Feasibility of a Dual Evaluation/Intervention Program for Morbidly Obese Adolescents.

Autor:	Fennig S; Crisis Intervention Unit, Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petach Tikva, Israel Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel., Brunstein-Klomek A; Crisis Intervention Unit, Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petach Tikva, Israel School of Psychology, IDC, Herzliya, Israel., Sasson A; Crisis Intervention Unit, Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petach Tikva, Israel School of Psychology, IDC, Herzliya, Israel., Halifa Kurtzman I; Crisis Intervention Unit, Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petach Tikva, Israel., Hadas A; Crisis Intervention Unit, Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.
Jazyk:	angličtina
Zdroj:	The Israel journal of psychiatry and related sciences [Isr J Psychiatry Relat Sci] 2015; Vol. 52 (2), pp. 107-12.
Abstrakt:	Background: In the absence of evidence-based guidelines for screening adolescent candidates for bariatric surgery, or improving their adherence to preoperative recommendations, we designed a dual-phase multidisciplinary program aiming for observation-based preoperative assessment/ intervention, as well as for post-operative/ conservative follow up. Methods: This study focused on the preoperative 3-month phase. Fifteen morbidly obese adolescents attending the eating disorders unit of a pediatric hospital underwent the program protocol consisting of medical examinations/ tests, psychological measures, self-monitoring, tailored diet, physical activity schedule, individual and group cognitive behavior-oriented therapy, and psycho educational parent training. Results: All patients completed the preoperative phase. Most of them (70%) followed the structured diet with a significant reduction in BMI. The patients complied with self-monitoring, and body dissatisfaction score improved. Parental participation in therapy was poor. Four patients with low adherence were found ineligible for surgery. Conclusions: The findings support the feasibility of our dual screening/intervention protocol. Measures to improve parental participation are warranted.
Databáze:	MEDLINE
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