Psychotherapy Research Today is a free monthly online journal that collates and summarizes the latest research about Psychotherapy, including details on psychiatry, psychoanalysis, methods, outcomes. | ||||||||
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A cognitive behavioral therapy program for overweight children.van den Akker EL, Puiman PJ, Groen M, Timman R, Jongejan MT, Trijsburg W Department of Pediatrics, Erasmus University Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands. vandenakker@erasmusmc.nl OBJECTIVE: To assess the 1-year results of a multidisciplinary, cognitive behavioral therapy treatment program for overweight and obese children. STUDY DESIGN: Children (n = 73; 8 to 15 years old) participated in a prospective study aimed at reduction of the body mass index-standard deviation score (BMI-SDS), adapting a healthy lifestyle and creating a positive self-image and higher self-esteem, by use of a group approach and parental involvement. Reduction in BMI-SDS and percent overweight were measured and analyzed by use of MIXED modeling. RESULTS: The participants achieved a 0.6 BMI-SDS reduction, comparable to a weight loss of 18.7% after 1 year (P < .0001). The proportion of dropouts was 33%. Compared with the follow-up group, dropouts were older, increased in BMI-SDS before start of treatment, and were less successful in BMI-SDS reduction during treatment. CONCLUSIONS: This treatment program had a positive effect on BMI-SDS in overweight and obese children at 1-year follow-up. Differences between the characteristics of the dropout and follow-up group may reflect predictor variables for treatment outcome. Published 27 August 2007 in J Pediatr, 151(3): 280-3.
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