Conceptualisation and evaluation of a cognitive-behavioural training programme for children and adolescents with obesity

OBJECTIVE:: Obesity is common in children and adolescents with incidence rates increasing both nationally and internationally. Its causes are complex and multifaceted, and obesity is associated with high morbidity and mortality as well as psychological distress. Multidimensional programmes are neces...

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Bibliographic Details
Published in:International Journal of Obesity 2001-05, Vol.25 (S1), p.S93-S95
Main Authors: Warschburger, P, Fromme, C, Petermann, F, Wojtalla, N, Oepen, J
Format: Article
Language:English
Subjects:
Adolescents
Children
Eating behavior
Exercise
Intervention
Managerial skills
Obesity
Overweight
Physical fitness
Quality of life
Questionnaires
Rehabilitation
Teenagers
Training
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Summary:OBJECTIVE:: Obesity is common in children and adolescents with incidence rates increasing both nationally and internationally. Its causes are complex and multifaceted, and obesity is associated with high morbidity and mortality as well as psychological distress. Multidimensional programmes are necessary in the treatment of this chronic disease in order to change eating and physical activity habits. A cognitive-behavioural training programme was developed and evaluated. In combination with diet and exercise, this special group programme that includes well established behavioural methods, was expected to result in long-term weight reduction and decrease of psychological distress in connection with obesity. DESIGN:: As part of the six week in-patient rehabilitation for children and adolescents at Viktoriastift in Bad Kreuznach, the three-part programme (experimental group, EG) was compared with a programme that differed only in the psychological intervention component (instead of the specific training programme they undertook muscle relaxation training, comparison group, CG). SUBJECTS:: In total, 197 children and adolescents between 9 and 19 y-of-age were recruited into the study. MEASUREMENTS:: Somatic (eg weight status), behavioural (eg eating behaviour) and psychological (eg quality of life) outcomes were assessed at five points in time: two weeks before the intervention, at the beginning and end of the programme, as well as six months and one year post-intervention. The study started in spring 1997. Main outcomes will be presented. RESULTS:: Pre- vs post-intervention-tests showed significant improvements in self-reported eating behaviours for the EG compared with the CG (F=6.38, P
ISSN:0307-0565
1476-5497
DOI:10.1038/sj.ijo.0801708