Adolescent Weight Management Intervention in a Nonclinical Setting: Changes in Eating-Related Cognitions and Depressive Symptoms.
Adolescent Weight Management Intervention in a Nonclinical Setting: Changes in Eating-Related Cognitions and Depressive Symptoms.
复制标题
DOI：
10.1097/dbp.0000000000000929
复制
发表时间：
2021-09-01
期刊：
影响因子：
--
通讯作者：
Jelalian E
中科院分区：
文献类型：
--
作者：
Darling KE;Rancourt D;Evans EW;Ranzenhofer LM;Jelalian E
本研究是一项随机对照试验（RCT）的次要数据分析，旨在研究参与YMCA教练提供的非诊所青少年行为体重控制治疗的青少年的抑郁症状和饮食相关认知的变化。还按性别检查了干预效果的差异。青少年（N=66; 13-17岁;超重（10.6%）或肥胖（53.0%严重肥胖）的女性（60.6%）参加了一项RCT，比较了两种循证干预措施。青少年在基线和积极治疗结束时（16周）完成了进食相关认知（进食障碍检查问卷）和抑郁症状（儿童抑郁量表-2）的测量。组、时间或组与时间的相互作用对抑郁症状、整体进食相关认知、饮食限制或进食问题没有显著影响（ps > 0.05）。在干预过程中，形状问题（p=.04）和体重问题（p=.02）显著降低。性别和时间之间在整体进食相关认知（p<0.001）、进食（p= 0.002）、形状（p= 0.02）和体重问题（p= 0.004）上存在显著的相互作用，因此女性的评分在治疗过程中下降，但男性的评分没有下降。结果表明，一些积极的和非临床为基础的行为体重控制干预对青少年的饮食相关的认知和抑郁症状没有有害的影响。研究结果可能会减轻对青少年的结构化，非诊所为基础的体重管理计划的传播将产生负面的饮食和情绪结果的担忧;然而，需要在更大的试验中复制结果。
The present study was a secondary data analysis of a randomized controlled trial (RCT) to examine change in depressive symptoms and eating-related cognitions in teens who participated in a non-clinic-based adolescent behavioral weight control treatment delivered by YMCA coaches. Differences in intervention effects were also examined by sex. Adolescents (N=66; 13-17 years; 60.6% female) with overweight (10.6%) or obesity (53.0% with severe obesity) participated in an RCT comparing two versions of an evidence-based intervention. Adolescents completed measures of eating-related cognitions (Eating Disorder Examination Questionnaire) and depressive symptoms (Children’s Depressive Inventory-2) at baseline and end of active treatment (16 weeks). There were no significant effects of group, time, or group by time interaction for depressive symptoms, global eating-related cognitions, dietary restraint, or eating concerns (ps >.05). Shape concerns (p=.04) and weight concerns (p=.02) significantly decreased over the intervention. Significant interactions between sex and time on global eating-related cognitions (p<.001), eating (p=.002), shape (p=.02), and weight concerns (p=.004), were detected, such that females’ scores decreased over the course of the treatment, but males’ scores did not. Results demonstrate some positive and no detrimental effects of a non-clinic based behavioral weight control intervention on adolescents’ eating-related cognitions and depressive symptoms. Findings may mitigate concerns that dissemination of structured, non-clinic-based weight management programs for adolescents will produce negative eating and mood outcomes; however, replication of results in larger trials is needed.