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

虽然儿童和青少年超重和肥胖的流行率已趋于稳定， 全国数据显示，大约35%的儿童和青少年继续与 超重/肥胖。虽然人们对全面的行为干预给予了相当大的关注， 解决儿童肥胖问题，较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 这可能是由于这些干预措施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，一般情绪调节较差的青少年， 发现消费更多的零食/垃圾食品，并报告更多的久坐行为。情感贫乏 在青少年中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经过验证的情绪调节干预（TRAC）， 以降低性风险为目标，重点关注超重和肥胖青少年样本的减肥 (ages 13至17）。虽然我们认识到性风险和体重管理是不同的健康行为， 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， 来减肥事实上，参加我们门诊体重管理的超重/肥胖青少年的数据 一项研究（N=124）表明，这些青少年中有82%的人报告情绪调节得分与 有严重心理健康问题的青少年。此外，更高水平的情绪失调， 在同一个样本中与更高的BMI相关。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.本研究将在1a期和1b期进行。在第1a阶段，青年咨询委员会 研究者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 适应性干预（健康TRAC）与16名青少年在一个开放的试点试验。在第1b阶段， 我们将随机选择48名年龄在13-17岁之间的青少年， 标准行为体重控制干预（SBWC），并检查对情绪调节能力的影响 和体重指数的变化。在这个项目中获得的信息将提高我们的 了解改善超重/强迫症青少年减肥结果的策略，以及如何 提高情绪调节能力可以加强这些干预措施。

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.