Live FREE is a 16-week group intervention for adults with emotional eating and obesity that combines Dialectical Behavior Therapy skills (sessions 1–9) with standard behavioral weight loss strategies (sessions 10–16). Traditionally, behavioral weight management programs yield inconsistent outcomes, particularly for emotional eaters. Live FREE is predicated on the premise that improved emotion regulation will facilitate greater success in adopting weight management techniques among emotional eaters. Outcomes are presented with a case study of Amy, a woman who completed Live FREE. Amy reported a history of unsuccessful weight loss attempts, and she initially presented as timid, with limited awareness of her emotions. During the Dialectical Behavior Therapy portion of treatment, Amy learned to identify emotional eating triggers (e.g., feeling inadequate and anxious) and useful strategies for effectively responding to emotions (e.g., nonjudgmental awareness and checking the facts). Subsequently, during the weight loss sessions, Amy’s use of emotion regulation skills expanded as she encountered and overcame barriers to implementing conventional weight loss techniques. Post-treatment assessment results indicated that Amy’s emotional eating decreased from baseline to post-treatment, and was maintained at follow-up. Furthermore, her weight slightly decreased toward the end of the treatment (during the behavioral weight loss sessions), and she continued to lose additional weight over the 6-month follow-up. Adults seeking weight loss who also struggle with emotional eating may benefit from initially decreasing emotional eating behavior prior to focusing on weight loss.

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情绪性饮食和肥胖的辩证行为治疗技巧和行为减肥：案例研究

Live FREE 是一项为期 16 周的团体干预，针对情绪化饮食和肥胖的成年人，结合了辩证行为疗法技能（第 1-9 课）和标准行为减肥策略（第 10-16 课）。传统上，行为体重管理计划会产生不一致的结果，尤其是对于情绪化饮食者。Live FREE 的前提是改善情绪调节将有助于在情绪化饮食者中采用体重管理技术取得更大成功。结果以 Amy 的案例研究呈现，她是一位完成 Live FREE 的女性。艾米报告了减肥失败的历史，她最初表现得胆小，对自己的情绪意识有限。在治疗的辩证行为疗法部分，艾米学会了识别情绪化进食的诱因（例如，感觉不足和焦虑）以及有效应对情绪的有用策略（例如，非判断性意识和检查事实）。随后，在减肥课程中，艾米 (Amy) 对情绪调节技能的使用随着她遇到并克服了实施传统减肥技术的障碍而得到了扩展。治疗后评估结果表明，艾米的情绪化进食从基线到治疗后有所下降，并在随访中保持不变。此外，在治疗结束时（在行为减肥期间），她的体重略有下降，并且在 6 个月的随访期间，她的体重继续减轻。寻求减肥但也与情绪化饮食斗争的成年人可能会受益于在专注于减肥之前最初减少情绪化饮食行为。