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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Family Systems Theory and Obesity Treatment: Applications for Clinicians
Sebastian G Kaplan1, Elizabeth Mayfield Arnold1, Megan B Irby1
1Department of Psychiatry and Behavioral Medicine (SGK, EMA), the Department of Pediatrics (MBI, JAS), and the Department of Epidemiology and Prevention (JAS), Wake Forest School of Medicine, and Brenner FIT (Families In Training) Program, Brenner Children's Hospital (MBI, KAB, JAS), Winston-Salem, North Carolina.
Insights
Family-based pediatric obesity treatment is recommended, but current programs often involve limited family members. This study explores involving multiple family members, using Bowen's Family Systems Theory for nutrition settings.
Area of Science:
- Pediatric Obesity
- Family Systems Theory
- Clinical Nutrition
Background:
- Family-based interventions are recommended for pediatric obesity.
- Existing research often limits family involvement to the child and one parent.
- Clinical practice encounters diverse family structures, necessitating broader approaches.
Purpose of the Study:
- To explore the application of family therapy principles in pediatric obesity nutrition treatment.
- To introduce Bowen's Family Systems Theory as a framework for family-centered nutrition care.
- To enhance the clinical effectiveness of family-based interventions in pediatric obesity.
Main Methods:
- Review of experiences in a tertiary care pediatric obesity clinic.
- Application of Bowen's Family Systems Theory to nutrition counseling.
- Involvement of multiple family members in the treatment process.
Main Results:
- Current research protocols may not adequately address diverse family structures in clinical settings.
- Bowen's Family Systems Theory provides a model for integrating family dynamics into nutrition interventions.
- Involving multiple family members can potentially improve treatment outcomes.
Conclusions:
- A broader, family-systems approach is beneficial for pediatric obesity treatment.
- Dietitians and clinicians can adapt family therapy principles for nutrition settings.
- Bowen's theory offers a valuable model for comprehensive family-based nutrition care.
Abstract:
Family-based approaches are recommended for the treatment of pediatric obesity, although most of the literature describes programs that only include the identified child and one parent in the treatment process. As a result, the clinical application of research protocols in nutrition settings may be inadequate; multiple representations of a "family" will be encountered in the clinical environment. Mental health professionals, particularly those who work with children, often engage families in psychotherapy. Developing an understanding of their methods may be beneficial to Dietitians and other clinicians who wish to follow a more family-based approach and may present new avenues for effective treatment. In our tertiary care pediatric obesity clinic, we routinely involve multiple family members throughout the treatment process. Here we discuss our experiences and introduce Bowen's Family Systems Theory as a model for translating family therapy principles into nutrition-focused treatment settings.
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