title: Family Systems Theory and Obesity Treatment: Applications for Clinicians.
abstract: Family-based approaches are recommended for the treatment of pediatric obesity, although most of the literature describes programs that only include the identified child and one parent in the treatment process. As a result, the clinical application of research protocols in nutrition settings may be inadequate; multiple representations of a "family" will be encountered in the clinical environment. Mental health professionals, particularly those who work with children, often engage families in psychotherapy. Developing an understanding of their methods may be beneficial to Dietitians and other clinicians who wish to follow a more family-based approach and may present new avenues for effective treatment. In our tertiary care pediatric obesity clinic, we routinely involve multiple family members throughout the treatment process. Here we discuss our experiences and introduce Bowen's Family Systems Theory as a model for translating family therapy principles into nutrition-focused treatment settings.
authors.affiliation: Department of Psychiatry and Behavioral Medicine (SGK, EMA), the Department of Pediatrics (MBI, JAS), and the Department of Epidemiology and Prevention (JAS), Wake Forest School of Medicine, and Brenner FIT (Families In Training) Program, Brenner Children's Hospital (MBI, KAB, JAS), Winston-Salem, North Carolina.
authors.forename: Sebastian G
authors.initials: SG
authors.lastname: Kaplan
authors.affiliation: Department of Psychiatry and Behavioral Medicine (SGK, EMA), the Department of Pediatrics (MBI, JAS), and the Department of Epidemiology and Prevention (JAS), Wake Forest School of Medicine, and Brenner FIT (Families In Training) Program, Brenner Children's Hospital (MBI, KAB, JAS), Winston-Salem, North Carolina.
authors.forename: Elizabeth Mayfield
authors.initials: EM
authors.lastname: Arnold
authors.affiliation: Department of Psychiatry and Behavioral Medicine (SGK, EMA), the Department of Pediatrics (MBI, JAS), and the Department of Epidemiology and Prevention (JAS), Wake Forest School of Medicine, and Brenner FIT (Families In Training) Program, Brenner Children's Hospital (MBI, KAB, JAS), Winston-Salem, North Carolina.
authors.forename: Megan B
authors.initials: MB
authors.lastname: Irby
authors.affiliation: Department of Psychiatry and Behavioral Medicine (SGK, EMA), the Department of Pediatrics (MBI, JAS), and the Department of Epidemiology and Prevention (JAS), Wake Forest School of Medicine, and Brenner FIT (Families In Training) Program, Brenner Children's Hospital (MBI, KAB, JAS), Winston-Salem, North Carolina.
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Boles
authors.affiliation: Department of Psychiatry and Behavioral Medicine (SGK, EMA), the Department of Pediatrics (MBI, JAS), and the Department of Epidemiology and Prevention (JAS), Wake Forest School of Medicine, and Brenner FIT (Families In Training) Program, Brenner Children's Hospital (MBI, KAB, JAS), Winston-Salem, North Carolina.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Skelton
keywords: family; obesity; pediatric; theory; treatment
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