title: An open trial of an intensive summer day treatment program for severely overweight adolescents.
abstract: This open trial examined the feasibility and usefulness of treating adolescents with a body mass index (BMI) > or =95th percentile in a 6-week day treatment program within a psychiatric outpatient setting. Sixteen adolescents, ages 12-15, attended a 6-week multidisciplinary summer day treatment program. Outcome measures include pre- and post-program assessments of BMI, body fat, laboratory measures, nutritional status, physical activity, mood and eating disorder symptoms, motivation, self-esteem and quality of life. BMI, waist/hip circumferences, blood pressure, heart rate, and body fat did not change significantly from baseline to week 6. Fasting glucose decreased significantly from baseline to week 6, but there were no significant changes in other laboratory measures. The teen-rated feelings subscale of the Peds Quality of Life Scale improved. Self-esteem, as measured by the Rosenberg Self- Esteem Scale, indicated a strong trend towards improvement, and motivation measures also showed a trend for improvement. These findings suggest that a brief, intensive intervention for overweight adolescents may yield meaningful changes in quality of life, self-esteem, and motivation, even in the absence of significant weight loss.
authors.affiliation: Department of Child Psychiatry, Columbia University Medical Center/New York State Psychiatric Institute, USA. kotlerl@childpsych.columbia.edu
authors.forename: L A
authors.initials: LA
authors.lastname: Kotler
authors.forename: S Fischer
authors.initials: SF
authors.lastname: Etu
authors.forename: M
authors.initials: M
authors.lastname: Davies
authors.forename: M J
authors.initials: MJ
authors.lastname: Devlin
authors.forename: E
authors.initials: E
authors.lastname: Attia
authors.forename: B T
authors.initials: BT
authors.lastname: Walsh
mesh_terms: D000293:Adolescent; D001521:Behavior Therapy; D001786:Blood Glucose / Q000378:metabolism; D015992:Body Mass Index; D002648:Child; D003631:Day Care, Medical / Q000379:methods*; D004038:Diet, Reducing; D005081:Exercise Therapy; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D009042:Motivation; D009765:Obesity / Q000097:blood / Q000523:psychology / Q000628:therapy*; D010865:Pilot Projects; D011788:Quality of Life; D012649:Self Concept
chemical_list: D001786:Blood Glucose