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Multidisciplinary Approach to Obesity Management: A Case Report
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Can we treat morbid obese children in a behavioral inpatient program?

Silvana Fennig1, Shmuel Fennig

  • 1Children and Adolescent Medical Psychiatric Unit, Schneider Children's Medical Center of Israel, Petah Tiqwa and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. silvanaf@clalit.org.it

Pediatric Endocrinology Reviews : PER
|January 24, 2007
PubMed

Insights

Cognitive-Behavioral therapy (CBT) with family intervention effectively treats pediatric eating disorders and severe obesity. This program focuses on weight management, body image, and long-term maintenance in an inpatient setting.

Area of Science:

  • Pediatric Psychology
  • Clinical Psychiatry
  • Obesity Medicine

Background:

  • Eating disorders and severe obesity in children present complex medical and psychological challenges.
  • Established Cognitive-Behavioral Therapy (CBT) combined with family-based interventions is effective for pediatric eating disorders.

Observation:

  • A specialized inpatient program integrated CBT (Cooper/Fairburn approach) and family intervention for severe pediatric obesity.
  • The program addressed pre-admission, weight loss, realistic expectations, body image, and long-term weight maintenance.
  • Patients had life-threatening comorbidities including obstructive sleep apnea, intracranial pressure, and joint disease.

Findings:

  • The integrated program aimed for rapid weight reduction and avoidance of invasive procedures.
  • Minimizing subsequent weight regain was a key objective.
  • Case studies highlighted the program's complexity and application in severe pediatric obesity.

Implications:

  • This integrated approach offers a potential framework for managing severe pediatric obesity in inpatient psychiatric settings.
  • Successful implementation can improve medical outcomes and reduce the need for invasive interventions.
  • Further research can refine this model for broader clinical application in pediatric eating disorder and obesity treatment.

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