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Low-intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children.
2007 (English)In: International Journal of Pediatric Obesity, ISSN 1747-7166, E-ISSN 1747-7174, Vol. 2, no 4Article in journal (Refereed) Published
Abstract [en]

AIMS: To study the influence of low-intensity solution-focused family therapy with obese and extremely obese pediatric subjects on body mass index (BMI) z-scores and self-esteem.

MATERIALS AND METHODS: Fifty-four obese children, aged 6-17 years, were referred to an outpatient obesity clinic. The families received solution-focused family therapy provided by a multidisciplinary team. Height and weight were recorded; BMI and BMI z-scores were derived. Self-esteem was assessed with a validated questionnaire, "I Think I Am." Parents completed "The Family Climate Scale" assessing family dynamics.

RESULTS: Eighty-one percent of the children (n =44, mean age 11.9 years, mean BMI z-score 3.67, range 2.46-5.48) and their parents participated in the follow-up. Eleven children were treated for 6-12 months, and 33 for more than 12 months. On average, the families received 3.8 family therapy sessions. Intervention resulted in a mean decrease in BMI z-score of 0.12 (p =0.0001). Self-esteem on the global scale improved after intervention (p =0.002), and also on sub-scales, depicting physical characteristics (p <0.001), psychological well-being (p =0.026), and relations with others (p =0.046). The Family Climate Scale showed improvement in the sub-scales for Expressiveness (p = 0.002) and Chaos (p =0.002).

CONCLUSIONS: Solution-focused family therapy provided by a multidisciplinary team to obese and extremely obese children may prove useful in the clinical setting, with a positive impact on obesity and self-esteem.

Place, publisher, year, edition, pages
2007. Vol. 2, no 4
National Category
Medical and Health Sciences
Research subject
Food, Nutrition and Dietetics
URN: urn:nbn:se:uu:diva-281521DOI: 10.1080/17477160701379810PubMedID: 17852553OAI: oai:DiVA.org:uu-281521DiVA: diva2:914480
Available from: 2016-03-24 Created: 2016-03-24 Last updated: 2016-03-29Bibliographically approved

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Nowicka, Paulina
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