La thérapie familiale en francophonie (serveur d'exploration)

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Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children

Identifieur interne : 000692 ( Main/Exploration ); précédent : 000691; suivant : 000693

Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children

Auteurs : Paulina Nowicka [Suède] ; Angelo Pietrobelli [Italie] ; Carl-Erik Flodmark [Suède]

Source :

RBID : ISTEX:805F0BFB515274825904506E1C7A6A22B44CC724

Mots-clés :

Abstract

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.


Url:
DOI: 10.1080/17477160701379810


Affiliations:


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<div type="abstract" xml:lang="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.</div>
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