Epstein L H, Paluch R A, Gordy C C, Saelens B E, Ernst M M
Department of Psychology, University at Buffalo, New York 14260-4110, USA.
J Consult Clin Psychol. 2000 Aug;68(4):717-21.
This study randomized obese children from 67 families to groups that received a 6-month family-based behavioral weight-control program plus parent and child problem solving, child problem solving, or standard treatment with no additional problem solving. The standard group showed larger body mass index (BMI) decreases than the parent + child group through 2 years, with significant differences in the percentage of children who showed large BMI changes. Significant statistical and clinical improvements were observed over time in child behavior problems and parental distress. Parent problem solving increased in the parent + child condition relative to the other conditions, whereas child problem solving increased equally in all conditions. The bulk of evidence suggests that problem solving did not add to treatment effectiveness beyond the standard family-based treatment.
本研究将来自67个家庭的肥胖儿童随机分为几组，分别接受为期6个月的基于家庭的行为体重控制计划，该计划还包括亲子问题解决、儿童问题解决，或接受无额外问题解决的标准治疗。在长达两年的时间里，标准组的体重指数（BMI）下降幅度比亲子组更大，在BMI出现大幅变化的儿童百分比方面存在显著差异。随着时间的推移，观察到儿童行为问题和父母痛苦有显著的统计学和临床改善。相对于其他情况，在亲子情况下父母的问题解决能力有所提高，而在所有情况下儿童的问题解决能力均有同等程度的提高。大量证据表明，除了标准的基于家庭的治疗之外，问题解决并没有增加治疗效果。
