title: Preadolescents' and parents' dietary coping efficacy during behavioral family-based weight control treatment.
abstract: Developmentally relevant high-risk dietary situations (e.g., parties where tempting foods are available) may influence overweight youth's weight control, as they increase risk for overeating. Better self-efficacy for coping with these situations-which preadolescents may learn from their parents-could foster successful weight control. Overweight preadolescents (N = 204) ages 7-12 years (67% female), each with one parent, separately completed the Hypothetical High-Risk Situation Inventory (HHRSI) pre- and post-weight loss treatment. The HHRSI assesses temptation to overeat and confidence in refraining from overeating in response to four high-risk dietary scenarios. Participants generated coping strategies for each scenario. Coping strategies and confidence increased and temptation decreased from pre- to post-weight loss treatment. Parents' increase in confidence from pre- to post-treatment was associated with preadolescents' and parents' weight loss. Tailoring treatments to enhance parents' coping skills (e.g., building strategies, targeting high temptation/low confidence scenarios) may maximize preadolescents' weight control.
authors.affiliation: Department of Psychology, Washington University, St. Louis, MO, USA.
authors.forename: Kelly R
authors.initials: KR
authors.lastname: Theim
authors.forename: Meghan M
authors.initials: MM
authors.lastname: Sinton
authors.forename: Richard I
authors.initials: RI
authors.lastname: Stein
authors.forename: Brian E
authors.initials: BE
authors.lastname: Saelens
authors.forename: Sucheta C
authors.initials: SC
authors.lastname: Thekkedam
authors.forename: R Robinson
authors.initials: RR
authors.lastname: Welch
authors.forename: Leonard H
authors.initials: LH
authors.lastname: Epstein
authors.forename: Denise E
authors.initials: DE
authors.lastname: Wilfley
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001521:Behavior Therapy; D002648:Child; D004032:Diet; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006963:Hyperphagia / Q000517:prevention & control* / Q000523:psychology; D008297:Male; D008425:Maternal Behavior; D008875:Middle Aged; D050177:Overweight / Q000523:psychology / Q000628:therapy*; D010290:Parents / Q000523:psychology*; D010332:Paternal Behavior; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D015431:Weight Loss; D061217:Weight Reduction Programs
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