Feasibility of a Dual Evaluation/Intervention Program for Morbidly Obese Adolescents.

IF 0.5 4区医学 Q4 PSYCHIATRY

Israel Journal of Psychiatry and Related Sciences Pub Date : 2015-01-01

Silvana Fennig, Anat Brunstein-Klomek, Ariel Sasson, Irit Halifa Kurtzman, Arie Hadas

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引用次数: 0

Abstract

Background: In the absence of evidence-based guidelines for screening adolescent candidates for bariatric surgery, or improving their adherence to preoperative recommendations, we designed a dual-phase multidisciplinary program aiming for observation-based preoperative assessment/ intervention, as well as for post-operative/ conservative follow up.

Methods: This study focused on the preoperative 3-month phase. Fifteen morbidly obese adolescents attending the eating disorders unit of a pediatric hospital underwent the program protocol consisting of medical examinations/ tests, psychological measures, self-monitoring, tailored diet, physical activity schedule, individual and group cognitive behavior-oriented therapy, and psycho educational parent training.

Results: All patients completed the preoperative phase. Most of them (70%) followed the structured diet with a significant reduction in BMI. The patients complied with self-monitoring, and body dissatisfaction score improved. Parental participation in therapy was poor. Four patients with low adherence were found ineligible for surgery.

Conclusions: The findings support the feasibility of our dual screening/intervention protocol. Measures to improve parental participation are warranted.

本刊更多论文

病态肥胖青少年双重评估/干预方案的可行性。

背景:在缺乏筛选青少年减肥手术候选人的循证指南，或提高他们对术前建议的依从性的情况下，我们设计了一个双阶段多学科项目，旨在基于观察的术前评估/干预，以及术后/保守随访。方法:本研究以术前3个月为研究对象。一家儿科医院饮食失调科的15名病态肥胖青少年接受了包括医学检查/测试、心理测量、自我监测、量身定制的饮食、体育活动计划、个人和团体认知行为导向治疗以及心理教育父母培训在内的方案方案。结果:所有患者均完成术前阶段。他们中的大多数人(70%)遵循结构化饮食，体重指数显著降低。患者遵守自我监测，身体不满意评分提高。父母对治疗的参与程度较差。4例低依从性患者不适合手术。结论:研究结果支持双重筛查/干预方案的可行性。有必要采取措施提高家长的参与。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Israel Journal of Psychiatry and Related Sciences PSYCHIATRY-

CiteScore

0.80

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： THE ISRAEL JOURNAL OF PSYCHIATRY publishes original articles dealing with the all bio-psycho-social aspects of psychiatry. While traditionally the journal has published manuscripts relating to mobility, relocation, acculturation, ethnicity, stress situations in war and peace, victimology and mental health in developing countries, papers addressing all aspects of the psychiatry including neuroscience, biological psychiatry, psychopharmacology, psychotherapy and ethics are welcome. The Editor also welcomes pertinent book reviews and correspondence. Preference is given to research reports of no more than 5,000 words not including abstract, text, references, tables and figures. There should be no more than 40 references and 4 tables or figures. Brief reports (1,500 words, 5 references) are considered if they have heuristic value. Books to be considered for review should be sent to the editorial office. Selected book reviews are invited by the editor.