{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T06:43:34Z","timestamp":1766731414406,"version":"3.37.3"},"reference-count":40,"publisher":"Maad Rayan Publishing Company","issue":"3","content-domain":{"domain":["jrhs.umsha.ac.ir"],"crossmark-restriction":false},"short-container-title":["J Res Health Sci"],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:p>Background: Weight bias internalization (WBI) is a serious challenge because of its negative impact on psychological consequences. Although the cognitive-behavioral intervention has been applied to reduce WBI, little is known about its effectiveness among Thai obese youth. Thus, this study sought to determine the effects of a cognitive-behavioral group counseling (CBGC) program on WBI and psychological outcomes in obese youths. Study Design: A randomized controlled trial. Methods: Eighty obese youths were randomly allocated to two intervention (n=40) and control (n=40) groups. The intervention group received a CBGC program in three sessions with ten activities, while the control group performed their usual counseling process. Data were collected through standardized interviewers with a structured interview questionnaire. The chi-square test, independent samples t-test, Mann-Whitney U test, repeated measure ANOVA, and multivariate linear regression were applied for data analyses. Results: At the follow-up visit, the intervention group had a significant decrease in the mean of WBI, depression, and perceived stress and an increased mean of self-esteem compared to the control group. After adjusting baseline characteristics and baseline outcome values, the intervention also significantly improved WBI (B=-6.82, P&lt;0.001), depression (B=-4.17, P&lt;0.001), perceived stress (B=-6.01, P&lt;0.001), and self-esteem (B=5.07, P&lt;0.001). Conclusion: The CBGC program effectively reduced WBI, depression, and perceived stress while improving self-esteem among obese youths. This study recommends that group counseling programs be employed as part of a counseling process for obese youth who have experienced WBI.<\/jats:p>","DOI":"10.34172\/jrhs.2024.155","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T11:08:15Z","timestamp":1727089695000},"page":"e00620","update-policy":"https:\/\/doi.org\/10.34172\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of a Cognitive-Behavioral Group Counseling Program on Weight Bias Internalization and Psychological Outcomes Among Obese Youth in Mahasarakham University, Thailand"],"prefix":"10.34172","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6023-1201","authenticated-orcid":true,"given":"Suneerat","family":"Yangyuen","sequence":"first","affiliation":[{"name":"Faculty of Public Health, Mahasarakham University, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7247-805X","authenticated-orcid":true,"given":"Thidarat","family":"Somdee","sequence":"additional","affiliation":[{"name":"Faculty of Public Health, Mahasarakham University, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0739-816X","authenticated-orcid":true,"given":"Meihua","family":"Yin","sequence":"additional","affiliation":[{"name":"Faculty of Public Health, Mahasarakham University, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8828-3799","authenticated-orcid":true,"given":"Atchara","family":"Chaichan","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Mahasarakham University, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7309-1924","authenticated-orcid":true,"given":"Supattra","family":"Keawmuang","sequence":"additional","affiliation":[{"name":"Faculty of Public Health, Mahasarakham University, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"20123","published-online":{"date-parts":[[2024,7,31]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2020.0150"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12701"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1116-5"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.21134\/rpcna.2023.10.2.5"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2008.02.003"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1177\/2055102918759691"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-021-01922-3"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1080\/21662630.2015.1047881"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0267702"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2011.05.004"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchb.2014.11.002"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-016-0336-y"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000480"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.4103\/ijpsym.ijpsym_470_18"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2011.106"},{"key":"R16","first-page":"359","article-title":"The effectiveness of cognitive behavioral therapy in group counselling","volume":"10","author":"Yusop YM","year":"2020","journal-title":"Int J Acad Res Bus Soc"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201100459"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_1274_22"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1007\/s10447-022-09482-0"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7788.59946"},{"key":"R21","unstructured":"World Health Organization (WHO). 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