从寻求肥胖治疗的青少年的心理社会特征预测其健康相关生活质量。
Predicting health-related quality of life from the psychosocial profiles of youth seeking treatment for obesity.
机构信息
*Division of Behavioral Medicine and Clinical Psychology, Center for Adherence and Self-Management, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; †Clinical Child Psychology Program, University of Kansas, Lawrence, KS.
出版信息
J Dev Behav Pediatr. 2013 Oct;34(8):575-82. doi: 10.1097/DBP.0b013e3182a509a6.
OBJECTIVE
To identify, in a sample of youth seeking treatment for obesity, subgroups of youth characterized by distinct profiles of psychosocial functioning and to examine whether psychosocial subgroup membership predicted treatment outcomes.
METHODS
Baseline psychosocial profiles identified using cluster analysis techniques were used to predict treatment outcomes (i.e., health-related quality of life, BMI z scores). Participants were 92 youths seeking treatment for obesity (mean age = 11.6 years, mean body mass index for age and sex = 30.5) and their caregivers.
RESULTS
Three distinct psychosocial profile subgroups were identified. Subgroups with higher levels of psychosocial problems had poorer health-related quality of life outcomes posttreatment and at 12-month follow-up. Subgroup membership did not predict weight outcomes.
CONCLUSION
Youth seeking weight management treatment may present with patterns of psychosocial difficulties with implications for treatment outcomes. Weight treatment interventions should be tailored to meet the needs of youth with higher levels of psychosocial problems.
目的
在寻求肥胖治疗的青年样本中，确定以不同心理社会功能特征为特征的青年亚组，并探讨心理社会亚组成员身份是否预测治疗结果。
方法
使用聚类分析技术确定基线心理社会特征，以预测治疗结果（即健康相关生活质量、BMI z 分数）。参与者为 92 名寻求肥胖治疗的青少年（平均年龄=11.6 岁，平均年龄和性别体重指数=30.5）及其照顾者。
结果
确定了三个不同的心理社会特征亚组。心理社会问题水平较高的亚组在治疗后和 12 个月随访时的健康相关生活质量结果较差。亚组成员身份不预测体重结果。
结论
寻求体重管理治疗的青少年可能表现出心理社会困难模式，对治疗结果有影响。体重治疗干预措施应根据需要为心理社会问题水平较高的青少年量身定制。
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