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.

虽然儿童和青少年超重和肥胖的患病率已经平稳，但 国家数据表明，大约35％的儿童和青少年继续挣扎 超重/肥胖。虽然已经非常关注全面的行为干预措施 解决儿童的肥胖症，没有经验证据表明干预措施的功效 青少年。此外，青少年体重控制干预措施的可变性很大和影响有限 这可能归因于这些干预措施未能明确解决情绪调节能力 减肥是必需的。值得注意的是，一般情绪调节较差的青少年已经 发现可以食用更多的零食/垃圾食品，并报告更多久坐的行为。情绪低落 青少年之间的调节也与更快的体重增加和更大的BMI有关。我们 建议适应以前验证的情绪调节干预措施（TRAC），以适应高危青少年， 靶向减少性风险，专注于超重和肥胖青少年样本中的体重减轻 （13至17岁）。尽管我们认识到性风险和体重管理是独特的健康行为，但 我们认为，这种相同的情绪调节模型可以应用于试图超重/肥胖的青少年 减肥。实际上，超重/肥胖青少年参加我们的门诊体重管理的数据 程序（n = 124）表明，这些年轻人中有82％报告情感调节得分，这些得分与 患有重大心理健康问题的年轻人。此外，情绪失调的水平更高 在同一样本中与更大的BMI相关。这些数据表明情绪调节与 健康决策，将与大多数超重/肥胖的青少年相关 重量。当前的研究将在1A和1B期间进行。在第1A阶段，青年顾问委员会 调查员团队将修改干预措施，我们将评估最初的可接受性和可行性 在开放试点试验中，与16名青少年的改编干预措施（Health Trac）中在阶段1B期间 我们将在13-17岁之间随机分配48名青少年，以接受健康trac或 标准行为重量控制干预（SBWC）并检查对情绪调节能力的影响 和BMI状态八个月。该项目中获得的信息将改善我们的 了解改善超重/痴迷青少年中减肥结果的策略以及如何 提高情绪调节能力可以增强这些干预措施。