Enhancing Emotion Regulation among Overweight and Obese Adolescents Attempting to Lose Weight

加强试图减肥的超重和肥胖青少年的情绪调节

• 批准号: 9328075
• 负责人: Wendy S Hadley
• 金额: $ 24.15万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-15 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9328075
• 关键词: Address; Adolescent; Adolescent obesity; Adult; Age; Attention; Behavior; Behavior Therapy; Behavioral; Body Weight decreased; Calories; Carbohydrates; Cardiac; Child; Chronic; Consumption; Controlled Study; Data; Decision Making; Diabetes Mellitus; Diet; Emotions; Evaluation; Failure; Feedback; Feeling; Food; Health; Health behavior; Impairment; Intervention; Label; Manuals; Measures; Mental Health; Modeling; National Health and Nutrition Examination Survey; Obesity; Outcome; Outpatients; Overweight; Participant; Phase; Physical activity; Prevalence; Prevention; Process; Psychiatric Diagnosis; Randomized; Reporting; Research; Research Personnel; Risk; Risk Management; Risk Reduction; Safe Sex; Sample Size; Sampling; Schedule; Teenagers; Testing; Treatment Efficacy; Weight; Weight Gain; Weight maintenance regimen; Work; Youth; effective therapy; emotion dysregulation; emotion regulation; healthy lifestyle; improved; individualized feedback; obesity in children; pilot trial; programs; response; sedentary; sedentary lifestyle; sexually active; skills

While the prevalence of overweight and obesity among children and adolescents has plateaued, national data indicate that approximately 35% of children and adolescents continue to struggle with overweight/obesity. While considerable attention has been given to comprehensive behavioral interventions to address obesity in children, there is less empirical evidence demonstrating efficacy of interventions with adolescents. Additionally, there is great variability and limited impact of adolescent weight control interventions which may be attributable to the failure of these interventions to explicitly address emotion regulation abilities that are necessary for weight loss. Notably, adolescents with poorer general emotion regulation have been found to consume more snack/junk food and report greater amounts of sedentary behavior. Poor emotion regulation among adolescents has also been associated with more rapid weight gain and greater BMI. We propose to adapt a previously validated Emotion Regulation intervention (TRAC) for at-risk adolescents, targeting sexual risk reduction, to focus on weight loss among a sample of overweight and obese adolescents (ages 13 to 17). Although we recognize that sexual risk and weight management are distinct health behaviors, we believe this same model of emotion regulation can be applied to overweight/obese adolescents attempting to lose weight. In fact, data from overweight/obese adolescents attending our outpatient weight management program (N=124) indicate that 82% of these youth report emotion regulation scores that are comparable to youth with significant mental health problems. Furthermore, higher levels of emotional dysregulation was associated with greater BMI within this same sample. These data suggest that emotion regulation is related to health decision making and will be relevant to the majority of overweight/obese adolescents seeking to lose weight. The current study will be carried out across Phase 1a and 1b. During Phase 1a, a youth advisory board and the investigator team will modify the intervention and we will evaluate the initial acceptability and feasibility of the adapted intervention (HEALTH TRAC) with sixteen adolescents in an open pilot trial. During Phase 1b, we will randomize 48 adolescents between the ages of 13-17 years to receive either the HEALTH TRAC or standard behavioral weight control intervention (SBWC) and examine the impact on emotion regulation abilities and BMI status over an eight-month period. The information gained in this project will improve our understanding of strategies to improve weight loss outcomes among overweight/obsess adolescents and how improving emotion regulation abilities can enhance these interventions.

虽然儿童和青少年中超重和肥胖的流行率已经趋于平稳， 国家数据显示，大约35%的儿童和青少年继续与 超重/肥胖。虽然人们对综合行为干预给予了相当大的关注，但 在解决儿童肥胖问题上，很少有经验证据表明干预措施的有效性 青少年。此外，青少年体重控制干预措施的可变性很大，影响有限。 这可能归因于这些干预未能明确解决情绪调节能力 这是减肥所必需的。值得注意的是，总体情绪调节能力较差的青少年 被发现摄入更多的零食/垃圾食品，并报告了更多的久坐行为。情绪不佳 青少年的调节也与更快的体重增加和更大的BMI有关。我们 建议对高危青少年采用先前有效的情绪调节干预(TRAC)， 以减少性风险为目标，重点关注超重和肥胖青少年的体重减轻 (13至17岁)。尽管我们认为性风险和体重管理是截然不同的健康行为， 我们相信，同样的情绪调节模式也可以应用于超重/肥胖的青少年 为了减肥。事实上，参加我们门诊体重管理的超重/肥胖青少年的数据 项目(N=124)表明，这些年轻人中82%的人报告的情绪调节分数与 有严重心理健康问题的青少年。此外，更高水平的情绪失调是 与同一样本中更大的BMI有关。这些数据表明，情绪调节与 健康决策，并将与大多数寻求减肥的超重/肥胖青少年相关 重量。目前的研究将在1a和1b阶段进行。在1a阶段，一个青年顾问委员会 调查小组将对干预措施进行修改，我们将评估初步可接受性和可行性 在一项开放的试点试验中，对16名青少年进行了适应性干预(Health TRAC)。在阶段1b期间， 我们将对48名年龄在13-17岁之间的青少年进行随机抽样，让他们接受健康TRAC或 标准行为体重控制干预(SBWC)，并检查对情绪调节能力的影响 以及八个月期间的BMI状态。从这个项目中获得的信息将改善我们的 了解改善超重/痴迷青少年减肥效果的策略以及如何 提高情绪调节能力可以加强这些干预。