Targeting Emotional Eating and Weight Loss in Adolescents

针对青少年的情绪化饮食和减肥

• 批准号: 9896823
• 负责人: Kerri N Boutelle
• 金额: $ 67.79万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-01 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9896823
• 关键词: Adolescence; Adolescent; Adolescent obesity; Adult; Affect; Aftercare; Age; Behavior Therapy; Behavioral; Binge Eating; Biological; Body Size; Body Weight decreased; California; Child; Child Rearing; Cognitive; Control Groups; Data; Development; Dialectical behavior therapy; Eating; Educational Status; Emotional; Emotions; Evidence based treatment; Gender; Goals; Health; Hyperphagia; Intervention; Mediator of activation protein; Mental Depression; Minnesota; Modeling; Obesity; Overweight; Parent-Child Relations; Parents; Phenotype; Pilot Projects; Prevalence; Randomized; Reporting; Research; Risk; Site; Time; Training; Training Programs; United States; Universities; Weight; Weight Gain; Weight maintenance regimen; aged; design; diet and exercise; effective intervention; effective therapy; emotion dysregulation; emotion regulation; emotional eating; follow-up; high risk; improved; negative affect; novel; open label; parental influence; prevent; programs; psychosocial; recruit; skills; treatment response; weight loss program

ABSTRACT Approximately 20% of adolescents aged 12-19 are obese. Overweight and obesity in adolescents are associated with numerous health and psychosocial consequences that can carry forward into adulthood. Developmentally, adolescence is a period of significant biological and physical changes, as well as emotional development. Emotion regulation is critical in managing interactions with others, and thus reflects an important task for adolescents. Adolescents who lack adaptive emotion regulation skills may turn to eating to regulate emotions and provide momentary relief of negative affect. Emotional eating is in fact associated with depression, binge eating and obesity. Current behavioral weight loss (BWL) treatment for adolescent obesity does not address emotions and produces variable weight-loss results with high attrition. Incorporating a treatment that targets emotion regulation may provide the skills needed to reduce emotional eating and encourage greater weight loss. Dialectical Behavior Therapy (DBT) is an evidence-based treatment that targets emotion regulation. We have created a new treatment model, Preventing Emotional Eating Routines (PEER) that targets both emotion regulation and weight loss by incorporating DBT skills with BWL, as well as an emotion-focused parent training program. Our pilot data suggests that PEER is a promising treatment for overweight and obese adolescents and their parents. The objective of this proposed study is to further evaluate the PEER program with overweight and obese adolescents and their parents. We will recruit and randomize 160 adolescents and their parents to either PEER or standard BWL at two sites – University of California, San Diego and University of Minnesota. Treatment will take place in groups over the course of 6 months. Assessments will be conducted at baseline, mid-treatment, post-treatment, 6-month follow-up, and 12-month follow-up. Primary Aims include to evaluate the efficacy of PEER compared to BWL on adolescent weight loss (Aim 1), emotion regulation and emotional eating (Aim 2). Secondary Aims include examining differences between PEER and BWL on parent BMI, parent emotion regulation, parent emotional eating, and the parent- child relationship. Lastly, we will explore moderators and mediators of adolescent weight loss, as well as emotion phenotypes. This application is a critical next step in the development of a treatment for adolescent obesity targeting emotion regulation and emotional eating as a mechanism of action.

摘要 大约20%的12-19岁青少年肥胖。青少年超重和肥胖是 与许多健康和心理社会后果有关，这些后果可能会延续到成年。 从发展的角度来看，青春期是一个重要的生物和身体变化的时期，也是情感变化的时期。 发展情绪调节在管理与他人的互动中至关重要，因此反映了一个重要的 青少年的任务。缺乏适应性情绪调节技能的青少年可能会转向饮食来调节 情绪，并提供暂时的救济负面影响。情绪化进食实际上与 抑郁症暴饮暴食和肥胖症目前青少年肥胖的行为减肥（BWL）治疗 不解决情绪，并产生可变的减肥结果与高磨损。结合有 针对情绪调节的治疗可能提供减少情绪化进食所需的技能， 鼓励更大的减肥。辩证行为疗法（DBT）是一种循证治疗， 针对情绪调节我们创造了一种新的治疗模式，预防情绪化饮食 （对等），通过将DBT技能与BWL相结合，以情绪调节和减肥为目标，以及 一个注重情感的家长培训项目我们的试验数据表明，PEER是一种有前途的治疗方法， 超重和肥胖的青少年及其父母。这项研究的目的是进一步评估 与超重和肥胖青少年及其父母的PEER计划。我们会招募并随机分配 160名青少年和他们的父母在两个地点-加州大学，旧金山分校-接受PEER或标准BWL Diego和明尼苏达大学。治疗将在6个月的过程中分组进行。 将在基线、治疗中期、治疗后、6个月随访和12个月时进行评估 随访主要目的包括评价与BWL相比，PEER在青少年体重减轻方面的疗效 (Aim 1），情绪调节和情绪化饮食（目标2）。第二个目标包括检查差异 在父母BMI、父母情绪调节、父母情绪化饮食和父母- 孩子的关系。最后，我们将探讨青少年减肥的调节者和调解者，以及 情绪表型这种应用是开发青少年治疗方法的关键下一步 肥胖针对情绪调节和情绪化饮食作为一种作用机制。