Behavioral treatment of childhood and adolescent obesity: Current status, challenges, and future directions.

2001 ◽  
pp. 313-340 ◽  
Author(s):  
Myles S. Faith ◽  
Brian E. Saelens ◽  
Denise E. Wilfley ◽  
David B. Allison
Keyword(s):  
Behavioral Treatment ◽  
Adolescent Obesity ◽  
Current Status ◽  
Future Directions ◽  
Childhood And Adolescent Obesity

Cognitive-Behavioral Treatment for Generalized Anxiety Disorder: Current Status and Future Directions

2005 ◽  
Vol 19 (1) ◽  
pp. 61-81 ◽  
Author(s):  
Michel J. Dugas ◽  
Naomi Koerner
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Behavioral Treatment ◽  
Randomized Clinical Trials ◽  
Assessment Tools ◽  
Self Report ◽  
Cognitive Behavioral ◽  
Current Status ◽  
Generalized Anxiety ◽  
Future Directions

In this article, we present a cognitive-behavioral model and treatment of generalized anxiety disorder (GAD). In the first section, we review a model of GAD that includes four main components: intolerance of uncertainty, positive beliefs about worry, negative problem orientation, and cognitive avoidance. Next we present the GAD assessment tools used at our clinic, which include standardized interviews and self-report questionnaires of GAD symptoms and underlying cognitive-behavioral processes. We then provide a step-by-step description of a treatment that is based on the aforementioned model of GAD, and that has six core components: presentation of treatment rationale (learning to cope with uncertainty); worry awareness training; reevaluation of the usefulness of worrying; problem-solving training; cognitive exposure; and relapse prevention. Following the treatment description, we summarize the efficacy data from our completed randomized clinical trials, and present some preliminary findings from our ongoing trial comparing our treatment to applied relaxation and wait-list control. In the final section, we present an in-depth discussion of future directions for the study and treatment of GAD, with a focus on the approach-avoidance nature of GAD. Given the movement in the field favoring the expansion of cognitive-behavioral treatments, we also comment on the possible implications of the newest integrative therapies for our existing treatment.

scholarly journals Maintenance of Weight Loss in Adolescents: Current Status and Future Directions

2010 ◽  
Vol 2010 ◽  
pp. 1-12 ◽  
Author(s):  
Meghan L. Butryn ◽  
Thomas A. Wadden ◽  
Margaret R. Rukstalis ◽  
Chanelle Bishop-Gilyard ◽  
Melissa S. Xanthopoulos ◽  
...  
Keyword(s):  
Weight Loss ◽  
Lifestyle Modification ◽  
Adolescent Obesity ◽  
Current Status ◽  
Long Term Outcomes ◽  
Future Directions ◽  
Length Of Treatment ◽  
Treatment Of Obesity ◽  
Effectiveness Data

There is a dearth of research on the long-term efficacy and safety of treatments for adolescent obesity. This narrative review examined several approaches to treatment, focusing on long-term effectiveness data in adolescents, as well as relevant findings from studies of adults. The available research suggests that lifestyle modification has promise in obese adolescents, although it is not clear that any particular dietary or physical activity approach is more effective than another. Meal replacements are quite effective in adults and deserve further research in adolescents. Extending the length of treatment to teach weight loss maintenance skills is likely to improve long-term outcomes in adolescents, and delivering treatment via the Internet or telephone is a novel way of doing so. Treatment that combines lifestyle modification with the medication orlistat generally appears to be safe but only marginally superior to lifestyle modification alone. More research is needed on the management of adolescent obesity, which has been overlooked when compared with research on the treatment of obesity in children and adults.

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