Munsch Simone, Roth Binia, Michael Tanja, Meyer Andrea Hans, Biedert Esther, Roth Sandra, Speck Vanessa, Zumsteg Urs, Isler Emanuel, Margraf Jürgen
Faculty of Psychology, Clinical Psychology and Psychotherapy, University of Basel, Basel, Switzerland.
Psychother Psychosom. 2008;77(4):235-46. doi: 10.1159/000129659. Epub 2008 Apr 28.
Parent-child treatments have been shown to be superior to child-focused treatments of childhood obesity. Yet until now, the comparative effectiveness of parent-only and parent-child approaches has been little studied.
Fifty-six obese children and their families were randomly assigned to a 16-session cognitive behavioral therapy (CBT) for the parents only or for a combined treatment of parents and children. Children's percent overweight, the body mass index of their mothers, and behavioral and psychological problems of children and mothers were assessed.
Both treatments reduced children's percent overweight significantly and equally by 6-month follow-up. Also both treatments provided similar results in reducing general behavior problems (externalizing and internalizing behavior problems), global and social anxiety, and depression.
Our results point to a comparable efficacy of the two treatments. Further, psychological well-being of both mothers and children can be improved in a CBT for obese children and their parents. Future studies should focus on finding ways to improve the adherence of families to long-term treatment of obesity in childhood.
亲子治疗已被证明优于针对儿童肥胖的以儿童为中心的治疗。然而直到现在，仅针对父母的方法与亲子方法的相对有效性鲜有研究。
56名肥胖儿童及其家庭被随机分配接受仅针对父母的16节认知行为疗法（CBT）或父母与子女的联合治疗。评估了儿童的超重百分比、其母亲的体重指数以及儿童和母亲的行为与心理问题。
到6个月随访时，两种治疗均显著且同等程度地降低了儿童的超重百分比。两种治疗在减少一般行为问题（外化和内化行为问题）、总体及社交焦虑以及抑郁方面也取得了相似的结果。
我们的结果表明两种治疗具有相当的疗效。此外，针对肥胖儿童及其父母的认知行为疗法可以改善母亲和儿童的心理健康。未来的研究应侧重于寻找方法来提高家庭对儿童肥胖长期治疗的依从性。
