title: Effect of a family-based cognitive behavioural intervention on body mass index, self-esteem and symptoms of depression in children with obesity (aged 7-13): a randomised waiting list controlled trial.
abstract: OBJECTIVE
  We examined the effect of a 12-week family-based cognitive behavioural weight management programme developed for use in primary care settings.
  
  
  METHODS
  The sample consisted of 49 children with obesity (aged 7-13 years; mean ± SD: 10.68 ± 1.24). Families were randomly assigned to immediate start-up of treatment or to a 12-week waiting list condition. Outcome measures were body mass index standard deviation score (BMI SDS), self-esteem, symptoms of depression and blood parameters indicative of cardio-metabolic risk. Assessments were conducted at baseline, post-treatment, post-waiting list and 12 months after treatment termination.
  
  
  RESULTS
  The mean reduction for the treatment group was -0.16 BMI SDS units compared with an increase of 0.04 units for the waiting list group (p = .001). For the entire sample, there was a significant post-treatment improvement on BMI SDS (p = .001), all self-esteem measures (p = .001-.041) and symptoms of depression (p = .004). The mean BMI SDS reduction was -0.18 units post-treatment, and it was maintained at 12-month follow-up. Significant reductions were found in blood lipid levels of total cholesterol (p = .03), LDL-cholesterol (p = .005) and HDL-cholesterol (p = .01) at 12-month follow-up. The favourable effect on most of the psychological measures waned from post-treatment to follow-up, but not approaching baseline levels. Boys demonstrated significantly greater reductions in BMI SDS than girls (p = .001), while baseline psychiatric co-morbidity did not influence BMI SDS outcome.
  
  
  CONCLUSIONS
  The treatment shows significant and favourable effects on BMI SDS, self-esteem and symptoms of depression compared with a waiting list condition.
authors: Faculty of Psychology, University of Bergen, Cristiesgt. 12, NO-5020 Bergen, Norway. Electronic address:yngvild.danielsen@psysp.uib.no.
authors: Yngvild S
authors: YS
authors: Danielsen
authors: Norwegian Competence Centre for Sleep Disorders, Haukeland University Hospital, Bergen, Norway.
authors: Inger H
authors: IH
authors: Nordhus
authors: Section of Paediatrics, Department of Clinical Medicine, University of Bergen, Haukeland University Hospital, Bergen, Norway.
authors: Petur B
authors: PB
authors: Júlíusson
authors: Sogn og Fjordane University College, Sogndal, Norway.
authors: Magne
authors: M
authors: Mæhle
authors: Norwegian Competence Centre for Sleep Disorders, Haukeland University Hospital, Bergen, Norway.
authors: Ståle
authors: S
authors: Pallesen
mesh_terms: D000293:Adolescent; D001521:Behavior Therapy; D001823:Body Composition; D015992:Body Mass Index; D002648:Child; D003071:Cognition; D003863:Depression / Q000209:etiology / Q000628:therapy*; D003866:Depressive Disorder / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D063766:Pediatric Obesity / Q000097:blood / Q000150:complications / Q000523:psychology / Q000628:therapy*; D012649:Self Concept; D012737:Sex Factors; D016896:Treatment Outcome; D014850:Waiting Lists; D061217:Weight Reduction Programs
chemical_list: D008055:Lipids