A FAMILY-BASED APPROACH TO THE TREATMENT OF OBESE TYPE-II DIABETIC-PATIENTS
A FAMILY-BASED APPROACH TO THE TREATMENT OF OBESE TYPE-II DIABETIC-PATIENTS
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DOI：
10.1037/0022-006x.59.1.156
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发表时间：
1991-02-01
影响因子：
5.9
通讯作者：
JAWAD, A
中科院分区：
文献类型：
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作者：
WING, RR;MARCUS, MD;JAWAD, A
49名肥胖糖尿病患者的肥胖配偶（糖尿病或非糖尿病）被随机分配到单独或共同的条件。单独组的患者自行参加了一项为期20周的行为体重控制计划；他们的配偶只参加评估会议。在一起组的患者与他们的配偶一起参加了这个项目；他们都是减肥的目标，并学习社会支持策略。单独治疗和联合治疗患者的体重减轻在治疗后（19.9比19.1 b）或1年随访（11.6比7.0 b）没有显著差异。然而，治疗和性别之间存在显著的相互作用；女性和配偶一起治疗效果更好，而男性单独治疗效果更好。“以家庭为基础”的方法对这些肥胖的II型糖尿病患者整体无效，但对女性可能有帮助。
Forty-nine obese diabetic patients with obese spouses (diabetic or nondiabetic) were randomly assigned to an alone or together condition. Patients in the alone group participated by themselves in a 20-week behavioral weight control program; their spouses attended assessment sessions only. Patients in the together group attended the program with their spouses; both were targeted for weight loss and taught social support strategies. Weight losses of patients treated alone and together did not differ significantly at posttreatment (19.9 vs. 19.1 1b) or 1-year follow-up (11.6 vs. 7.0 1b). However, there was a significant interaction of treatment and gender; women did better when treated with their spouses, whereas men did better when treated alone. A “family-based” approach was not effective for these obese Type II diabetic patients as a whole but may be helpful for women.