比較認知行為治療與行為治療於過重青少年減重之成效探討－文獻統整

An Integrative Review of Effect of the Cognitive-Behavioral Therapy and Behavioral Therapy in Overweight Adolescents

詹淑敏(Shu‐Min Chan) ； 林佩芬(Pay‐Fan Lin) ； 陳家珍(Angela Chia‐Chen Chen) ； 陳瓊瑤(Chiung‐Yao Chen)

《護理暨健康照護研究》 11卷4期 (2015/12) Pp. 317-329

https://doi.org/10.6225/JNHR.11.4.317

摘要

背景：過重或肥胖青少年已成為全球性關注的健康議題，認知行為治療與行為治療對於過重及肥胖青少年體重控制之成效，並未被清楚的檢視。目的：透過文獻統整方式比較認知行為治療（cognitive behavioral therapy, CBT）與行為治療（behavioral therapy, BT）對於過重及肥胖青少年體重控制之成效。方法：使用Cochrane Library、PubMed和PsycINFO等資料庫，搜尋年分自1997至2014年之相關文獻，以Center for Reviews and Dissemination（CRD）評定文獻研究設計的品質。結果：共16篇文獻符合標準，以CBT與BT為介入的研究對於降低青少年體重具有相同的成效（44.4% vs. 44.4%），然而，以CBT為介入的研究對於降低青少年身體質量指數（body mass index, BMI）的成效高於BT（46.4% vs.40.0%）。CBT介入研究在研究證據強度上高於BT介入研究。結論／實務應用：BT及CBT為主之介入性研究，對於降低青少年體重及BMI皆具有成效。而CBT為介入方式之健康教育活動，可提升青少年正確的健康認知與正向的自我概念，促使青少年維持健康生活型態行為的時間延長。

關鍵字

過重青少年 ； 認知行為治療 ； 行為治療 ； 文獻統整

並列摘要

Background: Adolescent obesity is an increasing public‐health concern worldwide. The comparative effects of interventions that use cognitive‐behavioral therapy (CBT) versus those that use behavioral therapy (BT) on weight or body mass index (BMI) in overweight adolescents remain unclear. Purpose: The purpose of this integrative review was to synthesize the effect of CBT versus BT in overweight adolescents. Methods: A comprehensive literature search was conducted in the Cochrane Library, PubMed, and PsycINFO for relevant research articles from 1997 to 2014. The Center for Reviews and Dissemination (CRD) quality index was used to evaluate the quality of each of the selected studies. Results: Sixteen articles that met the inclusion criteria were included in this synthesis. Studies using both CBT and BT interventions had same effects on reducing the weight of adolescents (44.4% vs. 44.4%); however, the effects of reducing the BMI of adolescents using CBT interventions was better than that of using BT interventions (46.4% vs. 40.0%). In terms of the examined studies, those using CBT achieved better results than those using BT. Conclusion/ Implications for Practice: Findings from this synthesis suggest that both BT and CBT interventions are effective in reducing adolescents' weight and BMI. Results suggest that CBT interventions are relatively more effective in terms of improving health‐related knowledge, fostering positive self‐concepts, and maintaining healthy lifestyle behaviors for a relatively longer period of time.

並列關鍵字

overweight adolescents ； cognitive behavioral therapy ； behavioral therapy ； integrative review

參考文獻

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