Shaking Up the System: the Role of Change in Maternal-adolescent Communication Quality and Adolescent Weight Loss

Overview

Journal J Pediatr Psychol

Publisher Oxford University Press

Date 2014 Sep 13

PMID 25214645

Citations 9

Authors

Wendy Hadley

Mary Beth McCullough

Diana Rancourt

David Barker

Elissa Jelalian

Affiliations

Soon will be listed here.

Abstract

Objective: The association between directly observed mother-adolescent weight-related communication quality and adolescent percent overweight within the context of an adolescent weight control study was examined.

Methods: As part of a larger study examining the impact of a behavioral weight control intervention that included attention to parent-adolescent communication (Standard Behavioral Treatment + Enhanced Parenting, SBT + EP) compared with an efficacious Standard Behavioral Treatment (SBT), 38 mother-adolescent dyads participated in a weight-related videotaped discussion. Discussions were taped and collected pre- and postintervention.

Results: No significant differences emerged in the quality of mother-adolescent communication between SBT (n = 19) and SBT + EP (n = 19) participants, nor was baseline mother-adolescent communication quality associated with adolescents' weight loss in either condition. However, a decline in communication quality was associated with better outcomes for adolescents participating in the SBT group.

Conclusions: This study provides preliminary evidence that a change in mother-adolescent communication is associated with successful weight loss among adolescents.

Citing Articles

Family systems approaches in pediatric obesity management: a scoping review.

Wills-Ibarra N, Chemtob K, Hart H, Frati F, Pratt K, Ball G BMC Pediatr. 2024; 24(1):235.

PMID: 38566046 PMC: 10985863. DOI: 10.1186/s12887-024-04646-w.

Formative Development of a Weight Management Intervention for Adolescents with Type 1 Diabetes Mellitus and Obesity.

Warnick J, Darling K, Topor L, Jelalian E Pediatr Diabetes. 2023; 2023.

PMID: 37614408 PMC: 10445778. DOI: 10.1155/2023/9584419.

A Comprehensive Examination of the Nature, Frequency, and Context of Parental Weight Communication: Perspectives of Parents and Adolescents.

Puhl R, Lessard L, Foster G, Cardel M Nutrients. 2022; 14(8).

PMID: 35458124 PMC: 9032323. DOI: 10.3390/nu14081562.

Structured, multifactorial randomised controlled intervention to investigate physical activity levels, body composition and diet in obese and overweight adolescents.

Srivastav P, K V, Bhat V, Broadbent S BMJ Open. 2021; 11(3):e044895.

PMID: 33753442 PMC: 7986955. DOI: 10.1136/bmjopen-2020-044895.

Parental perspectives on negotiations over diet and physical activity: how do we involve parents in adolescent health interventions?.

Shaw S, Simao S, Jenner S, Lawrence W, Woods-Townsend K, Vogel C Public Health Nutr. 2021; 24(9):2727-2736.

PMID: 33622445 PMC: 10195618. DOI: 10.1017/S1368980021000458.

References

Kluck A . Family factors in the development of disordered eating: integrating dynamic and behavioral explanations. Eat Behav. 2008; 9(4):471-83. DOI: 10.1016/j.eatbeh.2008.07.006. View

Noller P, Callan V . Adolescents' perceptions of the nature of their communication with parents. J Youth Adolesc. 2013; 19(4):349-62. DOI: 10.1007/BF01537077. View

DiClemente R, Wingood G, Crosby R, Cobb B, Harrington K, Davies S . Parent-adolescent communication and sexual risk behaviors among African American adolescent females. J Pediatr. 2001; 139(3):407-12. DOI: 10.1067/mpd.2001.117075. View

Wysocki T, Harris M, Buckloh L, Mertlich D, Lochrie A, Taylor A . Randomized, controlled trial of Behavioral Family Systems Therapy for Diabetes: maintenance and generalization of effects on parent-adolescent communication. Behav Ther. 2008; 39(1):33-46. DOI: 10.1016/j.beth.2007.04.001. View

Ogden C, Carroll M, Kit B, Flegal K . Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA. 2012; 307(5):483-90. PMC: 6362452. DOI: 10.1001/jama.2012.40. View

Patrick H, Hennessy E, McSpadden K, Oh A . Parenting styles and practices in children's obesogenic behaviors: scientific gaps and future research directions. Child Obes. 2013; 9 Suppl:S73-86. PMC: 3746290. DOI: 10.1089/chi.2013.0039. View

Zeller M, Reiter-Purtill J, Modi A, Gutzwiller J, Vannatta K, Davies W . Controlled study of critical parent and family factors in the obesigenic environment. Obesity (Silver Spring). 2007; 15(1):126-36. DOI: 10.1038/oby.2007.517. View

Hilbert A, Tuschen-Caffier B, Czaja J . Eating behavior and familial interactions of children with loss of control eating: a laboratory test meal study. Am J Clin Nutr. 2010; 91(3):510-8. DOI: 10.3945/ajcn.2009.28843. View

Florsheim P, Tolan P, Gorman-Smith D . Family processes and risk for externalizing behavior problems among African American and Hispanic boys. J Consult Clin Psychol. 1996; 64(6):1222-30. DOI: 10.1037//0022-006x.64.6.1222. View

10.

Ackard D, Neumark-Sztainer D, Story M, Perry C . Parent-child connectedness and behavioral and emotional health among adolescents. Am J Prev Med. 2006; 30(1):59-66. DOI: 10.1016/j.amepre.2005.09.013. View

11.

Gundersen C, Mahatmya D, Garasky S, Lohman B . Linking psychosocial stressors and childhood obesity. Obes Rev. 2010; 12(5):e54-63. DOI: 10.1111/j.1467-789X.2010.00813.x. View

12.

Epstein L, Paluch R, Roemmich J, Beecher M . Family-based obesity treatment, then and now: twenty-five years of pediatric obesity treatment. Health Psychol. 2007; 26(4):381-91. PMC: 2387251. DOI: 10.1037/0278-6133.26.4.381. View

13.

Wadden T, Stunkard A, Rich L, Rubin C, Sweidel G, McKinney S . Obesity in black adolescent girls: a controlled clinical trial of treatment by diet, behavior modification, and parental support. Pediatrics. 1990; 85(3):345-52. View

14.

Cole T, Faith M, Pietrobelli A, Heo M . What is the best measure of adiposity change in growing children: BMI, BMI %, BMI z-score or BMI centile?. Eur J Clin Nutr. 2005; 59(3):419-25. DOI: 10.1038/sj.ejcn.1602090. View

15.

Golan M, Weizman A . Familial approach to the treatment of childhood obesity: conceptual mode. J Nutr Educ. 2002; 33(2):102-7. DOI: 10.1016/s1499-4046(06)60173-5. View

16.

Brownell K, Kelman J, Stunkard A . Treatment of obese children with and without their mothers: changes in weight and blood pressure. Pediatrics. 1983; 71(4):515-23. View

17.

Pinto A, Fava J, Raynor H, LaRose J, Wing R . Development and validation of the weight control strategies scale. Obesity (Silver Spring). 2013; 21(12):2429-36. PMC: 3778038. DOI: 10.1002/oby.20368. View

18.

Fisher J, Mitchell D, Smiciklas-Wright H, Birch L . Parental influences on young girls' fruit and vegetable, micronutrient, and fat intakes. J Am Diet Assoc. 2002; 102(1):58-64. PMC: 2530939. DOI: 10.1016/s0002-8223(02)90017-9. View

19.

Berge J, Wall M, Larson N, Loth K, Neumark-Sztainer D . Family functioning: associations with weight status, eating behaviors, and physical activity in adolescents. J Adolesc Health. 2013; 52(3):351-7. PMC: 3580029. DOI: 10.1016/j.jadohealth.2012.07.006. View

20.

Neumark-Sztainer D, Falkner N, Story M, Perry C, Hannan P, Mulert S . Weight-teasing among adolescents: correlations with weight status and disordered eating behaviors. Int J Obes Relat Metab Disord. 2002; 26(1):123-31. DOI: 10.1038/sj.ijo.0801853. View