A randomized, comparative pilot trial of family-based interpersonal psychotherapy for reducing psychosocial symptoms, disordered-eating, and excess weight gain in at-risk preadolescents with loss-of-control-eating

Autor:	Marian Tanofsky-Kraff, Rim D. Mehari, Omni Cassidy, Cara H. Olsen, Natasha L. Burke, Jack A. Yanovski, Jennifer L. Bakalar, Lisa M. Ranzenhofer, Nichole R. Kelly, Susan Z. Yanovski, Lauren B. Shomaker, Natasha A. Schvey, Shannon E. Marwitz, Camden E. Matherne, Sheila M. Brady, Laura J. Dietz, Denise E. Wilfley
Rok vydání:	2017
Předmět:	Male 050103 clinical psychology Adolescent medicine.medical_treatment Pilot Projects Overweight Weight Gain Article 03 medical and health sciences 0302 clinical medicine Binge-eating disorder medicine Humans 0501 psychology and cognitive sciences 030212 general & internal medicine Disordered eating Child 05 social sciences medicine.disease Obesity Psychotherapy Psychiatry and Mental health Interpersonal psychotherapy Anxiety Family Therapy Female medicine.symptom Psychology Weight gain Psychosocial Binge-Eating Disorder Clinical psychology
Zdroj:	The International journal of eating disorders. 50(9)
ISSN:	1098-108X
Popis:	Objective Preadolescent loss-of-control-eating (LOC-eating) is a risk factor for excess weight gain and binge-eating-disorder. We evaluated feasibility and acceptability of a preventive family-based interpersonal psychotherapy (FB-IPT) program. FB-IPT was compared to family-based health education (FB-HE) to evaluate changes in children's psychosocial functioning, LOC-eating, and body mass. Method A randomized, controlled pilot trial was conducted with 29 children, 8 to 13 years who had overweight/obesity and LOC-eating. Youth-parent dyads were randomized to 12-week FB-IPT (n = 15) or FB-HE (n = 14) and evaluated at post-treatment, six-months, and one-year. Changes in child psychosocial functioning, LOC-eating, BMI, and adiposity by dual-energy-X-ray-absorptiometry were assessed. Missing follow-up data were multiply imputed. Results FB-IPT feasibility and acceptability were indicated by good attendance (83%) and perceived benefits to social interactions and eating. Follow-up assessments were completed by 73% FB-IPT and 86% FB-HE at post-treatment, 60% and 64% at six-months, and 47% and 57% at one-year. At post-treatment, children in FB-IPT reported greater decreases in depression (95% CI −7.23, −2.01, Cohen's d = 1.23) and anxiety (95% CI −6.08, −0.70, Cohen's d = .79) and less odds of LOC-eating (95% CI −3.93, −0.03, Cohen's d = .38) than FB-HE. At six-months, children in FB-IPT had greater reductions in disordered-eating attitudes (95% CI −0.72, −0.05, Cohen's d = .66) and at one-year, tended to have greater decreases in depressive symptoms (95% CI −8.82, 0.44, Cohen's d = .69) than FB-HE. There was no difference in BMI gain between the groups. Discussion Family-based approaches that address interpersonal and emotional underpinnings of LOC-eating in preadolescents with overweight/obesity show preliminary promise, particularly for reducing internalizing symptoms. Whether observed psychological benefits translate into sustained prevention of disordered-eating or excess weight gain requires further study.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::046591be75b3bf9e97d27b2d969bffe3 https://pubmed.ncbi.nlm.nih.gov/28714097 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.