A randomized, comparative pilot trial of family-based interpersonal psychotherapy for reducing psychosocial symptoms, disordered-eating, and excess weight gain in at-risk preadolescents with loss-of-control-eating.
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| Title: | A randomized, comparative pilot trial of family-based interpersonal psychotherapy for reducing psychosocial symptoms, disordered-eating, and excess weight gain in at-risk preadolescents with loss-of-control-eating. |
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| Authors: | Shomaker, Lauren B., Tanofsky‐Kraff, Marian, Matherne, Camden E., Mehari, Rim D., Olsen, Cara H., Marwitz, Shannon E., Bakalar, Jennifer L., Ranzenhofer, Lisa M., Kelly, Nichole R., Schvey, Natasha A., Burke, Natasha L., Cassidy, Omni, Brady, Sheila M., Dietz, Laura J., Wilfley, Denise E., Yanovski, Susan Z., Yanovski, Jack A. |
| Source: | International Journal of Eating Disorders. Sep2017, Vol. 50 Issue 9, p1084-1094. 11p. |
| Subjects: | Treatment of eating disorders, Family psychotherapy, Psychotherapy, Weight gain, Pilot projects, Randomized controlled trials |
| Abstract: | Objective Preadolescent loss-of-control-eating (LOC-eating) is a risk factor for excess weight gain and binge-eating-disorder. We evaluated feasibility and acceptability of a preventive family-based interpersonal psychotherapy (FB-IPT) program. FB-IPT was compared to family-based health education (FB-HE) to evaluate changes in children's psychosocial functioning, LOC-eating, and body mass. Method A randomized, controlled pilot trial was conducted with 29 children, 8 to 13 years who had overweight/obesity and LOC-eating. Youth-parent dyads were randomized to 12-week FB-IPT ( n = 15) or FB-HE ( n = 14) and evaluated at post-treatment, six-months, and one-year. Changes in child psychosocial functioning, LOC-eating, BMI, and adiposity by dual-energy-X-ray-absorptiometry were assessed. Missing follow-up data were multiply imputed. Results FB-IPT feasibility and acceptability were indicated by good attendance (83%) and perceived benefits to social interactions and eating. Follow-up assessments were completed by 73% FB-IPT and 86% FB-HE at post-treatment, 60% and 64% at six-months, and 47% and 57% at one-year. At post-treatment, children in FB-IPT reported greater decreases in depression (95% CI −7.23, −2.01, Cohen's d = 1.23) and anxiety (95% CI −6.08, −0.70, Cohen's d = .79) and less odds of LOC-eating (95% CI −3.93, −0.03, Cohen's d = .38) than FB-HE. At six-months, children in FB-IPT had greater reductions in disordered-eating attitudes (95% CI −0.72, −0.05, Cohen's d = .66) and at one-year, tended to have greater decreases in depressive symptoms (95% CI −8.82, 0.44, Cohen's d = .69) than FB-HE. There was no difference in BMI gain between the groups. Discussion Family-based approaches that address interpersonal and emotional underpinnings of LOC-eating in preadolescents with overweight/obesity show preliminary promise, particularly for reducing internalizing symptoms. Whether observed psychological benefits translate into sustained prevention of disordered-eating or excess weight gain requires further study. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 124834691 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A randomized, comparative pilot trial of family-based interpersonal psychotherapy for reducing psychosocial symptoms, disordered-eating, and excess weight gain in at-risk preadolescents with loss-of-control-eating. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Shomaker%2C+Lauren+B%2E%22">Shomaker, Lauren B.</searchLink><br /><searchLink fieldCode="AR" term="%22Tanofsky‐Kraff%2C+Marian%22">Tanofsky‐Kraff, Marian</searchLink><br /><searchLink fieldCode="AR" term="%22Matherne%2C+Camden+E%2E%22">Matherne, Camden E.</searchLink><br /><searchLink fieldCode="AR" term="%22Mehari%2C+Rim+D%2E%22">Mehari, Rim D.</searchLink><br /><searchLink fieldCode="AR" term="%22Olsen%2C+Cara+H%2E%22">Olsen, Cara H.</searchLink><br /><searchLink fieldCode="AR" term="%22Marwitz%2C+Shannon+E%2E%22">Marwitz, Shannon E.</searchLink><br /><searchLink fieldCode="AR" term="%22Bakalar%2C+Jennifer+L%2E%22">Bakalar, Jennifer L.</searchLink><br /><searchLink fieldCode="AR" term="%22Ranzenhofer%2C+Lisa+M%2E%22">Ranzenhofer, Lisa M.</searchLink><br /><searchLink fieldCode="AR" term="%22Kelly%2C+Nichole+R%2E%22">Kelly, Nichole R.</searchLink><br /><searchLink fieldCode="AR" term="%22Schvey%2C+Natasha+A%2E%22">Schvey, Natasha A.</searchLink><br /><searchLink fieldCode="AR" term="%22Burke%2C+Natasha+L%2E%22">Burke, Natasha L.</searchLink><br /><searchLink fieldCode="AR" term="%22Cassidy%2C+Omni%22">Cassidy, Omni</searchLink><br /><searchLink fieldCode="AR" term="%22Brady%2C+Sheila+M%2E%22">Brady, Sheila M.</searchLink><br /><searchLink fieldCode="AR" term="%22Dietz%2C+Laura+J%2E%22">Dietz, Laura J.</searchLink><br /><searchLink fieldCode="AR" term="%22Wilfley%2C+Denise+E%2E%22">Wilfley, Denise E.</searchLink><br /><searchLink fieldCode="AR" term="%22Yanovski%2C+Susan+Z%2E%22">Yanovski, Susan Z.</searchLink><br /><searchLink fieldCode="AR" term="%22Yanovski%2C+Jack+A%2E%22">Yanovski, Jack A.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Sep2017, Vol. 50 Issue 9, p1084-1094. 11p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Treatment+of+eating+disorders%22">Treatment of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Family+psychotherapy%22">Family psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Weight+gain%22">Weight gain</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective Preadolescent loss-of-control-eating (LOC-eating) is a risk factor for excess weight gain and binge-eating-disorder. We evaluated feasibility and acceptability of a preventive family-based interpersonal psychotherapy (FB-IPT) program. FB-IPT was compared to family-based health education (FB-HE) to evaluate changes in children's psychosocial functioning, LOC-eating, and body mass. Method A randomized, controlled pilot trial was conducted with 29 children, 8 to 13 years who had overweight/obesity and LOC-eating. Youth-parent dyads were randomized to 12-week FB-IPT ( n = 15) or FB-HE ( n = 14) and evaluated at post-treatment, six-months, and one-year. Changes in child psychosocial functioning, LOC-eating, BMI, and adiposity by dual-energy-X-ray-absorptiometry were assessed. Missing follow-up data were multiply imputed. Results FB-IPT feasibility and acceptability were indicated by good attendance (83%) and perceived benefits to social interactions and eating. Follow-up assessments were completed by 73% FB-IPT and 86% FB-HE at post-treatment, 60% and 64% at six-months, and 47% and 57% at one-year. At post-treatment, children in FB-IPT reported greater decreases in depression (95% CI −7.23, −2.01, Cohen's d = 1.23) and anxiety (95% CI −6.08, −0.70, Cohen's d = .79) and less odds of LOC-eating (95% CI −3.93, −0.03, Cohen's d = .38) than FB-HE. At six-months, children in FB-IPT had greater reductions in disordered-eating attitudes (95% CI −0.72, −0.05, Cohen's d = .66) and at one-year, tended to have greater decreases in depressive symptoms (95% CI −8.82, 0.44, Cohen's d = .69) than FB-HE. There was no difference in BMI gain between the groups. Discussion Family-based approaches that address interpersonal and emotional underpinnings of LOC-eating in preadolescents with overweight/obesity show preliminary promise, particularly for reducing internalizing symptoms. Whether observed psychological benefits translate into sustained prevention of disordered-eating or excess weight gain requires further study. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/eat.22741 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 1084 Subjects: – SubjectFull: Treatment of eating disorders Type: general – SubjectFull: Family psychotherapy Type: general – SubjectFull: Psychotherapy Type: general – SubjectFull: Weight gain Type: general – SubjectFull: Pilot projects Type: general – SubjectFull: Randomized controlled trials Type: general Titles: – TitleFull: A randomized, comparative pilot trial of family-based interpersonal psychotherapy for reducing psychosocial symptoms, disordered-eating, and excess weight gain in at-risk preadolescents with loss-of-control-eating. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Shomaker, Lauren B. – PersonEntity: Name: NameFull: Tanofsky‐Kraff, Marian – PersonEntity: Name: NameFull: Matherne, Camden E. – PersonEntity: Name: NameFull: Mehari, Rim D. – PersonEntity: Name: NameFull: Olsen, Cara H. – PersonEntity: Name: NameFull: Marwitz, Shannon E. – PersonEntity: Name: NameFull: Bakalar, Jennifer L. – PersonEntity: Name: NameFull: Ranzenhofer, Lisa M. – PersonEntity: Name: NameFull: Kelly, Nichole R. – PersonEntity: Name: NameFull: Schvey, Natasha A. – PersonEntity: Name: NameFull: Burke, Natasha L. – PersonEntity: Name: NameFull: Cassidy, Omni – PersonEntity: Name: NameFull: Brady, Sheila M. – PersonEntity: Name: NameFull: Dietz, Laura J. – PersonEntity: Name: NameFull: Wilfley, Denise E. – PersonEntity: Name: NameFull: Yanovski, Susan Z. – PersonEntity: Name: NameFull: Yanovski, Jack A. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2017 Type: published Y: 2017 Identifiers: – Type: issn-print Value: 02763478 Numbering: – Type: volume Value: 50 – Type: issue Value: 9 Titles: – TitleFull: International Journal of Eating Disorders Type: main |
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