Evaluation of an approach-avoidance training intervention for children and adolescents with obesity
- This study evaluated the efficacy of approach-avoidance training as an additional treatment for children and adolescents with obesity seeking inpatient treatment. Two hundred thirty-two participants (8-16years, 53.9% girls) were randomly assigned either to multisession approach-avoidance (IG) or to placebo training (CG). As outcomes, cognitive biases post intervention, body mass index, eating behaviour, food intake, self-regulation, and weight-related quality of life were assessed, also at 6- and 12-month follow-up. Modification of approach-avoidance bias was observed, but lacked in transfer over sessions and in generalization to attention and association bias. After 6months, the IG reported less problematic food consumption, higher self-regulation, and higher quality of life; effects did not persist until the 12-month follow-up; no significant interaction effects were observed regarding weight course. Despite there was no direct effect on weight course, approach-avoidance training seems to be associated with promising effects onThis study evaluated the efficacy of approach-avoidance training as an additional treatment for children and adolescents with obesity seeking inpatient treatment. Two hundred thirty-two participants (8-16years, 53.9% girls) were randomly assigned either to multisession approach-avoidance (IG) or to placebo training (CG). As outcomes, cognitive biases post intervention, body mass index, eating behaviour, food intake, self-regulation, and weight-related quality of life were assessed, also at 6- and 12-month follow-up. Modification of approach-avoidance bias was observed, but lacked in transfer over sessions and in generalization to attention and association bias. After 6months, the IG reported less problematic food consumption, higher self-regulation, and higher quality of life; effects did not persist until the 12-month follow-up; no significant interaction effects were observed regarding weight course. Despite there was no direct effect on weight course, approach-avoidance training seems to be associated with promising effects on important pillars for weight loss. Further research concerning clinical effectiveness is warranted.…
Author details: | Petra WarschburgerORCiDGND, Michaela Silvia GmeinerORCiDGND, Marisa Morawietz, Mike RinckGND |
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DOI: | https://doi.org/10.1002/erv.2607 |
ISSN: | 1072-4133 |
ISSN: | 1099-0968 |
Pubmed ID: | https://pubmed.ncbi.nlm.nih.gov/29882616 |
Title of parent work (English): | European eating disorders review : the professional journal of the Eating Disorders Associatio |
Subtitle (English): | a randomized placebo-controlled prospective trial |
Publisher: | Wiley |
Place of publishing: | Hoboken |
Publication type: | Article |
Language: | English |
Date of first publication: | 2018/06/08 |
Publication year: | 2018 |
Release date: | 2021/10/08 |
Tag: | approach-avoidance training; child; cognitive bias modification; intervention; obesity |
Volume: | 26 |
Issue: | 5 |
Number of pages: | 11 |
First page: | 472 |
Last Page: | 482 |
Funding institution: | German Statutory Pension Insurance Association (Deutsche Rentenversicherung Bund) [8011-106-31/31.113] |
Organizational units: | Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften / Department Psychologie |
DDC classification: | 1 Philosophie und Psychologie / 15 Psychologie / 150 Psychologie |
Peer review: | Referiert |