male and female adolescents.","volume":"50","author":"Mitchison","year":"2017","journal-title":"Int J Eat Disord."},{"key":"B4","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/j.clinthera.2020.10.012","article-title":"State of the art: the therapeutic approaches to bulimia nervosa.","volume":"43","author":"Hagan","year":"2021","journal-title":"Clin Ther."},{"key":"B5","doi-asserted-by":"publisher","first-page":"20","DOI":"10.4088\/JCP.sh16003su1c.04","article-title":"Psychological and behavioral treatments for binge-eating disorder.","author":"Grilo","year":"2017","journal-title":"J Clin Psychiatry."},{"key":"B6","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1016\/S0272-7358(00)00076-3","article-title":"The efficacy of cognitive-behavioral therapy on the core symptoms of bulimia nervosa.","volume":"21","author":"Anderson","year":"2001","journal-title":"Clin Psychol Rev."},{"key":"B7","doi-asserted-by":"publisher","first-page":"e5113","DOI":"10.7717\/peerj.5113","article-title":"Psychological, pharmacological, and combined treatments for binge eating disorder: a systematic review and metaanalysis.","volume":"6","author":"Ghaderi","year":"2018","journal-title":"PeerJ."},{"key":"B8","doi-asserted-by":"publisher","first-page":"1325","DOI":"10.1016\/j.brat.2003.09.001","article-title":"Body image interventions in cognitive-behavioural therapy of binge-eating disorder: a component analysis.","volume":"42","author":"Hilbert","year":"2004","journal-title":"Behav Res Ther."},{"key":"B9","author":"Cooper","year":"2003","journal-title":"Cognitive\u2013Behavioral Treatment of Obesity; 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