Depressive symptom severity as a predictor of attendance in the HOME behavioral weight loss trial

Aubrey L. Shell, Loretta Hsueh, Elizabeth A. Vrany, Daniel O. Clark, Ni Cole R. Keith, Huiping Xu, Jesse C. Stewart

Research output: Contribution to journalArticle


Objective: We examined whether total depressive symptoms and symptom clusters predicted behavioral weight loss attendance among economically disadvantaged adults in a randomized controlled trial. Methods: 150 adults with obesity were randomized to 12 months of in-person, video conference, or enhanced usual care weight loss groups. We categorized percent session attendance in the intervention arms into three levels: no attendance, poorer attendance, and better attendance. Results: Higher baseline Patient Health Questionnaire-8 (PHQ-8) score was associated with a greater odds of being in the poorer versus better attendance group (OR = 1.94, 95% CI: 1.02–3.69, p = . 04). A similar relationship between PHQ-8 score and odds of being in the no attendance versus better attendance group was observed but was not statistically significant (OR = 1.63, 95% CI: 0.94–2.81, p = . 08). Both cognitive/affective and somatic clusters contributed to the depressive symptoms-attendance relationships. Conclusion: Greater depressive symptoms at the start of a behavioral weight loss program may predict poorer subsequent session attendance. Screening for and addressing depression may improve intervention uptake. Identifier: NCT02057952

Original languageEnglish (US)
Article number109970
JournalJournal of Psychosomatic Research
StatePublished - Apr 2020


  • Attendance
  • Clinical trial
  • Depression
  • Intervention
  • Obesity
  • Weight loss

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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