title: Psychosocial factors and perspectives on weight gain and barriers to weight loss among adolescents enrolled in obesity treatment.
abstract: The aim of the current descriptive study was to explore factors related to psychosocial wellbeing, weight gain and perceived barriers to exercise and nutrition in 135 obese adolescents enrolled in a multidisciplinary weight management program. Participants completed initial intake interviews, which included information about psychosocial well-being, factors associated with weight gain, and barriers to exercise and nutrition. We examined the associations among psychosocial factors and participants' attendance compliance for the nutrition, exercise, and behavioral support and modification components of the program. Results indicated that familial factors were associated with weight gain, and family, peer, and individual factors were associated with barriers to healthy eating and exercise. Among the psychosocial factors, history of trauma was negatively associated with compliance. Findings emphasize the importance of addressing psychosocial well-being and using a systems approach to weight management for obese adolescents.
authors.affiliation: Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, 750 N. Lake Shore Drive, 10th floor, Chicago, IL 60611-3152, USA. j-porter@northwestern.edu
authors.forename: Jerlym S
authors.initials: JS
authors.lastname: Porter
authors.forename: Melanie K
authors.initials: MK
authors.lastname: Bean
authors.forename: Clarice K
authors.initials: CK
authors.lastname: Gerke
authors.forename: Marilyn
authors.initials: M
authors.lastname: Stern
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D015992:Body Mass Index; D002648:Child; D015897:Comorbidity; D004038:Diet, Reducing / Q000523:psychology; D015444:Exercise / Q000523:psychology; D054541:Family Conflict / Q000523:psychology; D005260:Female; D006801:Humans; D008016:Life Change Events; D008019:Life Style; D008297:Male; D009765:Obesity / Q000523:psychology* / Q000628:therapy*; D010348:Patient Care Team; D010349:Patient Compliance / Q000523:psychology*; D010379:Peer Group; D011788:Quality of Life; D012919:Social Behavior; D016896:Treatment Outcome; D015430:Weight Gain; D015431:Weight Loss