Vlierberghe Leen Van, Braet Caroline, Goossens Lien, Rosseel Yves, Mels Saskia
Department of Developmental, Personality and Social Psychology, Ghent University, Ghent, Belgium.
Int J Pediatr Obes. 2009;4(1):36-44. doi: 10.1080/17477160802220533.
This study aimed to investigate whether psychological disorders and symptom severity hamper weight loss in obese adolescents and explored the effect of evidence-based adolescent obesity treatment on psychological disorders and symptom severity.
Participants were 66 adolescents admitted for a 10-month obesity treatment programme. At the start of treatment both clinical interviews and self-report questionnaires were administered. Weight loss was registered at several time points. Half of the sample was invited to complete questionnaires and be interviewed once again at the end of the programme.
Baseline degree of overweight was the strongest predictor of weight loss. The presence of at least one psychological disorder appeared a negative predictor of weight loss after four months. At post-test, a decrease in eating, shape and weight concern and binge eating episodes was demonstrated. A similar trend was found for internalizing symptoms. All eating disorders resolved, but a substantial number of adolescents still suffered from psychological disorders at the end of treatment.
During inpatient obesity treatment, youngsters who are more severely obese lose most weight. In girls and in adolescents suffering from psychological disorders, long-term care should be the aim to prevent an experience of failure. From a psychological health perspective, the inclusion of psychotherapy during inpatient obesity treatment for adolescents suffering from psychiatric disorders is worth considering. All together, the findings of this study demonstrate the importance of adopting both a medical and a psychological perspective on obesity (treatment) in youth.
本研究旨在调查心理障碍和症状严重程度是否会妨碍肥胖青少年的体重减轻，并探讨循证青少年肥胖治疗对心理障碍和症状严重程度的影响。
参与者为66名参加为期10个月肥胖治疗项目的青少年。在治疗开始时，进行了临床访谈和自我报告问卷调查。在几个时间点记录体重减轻情况。一半的样本被邀请在项目结束时再次完成问卷调查并接受访谈。
基线超重程度是体重减轻的最强预测因素。至少存在一种心理障碍在四个月后似乎是体重减轻的负面预测因素。在测试后，进食、体型和体重担忧以及暴饮暴食发作有所减少。内化症状也有类似趋势。所有饮食失调都得到了解决，但仍有相当数量的青少年在治疗结束时仍患有心理障碍。
在住院肥胖治疗期间，肥胖程度更严重的青少年体重减轻最多。对于女孩和患有心理障碍的青少年，长期护理应旨在防止失败感。从心理健康的角度来看，对于患有精神疾病的青少年，在住院肥胖治疗期间纳入心理治疗值得考虑。总之，本研究结果表明在青少年肥胖（治疗）中采用医学和心理视角的重要性。
