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De triggers van de obesogene omgeving
06/04/2018
Ghislaine Schyns
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De Psycholoog Volume 53, Issue 4, Pagina 10-19
Samenvatting

If you wish to grow thinner, smell your dinner G. Schyns

The ‘growing’ obesity prevalence rates urgently call for the need of effective weight loss interventions. In the presented studies, cue exposure therapy was found to successfully reduce overeating of foods included in exposure therapy, but not of foods that were not included in exposure exercises. These fi ndings imply that therapists should include as many food items in cue exposure as possible. Moreover, fi ndings suggested that cue exposure seems most effective when including personally tailored foods that are tasty and associated with control issues. Interestingly, overeating was not associated with reduction (habituation) of eating desires during exposure, but instead, reducing control-related expectancies were found to be important. Finally, it was found that cue exposure therapy reduced weight, suggesting cue exposure to be a valuable intervention.

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Paula is vijftien kilo te zwaar en probeert al jaren af te vallen. Ze heeft talloze diëten gevolgd, allemaal zonder succes. Overdag op haar werk gaat het goed. Maar zodra de kinderen ’s avonds in bed liggen en de televisie aan gaat, dan gaat het mis. Het lijkt alsof haar lichaam schreeuwt om die chocolade in de kast. Cue exposure therapie helpt haar lichaam de mond te snoeren. ‘Het is voor de klinische praktijk van belang om zoveel mogelijk essentiële voedingsmiddelen te betrekken tijdens cue exposure therapie,’ stelt Ghislaine Schyns. Paula heeft overgewicht, en ze is niet alleen. In 2016 had bijna de helft van de volwassen Nederlandse bevolking overgewicht (Body Mass Index (BMI) > 25), en bij veertien procent van de Nederlanders was er sprake van obesitas (BMI  > 30) (CBS, RIVM & Trimbos-instituut, 2016)11. Overgewicht en obesitas gaan niet alleen gepaard met ernstige lichamelijk aandoeningen, zoals cardiovasculaire ziekten en diabetes, maar hebben ook negatieve gevolgen voor de…

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