Improving Relational Functioning in Mother-Daughter Dyads With Obesity.

IF 1.5 4区医学 Q3 FAMILY STUDIES Family & Community Health Pub Date : 2023-04-01 DOI:10.1097/FCH.0000000000000359

Becky Marquez, Florencia Lebensohn-Chialvo, Xinyi Huang, Xinlian Zhang, Matthew Allison

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Abstract

Family-level interventions have the potential to address intergenerational obesity among Mexican American women. Given that poor family functioning is associated with worse weight loss outcomes, this study tested a weight management program aimed at improving relational functioning in mothers and daughters with obesity. Mexican American mothers and their adult daughters were randomly assigned to participate in a 16-week group-based standard behavioral (SB) weight loss program without or with relationship skills training (SRT). Relational functioning was assessed via observational behavioral coding using the Global Structural Family Rating Scale. General relational functioning and specifically positive alliance patterns and conflict avoidance improved significantly more in the SRT group than in the SB group. Average weight changes included percent weight loss of -5.6% in the SRT group versus -3.9% in the SB group and body mass index reduction of -2.2 kg/m2 in the SRT group versus -1.2 kg/m2 in the SB group. More participants in the SRT group (75%) than in the SB group (40%) tended to achieve at least 3% weight loss. Greater changes in positive alliance patterns increased the likelihood of losing 3% of body weight. Improving relational functioning in mother-daughter dyads may promote favorable outcomes in a behavioral weight loss intervention.

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改善肥胖症母女组合的关系功能。

家庭层面的干预措施有可能解决墨西哥裔美国妇女的代际肥胖问题。鉴于不良的家庭功能与较差的减肥效果相关，本研究测试了一项旨在改善肥胖母亲和女儿关系功能的体重管理计划。墨西哥裔美国人母亲及其成年女儿被随机分配参加一项为期 16 周、以小组为基础的标准行为（SB）减肥计划，该计划不包含或包含关系技巧培训（SRT）。关系功能通过使用全球结构家庭评分量表（Global Structural Family Rating Scale）进行观察行为编码来评估。SRT 组的总体关系功能，特别是积极联盟模式和冲突避免方面的改善明显高于 SB 组。平均体重变化包括：SRT 组的体重减轻百分比为 -5.6%，而 SB 组为 -3.9%；SRT 组的体重指数为 -2.2kg/m2，而 SB 组为 -1.2 kg/m2。SRT 组（75%）比 SB 组（40%）更多的参与者倾向于实现至少 3% 的体重减轻。积极联盟模式的变化越大，体重减轻 3% 的可能性就越大。在行为减肥干预中，改善母女二人组的关系功能可能会取得良好的效果。

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来源期刊

Family & Community Health Multiple-

CiteScore

2.70

自引率

4.30%

发文量

期刊介绍： Family & Community Health is a practical quarterly which presents creative, multidisciplinary perspectives and approaches for effective public and community health programs. Each issue focuses on a single timely topic and addresses issues of concern to a wide variety of population groups with diverse ethnic backgrounds, including children and the elderly, men and women, and rural and urban communities.