Problem solving in the treatment of childhood obesity
Problem solving in the treatment of childhood obesity
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DOI：
10.1037/0022-006x.68.4.717
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发表时间：
2000-08-01
影响因子：
5.9
通讯作者：
Ernst, MM
中科院分区：
文献类型：
--
作者：
Epstein, LH;Paluch, RA;Ernst, MM
这项研究将来自67个家庭的肥胖儿童随机分为接受6个月基于家庭的行为体重控制计划加父母和孩子解决问题，儿童解决问题或标准治疗而没有额外的问题解决的组。标准组在2年内的体重指数（BMI）下降幅度大于父母+儿童组，表现出较大BMI变化的儿童百分比存在显著差异。随着时间的推移，在儿童行为问题和父母痛苦方面观察到了显着的统计和临床改善。父母的问题解决增加了父母+儿童的条件相对于其他条件，而儿童的问题解决增加同样在所有的条件。大量证据表明，解决问题并没有增加治疗效果超过标准的家庭为基础的治疗。
This study randomized obese children from 67 families to groups that received a 6-month family-based behavioral weight-control program plus parent and child problem solving, child problem solving, or standard treatment with no additional problem solving. The standard group showed larger body mass index (BMI) decreases than the parent + child group through 2 years, with significant differences in the percentage of children who showed large BMI changes. Significant statistical and clinical improvements were observed over time in child behavior problems and parental distress. Parent problem solving increased in the parent + child condition relative to the other conditions, whereas child problem solving increased equally in all conditions. The bulk of evidence suggests that problem solving did not add to treatment effectiveness beyond the standard family-based treatment.