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P367 The efficiency of enhanced cognitive behavioural therapy practice in paediatric obesity management
  1. Oana Chiril&acaron;1,
  2. Emilia Gîrb&acaron;3,
  3. Gergiana Bogdan4,
  4. Laura Trandafir1,2,
  5. Lucian Indrei2,
  6. Magda Stârcea1,2,
  7. Adriana Mocanu1,2,
  8. Otilia Fr&acaron;sinariu1,2,
  9. Mirabela Subotnicu1,
  10. Ingrid Miron1,2
  1. 1Hemato-Oncology Department, Emergency Hospital for Children ‘Saint Mary’ Iasi, Romania
  2. 2University of Medicine and Pharmacy ‘Gr. T. Popa’ Iasi, Romania
  3. 3Faculty of Psychology and Sciences of Education, University ’Al. I. Cuza’ Iasi, Romania
  4. 4Department of Neurology, Emergency Hospital ‘Prof. Dr. N. Oblu ‘Iasi, Romania

Abstract

Background and aims Through this behavioural experiment, we tried to change dietary behaviour of patients diagnosed with obesity, for 6 months using a particular, ’increased’ form of cognitive behavioural therapy ’enhanced’ (CBT-E). The research was focused on the three criteria necessary for a diagnosis of bulimia nervosa: binge eating, evaluation forms and weight, dietary restrictions that induce the „yo-yo’ effect. The current study aims to validate the CBT-E in paediatric practice, in order to implement an effective psychotherapeutic protocol for working with the minor patient suffering from a form of obesity.

Methods Group of 20 children with obesity, aged 7–18 years. We have manipulated Independent Variable 1-Therapeutic Protocol with two levels: Psychological Counselling (PC) and (CBT-E) and Independent Variable 2-Somatic Pathology with two levels: Obesity Without a Chronic Disease (OWCD) and Obesity Associated With a Chronic Disease (OAWCD). Subjects were distributed in one of the four experimental groups: OWCD+PC; OWCD+CBT-E; OAWCD+PC; OAWCD + CBT-E. The Dependent Variable 1 was operationalized through body weight and the Dependent Variable 2-Quality of Life of Patients was measured by KINDLR questionnaire (Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents-Revised Version).We have used repeated measurements: pre-test, post-test (3 months after the initial time) and follow-up (6 months after the initial time).

Results We expect to find a quality of life and a significantly higher weight loss in patients from experimental groups (OWCD+CBT-E and OAWCD+CBT-E) compared to subjects from the experimental groups (OWCD+PC and OAWCD+PC). We expect to find a quality of life and a significantly higher weight loss in experimental group patients OWCD+CBT-E versus subjects from experimental group OAWCD+CBT-E. Patients from experimental group OWCD+CBT-E will develop more adherent behaviour in relation to medical prescriptions and the quality of life will be significantly better in the post-test, compared with their own assessments from pre-test and compared with experimental group subjects OAWCD+CBT-E, OWCD+PC, OAWCD+PC. The patients from the experimental group OWCD+CBT-E will have significantly more stable results in follow-up.

Conclusions CBT-E usage in paediatric practice makes the therapeutic process more efficient and improves the quality of patients‘ and his/her family life. KEYWORDS: PSYCHOTHERAPY, OBESITY, PAEDIATRICS

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