title: Problem solving in the treatment of childhood obesity.
abstract: This study randomized obese children from 67 families to groups that received a 6-month family-based behavioral weight-control program plus parent and child problem solving, child problem solving, or standard treatment with no additional problem solving. The standard group showed larger body mass index (BMI) decreases than the parent + child group through 2 years, with significant differences in the percentage of children who showed large BMI changes. Significant statistical and clinical improvements were observed over time in child behavior problems and parental distress. Parent problem solving increased in the parent + child condition relative to the other conditions, whereas child problem solving increased equally in all conditions. The bulk of evidence suggests that problem solving did not add to treatment effectiveness beyond the standard family-based treatment.
authors.affiliation: Department of Psychology, University at Buffalo, New York 14260-4110, USA. lhenet@acsu.buffalo.edu
authors.forename: L H
authors.initials: LH
authors.lastname: Epstein
authors.forename: R A
authors.initials: RA
authors.lastname: Paluch
authors.forename: C C
authors.initials: CC
authors.lastname: Gordy
authors.forename: B E
authors.initials: BE
authors.lastname: Saelens
authors.forename: M M
authors.initials: MM
authors.lastname: Ernst
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D015992:Body Mass Index; D002648:Child; D005196:Family Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D010287:Parent-Child Relations; D011340:Problem Solving; D016896:Treatment Outcome; D015431:Weight Loss