Inpatient Treatment for Children With Obesity: Weight Loss, Psychological Well-being, and Eating Behavior

Braet, Caroline; Tanghe, Ann; Decaluwé, Veerle; Moens, Ellen; Rosseel, Yves

doi:10.1093/jpepsy/jsh054

Cited by 140 publications

(227 citation statements)

References 30 publications

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“…One account based on impression management of eating is that overweight participants suppressed their intake in front of others to convey a good impression. Research shows that overweight youths are aware of weight stigmatization, [25,29,31,[43][44][45] and a corollary of these prejudiced attitudes is that overweight individuals may suppress their food intake when in front of others to avoid incurring the stigmas attributed to overweight individuals [9,11], and also because they believe that doing so will increase social approval (e.g., [10]). An alternative explanation based on modeling, is that overweight youth relied on their co-eaters' intake to determine how much they should eat, which is consistent with an informational interpretation of conformity [10].…”

Section: Discussionmentioning

confidence: 99%

Effects of social contexts on overweight and normal-weight children's food intake

Salvy

Coelho

Kieffer

et al. 2007

Physiology & Behavior

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This study investigates the effects of peer influence on the food intake of overweight and normalweight children. A mixed factorial design was employed, with children's weight status (overweight vs. normal-weight) as a between-subjects factor, and social context (alone vs. group) as a withinsubjects factor. A total of 32 children (n=17 overweight and n=15 normal-weight) between the ages of 6-10 years participated in this study. Findings from the random regression model indicated that overweight children ate more when alone than when in the presence of other youth, while in contrast normal-weight ate slightly more with others than they did when alone. Therefore, social context differentially impacts the eating behavior of overweight and normal-weight children. This study underscores differences in responses to the social environment between overweight and nonoverweight youths, and suggests that social involvement may be an important tool in treatment and prevention programs for overweight and obesity.

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Section: Discussionmentioning

confidence: 99%

Effects of social contexts on overweight and normal-weight children's food intake

Salvy

Coelho

Kieffer

et al. 2007

Physiology & Behavior

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show abstract

“…Epstein and colleagues found no significant changes in binge eating behaviors following family-based behavioral weight loss treatment for 8-12 year old children (Epstein, Paluch, Saelens, Ernst, & Wilfley, 2001). By contrast, in a sample of obese youth (7-17 years) taking part in an inpatient non-diet healthy lifestyle program focusing upon healthy eating, moderate exercise and cognitive-behavioral treatment, the mean frequency of binge eating episodes was significantly lower at both post-treatment and 14 month follow-up (Braet, Tanghe, Decaluwe, Moens, & Rosseel, 2004). A third study examined the impact of LOC eating on weight loss achieved during a family-based behavioral program for 8-13 year old children (Levine et al, 2006).…”

Section: Course Of Loc Eating In Childrenmentioning

confidence: 97%

Loss of control eating disorder in children age 12 years and younger: Proposed research criteria

et al. 2008

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Binge eating is common in middle childhood (6-12y) and often presents in concert with disordered eating attitudes, emotional distress, overweight and adiposity. Binge eating is also predictive of excessive weight gain and is associated with energy intake. However, few children meet DSM-IV-TR criteria for binge eating disorder, thereby making treatment recommendations a challenge. We propose criteria for a new diagnosis, Loss of Control Eating Disorder in Children age 12 years and younger, for further study. The criteria put forward are a revision of Marcus and Kalarchian's (Marcus & Kalarchian, 2003) provisional binge eating disorder research criteria for children 14 years and younger, and are based upon the evolving literature in children with binge and loss of control eating episodes. A rationale for the new criteria set is provided, and future research directions are proposed.

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“…A detailed description of the treatment programme is given elsewhere [6]. Data were gathered in consecutive waves during a two year study period: each time in January and July, all eligible youngsters who had recently started the treatment, were invited to participate.…”

Section: J Proceduresmentioning

confidence: 99%

Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents

Vlierberghe

Braet

Goossens

et al. 2008

Eur Child Adolesc Psychiatry

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Background: This study aimed firstly to investigate whether youngsters referred for overweight treatment differ from non-referred overweight youngsters on the prevalence of psychiatric disorders and psychological symptoms. Secondly, the potentially moderating role of age, gender, socio-economic status and degree of overweight in the association of referral status and mental disorder in overweight youth was explored. Methods: Participants were 155 overweight youngsters enrolled in an obesity treatment programme (mean age = 13.76; mean BMI = 33.99) and 73 non-referred overweight youngsters (mean age = 13.74; mean BMI = 27.35). The Structured Clinical Interview for DSM-IV-Childhood version and the Child version of the Eating Disorder Examination were administered and participants filled out the Children’s Depression Inventory, the Spence Children’s Anxiety Scale and the Youth Self Report. Parents were asked to complete the Child Behavior Checklist. Results: In the referred group 37.50% and in the non-referred group 23.29% of the participants met criteria for at least one mental disorder. In both groups, anxiety disorders were most prominent. Overall, a higher prevalence of mental disorders was found in the referred group. Referred youth displayed significantly more ‘full blown’ eating disorders and binge eating than non-referred youngsters and exhibited a significantly greater severity of self- and parent-reported internalizing symptoms. Referral was also associated with a significantly higher degree of overweight and significantly lower SES. After controlling for these pre-existing differences in degree of overweight and SES, only the greater severity of parent-reported internalizing symptoms in referred youth remained significant. Older age was generally predictive for the presence of mental disorders and in the non-referred group SES was positively associated with psychiatric disorder. Conclusions: A substantial proportion of overweight youngsters suffer from mental disorders. Referral status and age are associated with the presence of psychopathology. However, differences between referred and non-referred youngsters are not as pronounced as expected on the basis of earlier research in the field

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Inpatient Treatment for Children With Obesity: Weight Loss, Psychological Well-being, and Eating Behavior

Abstract: An inpatient cognitive-behavioral nondiet approach is a promising treatment option for childhood obesity, with lasting effects throughout the 14-month posttreatment.

Cited by 140 publications

References 30 publications

Effects of social contexts on overweight and normal-weight children's food intake

Effects of social contexts on overweight and normal-weight children's food intake

Loss of control eating disorder in children age 12 years and younger: Proposed research criteria

Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents

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