AN EVALUATION OF ENHANCED SELF-REGULATION TRAINING IN THE TREATMENT OF CHILDHOOD OBESITY

AN EVALUATION OF ENHANCED SELF-REGULATION TRAINING IN THE TREATMENT OF CHILDHOOD OBESITY
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DOI:
10.1093/jpepsy/19.6.737
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发表时间:
1994-12-01
影响因子:
3.6
通讯作者:
SILVERMAN, WK
SILVERMAN, WK
中科院分区:
心理学3区
文献类型:
--
作者:
ISRAEL, AC;GUILE, CA;SILVERMAN, WK

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肥胖儿童(8-13岁)及其父母中至少有一人参加了以行为为导向的治疗方案。在标准治疗条件下,参与者经历了多组分的干预,父母被赋予遵循计划处方的主要责任。增强的儿童参与条件提供了相同的基本干预,但更加强调儿童自我调节并进行培训。在6个月的治疗期间,这两种情况下的儿童超重和三头肌皮褶的百分比都有显着降低。总体而言,3年随访期的特点是高于治疗后水平的升高。然而,在3年的跟踪结果和6年半期间的长期模式中,有一些关于加强儿童参与方法的好处的建议。研究结果从重新考虑治疗目标、改进干预措施和改进自我调节行为评估的建议方面进行了讨论。
Obese children (8-13 years old) and at least one of their parents participated in a behaviorally oriented treatment program. Participants in a standard treatment condition experienced a multicomponent intervention in which parents were given primary responsibility for following program prescriptions. An enhanced child involvement condition provided the same basic intervention but with greater emphasis on, and training in, child self-regulation. Children in both conditions achieved a significant reduction in percentage overweight and triceps skin-fold during the 6-month treatment period. Overall, the follow-up period of 3 years was characterized by increases above posttreatment levels. There was, however, some suggestion in the 3-year follow-up results and the long-term patterns over a 6 1/2-year period of the benefits of the enhanced child involvement approach. Findings are discussed in terms of suggestions for reconsideration of treatment goals, improved interventions, and refinements in the assessment of self-regulatory behavior.