The impact of obesity and overweight on response to internet-delivered cognitive behavioural therapy for adults with chronic health conditions
Authors' conclusion
Persons with chronic health conditions and with obesity or overweight benefit at least as much as those with a healthy BMI from iCBT programs targeting psychological adjustment to chronic illness, even without changes in BMI. iCBT programs may be an important component in the self-management of this population, and may address barriers implicated in health behaviour change.
Study context
- Population
- Adults with chronic health conditions in a large RCT of transdiagnostic iCBT for adjustment to chronic illness, with height and weight data; mean age 48.32 (SD 13.80), mean BMI 30.43 (SD 8.30, range 16.18–67.52), 86.8% female
- Participants
- 234 adults
- Comparison
- Obesity vs overweight vs healthy weight (baseline BMI range) in response to transdiagnostic iCBT
- Primary endpoint
- Clinical outcomes (depression, anxiety, disability, satisfaction with life) by baseline BMI range
- Follow-up
- post-treatment and 3-month follow-up
Primary result
As reported in the abstract
Clinically significant change in depression
Obesity
32%
95% CI 25%–39%
Healthy weight
21%
95% CI 15%–26%
Overweight
24%
95% CI 18%–29%
P = 0.016
Further findings
BMI change and self-rated impact of weight on health · pre-treatment to 3-month follow-up
- No significant changes in BMI
- Significant reductions in self-rated impact of weight on health
Original publication
The impact of obesity and overweight on response to internet-delivered cognitive behavioural therapy for adults with chronic health conditions. Int J Obes (Lond). Published 3 March 2023. doi:10.
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