Two Novel Treatments to Reduce Overeating in Overweight Children: A Randomized Controlled Trial

Objective: Our purpose in this study was to examine 2 treatments targeted at reducing eating in the absence of hunger in overweight and obese children. Method: Thirty-six overweight and obese 8- to 12-year-old children (58% female; mean age = 10.3 years, SD = 1.3), with high scores on eating in the...

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Veröffentlicht in:Journal of consulting and clinical psychology 2011-12, Vol.79 (6), p.759-771
Hauptverfasser: Boutelle, Kerri N, Zucker, Nancy L, Peterson, Carol B, Rydell, Sarah A, Cafri, Guy, Harnack, Lisa
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container_end_page 771
container_issue 6
container_start_page 759
container_title Journal of consulting and clinical psychology
container_volume 79
creator Boutelle, Kerri N
Zucker, Nancy L
Peterson, Carol B
Rydell, Sarah A
Cafri, Guy
Harnack, Lisa
description Objective: Our purpose in this study was to examine 2 treatments targeted at reducing eating in the absence of hunger in overweight and obese children. Method: Thirty-six overweight and obese 8- to 12-year-old children (58% female; mean age = 10.3 years, SD = 1.3), with high scores on eating in the absence of hunger, and their parents were randomly assigned to an 8-week children's appetite awareness training or cue exposure treatment-food. Children completed an eating in the absence of hunger (EAH) paradigm, an Eating Disorder Examination interview for children, and three 24-hr dietary recalls, and their height and weight were measured. Parents completed the EAH Questionnaire and the Binge Eating Scale, and their height and weight were measured. Assessments were conducted at baseline, posttreatment, and 6 and 12 months posttreatment. Results: Results showed that both treatments resulted in significant decreases in binge eating in children over time. Additionally, children in the food cue exposure treatment showed significant decreases in EAH posttreatment and 6 months posttreatment, but children in the appetite awareness training showed no change in EAH. Neither treatment produced significant effects on caloric intake in children or on any of the parent outcomes. Conclusions: This study demonstrates that training in food cue responsitivity and appetite awareness has the potential to be efficacious for reducing EAH and binge eating in children. Because these data are preliminary, further treatment development and randomized controlled studies are needed.
doi_str_mv 10.1037/a0025713
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Method: Thirty-six overweight and obese 8- to 12-year-old children (58% female; mean age = 10.3 years, SD = 1.3), with high scores on eating in the absence of hunger, and their parents were randomly assigned to an 8-week children's appetite awareness training or cue exposure treatment-food. Children completed an eating in the absence of hunger (EAH) paradigm, an Eating Disorder Examination interview for children, and three 24-hr dietary recalls, and their height and weight were measured. Parents completed the EAH Questionnaire and the Binge Eating Scale, and their height and weight were measured. Assessments were conducted at baseline, posttreatment, and 6 and 12 months posttreatment. Results: Results showed that both treatments resulted in significant decreases in binge eating in children over time. Additionally, children in the food cue exposure treatment showed significant decreases in EAH posttreatment and 6 months posttreatment, but children in the appetite awareness training showed no change in EAH. Neither treatment produced significant effects on caloric intake in children or on any of the parent outcomes. Conclusions: This study demonstrates that training in food cue responsitivity and appetite awareness has the potential to be efficacious for reducing EAH and binge eating in children. 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Additionally, children in the food cue exposure treatment showed significant decreases in EAH posttreatment and 6 months posttreatment, but children in the appetite awareness training showed no change in EAH. Neither treatment produced significant effects on caloric intake in children or on any of the parent outcomes. Conclusions: This study demonstrates that training in food cue responsitivity and appetite awareness has the potential to be efficacious for reducing EAH and binge eating in children. 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Psychiatry</topic><topic>Questionnaires</topic><topic>Stimuli</topic><topic>Surveys and Questionnaires</topic><topic>Therapy</topic><topic>Training</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boutelle, Kerri N</creatorcontrib><creatorcontrib>Zucker, Nancy L</creatorcontrib><creatorcontrib>Peterson, Carol B</creatorcontrib><creatorcontrib>Rydell, Sarah A</creatorcontrib><creatorcontrib>Cafri, Guy</creatorcontrib><creatorcontrib>Harnack, Lisa</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boutelle, Kerri N</au><au>Zucker, Nancy L</au><au>Peterson, Carol B</au><au>Rydell, Sarah A</au><au>Cafri, Guy</au><au>Harnack, Lisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ950277</ericid><atitle>Two Novel Treatments to Reduce Overeating in Overweight Children: A Randomized Controlled Trial</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>79</volume><issue>6</issue><spage>759</spage><epage>771</epage><pages>759-771</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>Objective: Our purpose in this study was to examine 2 treatments targeted at reducing eating in the absence of hunger in overweight and obese children. 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subjects Adult and adolescent clinical studies
Appetite
Behavior Therapy - methods
Binge eating
Binge Eating Disorder
Binge Eating Scale
Biological and medical sciences
Body Awareness
Body Height
Body Weight
Bulimia
Bulimia - complications
Bulimia - psychology
Bulimia - therapy
Child
Child Psychopathology
Children
Childrens health
Clinical trials
Cues
Eating
Eating Behavior
Eating behavior disorders
Eating behaviour
Eating Disorders
Eating Habits
Feeding Behavior - psychology
Female
Food
Human
Humans
Hunger
Hyperphagia - complications
Hyperphagia - psychology
Hyperphagia - therapy
Intervention
Male
Measures (Individuals)
Medical sciences
Medical treatment
Metabolic diseases
Miscellaneous
Obesity
Outcomes of Treatment
Overweight
Overweight - etiology
Overweight - psychology
Overweight - therapy
Parents
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Questionnaires
Stimuli
Surveys and Questionnaires
Therapy
Training
Treatment Outcome
Weight control
title Two Novel Treatments to Reduce Overeating in Overweight Children: A Randomized Controlled Trial
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