<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">HPR</journal-id><journal-title-group><journal-title>Health Psychology Research</journal-title></journal-title-group><issn>TBA</issn><eissn>2420-8124</eissn><publisher><publisher-name>Health Psychology Research</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4081/hpr.2013.e10</article-id><article-categories><subj-group subj-group-type="heading"><subject>General</subject></subj-group></article-categories><title>Do psychological factors help  to reduce body mass in obesity  or is it vice versa?  Selected psychological aspects  and effectiveness of the  weight-loss program in the  obese patients</title><url>https://healthpr.org/journal/HPR/1/1/10.4081/hpr.2013.e10</url><author>Bąk-SosnowskaMonika,PawlakAdam,Skrzypulec-PlintaVioletta</author><pub-date pub-type="publication-year"><year>2013</year></pub-date><volume>1</volume><issue>1</issue><history><date date-type="pub"><published-time>2013-01-02</published-time></date></history><abstract>The aim of this study was to assess the strength and direction of the correlation between cognitive appraisal, emotional state, social functioning and the effectiveness of a weight-loss program undertaken by obese sub jects. The out-patient weight-loss program encompassed 150 obese women. Assessments were carried out at four time points: at the start of the weight-loss program and then after a 5%, 10% and a 15% reduction of the initial body mass. The research tools used were: a survey, the Situation Appraisal Questionnaire (SAQ), the Emotional State Questionnaire (ESQ), and the Q-Sort Social Functioning Questionnaire. The cognitive appraisal, emo tional state and social functioning of the study group changed significantly (P&amp;lt;0.001). Significantly more individuals with a 15% body mass reduction, as compared with individuals with no body mass reduction, had an early obe sity onset, i.e. at the age of &amp;lt;10 years old (P&amp;lt;0.001). Significantly more individuals with no body mass reduction, compared with indi viduals with a 15% reduction, had a later obe sity onset, i.e. between the ages of 20 and 30 (P&amp;lt;0.001) and between 50 and 60 (P&amp;lt;0.001). Significantly more individuals with a 15% body mass reduction, compared with individuals with no mass reduction, had previously experi enced the jojo effect (P&amp;lt;0.001) and had suc cessfully lost weight (P&amp;lt;0.001). Significantly more individuals with no body mass reduction, compared with individuals with a15% reduc tion, had a history of unsuccessful attempts at reducing body mass (P&amp;lt;0.001). We conclude that the attitude of obese patients towards a weight-loss program is not a deciding factor for its effectiveness. As body mass reduces, the attitude improves.</abstract><keywords>obesity, weight-loss, psychological fac tors, emotions, cognition</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>1. Wang YC, McPherson K, Marsh T, et al. Health and economic burden of the projected obesity trends in the USA and the UK. Lancet 2011;378:815-25.2. 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