ABSTRACT
OBJECTIVE: To investigate the performance of a simple and developmentally appropriate 10-item questionnaire (Adolescent Binge Eating Scale) for the prediction of binge eating disorder (BED) diagnosis in adolescents seen for obesity. STUDY DESIGN: We evaluated the performance of the questionnaire in comparison with a clinical interview, in a population of adolescents being seen for obesity. The ?2 or Fisher exact tests were used. RESULTS: There were 94 adolescents aged 12-18 years (59.6% girls) who completed the study. The questionnaire demonstrated a good association with the clinical interview and distinguished different levels of risk for having a BED: participants who responded positively to questions 1 or 2 and had more than 6 positive answers to the 8 additional questions had a high risk of subclinical and clinical BED (83.3%); participants with 3 or fewer positive answers had a low risk of clinical BED (4%). CONCLUSIONS: The Adolescent Binge Eating Scale questionnaire is a potential screening tool to identify adolescents with obesity at high risk of BED and guide referral to a specialist to clarify the diagnosis and provide adequate care.
Subject(s)
Binge-Eating Disorder/diagnosis , Pediatric Obesity/psychology , Surveys and Questionnaires , Adolescent , Child , Female , Humans , Male , Predictive Value of Tests , Primary Health Care , Risk Assessment/methods , SwitzerlandABSTRACT
INTRODUCTION: Obesity during adolescence is particularly challenging. Our aims were to identify parents' and adolescents' perceptions regarding obesity, as well as family dynamics before and after family-based behavioral therapy (FBBT) to improve obesity. METHOD: Using a qualitative approach, 23 parents and 21 adolescents aged 12 to 18 years participated in 6 focus groups, before and after FBBT. Focus groups were audio-taped, transcribed verbatim, and analyzed using content analysis. RESULTS: Transcript analyses suggested 3 major themes from both adolescents and parents: obesity as a source of strong negative emotions, adolescents and weight-control responsibility, and disruption in family dynamics. FBBT improved self-confidence and family functioning, allowing for behavioral changes. Both adolescents and their parents felt empowered. DISCUSSION: Family dynamics are an important issue in weight-loss treatment during adolescence. Including both parents and adolescents in therapy is crucial for tackling obesity and addressing health needs related to this age group. (PsycINFO Database Record
Subject(s)
Cognitive Behavioral Therapy/methods , Parents/psychology , Patient-Centered Care/methods , Pediatric Obesity/therapy , Adolescent , Adult , Child , Family Relations , Female , Focus Groups , Humans , Male , Parent-Child Relations , Pediatric Obesity/psychology , Primary Health Care/methods , Qualitative Research , Social Support , SwitzerlandABSTRACT
Bariatric surgery is one of the treatment of choice for morbidly obese patients. However some of them regain weight post-surgery. Psychological factors involved in weight regain have not been clearly identified yet. The Geneva University Hospitals offer patients a psychological preparation for gastric bypass. In order to evaluate this preparation, 22 patients completed questionnaires assessing depressive symptoms (BDI-II), anxiety symptoms (HAD), and the presence of eating disorders (EDI-2) before and after psychological treatment. The results showed a significant improvement of the following EDI-2 subscales: drive for thinness, bulimia, interpersonal distrust, asceticism and interoceptive awareness. These results highlight the importance of a psychological preparation before surgery.
Subject(s)
Gastric Bypass/psychology , Obesity, Morbid/surgery , Preoperative Care/methods , Weight Gain , Adult , Female , Gastric Bypass/methods , Humans , Middle Aged , Obesity, Morbid/psychology , Psychometrics , Surveys and Questionnaires , SwitzerlandABSTRACT
The increasing prevalence of obesity creates a need to develop healthcare services that address both obesity and the health problems common to all young people. It is particularly important to involve parents and significant adults to promote easy access and continuity. Improved quality of life is as important as weight loss and prevention of complications. The family has an important role to play in helping adolescents develop their autonomy and enter adulthood. When family structures are affected by a child's chronic condition, it is necessary to provide support to parents during these changes. Feelings of isolation and discouragement are best tackled by involving parents and helping them to find ways to motivate and assist their children on their developmental path.
