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Changes in eating disorder symptoms with pediatric obesity treatment.
Epstein, L H; Paluch, R A; Saelens, B E; Ernst, M M; Wilfley, D E.
Afiliação
  • Epstein LH; Department of Pediatrics, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York 14214-3000, USA.
J Pediatr ; 139(1): 58-65, 2001 Jul.
Article em En | MEDLINE | ID: mdl-11445795
OBJECTIVE: To evaluate the effects of behavioral, family-based treatment on disordered eating and child behavior problems for obese 8- to 12-year-old children. STUDY DESIGN: We examined disordered eating in children and parents using the Kids' Eating Disorder Survey (KEDS) and the Binge Eating Scale, respectively; and psychologic problems in children and their parents using the Child Behavior Checklist and Symptom Checklist-90, respectively, in 47 families who participated in a family-based obesity treatment program. RESULTS: Obese children showed significant decreases (-12.5 +/- 13.5) in percent overweight, internalizing problems (-7.0 +/- 7.3), and total behavior problems (-4.8 +/- 6.6) and increases in behavioral competence (3.7 +/- 5.0) over 2 years of measurement; and their parents showed significant decreases in weight (-5.0 +/- 8.3 kg) and reductions in parental distress (-2.3 +/- 7.6) and in disturbed eating and weight-related cognition (-3.2 +/- 5.3). No significant changes were observed in total KEDS (-0.2 +/- 1.9), weight dissatisfaction (-0.3 +/- 1.7), or purging/restricting (0.2 +/- 0.6) scores. Decreases in total KEDS were related to decreases in total behavior problems and externalizing behavior problems. CONCLUSIONS: These results document improvements in child behavior problems and competence and no change in symptoms of disordered eating in a standardized behavioral weight control program.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos da Alimentação e da Ingestão de Alimentos / Comportamento Alimentar / Obesidade Tipo de estudo: Clinical_trials / Diagnostic_studies / Prognostic_studies / Qualitative_research Limite: Child / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2001 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos da Alimentação e da Ingestão de Alimentos / Comportamento Alimentar / Obesidade Tipo de estudo: Clinical_trials / Diagnostic_studies / Prognostic_studies / Qualitative_research Limite: Child / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2001 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos