Wing R R, Marcus M D, Epstein L H, Jawad A
Psychiatry Department, University of Pittsburgh School of Medicine.
J Consult Clin Psychol. 1991 Feb;59(1):156-62. doi: 10.1037//0022-006x.59.1.156.
Forty-nine obese diabetic patients with obese spouses (diabetic or nondiabetic) were randomly assigned to an alone or together condition. Patients in the alone group participated by themselves in a 20-week behavioral weight control program; their spouses attended assessment sessions only. Patients in the together group attended the program with their spouses; both were targeted for weight loss and taught social support strategies. Weight losses of patients treated alone and together did not differ significantly at posttreatment (19.9 vs. 19.1 lb) or 1-year follow-up (11.6 vs. 7.0 lb). However, there was a significant interaction of treatment and gender; women did better when treated with their spouses, whereas men did better when treated alone. A "family-based" approach was not effective for these obese Type II diabetic patients as a whole but may be helpful for women.
四十九名患有肥胖症且配偶也肥胖（配偶为糖尿病患者或非糖尿病患者）的糖尿病患者被随机分配到单独治疗组或共同治疗组。单独治疗组的患者独自参加了一个为期20周的行为体重控制项目；他们的配偶仅参加评估环节。共同治疗组的患者与配偶一起参加项目；两人都以减重为目标，并学习社会支持策略。单独治疗和共同治疗的患者在治疗后（分别减重19.9磅和19.1磅）及1年随访时（分别减重11.6磅和7.0磅）的体重减轻情况没有显著差异。然而，治疗与性别之间存在显著的交互作用；女性与配偶一起治疗时效果更好，而男性单独治疗时效果更好。总体而言，“基于家庭”的方法对这些肥胖的II型糖尿病患者无效，但可能对女性有帮助。
