[Effect of psychotherapeutic interventions on weight reduction and personality development of a 13-year-old boy with Prader-Willi syndrome].
A 12.10-year old boy (actual weight 88.8 kg, actual height 131.2 cm; 228% overweight) with Prader-Willi-syndrome achieved, after repeated ineffective therapy attempts over a period of 10 years, a weight reduction of 11.8 kg (185% overweight) during a 9-week in-patient treatment. In the following out-patient phase of therapy a further weight reduction of 20 kg (109% overweight) was achieved over a period of 16 months. Apart from the usual modes of action of therapy (reduced energy intake, physical exercise, behaviour modification), family therapeutic and special education interventions were used. These achieved an improvement of the patient's self-esteem, an increase in his competence to act and in his autonomy concerning his diet management, as well as a positive experience of his own abilities and social acceptance by other children and the stabilisation of the dysfunctional family system. It may be assumed that this therapeutic success is dependent on consequent compliance with the system model.
Wurst
E
E
Universitäts-Kinderklinik Wien.
Möslinger
D
D
Widhalm
K
K
D000293:Adolescent; D003131:Combined Modality Therapy; D004038:Diet, Reducing; D005190:Family / Q000523:psychology; D005196:Family Therapy; D006760:Hospitalization; D006801:Humans; D008297:Male; D011218:Prader-Willi Syndrome / Q000523:psychology / Q000628:therapy*; D011613:Psychotherapy; D012649:Self Concept; D012803:Sick Role
Der Einfluss psychotherapeutischer Interventionen auf die Gewichtsreduktion und die Persönlichkeitsentwicklung eines 13jährigen Knaben mit Prader-Willi-Syndrom (PWS).