Epstein L H, Wisniewski L, Weng R
Behavioral Medicine Laboratory, Department of Psychology, University at Buffalo, Buffalo, New York, 14260, USA.
Obes Res. 1994 Nov;2(6):509-15. doi: 10.1002/j.1550-8528.1994.tb00099.x.
This study used path analytic methods to assess the influence of child psychopathology measured using the Child Behavior Checklist and parent psychiatric symptoms measured using the Cornell Medical Index on changes in child percent overweight in obese 8- to 11-year-old children over 2 years (6 months of treatment, 18 months of follow-up) provided family-based behavioral intervention. Path analysis for the 0-6 month change showed the influence of mother and father psychiatric symptoms and child age on child anxiety/depression scores that in turn influenced child percent overweight change during treatment, accounting for 41% of the shared variance. The path analysis for follow-up change showed mother and father psychiatric symptoms influenced child social problems at the first stage, and child social problems influenced child percent overweight change, accounting for 68.5% of the shared variance. These results provide the first demonstration that both parent and child problems may influence the short- and long-term success of obese children who participate in family-based behavioral treatment programs.
本研究采用路径分析方法，评估了使用儿童行为量表测得的儿童精神病理学以及使用康奈尔医学指数测得的父母精神症状，对接受家庭行为干预的8至11岁肥胖儿童在2年（6个月治疗期、18个月随访期）内超重百分比变化的影响。0至6个月变化的路径分析显示，父母的精神症状和儿童年龄对儿童焦虑/抑郁评分有影响，进而影响治疗期间儿童超重百分比的变化，占共同方差的41%。随访变化的路径分析显示，父母的精神症状在第一阶段影响儿童社交问题，儿童社交问题又影响儿童超重百分比的变化，占共同方差的68.5%。这些结果首次证明，父母和儿童的问题都可能影响参与家庭行为治疗项目的肥胖儿童的短期和长期治疗效果。
