Targeting Emotional Eating and Weight Loss in Adolescents

针对青少年的情绪化饮食和减肥

• 批准号: 10390449
• 负责人: Kerri N Boutelle
• 金额: $ 61.71万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10390449
• 关键词: Adolescence; Adolescent; Adolescent obesity; Adult; Affect; Aftercare; Age; Behavior Therapy; Behavioral; Binge Eating; Biological; Body Size; Body Weight decreased; Body mass index; California; Child; Child Rearing; Cognitive; Control Groups; Data; Development; Dialectical behavior therapy; Eating; Educational Status; Emotional; Emotions; Evidence based treatment; Gender; Goals; Health; Hyperphagia; Intervention; Mediator of activation protein; Mental Depression; Minnesota; Modeling; Obesity; Overweight; Parent-Child Relations; Parents; Phenotype; Pilot Projects; Prevalence; Randomized; Reporting; Research; Risk; Site; Time; Training; Training Programs; United States; Universities; Weight; Weight Gain; Weight maintenance regimen; aged; design; diet and exercise; effective intervention; effective therapy; efficacy evaluation; emotion dysregulation; emotion regulation; emotional eating; follow-up; high risk; improved; negative affect; novel; open label; parental influence; prevent; programs; psychosocial; recruit; skills; treatment response; weight loss intervention; weight loss program

ABSTRACT Approximately 20% of adolescents aged 12-19 are obese. Overweight and obesity in adolescents are associated with numerous health and psychosocial consequences that can carry forward into adulthood. Developmentally, adolescence is a period of significant biological and physical changes, as well as emotional development. Emotion regulation is critical in managing interactions with others, and thus reflects an important task for adolescents. Adolescents who lack adaptive emotion regulation skills may turn to eating to regulate emotions and provide momentary relief of negative affect. Emotional eating is in fact associated with depression, binge eating and obesity. Current behavioral weight loss (BWL) treatment for adolescent obesity does not address emotions and produces variable weight-loss results with high attrition. Incorporating a treatment that targets emotion regulation may provide the skills needed to reduce emotional eating and encourage greater weight loss. Dialectical Behavior Therapy (DBT) is an evidence-based treatment that targets emotion regulation. We have created a new treatment model, Preventing Emotional Eating Routines (PEER) that targets both emotion regulation and weight loss by incorporating DBT skills with BWL, as well as an emotion-focused parent training program. Our pilot data suggests that PEER is a promising treatment for overweight and obese adolescents and their parents. The objective of this proposed study is to further evaluate the PEER program with overweight and obese adolescents and their parents. We will recruit and randomize 160 adolescents and their parents to either PEER or standard BWL at two sites – University of California, San Diego and University of Minnesota. Treatment will take place in groups over the course of 6 months. Assessments will be conducted at baseline, mid-treatment, post-treatment, 6-month follow-up, and 12-month follow-up. Primary Aims include to evaluate the efficacy of PEER compared to BWL on adolescent weight loss (Aim 1), emotion regulation and emotional eating (Aim 2). Secondary Aims include examining differences between PEER and BWL on parent BMI, parent emotion regulation, parent emotional eating, and the parent- child relationship. Lastly, we will explore moderators and mediators of adolescent weight loss, as well as emotion phenotypes. This application is a critical next step in the development of a treatment for adolescent obesity targeting emotion regulation and emotional eating as a mechanism of action.

抽象的 12-19岁青少年中大约有20%患有肥胖症。 与许多可能延续到成年的健康和心理社会后果有关。 从发展的角度来看，青春期是一个生理和身体发生显着变化的时期，情绪也发生变化。 情绪调节对于管理与他人的互动至关重要，因此反映了一个重要的方面。 缺乏适应性情绪调节技能的青少年可能会通过饮食来调节。 情绪并暂时缓解负面情绪实际上与情绪化饮食有关。 当前针对青少年肥胖症的行为减肥（BWL）治疗。 不能解决情绪问题，并且会产生可变的减肥效果，并且消耗率很高。 针对情绪调节的治疗可能提供减少情绪化饮食和减少情绪化饮食所需的技能 鼓励更大程度的减肥。辩证行为疗法（DBT）是一种基于证据的治疗方法。 我们创建了一种新的治疗模式，即预防情绪化饮食习惯。 (PEER)，通过将 DBT 技能与 BWL 相结合来实现情绪调节和减肥，以及 我们的试点数据表明，PEER 是一种有希望的治疗方法。 这项研究的目的是进一步评估超重和肥胖的青少年及其父母。 我们将招募并随机分组超重和肥胖青少年及其父母的 PEER 计划。 160 名青少年及其家长在两个地点接受 PEER 或标准 BWL – 加州大学圣何塞分校 迭戈和明尼苏达大学将在 6 个月的时间内分组进行治疗。 评估将在基线、治疗中期、治疗后、6个月随访和12个月进行 主要目标包括评估 PEER 与 BWL 相比对青少年减肥的功效。 （目标 1）、情绪调节和情绪化饮食（目标 2）包括检查差异。 PEER 和 BWL 对父母 BMI、父母情绪调节、父母情绪饮食和父母行为的影响 最后，我们将探讨青少年减肥以及青少年减肥的调节因素和调节因素。 该应用程序是开发青少年治疗方法的关键下一步。 肥胖以情绪调节和情绪饮食作为作用机制。