Empirically supported treatments in pediatric psychology: Pediatric obesity
Empirically supported treatments in pediatric psychology: Pediatric obesity
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DOI：
10.1093/jpepsy/24.3.223
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发表时间：
1999-06-01
影响因子：
3.6
通讯作者：
Saelens, BE
中科院分区：
文献类型：
--
作者：
Jelalian, E;Saelens, BE
目的：参照钱伯斯标准评价现有儿童肥胖干预措施的有效性。方法：42项随机研究采用无腔性标准来确定治疗效果。结果：我们总结了儿童肥胖治疗文献的以下几个维度：参与者描述、研究参与的诊断标准、实验设计、治疗方案、治疗结果和随访。结论：有强有力的证据表明，与安慰剂和单纯教育治疗相比，多组分行为疗法在儿童减肥方面具有短期和长期疗效。结论关于青少年肥胖治疗方案的结论更具试探性，因为它们得到的检查较少，控制不那么严格，而且通常没有进行长期随访。目前的研究似乎正在通过探索在改变儿童饮食和体育活动习惯方面最有效的具体行为策略来确定更有效的治疗儿童肥胖症的方法。
Objective: To review the efficacy of existing interventions for pediatric obesity with reference to the Chambless criteria.Methods: Chambless criteria for determining treatment efficacy were applied to 42 randomized studies involving nonschool-based programs targeting childhood and adolescent weight loss.Results: We summarize the following dimensions of the pediatric obesity treatment literature: description of participants, diagnostic criteria for study participation, experimental design, treatment protocol, treatment outcome, and follow-up. Conclusions: There is strong evidence for the short- and long-term efficacy of multicomponential behavioral treatment for decreasing weight among children relative to both placebo and education-only treatments.Conclusions about adolescent obesity treatment programs are more tentative as they have been less frequently examined, less rigorously controlled, and usually have not conducted long-term follow-up. Current research appears to be working to identify more efficacious treatments for pediatric obesity by exploring the specific behavioral strategies that will be most effective in modifying children's eating and physical activity habits.