肥胖治疗和维持后父母和子女精神病理学的变化：二次数据分析。

Change in parent and child psychopathology following obesity treatment and maintenance: A secondary data analysis.

机构信息

Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.

Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Pediatr Obes. 2023 Jan;18(1):e12971. doi: 10.1111/ijpo.12971. Epub 2022 Aug 16.

DOI:10.1111/ijpo.12971

PMID:35971859

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9772295/

Abstract

BACKGROUND

General and eating disorder (ED) psychopathology are common among children and adults with overweight/obesity; few studies have examined their course of change throughout family-based behavioural obesity treatment (FBT) and maintenance.

OBJECTIVES

Examine: (1) the changes in the parent and child general and ED psychopathology during FBT and maintenance interventions; (2) the associations between change in psychopathology and change in weight among children or parents; (3) the associations between change in psychopathology within parent-child dyads.

METHODS

172 parent-child dyads participated in 4-month FBT and were subsequently randomized to one of three 8-month maintenance interventions. General psychopathology (child anxiety/depressive symptoms, parent severity of global psychological distress), ED psychopathology (shape/weight concern), and percent overweight were assessed at baseline, post-FBT, and post-maintenance. Separate linear mixed-effects models evaluated change in general and ED psychopathology, including an interaction between maintenance condition and time. Partial correlations examined associations between change in psychopathology and percent overweight among children or parents, and associations between change in psychopathology within parent-child dyads.

RESULTS

Among children, significant reductions were observed from baseline to post-FBT in all forms of psychopathology and from post-FBT to post-maintenance in general psychopathology. Among parents, significant reductions were observed from baseline to post-FBT in all forms of psychopathology; reductions were maintained from post-FBT to post-maintenance. There was no significant interaction between maintenance condition and time. Correlations between change in most forms of parent or child psychopathology and percent overweight were observed.

CONCLUSIONS

Participation in FBT and maintenance was associated with improvements in general and ED psychopathology in both parents and children.

摘要

背景

超重/肥胖儿童和成人普遍存在一般和饮食障碍（ED）精神病理学；很少有研究检查它们在基于家庭的行为肥胖治疗（FBT）和维持过程中的变化过程。

目的

检查：（1）在 FBT 和维持干预期间，父母和孩子的一般和 ED 精神病理学的变化；（2）精神病理学变化与儿童或父母体重变化之间的关系；（3）亲子二元组内精神病理学变化之间的关系。

方法

172 对亲子参与了为期 4 个月的 FBT，随后随机分为三种为期 8 个月的维持干预之一。一般精神病理学（儿童焦虑/抑郁症状、父母全球心理困扰严重程度）、ED 精神病理学（体形/体重关注）和超重百分比在基线、FBT 后和维持后进行评估。单独的线性混合效应模型评估了一般和 ED 精神病理学的变化，包括维持条件和时间之间的交互作用。部分相关分析了儿童或父母的精神病理学变化与超重百分比之间的关系，以及亲子二元组内精神病理学变化之间的关系。

结果

在儿童中，从基线到 FBT 后，所有形式的精神病理学都有显著降低，从 FBT 后到维持后，一般精神病理学也有显著降低。在父母中，从基线到 FBT 后，所有形式的精神病理学都有显著降低；从 FBT 后到维持后，这些降低得到了维持。维持条件与时间之间没有显著的相互作用。观察到大多数形式的父母或儿童精神病理学变化与超重百分比之间存在相关性。