Department of Pediatrics, University of California, San Diego, La Jolla, California.
Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, California.
Int J Eat Disord. 2019 Mar;52(3):299-303. doi: 10.1002/eat.23015. Epub 2019 Jan 14.
The purpose of this study is to evaluate whether children with overweight or obesity participating in an evidence-based treatment, family-based behavioral treatment (FBT) for obesity, or a parent-only variant of FBT (PBT), experience an increase of eating disorder (ED) symptoms during and following treatment.
Children (N = 150) participating in a randomized controlled trial of FBT or PBT completed measures of EDs attitudes and behaviors at baseline, following 6-months of treatment, 6 months, and 18 months after treatment.
Linear-mixed effects models suggest that ED attitudes did not significantly increase. Rather, significant decreases of shape, weight, and eating concerns were shown following treatment. Loss of control over eating significantly decreased over treatment and follow-up. No participant endorsed purging at any time point.
Results confirm the hypothesis that ED symptoms do not increase after participating in FBT or a FBT-based treatment. These findings should help assuage fears of parents that enrolling their child will exacerbate ED symptoms and aid children to access evidence-based treatments that may help reduce significant physical and psychosocial complications of childhood obesity.
本研究旨在评估超重或肥胖儿童在接受循证治疗、基于家庭的行为治疗（FBT）或仅针对父母的 FBT 变体（PBT）治疗后，是否会在治疗期间和之后出现饮食失调（ED）症状的增加。
参加 FBT 或 PBT 随机对照试验的儿童（N=150）在基线时、治疗 6 个月后、治疗后 6 个月和 18 个月时完成 ED 态度和行为的测量。
线性混合效应模型表明 ED 态度没有显著增加。相反，治疗后出现了体型、体重和饮食担忧的显著下降。对进食的控制能力在治疗和随访过程中显著下降。没有参与者在任何时间点报告过催吐。
结果证实了参加 FBT 或基于 FBT 的治疗后 ED 症状不会增加的假设。这些发现应该有助于缓解父母的担忧，即让孩子参加治疗会加剧 ED 症状，并帮助孩子获得可能有助于减少儿童肥胖症的严重身体和心理社会并发症的循证治疗。
