儿童和青少年超重和肥胖行为治疗的证据基础更新。

IF 4.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Clinical Child and Adolescent Psychology Pub Date : 2023-09-03 Epub Date: 2023-09-08 DOI:10.1080/15374416.2023.2251164

Genevieve M Davison, Lawrence T Monocello, Kim Lipsey, Denise E Wilfley

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引用次数: 0

摘要

目的：这篇综述提供了对先前证据库更新的更新，该更新涉及儿童和青少年超重和肥胖的行为治疗。方法：通过系统检索PubMed/MEDLINE（1946-）、Elsevier EMBASE（1947-）、SCOPUS（1823-）、Clarivate Web of Science Core Collection（WOS，1900-）、PsycINFO（1800-）、，Cochrane Library and Clinicaltrials.gov于2014年6月至2022年8月发布。结果：基于家庭的治疗（FBT）仍然是一种公认的治疗儿童超重和肥胖的方法，现在在青少年和学步儿童中也得到了认可。仅限父母的行为治疗在儿童中仍然很成熟，现在在青少年和儿童中也很成熟。可能有效的治疗方法仍然包括仅针对青少年的FBT父母，以及针对青少年、儿童和学步儿童的带有家庭成分的行为减肥（BWL）。FBT和BWL的几种变体现在可以被认为可能是有效的，包括FBT+动机访谈、FBT+社会促进维持、基于群体的FBT、低剂量FBT、BWL+压力管理和基于营地的BWL。青少年的认知行为治疗（CBT）也符合可能有效治疗的标准。目前的研究还表明，行为治疗可以在替代环境中（如初级保健）和通过替代媒介（如远程医疗）有效提供。结论：根据美国儿科学会的最新建议，研究继续支持使用多成分生活方式干预，美国心理协会和美国预防服务工作队。然而，还需要做更多的工作，以确保患有合并症的医疗和精神障碍的儿童以及来自社会、政治和经济边缘化群体的儿童获得适当的机会。

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Evidence Base Update on Behavioral Treatments for Overweight and Obesity in Children and Adolescents.

Objective: This review provides an update to a previous Evidence Base Update addressing behavioral treatments for overweight and obesity in children and adolescents.

Method: Articles were identified through a systematic search of the biomedical literature in PubMed/MEDLINE (1946-), Elsevier EMBASE (1947-), SCOPUS (1823-), Clarivate Web of Science Core Collection (WOS, 1900-), PsycINFO (1800-), The Cochrane Library and Clinicaltrials.gov published between June 2014 and August 2022.

Results: Family-based treatment (FBT) remains a well-established treatment for overweight and obesity in children and is now well-established in adolescents and toddlers. Parent-only behavioral treatment remains well-established in children and is now well-established among adolescents and children. Possibly effective treatments continue to include FBT-parent only for adolescents, and behavioral weight loss (BWL) with a family component for adolescents, children, and toddlers. Several variations of FBT and BWL can now be considered possibly effective including FBT+motivational interviewing, FBT+social facilitation maintenance, group-based FBT, low-dose FBT, BWL+stress management, and camp-based BWL. Cognitive behavioral treatment (CBT) for adolescents also met criteria for possibly effective treatments. Current research has also established that behavioral treatments can be effectively delivered in alternative settings (e.g. primary care) and through alternative mediums (e.g. telehealth).

Conclusions: Research continues to support the use of multicomponent lifestyle interventions in accordance with recent recommendations from the American Academy of Pediatrics, the American Psychological Association, and the United State Preventative Services Task Force. However, more work is needed to ensure appropriate access for children with comorbid medical and psychiatric disorders and children from socially, politically, and economically marginalized groups.

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来源期刊

Journal of Clinical Child and Adolescent Psychology Multiple-

CiteScore

9.70

自引率

4.80%

发文量

期刊介绍： The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.