%0 Journal Article
%T Attachment style contributes to the outcome of a multimodal lifestyle intervention
%A Sybille Kiesewetter
%A Andrea K£¿psel
%A Knut Mai
%A Andrea Stroux
%A Thomas Bobbert
%A Joachim Spranger
%A Werner K£¿pp
%A Hans-Christian Deter
%A Bettina Kallenbach-Dermutz
%J BioPsychoSocial Medicine
%D 2012
%I BioMed Central
%R 10.1186/1751-0759-6-3
%X This study included 44 obese patients who participated in a one-year multimodal weight-reduction program. Attachment style was analyzed by the Adult Attachment Prototype Rating (AAPR) inventory and its relation to a one-year weight reduction program was studied. The patient-therapist-relationship was assessed using the Helping Alliance Questionnaire.Attachment style was secure in 68% of participants and insecure (preoccupied and dismissing) in 32%. Interestingly a significantly higher weight-reduction was found in securely (SAI) compared to insecurely attached individuals (UAI; p < 0.05). This estimation correlated positively also to the quality of helping alliance (p = 0.004).The frequency of insecure attachment in obese individuals was comparable to that of the normal population. Our data suggest a greater weight-reduction for SAI than for UAI, and the patient-therapist relationship was rated more positively. The conclusion can be drawn that a patient's attachment style plays a role in an interdisciplinary treatment program for obesity and has an influence on the effort to lose weight.The incidence of obesity is increasing worldwide. Data from the German microcensus conducted in 2005 revealed that about 58% of adult men and 42% of adult women are overweight (Body Mass Index ¡Ý 25 kg/m2) [1].This is of special importance given that obesity is one of the major risk factors for diabetes, cardiovascular disorders and cancer [2-4].Although large intervention trials were able to demonstrate that a multimodal life-style intervention can prevent type 2 diabetes mellitus in individuals at risk, the long-term effect of those interventions on body weight is limited [5,6]. The poor long-term success of weight reduction may be based on the fact that obesity is a complex disorder. Genetic and environmental parameters affect energy homeostasis [7,8]. Additionally, it is well known that psychological parameters have a substantial effect on the body weight and well being of the ind
%K attachment style
%K obesity
%K patient-therapist relationship
%K weight reduction
%U http://www.bpsmedicine.com/content/6/1/3