Research Topics
| THOMAS A contact WADDENSummaryAffiliation: University of Pennsylvania Country: USA Publications
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Publications
Weight and Lifestyle Inventory (WALI)Thomas A Wadden
Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Obesity (Silver Spring) 14:99S-118S. 2006
Four-year weight losses in the Look AHEAD study: factors associated with long-term successThomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 19:1987-98. 2011..e., ≥ 5%) in overweight/obese participants with type 2 diabetes and maintain this loss in more than 45% of patients at 4 years...
Efficacy of lifestyle modification for long-term weight controlThomas A Wadden
University of Pennsylvania, 3535 Market Street, Philadelphia, Pennsylvania 19104, USA
Obes Res 12:151S-62S. 2004..g., low-fat vs. low-carbohydrate diets) on long-term changes in weight and health. Research also is needed on effective methods of providing comprehensive weight loss control to the millions of Americans who need it...
Behavioral treatment of obesityThomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA 19104, USA
Psychiatr Clin North Am 28:151-70, ix. 2005
Randomized trial of lifestyle modification and pharmacotherapy for obesityThomas A Wadden
University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
N Engl J Med 353:2111-20. 2005..This practice is likely to limit therapeutic benefits...
Behavioral assessment and characteristics of patients seeking bariatric surgeryThomas A Wadden
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029, Philadelphia, PA 19104, USA
Obesity (Silver Spring) 14:51S-52S. 2006
Behavioral assessment of candidates for bariatric surgery: a patient-oriented approachThomas A Wadden
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029, Philadelphia, PA 19104, USA
Obesity (Silver Spring) 14:53S-62S. 2006..This evaluation includes the use of the Weight and Lifestyle Inventory, a questionnaire that guides our interview with patients...
Comparison of psychosocial status in treatment-seeking women with class III vs. class I-II obesityThomas A Wadden
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029, Philadelphia, PA 19104, USA
Obesity (Silver Spring) 14:90S-98S. 2006....
Exploring synergies in the treatment of obesityT A Wadden
Weight and Eating Disorders Program, Department of Psychiatry, University of Pennsylvania, 3600 Market Street, Philadelphia, PA 19104, USA
Postgrad Med 109:29-33. 2001..Recent clinical studies indicate that combining these approaches is likely to be the most effective treatment for obese patients. Regardless of the approach selected, long-term care is required to achieve and maintain weight loss...
Comparison of psychosocial status in treatment-seeking women with class III vs. class I-II obesityThomas A Wadden
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Surg Obes Relat Dis 2:138-45. 2006....
Behavioral assessment of candidates for bariatric surgery: a patient-oriented approachThomas A Wadden
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Surg Obes Relat Dis 2:171-9. 2006..This evaluation includes the use of the Weight and Lifestyle Inventory, a questionnaire that guides our interview with patients...
Weight and Lifestyle Inventory (WALI)Thomas A Wadden
Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, PA 19104, USA
Surg Obes Relat Dis 2:180-99. 2006
Lifestyle modification for the management of obesityThomas A Wadden
University of Pennsylvania School of Medicine, Department of Psychiatry, Philadelphia, Pennsylvania 19104, USA
Gastroenterology 132:2226-38. 2007..In summary, lifestyle modification induces clinically significant weight loss that is associated with the prevention or amelioration of cardiovascular risk factors...
A two-year randomized trial of obesity treatment in primary care practiceThomas A Wadden
Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA
N Engl J Med 365:1969-79. 2011..This randomized trial compared weight loss during a 2-year period in response to three lifestyle interventions, all delivered by PCPs in collaboration with auxiliary health professionals (lifestyle coaches) in their practices...
One-year weight losses in the Look AHEAD study: factors associated with successThomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 17:713-22. 2009..The lifestyle intervention was clinically effective in all subsets of an ethnically and demographically diverse population...
A randomized trial of lifestyle modification and taranabant for maintaining weight loss achieved with a low-calorie dietThomas A Wadden
University of Pennsylvania School of Medicine, Department of Psychiatry, Center for Weight and Eating Disorders, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 18:2301-10. 2010..038). In addition to reporting data on the safety and efficacy of taranabant, this study provides a method for studying the combination of lifestyle modification and pharmacotherapy for weight maintenance after diet-induced weight loss...
Weight loss with naltrexone SR/bupropion SR combination therapy as an adjunct to behavior modification: the COR-BMOD trialThomas A Wadden
Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 19:110-20. 2011..The present findings support the efficacy of combined naltrexone/bupropion therapy as an adjunct to intensive BMOD for obesity...
Binge eating disorder and the outcome of bariatric surgery at one year: a prospective, observational studyThomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 19:1220-8. 2011..Longer follow-up of participants is required...
Behavioral treatment of obesityThomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA 19104, USA
Endocrinol Metab Clin North Am 32:981-1003, x. 2003..This article describes the behavioral treatment of obesity, its short- and long-term results, and methods to improve long-term weight loss...
Great expectations: "I'm losing 25% of my weight no matter what you say"Thomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia 19104, USA
J Consult Clin Psychol 71:1084-9. 2003..Results are discussed in terms of the origins, clinical significance, and potential malleability of obese individuals' weight loss expectations...
What's in a name? Patients' preferred terms for describing obesityThomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Obes Res 11:1140-6. 2003..To determine the terms that obese individuals find undesirable or desirable for their doctors to use to describe excess weight of 27.3 kg (i.e., 50 lb) or more...
Effects of sibutramine plus orlistat in obese women following 1 year of treatment by sibutramine alone: a placebo-controlled trialT A Wadden
University of Pennsylvania School of Medicine, Department of Psychiatry, Philadelphia 19104, USA
Obes Res 8:431-7. 2000..This study assessed whether adding orlistat to sibutramine would induce further weight loss in patients who previously had lost weight while taking sibutramine alone...
Obese women's perceptions of their physicians' weight management attitudes and practicesT A Wadden
Department of Psychiatry, University of Pennsylvania, 3600 Market St, Suite 738, Philadelphia, PA 19104, USA
Arch Fam Med 9:854-60. 2000..Obesity has reached epidemic proportions in the United States. Primary care physicians will see increasing numbers of patients with long-term weight management problems...
Dieting and the development of eating disorders in obese women: results of a randomized controlled trialThomas A Wadden
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA 19104, USA
Am J Clin Nutr 80:560-8. 2004..Some investigators fear that dieting may precipitate binge eating and other adverse behavioral consequences...
Assessment of quality of life in obese individualsThomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029, Philadelphia, PA 19104, USA
Obes Res 10:50S-57S. 2002
Psychosocial aspects of obesity and obesity surgeryT A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, USA
Surg Clin North Am 81:1001-24. 2001..A structured behavioral assessment, conducted by a mental-health professional and a registered dietitian, can readily identify those who are most likely to require adjunct counseling...
Obesity: responding to the global epidemicThomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia 19104, USA
J Consult Clin Psychol 70:510-25. 2002..The authors call not for the adoption of a specific policy initiative, but instead propose that policy research, based on viewing obesity as a public health problem, become a central focus of research...
Lifestyle modification in the management of obesityThomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia 19104, USA
J Gastrointest Surg 7:452-63. 2003
Benefits of lifestyle modification in the pharmacologic treatment of obesity: a randomized trialT A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, 3600 Market St, Suite 738, Philadelphia, PA 19104, USA
Arch Intern Med 161:218-27. 2001..Weight loss medications are recommended as an adjunct to diet and exercise modification but seem to be prescribed as a monotherapy by many physicians. This practice is likely to be associated with suboptimal weight loss...
Two-year changes in lipids and lipoproteins associated with the maintenance of a 5% to 10% reduction in initial weight: some findings and some questionsT A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia 19104, USA
Obes Res 7:170-8. 1999..This study assessed whether a 5% to 10% reduction in initial weight would be associated with as favorable long-term (i.e., 100 weeks) changes in lipids and lipoproteins, as have been observed on a short-term basis (i.e., 8 weeks)...
Behavioral treatment of obesityT A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, USA
Med Clin North Am 84:441-61, vii. 2000..The most promising results are likely to be obtained when behavioral and pharmacologic approaches are combined. The article concludes with a discussion of the importance of treating obese individuals with respect and compassion...
Short- and long-term changes in serum leptin dieting obese women: effects of caloric restriction and weight lossT A Wadden
University of Pennsylvania School of Medicine, Department of Psychiatry, Philadelphia, USA
J Clin Endocrinol Metab 83:214-8. 1998..66, P < 0.001). After treatment, however, we observed a greater-than-expected reduction in serum leptin concentrations, as expressed per kilogram of body fat. The significance of this finding remains to be determined...
Exercise and the maintenance of weight loss: 1-year follow-up of a controlled clinical trialT A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia 19104, USA
J Consult Clin Psychol 66:429-33. 1998..Participants, however, who reported exercising regularly in the 4 months preceding the follow-up assessment regained significantly less weight than did nonexercisers...
Combining behavioral and pharmacological treatments for obesitySuzanne Phelan
University of Pennsylvania School of Medicine, Philadelphia, USA
Obes Res 10:560-74. 2002..The article examines possible methods of sequencing behavioral and pharmacological therapies and offers suggestions for future research...
Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trialRena R Wing
Department of Psychiatry, The Miriam Hospital Brown Medical School, Providence, RI 02860, USA
Arch Intern Med 170:1566-75. 2010..We examined the effects of lifestyle intervention on changes in weight, fitness, and CVD risk factors during a 4-year study...
The Look AHEAD study: a description of the lifestyle intervention and the evidence supporting itThomas A Wadden
University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA [corrected
Obesity (Silver Spring) 14:737-52. 2006..After Year 4, participants are offered monthly individual visits. The intervention is delivered by a multidisciplinary team that includes medical staff who monitor participants at risk of hypoglycemic episodes...
Changes in obesity-related attitudes in women seeking weight reductionCanice E Crerand
Department of Psychiatry, Center for Weight and Eating Disorders, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Obesity (Silver Spring) 15:740-7. 2007..To examine changes in obesity-related attitudes in a sample of obese women who participated in either dieting or non-dieting interventions...
What consumers want to know about commercial weight-loss programs: a pilot investigationShirley S Wang
University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Obes Res 11:48-53. 2003..Consumers, however, seem to desire information about weight loss, in addition to that concerning safety, cost, and central program components...
Psychosocial and behavioral status of patients undergoing bariatric surgery: what to expect before and after surgeryThomas A Wadden
Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, 3rd Floor, Philadelphia, PA 19104, USA
Med Clin North Am 91:451-69, xi-xii. 2007..The article combines a review of the literature with clinical impressions gained from the more than 2500 candidates for bariatric surgery whom the authors have evaluated at the Hospital of the University of Pennsylvania...
Weight and metabolic outcomes after 2 years on a low-carbohydrate versus low-fat diet: a randomized trialGary D Foster
Center for Obesity Research and Education, Temple University, Philadelphia, Pennsylvania 19140, USA
Ann Intern Med 153:147-57. 2010..Previous studies comparing low-carbohydrate and low-fat diets have not included a comprehensive behavioral treatment, resulting in suboptimal weight loss...
A randomized study on the effect of weight loss on obstructive sleep apnea among obese patients with type 2 diabetes: the Sleep AHEAD studyGary D Foster
Center for Obesity Research and Education, Temple University, 3223 N Broad St, Ste 175, Philadelphia, PA 19140, USA
Arch Intern Med 169:1619-26. 2009..The belief that weight loss improves obstructive sleep apnea (OSA) has limited empirical support. The purpose of this 4-center study was to assess the effects of weight loss on OSA over a 1-year period...
Previous weight loss experiences of bariatric surgery candidates: how much have patients dieted prior to surgery?Lauren M Gibbons
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029, Philadelphia, PA 19104, USA
Obesity (Silver Spring) 14:70S-76S. 2006..To describe the dieting histories of bariatric surgery candidates...
Systematic review: an evaluation of major commercial weight loss programs in the United StatesAdam Gilden Tsai
University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Ann Intern Med 142:56-66. 2005..Controlled trials are needed to assess the efficacy and cost-effectiveness of these interventions...
A comparison of weight histories in women with class III vs. class I-II obesityCanice E Crerand
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029, Philadelphia, PA 19104, USA
Obesity (Silver Spring) 14:63S-69S. 2006....
Weight loss expectations and goals in a population sample of overweight and obese US adultsAnthony N Fabricatore
Center for Weight and Eating Disorders, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 16:2445-50. 2008..BMI and gender appear to be more important than previous weight loss experiences in determining expectations among persons planning a weight loss attempt...
Impression management or real change? Reports of depressive symptoms before and after the preoperative psychological evaluation for bariatric surgeryAnthony N Fabricatore
Center for Weight and Eating Disorders, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 3309, USA
Obes Surg 17:1213-9. 2007..Candidates may be motivated to suppress or exaggerate psychiatric symptoms (i.e., engage in impression management), if they believe doing so will enhance their chances of receiving a recommendation to proceed with surgery...
Binge eating disorder and night eating syndrome in adults with type 2 diabetesKelly C Allison
Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3021, Philadelphia, PA 19104 3309, USA
Obesity (Silver Spring) 15:1287-93. 2007..To determine the prevalence of binge eating disorder (BED) and night eating syndrome (NES) among applicants to the Look AHEAD (Action for Health in Diabetes) study...
Preoperative eating behavior, postoperative dietary adherence, and weight loss after gastric bypass surgeryDavid B Sarwer
Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Surg Obes Relat Dis 4:640-6. 2008..The reasons for this are not well understood, but the suboptimal weight loss is often attributed to preoperative psychosocial characteristics and/or eating behaviors, as well as poor adherence to the recommended postoperative diet...
Evaluation of diagnostic criteria for night eating syndrome using item response theory analysisKelly C Allison
University of Pennsylvania School of Medicine, Department of Psychiatry, Center for Weight and Eating Disorders, 3535 Market St, 3rd Floor, Philadelphia, PA 19104 3309, USA
Eat Behav 9:398-407. 2008..Behavioral factors were identified as useful discriminators of NES. Future work should also examine psychological factors in conjunction with those identified here...
The Night Eating Questionnaire (NEQ): psychometric properties of a measure of severity of the Night Eating SyndromeKelly C Allison
University of Pennsylvania School of Medicine Center for Weight and Eating Disorders, 3535 Market Street, Ste 3021, Philadelphia, PA 19104 3309, United States
Eat Behav 9:62-72. 2008..Study 3 compared scores from obese bariatric surgery candidates with and without NES and found appropriate discriminant validity of the NEQ. The NEQ appears to be an efficient, valid measure of severity for NES...
ObesityAnthony N Fabricatore
University of Pennsylvania, School of Medicine, Department of Psychiatry, Weight and Eating Disorders Program, Philadelphia, Pennsylvania 19104 3309, USA
Annu Rev Clin Psychol 2:357-77. 2006..Treatment options and outcomes are reviewed and future steps-including efforts to prevent obesity--are identified. Finally, the literature on the relationship between obesity and depression is examined...
Self-reported stigmatization among candidates for bariatric surgeryDavid B Sarwer
Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 16:S75-9. 2008..Some specific forms of stigmatization, however, appear to be related to body size. The occurrence of stigmatization was associated with poorer weight-related quality of life and greater symptoms of depression...
Changes in quality of life and body image after gastric bypass surgeryDavid B Sarwer
Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Surg Obes Relat Dis 6:608-14. 2010..The present study was undertaken to assess the changes in quality of life and body image after gastric bypass surgery. The present study was performed at an academic medical center...
Effects of a low-intensity intervention that prescribed a low-carbohydrate vs. a low-fat diet in obese, diabetic participantsNayyar Iqbal
Department of Medicine, Division of Endocrinology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 18:1733-8. 2010..5 kg, compared to 0.2 kg in the low-fat group (P = 0.147). Lipids, glycemic indexes, and dietary intake did not differ between groups at month 24 (or at months 6 or 12) (ClinicalTrials.gov number, NCT00108459)...
Trial of family and friend support for weight loss in African American adultsShiriki K Kumanyika
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
Arch Intern Med 169:1795-804. 2009..Family and friend participation may provide culturally salient social support for weight loss in African American adults...
Behavior therapy for obesity: where are we now?David B Sarwer
Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Curr Opin Endocrinol Diabetes Obes 16:347-52. 2009..To describe the short-term and long-term results of lifestyle modification for obesity...
Predictors of attrition and weight loss success: Results from a randomized controlled trialAnthony N Fabricatore
University of Pennsylvania School of Medicine, 3535 Market Street, Ste 3108, Philadelphia, PA 19104 3309, United States
Behav Res Ther 47:685-91. 2009..As a process variable, early weight loss appears to have more predictive value than early attendance at treatment sessions or early adherence...
Obstructive sleep apnea among obese patients with type 2 diabetesGary D Foster
Temple University, Philadelphia, Pennsylvania, USA
Diabetes Care 32:1017-9. 2009..To assess the risk factors for the presence and severity of obstructive sleep apnea (OSA) among obese patients with type 2 diabetes...
Changes in symptoms of depression with weight loss: results of a randomized trialLucy F Faulconbridge
Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 17:1009-16. 2009..Further research is needed to identify characteristics of obese patients at risk of negative mood changes (and suicidal ideation) in response to behavioral and pharmacologic therapies...
State of the science: behavioural treatment of obesityLashanda R Jones
University of Pennsylvania School of Medicine, Department of Psychiatry, Philadelphia, PA 19104, USA
Asia Pac J Clin Nutr 15:30-9. 2006..It also examines the short- and long-term results of behavioural treatment for obesity and methods to improve long-term weight control...
Observational study of bone accretion during successful weight loss in obese adolescentsNicolas Stettler
Division of Gastroenterology, Hepatology, and Nutrition, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 16:96-101. 2008..To assess bone mineral content (BMC) among obese adolescents who lose weight during a critical period for bone accretion...
A randomized controlled trial of a commercial internet weight loss programLeslie G Womble
University of Pennsylvania School of Medicine, Department of Psychiatry, Weight and Eating Disorders Program, 3535 Market St, Suite 3029, Philadelphia 19104, USA
Obes Res 12:1011-8. 2004..To assess, in a 1-year randomized controlled trial, the efficacy of eDiets.com (a commercial Internet weight loss program) in improving weight, cardiovascular health, and quality of life...
Self-reported eating behaviors of extremely obese persons seeking bariatric surgery: a factor analytic approachAnthony N Fabricatore
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Surg Obes Relat Dis 2:146-52. 2006..To summarize the self-reported eating behaviors of persons seeking bariatric surgery and to provide reliability data for a clinical instrument that assesses those eating behaviors...
Self-reported eating behaviors of extremely obese persons seeking bariatric surgery: a factor analytic approachAnthony N Fabricatore
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029, Philadelphia, PA 19104, USA
Obesity (Silver Spring) 14:83S-89S. 2006..To summarize the self-reported eating behaviors of persons seeking bariatric surgery and to provide reliability data for a clinical instrument that assesses those eating behaviors...
Night eating syndrome and binge eating disorder among persons seeking bariatric surgery: prevalence and related featuresKelly C Allison
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029, Philadelphia, PA 19104, USA
Obesity (Silver Spring) 14:77S-82S. 2006..To assess the prevalence of night eating syndrome (NES) and binge eating disorder (BED) and their related behavioral and psychological correlates in persons who sought bariatric surgery...
Behavior therapy and sibutramine for the treatment of adolescent obesity: a randomized controlled trialRobert I Berkowitz
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia 19104 3309, USA
JAMA 289:1805-12. 2003..Adolescent obesity is becoming a national public health problem. Weight-loss medications including sibutramine facilitate weight control in adults and could be used with obese adolescents in combination with behavior therapy (BT)...
Psychosocial and behavioral aspects of bariatric surgeryDavid B Sarwer
Weight and Eating Disorders Program, 3535 Market Street, Suite 3022, Philadelphia, PA 19104 3309, USA
Obes Res 13:639-48. 2005..In addition, the paper examines studies that investigated changes in these factors postoperatively. The review concludes with an agenda for future research in this area...
Health-related quality of life and symptoms of depression in extremely obese persons seeking bariatric surgeryAnthony N Fabricatore
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA 19128 3309, USA
Obes Surg 15:304-9. 2005..This study examined the relationships among BMI, HRQoL, and symptoms of depression in persons with extreme obesity...
Psychiatric diagnoses and psychiatric treatment among bariatric surgery candidatesDavid B Sarwer
Weight and Eating Disorders Program, Departments of Psychiatry and Surgery, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA 19104 3309, USA
Obes Surg 14:1148-56. 2004..This study investigated the psychiatric diagnoses and psychiatric treatment histories of 90 bariatric surgery candidates...
Psychological aspects of obesityAnthony N Fabricatore
Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 3309, USA
Clin Dermatol 22:332-7. 2004..Significant mood disturbances should be treated equally aggressively, regardless of a patient's weight status...
Promoting more modest weight losses: a pilot studyGary D Foster
University of Pennsylvania School of Medicine, Philadephia, PA 19104, USA
Obes Res 12:1271-7. 2004..This pilot study assessed the short- and long-term effects of a modified cognitive behavioral treatment designed to facilitate obese patients' acceptance of a 5% to 10% reduction in initial weight...
Night eating syndrome and binge eating disorder among persons seeking bariatric surgery: prevalence and related featuresKelly C Allison
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Surg Obes Relat Dis 2:153-8. 2006..To assess the prevalence of night eating syndrome (NES) and binge eating disorder (BED) and their related behavioral and psychological correlates in persons who sought bariatric surgery...
Previous weight loss experiences of bariatric surgery candidates: how much have patients dieted prior to surgery?Lauren M Gibbons
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Surg Obes Relat Dis 2:159-64. 2006..To describe the dieting histories of bariatric surgery candidates...
History of sexual abuse among bariatric surgery candidatesTimothy B Gustafson
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Surg Obes Relat Dis 2:369-74, discussion 375-6. 2006..Among these individuals, a history of sexual abuse was associated with both current and past psychiatric problems and treatment. The relationship of these variables to postoperative outcomes, however, is unknown...
How do mental health professionals evaluate candidates for bariatric surgery? Survey resultsAnthony N Fabricatore
Weight and Eating Disorders Program, Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA 19104, USA
Obes Surg 16:567-73. 2006..Many surgery programs require that candidates undergo a preoperative psychological evaluation, but no consensus exists for guiding mental health professionals in the conduct of these evaluations...
Insurance coverage for obesity treatmentAdam Gilden Tsai
Center for Weight and Eating Disorders, University of Pennsylvania, Philadelphia 19104, USA
J Am Diet Assoc 106:1651-5. 2006..Given the increasing evidence for the clinical and cost-effectiveness of nonsurgical weight loss therapy, coverage policies may begin to change...
Metabolic syndrome and health-related quality of life in obese individuals seeking weight reductionAdam Gilden Tsai
Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Obesity (Silver Spring) 16:59-63. 2008..We hypothesized that MetSyn would be associated with lower HRQoL on measures of physical and mental health...
Agreement between weekly vs. daily assessment of appetiteLeslie G Womble
University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3028, Philadelphia, PA 19104, USA
Appetite 40:131-5. 2003..The weekly assessment of appetite in the clinic appears to have several benefits, including uniformity of test administration and decreased burden on participants...
An investigation of changes in body image following cosmetic surgeryDavid B Sarwer
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Plast Reconstr Surg 109:363-9; discussion 370-1. 2002
Medicare and bariatric surgeryJohn G Kral
American Society for Bariatric Surgery, Gainesville, Florida 32607, USA
Surg Obes Relat Dis 1:35-63. 2005
The evolution of very-low-calorie diets: an update and meta-analysisAdam Gilden Tsai
Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3029, Philadelphia, PA 19104, USA
Obesity (Silver Spring) 14:1283-93. 2006..In Europe, VLCDs are used with less intensive medical supervision than in the United States, which reduces the cost of this approach...
Bariatric surgery patients' views of their physicians' weight-related attitudes and practicesDrew A Anderson
Department of Psychology, University at Albany, 369 Social Science, Albany NY 12222, USA
Obes Res 12:1587-95. 2004..This study assessed patient-physician interactions in a group of bariatric surgery patients and in a group of less obese patients who sought weight loss by other means...
Bupropion SR vs. placebo for weight loss in obese patients with depressive symptomsAdesh K Jain
Medical Research Institute, Slidell, Louisiana, USA
Obes Res 10:1049-56. 2002..This randomized, double-blind, placebo-controlled study evaluated the efficacy and tolerability of bupropion sustained-release (bupropion SR) in reducing weight and depressive symptoms in obese adults...
Commercial and self-help programs for weight controlAdam Gilden Tsai
Department of Psychiatry, University of Pennsylvania School of Medicine, Weight and Eating Disorders Program, Philadelphia, PA 19104, USA
Psychiatr Clin North Am 28:171-92, ix. 2005
Treatment of overweight in children and adolescents: does dieting increase the risk of eating disorders?Meghan L Butryn
Department of Psychology, Drexel University, Philadelphia, Pennsylvania, USA
Int J Eat Disord 37:285-93. 2005..This review examined the literature on the effects of dieting on eating behavior and psychological status in youth...
Primary care physicians' attitudes about obesity and its treatmentGary D Foster
University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
Obes Res 11:1168-77. 2003..Practitioners are realistic about treatment outcomes but view obesity treatment as less effective than treatment of most other chronic conditions...
Surgical vs behavioral therapy for weight loss in patients with type 2 diabetesRena R Wing
JAMA 299:2146; author reply 2146-7. 2008
Neighborhood safety, collective efficacy, and obesity in women with young childrenHillary L Burdette
Department of Pediatrics, University of Pennsylvania School of Medicine and Children s Hospital of Philadelphia, Division of Gastroenterology and Nutrition, 3535 Market Street, Room 1578, Philadelphia, PA 19104, USA
Obesity (Silver Spring) 14:518-25. 2006..To test the hypothesis that mothers of young children would have a higher prevalence of obesity if they lived in neighborhoods that they perceived as unsafe or as having a low level of collective efficacy...
Bariatric surgery: crossing a body mass index thresholdThomas A Wadden
Ann Intern Med 144:689-91. 2006
A comparison of weight histories in women with class III vs. class I-II obesityCanice E Crerand
Department of Psychiatry, Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Surg Obes Relat Dis 2:165-70. 2006....
Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the look AHEAD trialXavier Pi-Sunyer
St Luke s Roosevelt Hospital Center, USA
Diabetes Care 30:1374-83. 2007..This report describes 1-year changes in CVD risk factors in a trial designed to examine the long-term effects of an intensive lifestyle intervention on the incidence of major CVD events...
Research Grants
- Improving the Management of Obesity in Primary Care PracticeThomas Wadden; Fiscal Year: 2007..This study holds promise of identifying effective weight loss methods that can be provided in primary care, at reasonable cost, by existing office personnel. ..
- IMPROVING THE EFFECTIVENESS OF OBESITY MANAGEMENTThomas Wadden; Fiscal Year: 2007..abstract_text> ..
- Look AHEAD: Action for Health in DiabetesThomas Wadden; Fiscal Year: 2007..These procedures will enable us to analyze the effects of the intervention on serious cardiovascular- related factors and complications, and cost-effectiveness of the intervention. ..
- Behavioral factors in the surgical treatment of obesityThomas Wadden; Fiscal Year: 2009..The study, by examining ghrelin and other appetite-related hormones, also will enhance knowledge of the regulation of body weight following GBP. ..
- Sleep Apnea in Look AHEAD ParticipantsThomas Wadden; Fiscal Year: 2005..The results of this study will provide an empirical basis for making recommendations about the effectiveness of weight loss in Type 2 diabetics with OSA. ..
- BEHAVIOR MODIFICATION AND PHARMACOTHERAPY FOR OBESITYThomas Wadden; Fiscal Year: 2002..If confirmed, the above findings will have important implications for treating obesity in primary care. ..
- LIFESTYLE ACTIVITY FOR WEIGHT MANAGEMENTThomas Wadden; Fiscal Year: 2003..The predicted superiority of lifestyle activity is based on extensive pilot data and, if confirmed, should significantly improve the management of obesity and its associated health complications. ..
- Changes in neural response to eating after bariatric surgery: MRI resultsTHOMAS A contact WADDEN; Fiscal Year: 2010..In addition, we will serially measure postprandial changes in appetite-regulating hormones and examine the relationships between neural and endocrine response to food consumption. ..
