Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children
Identifieur interne : 000189 ( Istex/Corpus ); précédent : 000188; suivant : 000190Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children
Auteurs : Paulina Nowicka ; Angelo Pietrobelli ; Carl-Erik FlodmarkSource :
- International Journal of Pediatric Obesity [ 1747-7166 ] ; 2007-12.
English descriptors
Abstract
Aims. To study the influence of low‐intensity solution‐focused family therapy with obese and extremely obese pediatric subjects on body mass index (BMI) z‐scores and self‐esteem. Materials and Methods. Fifty‐four obese children, aged 6–17 years, were referred to an outpatient obesity clinic. The families received solution‐focused family therapy provided by a multidisciplinary team. Height and weight were recorded; BMI and BMI z‐scores were derived. Self‐esteem was assessed with a validated questionnaire, “I Think I Am.” Parents completed “The Family Climate Scale” assessing family dynamics. Results. Eighty‐one percent of the children (n = 44, mean age 11.9 years, mean BMI z‐score 3.67, range 2.46–5.48) and their parents participated in the follow‐up. Eleven children were treated for 6–12 months, and 33 for more than 12 months. On average, the families received 3.8 family therapy sessions. Intervention resulted in a mean decrease in BMI z‐score of 0.12 (p = 0.0001). Self‐esteem on the global scale improved after intervention (p = 0.002), and also on sub‐scales, depicting physical characteristics (p < 0.001), psychological well‐being (p = 0.026), and relations with others (p = 0.046). The Family Climate Scale showed improvement in the sub‐scales for Expressiveness (p = 0.002) and Chaos (p = 0.002). Conclusions. Solution‐focused family therapy provided by a multidisciplinary team to obese and extremely obese children may prove useful in the clinical setting, with a positive impact on obesity and self‐esteem.
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DOI: 10.1080/17477160701379810
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ISTEX:805F0BFB515274825904506E1C7A6A22B44CC724Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children</title><author><name sortKey="Nowicka, Paulina" sort="Nowicka, Paulina" uniqKey="Nowicka P" first="Paulina" last="Nowicka">Paulina Nowicka</name><affiliation><mods:affiliation>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Pediatrics, Faculty of Medicine, Lund University, Sweden</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: paulina.nowicka@skane.se</mods:affiliation></affiliation></author><author><name sortKey="Pietrobelli, Angelo" sort="Pietrobelli, Angelo" uniqKey="Pietrobelli A" first="Angelo" last="Pietrobelli">Angelo Pietrobelli</name><affiliation><mods:affiliation>Pediatric Unit, Verona University Medical School, Verona, Italy</mods:affiliation></affiliation></author><author><name sortKey="Flodmark, Carl Rik" sort="Flodmark, Carl Rik" uniqKey="Flodmark C" first="Carl-Erik" last="Flodmark">Carl-Erik Flodmark</name><affiliation><mods:affiliation>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:805F0BFB515274825904506E1C7A6A22B44CC724</idno><date when="2007" year="2007">2007</date><idno type="doi">10.1080/17477160701379810</idno><idno type="url">https://api.istex.fr/document/805F0BFB515274825904506E1C7A6A22B44CC724/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000189</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000189</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children</title><author><name sortKey="Nowicka, Paulina" sort="Nowicka, Paulina" uniqKey="Nowicka P" first="Paulina" last="Nowicka">Paulina Nowicka</name><affiliation><mods:affiliation>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Pediatrics, Faculty of Medicine, Lund University, Sweden</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: paulina.nowicka@skane.se</mods:affiliation></affiliation></author><author><name sortKey="Pietrobelli, Angelo" sort="Pietrobelli, Angelo" uniqKey="Pietrobelli A" first="Angelo" last="Pietrobelli">Angelo Pietrobelli</name><affiliation><mods:affiliation>Pediatric Unit, Verona University Medical School, Verona, Italy</mods:affiliation></affiliation></author><author><name sortKey="Flodmark, Carl Rik" sort="Flodmark, Carl Rik" uniqKey="Flodmark C" first="Carl-Erik" last="Flodmark">Carl-Erik Flodmark</name><affiliation><mods:affiliation>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Pediatric Obesity</title><idno type="ISSN">1747-7166</idno><idno type="eISSN">1747-7174</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2007-12">2007-12</date><biblScope unit="volume">2</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="211">211</biblScope><biblScope unit="page" to="217">217</biblScope></imprint><idno type="ISSN">1747-7166</idno></series><idno type="istex">805F0BFB515274825904506E1C7A6A22B44CC724</idno><idno type="DOI">10.1080/17477160701379810</idno><idno type="ArticleID">IJPO73</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1747-7166</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>BMI z‐score</term><term>childhood obesity</term><term>family dynamics</term><term>family therapy</term><term>self‐esteem</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aims. To study the influence of low‐intensity solution‐focused family therapy with obese and extremely obese pediatric subjects on body mass index (BMI) z‐scores and self‐esteem. Materials and Methods. Fifty‐four obese children, aged 6–17 years, were referred to an outpatient obesity clinic. The families received solution‐focused family therapy provided by a multidisciplinary team. Height and weight were recorded; BMI and BMI z‐scores were derived. Self‐esteem was assessed with a validated questionnaire, “I Think I Am.” Parents completed “The Family Climate Scale” assessing family dynamics. Results. Eighty‐one percent of the children (n = 44, mean age 11.9 years, mean BMI z‐score 3.67, range 2.46–5.48) and their parents participated in the follow‐up. Eleven children were treated for 6–12 months, and 33 for more than 12 months. On average, the families received 3.8 family therapy sessions. Intervention resulted in a mean decrease in BMI z‐score of 0.12 (p = 0.0001). Self‐esteem on the global scale improved after intervention (p = 0.002), and also on sub‐scales, depicting physical characteristics (p < 0.001), psychological well‐being (p = 0.026), and relations with others (p = 0.046). The Family Climate Scale showed improvement in the sub‐scales for Expressiveness (p = 0.002) and Chaos (p = 0.002). Conclusions. Solution‐focused family therapy provided by a multidisciplinary team to obese and extremely obese children may prove useful in the clinical setting, with a positive impact on obesity and self‐esteem.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>PAULINA NOWICKA</name><affiliations><json:string>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</json:string><json:string>Department of Pediatrics, Faculty of Medicine, Lund University, Sweden</json:string><json:string>E-mail: paulina.nowicka@skane.se</json:string></affiliations></json:item><json:item><name>ANGELO PIETROBELLI</name><affiliations><json:string>Pediatric Unit, Verona University Medical School, Verona, Italy</json:string></affiliations></json:item><json:item><name>CARL‐ERIK FLODMARK</name><affiliations><json:string>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>BMI z‐score</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>childhood obesity</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>family therapy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>family dynamics</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>self‐esteem</value></json:item></subject><articleId><json:string>IJPO73</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Aims. To study the influence of low‐intensity solution‐focused family therapy with obese and extremely obese pediatric subjects on body mass index (BMI) z‐scores and self‐esteem. Materials and Methods. Fifty‐four obese children, aged 6–17 years, were referred to an outpatient obesity clinic. The families received solution‐focused family therapy provided by a multidisciplinary team. Height and weight were recorded; BMI and BMI z‐scores were derived. Self‐esteem was assessed with a validated questionnaire, “I Think I Am.” Parents completed “The Family Climate Scale” assessing family dynamics. Results. Eighty‐one percent of the children (n = 44, mean age 11.9 years, mean BMI z‐score 3.67, range 2.46–5.48) and their parents participated in the follow‐up. Eleven children were treated for 6–12 months, and 33 for more than 12 months. On average, the families received 3.8 family therapy sessions. Intervention resulted in a mean decrease in BMI z‐score of 0.12 (p = 0.0001). Self‐esteem on the global scale improved after intervention (p = 0.002), and also on sub‐scales, depicting physical characteristics (p > 0.001), psychological well‐being (p = 0.026), and relations with others (p = 0.046). The Family Climate Scale showed improvement in the sub‐scales for Expressiveness (p = 0.002) and Chaos (p = 0.002). Conclusions. Solution‐focused family therapy provided by a multidisciplinary team to obese and extremely obese children may prove useful in the clinical setting, with a positive impact on obesity and self‐esteem.</abstract><qualityIndicators><score>8.654</score><pdfVersion>1.6</pdfVersion><pdfPageSize>595 x 794 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>1530</abstractCharCount><pdfWordCount>4418</pdfWordCount><pdfCharCount>29025</pdfCharCount><pdfPageCount>7</pdfPageCount><abstractWordCount>228</abstractWordCount></qualityIndicators><title>Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children</title><genre><json:string>article</json:string></genre><host><volume>2</volume><publisherId><json:string>IJPO</json:string></publisherId><pages><total>7</total><last>217</last><first>211</first></pages><issn><json:string>1747-7166</json:string></issn><issue>4</issue><genre><json:string>journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1747-7174</json:string></eissn><title>International Journal of Pediatric Obesity</title><doi><json:string>10.1111/(ISSN)1747-7174</json:string></doi></host><categories><wos></wos><scienceMetrix><json:string>health sciences</json:string><json:string>clinical medicine</json:string><json:string>endocrinology & metabolism</json:string></scienceMetrix><inist><json:string>sciences appliquees, technologies et medecines</json:string><json:string>sciences biologiques et medicales</json:string><json:string>sciences medicales</json:string></inist></categories><publicationDate>2007</publicationDate><copyrightDate>2007</copyrightDate><doi><json:string>10.1080/17477160701379810</json:string></doi><id>805F0BFB515274825904506E1C7A6A22B44CC724</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/805F0BFB515274825904506E1C7A6A22B44CC724/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/805F0BFB515274825904506E1C7A6A22B44CC724/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/805F0BFB515274825904506E1C7A6A22B44CC724/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><p>2007 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted</p></availability><date>2007</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children</title><author xml:id="author-1"><persName><forename type="first">PAULINA</forename><surname>NOWICKA</surname></persName><email>paulina.nowicka@skane.se</email><affiliation>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</affiliation><affiliation>Department of Pediatrics, Faculty of Medicine, Lund University, Sweden</affiliation></author><author xml:id="author-2"><persName><forename type="first">ANGELO</forename><surname>PIETROBELLI</surname></persName><affiliation>Pediatric Unit, Verona University Medical School, Verona, Italy</affiliation></author><author xml:id="author-3"><persName><forename type="first">CARL‐ERIK</forename><surname>FLODMARK</surname></persName><affiliation>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</affiliation></author></analytic><monogr><title level="j">International Journal of Pediatric Obesity</title><idno type="pISSN">1747-7166</idno><idno type="eISSN">1747-7174</idno><idno type="DOI">10.1111/(ISSN)1747-7174</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2007-12"></date><biblScope unit="volume">2</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="211">211</biblScope><biblScope unit="page" to="217">217</biblScope></imprint></monogr><idno type="istex">805F0BFB515274825904506E1C7A6A22B44CC724</idno><idno type="DOI">10.1080/17477160701379810</idno><idno type="ArticleID">IJPO73</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2007</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Aims. To study the influence of low‐intensity solution‐focused family therapy with obese and extremely obese pediatric subjects on body mass index (BMI) z‐scores and self‐esteem. Materials and Methods. Fifty‐four obese children, aged 6–17 years, were referred to an outpatient obesity clinic. The families received solution‐focused family therapy provided by a multidisciplinary team. Height and weight were recorded; BMI and BMI z‐scores were derived. Self‐esteem was assessed with a validated questionnaire, “I Think I Am.” Parents completed “The Family Climate Scale” assessing family dynamics. Results. Eighty‐one percent of the children (n = 44, mean age 11.9 years, mean BMI z‐score 3.67, range 2.46–5.48) and their parents participated in the follow‐up. Eleven children were treated for 6–12 months, and 33 for more than 12 months. On average, the families received 3.8 family therapy sessions. Intervention resulted in a mean decrease in BMI z‐score of 0.12 (p = 0.0001). Self‐esteem on the global scale improved after intervention (p = 0.002), and also on sub‐scales, depicting physical characteristics (p < 0.001), psychological well‐being (p = 0.026), and relations with others (p = 0.046). The Family Climate Scale showed improvement in the sub‐scales for Expressiveness (p = 0.002) and Chaos (p = 0.002). Conclusions. Solution‐focused family therapy provided by a multidisciplinary team to obese and extremely obese children may prove useful in the clinical setting, with a positive impact on obesity and self‐esteem.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>BMI z‐score</term></item><item><term>childhood obesity</term></item><item><term>family therapy</term></item><item><term>family dynamics</term></item><item><term>self‐esteem</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2007-12">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/805F0BFB515274825904506E1C7A6A22B44CC724/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1747-7174</doi><issn type="print">1747-7166</issn><issn type="electronic">1747-7174</issn><idGroup><id type="product" value="IJPO"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="INTERNATIONAL JOURNAL OF PEDIATRIC OBESITY">International Journal of Pediatric Obesity</title></titleGroup></publicationMeta><publicationMeta level="part" position="12104"><doi origin="wiley">10.1111/ijpo.2007.2.issue-4</doi><numberingGroup><numbering type="journalVolume" number="2">2</numbering><numbering type="journalIssue" number="4">4</numbering></numberingGroup><coverDate startDate="2007-12">December 2007</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="3" status="forIssue"><doi origin="wiley">10.1080/17477160701379810</doi><idGroup><id type="unit" value="IJPO73"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">Original Article</title></titleGroup><copyright>2007 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.10 mode:FullText" date="2011-09-26"></event><event type="firstOnline" date="2011-09-30"></event><event type="publishedOnlineFinalForm" date="2011-09-30"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-28"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-24"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="211">211</numbering><numbering type="pageLast" number="217">217</numbering></numberingGroup><correspondenceTo> Childhood Obesity Unit, University Hospital Malmö, S‐205 02, Malmö, Sweden. Fax: 46 40 33 83 21. <email>paulina.nowicka@skane.se</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:IJPO.IJPO73.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received 11 August 2006; accepted 9 March 2007</unparsedEditorialHistory><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="3"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="48"></count><count type="linksCrossRef" number="74"></count></countGroup><titleGroup><title type="main">Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1 #a2" corresponding="yes"><personName><givenNames>PAULINA</givenNames><familyName>NOWICKA</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a3"><personName><givenNames>ANGELO</givenNames><familyName>PIETROBELLI</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>CARL‐ERIK</givenNames><familyName>FLODMARK</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="SE"><unparsedAffiliation>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="SE"><unparsedAffiliation>Department of Pediatrics, Faculty of Medicine, Lund University, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="IT"><unparsedAffiliation>Pediatric Unit, Verona University Medical School, Verona, Italy</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">BMI z‐score</keyword><keyword xml:id="k2">childhood obesity</keyword><keyword xml:id="k3">family therapy</keyword><keyword xml:id="k4">family dynamics</keyword><keyword xml:id="k5">self‐esteem</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><i>Aims</i>. To study the influence of low‐intensity solution‐focused family therapy with obese and extremely obese pediatric subjects on body mass index (BMI) z‐scores and self‐esteem. <i>Materials and Methods</i>. Fifty‐four obese children, aged 6–17 years, were referred to an outpatient obesity clinic. The families received solution‐focused family therapy provided by a multidisciplinary team. Height and weight were recorded; BMI and BMI z‐scores were derived. Self‐esteem was assessed with a validated questionnaire, “I Think I Am.” Parents completed “The Family Climate Scale” assessing family dynamics. <i>Results</i>. Eighty‐one percent of the children (n = 44, mean age 11.9 years, mean BMI z‐score 3.67, range 2.46–5.48) and their parents participated in the follow‐up. Eleven children were treated for 6–12 months, and 33 for more than 12 months. On average, the families received 3.8 family therapy sessions. Intervention resulted in a mean decrease in BMI z‐score of 0.12 (p = 0.0001). Self‐esteem on the global scale improved after intervention (p = 0.002), and also on sub‐scales, depicting physical characteristics (p < 0.001), psychological well‐being (p = 0.026), and relations with others (p = 0.046). The Family Climate Scale showed improvement in the sub‐scales for Expressiveness (p = 0.002) and Chaos (p = 0.002). <i>Conclusions</i>. Solution‐focused family therapy provided by a multidisciplinary team to obese and extremely obese children may prove useful in the clinical setting, with a positive impact on obesity and self‐esteem.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Low‐intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children</title></titleInfo><name type="personal"><namePart type="given">PAULINA</namePart><namePart type="family">NOWICKA</namePart><affiliation>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</affiliation><affiliation>Department of Pediatrics, Faculty of Medicine, Lund University, Sweden</affiliation><affiliation>E-mail: paulina.nowicka@skane.se</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">ANGELO</namePart><namePart type="family">PIETROBELLI</namePart><affiliation>Pediatric Unit, Verona University Medical School, Verona, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">CARL‐ERIK</namePart><namePart type="family">FLODMARK</namePart><affiliation>Childhood Obesity Unit, University Hospital Malmö, Malmö, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2007-12</dateIssued><edition>Received 11 August 2006; accepted 9 March 2007</edition><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">3</extent><extent unit="references">48</extent></physicalDescription><abstract lang="en">Aims. To study the influence of low‐intensity solution‐focused family therapy with obese and extremely obese pediatric subjects on body mass index (BMI) z‐scores and self‐esteem. Materials and Methods. Fifty‐four obese children, aged 6–17 years, were referred to an outpatient obesity clinic. The families received solution‐focused family therapy provided by a multidisciplinary team. Height and weight were recorded; BMI and BMI z‐scores were derived. Self‐esteem was assessed with a validated questionnaire, “I Think I Am.” Parents completed “The Family Climate Scale” assessing family dynamics. Results. Eighty‐one percent of the children (n = 44, mean age 11.9 years, mean BMI z‐score 3.67, range 2.46–5.48) and their parents participated in the follow‐up. Eleven children were treated for 6–12 months, and 33 for more than 12 months. On average, the families received 3.8 family therapy sessions. Intervention resulted in a mean decrease in BMI z‐score of 0.12 (p = 0.0001). Self‐esteem on the global scale improved after intervention (p = 0.002), and also on sub‐scales, depicting physical characteristics (p < 0.001), psychological well‐being (p = 0.026), and relations with others (p = 0.046). The Family Climate Scale showed improvement in the sub‐scales for Expressiveness (p = 0.002) and Chaos (p = 0.002). Conclusions. Solution‐focused family therapy provided by a multidisciplinary team to obese and extremely obese children may prove useful in the clinical setting, with a positive impact on obesity and self‐esteem.</abstract><subject lang="en"><genre>keywords</genre><topic>BMI z‐score</topic><topic>childhood obesity</topic><topic>family therapy</topic><topic>family dynamics</topic><topic>self‐esteem</topic></subject><relatedItem type="host"><titleInfo><title>International Journal of Pediatric Obesity</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">1747-7166</identifier><identifier type="eISSN">1747-7174</identifier><identifier type="DOI">10.1111/(ISSN)1747-7174</identifier><identifier type="PublisherID">IJPO</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>2</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>211</start><end>217</end><total>7</total></extent></part></relatedItem><identifier type="istex">805F0BFB515274825904506E1C7A6A22B44CC724</identifier><identifier type="DOI">10.1080/17477160701379810</identifier><identifier type="ArticleID">IJPO73</identifier><accessCondition type="use and reproduction" contentType="copyright">2007 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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