Walker L L M, Gately P J, Bewick B M, Hill A J
Academic Unit of Psychiatry and Behavioural Sciences, School of Medicine, University of Leeds, Leeds, UK.
Int J Obes Relat Metab Disord. 2003 Jun;27(6):748-54. doi: 10.1038/sj.ijo.0802290.
To investigate the change in body image, self-esteem, and worries in obese adolescents attending a residential, weight-loss camp.
A longitudinal intervention study, with a nonintervention comparison group of lean adolescents.
A total of 57 obese adolescents (age: 13,11; BMI: 32.6 kg/m(2)) and 38 normal weight comparison adolescents.
Self-esteem, salience of weight-related issues, body shape preference, weight and height at the start, and end of the weight-loss camp (mean stay: 4 weeks).
The obese adolescents lost 5.6 kg, reduced their BMI by 2.1 kg/m(2), and BMI s.d. score by 0.28 while comparison children gained weight. Body shape dissatisfaction significantly decreased and self-esteem increased on measures of global self-worth, athletic competence, and physical appearance, in the camp attendees. This improvement took place without any exacerbation of existing worries about appearance or weight.
While obese adolescents had lower self-worth and greater body dissatisfaction relative to the comparison children at the start of the camp, the intervention improved their psychological state. Greater weight loss was associated with greater psychological improvement, indicating the value of the intervention and the relevance of psychological change in effective treatment.
调查参加寄宿制减肥夏令营的肥胖青少年的身体意象、自尊及担忧情绪的变化。
一项纵向干预研究，设立一个非干预的瘦青少年对照组。
共57名肥胖青少年（年龄：13.11岁；体重指数：32.6千克/平方米）以及38名正常体重的对照青少年。
自尊、与体重相关问题的显著程度、体型偏好、减肥夏令营开始及结束时的体重和身高（平均停留时间：4周）。
肥胖青少年体重减轻了5.6千克，体重指数降低了2.1千克/平方米，体重指数标准差得分降低了0.28，而对照儿童体重增加。在夏令营参与者中，对体型的不满显著减少，在整体自我价值、运动能力和外貌方面的自尊有所提高。这种改善并未加剧对自身外貌或体重的现有担忧。
在夏令营开始时，相对于对照儿童，肥胖青少年的自我价值较低，对身体的不满程度更高，但干预改善了他们的心理状态。体重减轻越多，心理改善越大，这表明了干预的价值以及心理变化在有效治疗中的相关性。
