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The Impact of a Pediatric Behavioral Weight Management Program on Disordered Eating Attitudes and Behaviors in Overweigh...

Permanent Link: http://ufdc.ufl.edu/UFE0024521/00001

Material Information

Title: The Impact of a Pediatric Behavioral Weight Management Program on Disordered Eating Attitudes and Behaviors in Overweight Children
Physical Description: 1 online resource (49 p.)
Language: english
Creator: Junger, Katherine
Publisher: University of Florida
Place of Publication: Gainesville, Fla.
Publication Date: 2009

Subjects

Subjects / Keywords: attitudes, overweight, pediatric, treatment
Clinical and Health Psychology -- Dissertations, Academic -- UF
Genre: Psychology thesis, M.S.
bibliography   ( marcgt )
theses   ( marcgt )
government publication (state, provincial, terriorial, dependent)   ( marcgt )
born-digital   ( sobekcm )
Electronic Thesis or Dissertation

Notes

Abstract: Behavioral interventions targeting overweight children have been successful in producing weight loss. However, there is considerable debate as to the potential for these programs to exacerbate disordered eating attitudes among participants. Factors such as body dissatisfaction, peer victimization, parental feeding practices and concern about child weight have been identified as risk factors for disordered eating attitudes among non-treatment seeking youth, but limited research has evaluated these factors among treatment-seekers. The purpose of this study was twofold: (1) to determine if overweight youth receiving one of two behavioral interventions were more likely to report a greater increase in disordered eating attitudes and behaviors at follow-up compared to a waitlist control; and (2) to determine psychosocial predictors of eating disordered attitudes and behaviors. Participants were 69 overweight youths, ages 8-13, and their parent(s) enrolled in one of two behavioral lifestyle interventions. Parents completed a demographic form and the Child Feeding Questionnaire. Children completed the Children s Eating Attitudes Test, Schwartz Peer Victimization Scale, and Children s Body Image Scale. Youth who participated in one of the two behavioral interventions did not report significant increases in disordered eating attitudes at follow-up compared to the waitlist control. However, the groups were not statistically equivalent. Across all children in the study, higher levels of body dissatisfaction, peer victimization, parent restrictive feeding practices and concern for child weight at baseline predicted higher levels of disordered eating attitudes at follow-up. Overall, the current data do not provide evidence that behavioral interventions lead to an increase in unhealthy eating attitudes and behaviors. Future research should examine the impact of addressing psychosocial functioning in supervised pediatric weight management programs.
General Note: In the series University of Florida Digital Collections.
General Note: Includes vita.
Bibliography: Includes bibliographical references.
Source of Description: Description based on online resource; title from PDF title page.
Source of Description: This bibliographic record is available under the Creative Commons CC0 public domain dedication. The University of Florida Libraries, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.
Statement of Responsibility: by Katherine Junger.
Thesis: Thesis (M.S.)--University of Florida, 2009.
Local: Adviser: Janicke, David M.
Electronic Access: RESTRICTED TO UF STUDENTS, STAFF, FACULTY, AND ON-CAMPUS USE UNTIL 2011-05-31

Record Information

Source Institution: UFRGP
Rights Management: Applicable rights reserved.
Classification: lcc - LD1780 2009
System ID: UFE0024521:00001

Permanent Link: http://ufdc.ufl.edu/UFE0024521/00001

Material Information

Title: The Impact of a Pediatric Behavioral Weight Management Program on Disordered Eating Attitudes and Behaviors in Overweight Children
Physical Description: 1 online resource (49 p.)
Language: english
Creator: Junger, Katherine
Publisher: University of Florida
Place of Publication: Gainesville, Fla.
Publication Date: 2009

Subjects

Subjects / Keywords: attitudes, overweight, pediatric, treatment
Clinical and Health Psychology -- Dissertations, Academic -- UF
Genre: Psychology thesis, M.S.
bibliography   ( marcgt )
theses   ( marcgt )
government publication (state, provincial, terriorial, dependent)   ( marcgt )
born-digital   ( sobekcm )
Electronic Thesis or Dissertation

Notes

Abstract: Behavioral interventions targeting overweight children have been successful in producing weight loss. However, there is considerable debate as to the potential for these programs to exacerbate disordered eating attitudes among participants. Factors such as body dissatisfaction, peer victimization, parental feeding practices and concern about child weight have been identified as risk factors for disordered eating attitudes among non-treatment seeking youth, but limited research has evaluated these factors among treatment-seekers. The purpose of this study was twofold: (1) to determine if overweight youth receiving one of two behavioral interventions were more likely to report a greater increase in disordered eating attitudes and behaviors at follow-up compared to a waitlist control; and (2) to determine psychosocial predictors of eating disordered attitudes and behaviors. Participants were 69 overweight youths, ages 8-13, and their parent(s) enrolled in one of two behavioral lifestyle interventions. Parents completed a demographic form and the Child Feeding Questionnaire. Children completed the Children s Eating Attitudes Test, Schwartz Peer Victimization Scale, and Children s Body Image Scale. Youth who participated in one of the two behavioral interventions did not report significant increases in disordered eating attitudes at follow-up compared to the waitlist control. However, the groups were not statistically equivalent. Across all children in the study, higher levels of body dissatisfaction, peer victimization, parent restrictive feeding practices and concern for child weight at baseline predicted higher levels of disordered eating attitudes at follow-up. Overall, the current data do not provide evidence that behavioral interventions lead to an increase in unhealthy eating attitudes and behaviors. Future research should examine the impact of addressing psychosocial functioning in supervised pediatric weight management programs.
General Note: In the series University of Florida Digital Collections.
General Note: Includes vita.
Bibliography: Includes bibliographical references.
Source of Description: Description based on online resource; title from PDF title page.
Source of Description: This bibliographic record is available under the Creative Commons CC0 public domain dedication. The University of Florida Libraries, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.
Statement of Responsibility: by Katherine Junger.
Thesis: Thesis (M.S.)--University of Florida, 2009.
Local: Adviser: Janicke, David M.
Electronic Access: RESTRICTED TO UF STUDENTS, STAFF, FACULTY, AND ON-CAMPUS USE UNTIL 2011-05-31

Record Information

Source Institution: UFRGP
Rights Management: Applicable rights reserved.
Classification: lcc - LD1780 2009
System ID: UFE0024521:00001


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PAGE 13

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PAGE 14

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PAGE 15

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PAGE 16

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PAGE 18

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PAGE 19

! ">! ABC!JCB@TEID@G!EFACDTCFAEIFH!VIFHEHACP!IS!A]CGTC!"U^_BIKD!HCHHEIFH!ITCD!"X!]CCNHU!3DIKRH! IVVKDDCP!]CCNG7!SID!Z!]CCNH!ABCF!JE]CCNG7!SID!Z!]CCNHU! Randomization &F!C@VB!VIKF A7Q!HCR@D@AC!]CCNFELBAH!]CDC!PCHE LF@ACP!SID!ABC!S@OEG7_J@HCP!@FP!R@DCFA_IFG7! VIFPEAEIFHU!(@DAEVER@FAH!RDITEPCP! EFSIDO@AEIF!IF!ABCED!@T@EG@JEGE A7!PKDEFL!ABC!EFEAE@G!ACGCRBIFC! HVDCCFEFLU!(DEID!AI!ABC!J@HCGEFC!@HHCHHOCFAQ!VI ORKACD!D@FPIOE[@AEIF!]@H!KHCP!AI!@HHELF!C@VB! S@OEG7!AI!@F!EFACDTCFAEIF!FELBA!ID!AI!ABC!]@EAGEHA! VIFADIGU!)SACD!@GG!R@DAEVER@FAH!]CDC!D@FPIOE[CPQ! ABC!EFACDTCFAEIF!VIFPEAEIFH!]CDC!D@ FPIOE[CP!AI!@!HRCVESEV!]CCNFELBA U!(@DAEVER@FAH!]CDC!EFSIDOCP! IS!ABCED!D@FPIOE[@AEIF!@A!ABC!J@HCGEFC!@HHCHHOCFAU!! Assessment Schedule &FACD CHACP!S@OEGECH!VIORGCACP!@F!EFEAE@G!HVDCCF EFL!TEHEA!AI!PCACDOEFC!CGELEJEGEA7!@FP!IJA@EF! EFSIDOCP!VIFHCFAU!)RRDIcEO@ACG7!A]I!]CCNH! RDEID!AI!ABC!EFACDTCFAEIFQ!CGELEJGC!S@OEGECH! VIORGCACP!@!J@HCGEFC!@HHCHHOCFA!PKDEFL!]BEVB!AB C7!]CDC!EFSIDOCP!IS!ABCED!D@FPIOE[@AEIF!AI! CEABCD!ABC!S@OEG7_J@HCP!EFACDTCFAEIFQ!ABC!R@DCFA_I FG7!EFACDTCFAEIFQ!ID!AI!ABC!]@EAGEHA!VIFADIGU!#BC! RIHA_ADC@AOCFA!@HHCHHOCFA!IVVKDDCP!]EABEF!A]I!] CCNH!IS!ABC!CFP!IS!ABC!EFACDTCFAEIFH!dW!OIFABH! RIHA_J@HCGEFCeU!#BC!SEF@G!@HHCHHOCFA!IVVKDDCP! @A!"=!OIFABH!RIHA!J@HCGEFC!dX!OIFABH!RIHA_ ADC@AOCFAeU!-KDEFL!C@VB!@HHCHHOCFAQ!R@DCFA!@FP! VBEGP!BCELBA!@FP!]CE LBA!]CDC!IJA@EFCPQ!@FP! R@DAEVER@FAH!VIORGCACP!@!J@ AACD7!IS!`KCHAEIFF@EDCHU! Interventionists (IHAPIVAID@G!RH7VBIGILEHAH!@FP!LD @PK@AC!HAKPCFAH!EF!VGEFEV@G !RH7VBIGIL7Q!EF!VIGG@JID@AEIF! ]EAB!,@O EG7!@FP!*IFHKOCD!5VECFVC!d,*5e!@LCFAH Q!PCGETCDCP!ABC!EFACDTCFAEIFHU!,*5!@LCFAH!BCGP! J@VBCGID\H!ID!O@HACD\H!PCLDCCHQ!ISACF!]EAB! @!VIFVCFAD@AEIF!EF!FKA DEAEIFU!)GG!LDIKR!GC@PCDH! R@DAEVER@ACP!EF!@!<_P@7!AD@EFEFL!RD EID!AI!ABC!EFEAE@AEIF!IS!ABC!EFACDT CFAEIFH!EF!@PPEAEIF!AI!VIFAEFKEA7! AD@EFEFL!B@GS]@7!ABDIKLB!ABC!EFAC DTCFAEIFU!3DIKR!GC@PCDH!@GHI!R@DAEV ER@ACP!EF!]CCNG7!HKRCDTEHEIF!

PAGE 20

! <=! OCCAEFLH!]EAB!ABC!RDEFVER@G!EFTCHAEL@AIDU!+FC!RCDHIF!HCDTCP!@H!ABC!RDEO@D7!LDIKR!GC@PCD!SID!JIAB! EFACDTCFAEIF!VIFPEAEIFH!EF!C@VB!VIKFA7U!! Intervention Content &F!ABC!S@O EG7_J@HCP!EFACDTCFAEIFQ!R@DCFAH!@FP! VBEGPDCF!R@DAEVER@ACP !EF!HEOKGA@FCIKH!JKA! HCR@D@AC!LDIKRHU!&F!ABC!R@DCFA _IFG7!EFACDTCFAEIFQ!VBEGPDCF!PEP!FIA !@AACFP!ABC!]CCNG7!EFACDTCFAEIF! HCHHEIFHf!D@ABCD!R@DCFAH!]CDC!A@DLCACP!@H!ABC! RDEO@D7!@LCFAH!IS!VB@FLCU!!*IFACFA!EF!JIAB! EFACDTCFAEIF!VIFPEAEIFH!SIVKHCP!IF!EORDITEFL!PECA@D 7!EFA@NC!KHEFL!@F!@P@RACP!TCDHEIF!IS!ABC! 5AIRGELBA!(DILD@O!d%RHACEF!g!5`KEDCHQ!">ZZeQ!]BEVB! AC@VBCH!R@DAEVER@FAH!AI !VG@HHES7!SIIPH!EFAI! ABDCC!V@ACLIDECH!dDCPQ!7CGGI]Q!@FP! LDCCFe!J@HCP!IF!FKADEAEIF@G!@FP! V@GIDEV!VIFACFAU!(@DAEVER@FAH! ]CDC!@HNCP!AI!DCVIDP!CTCD7ABEFL!ABC7!@AC!JKA! FIA!AI!VIKFA!V@GIDECHU!5IOC!S@OEGECH!AB@A!B@P! PESSEVKGA7!VIORGCAEFL!ABEH!A@HN!]CDC!RCDOEAACP!AI !KHC!@F!@JJDCTE@ACP!GIL!AB@A!SIVKHCP!IF!BELB! S@AjBELB!V@GIDEC!dEUCU!kDCPl!SIIPH e!@FP!SDKEAHjTCLCA@JGCH!dCULU!kLD CCFl!SIIPHeU!*BEGPDCF!@FP!R@DCFAH! ]CDC!CFVIKD@LCP!AI!EFVDC@HC!RB7HEV@G!@VAETEA7! ABDIKLB!@!RCPIOCACD_J@HCP!HACR!RDILD@O!@FP!AI! DCPKVC!AEOC!HRCFA!EF!HCPCFA@D7!@VAETEAECHU!&F! ABC!S@OEG7_J@HCP!VIFPEAEIFQ!LDIKR!GC@PCDH!]IDNCP! ]EAB!VBEGPDCF!@FP!R@DCFAH!AILCABCD!AI!HCA!]CCNG7 !LI@GH!HKVB!@H!DCPKVEFL!ABC!VIFHKORAEIF!IS!kDCPl! SIIPHQ!EFVDC@HC!ABC!FKOJCD!IS!HACRH!RCD!P@7Q!@F P!EORIHEFL!HRCVESEV!AEOC!GEOEAH!SID!ACGCTEHEIF! ]@AVBEFLU!&F!ABC!R@DCFA_IFG7!VIFPE AEIFQ!R@DCFAH!GC@DFCP!BI]!AI!PCTC GIR!@FP!EORGCOCFA!LI@GH!]EAB! ABCED!VBEGPDCFU!)PPEAEIF@G!AIREVH!EF!JIAB!EFACDTCFAEIF!VIFPEAEIFH!EFVGKP CP!EORDITEFL!HCGS_CHACCO! @FP!JIP7!EO@LCQ!@FP!AC@VBEFL!R@DCFAH!BI]!AI!CSSCV AETCG7!KHC!JCB@TEID@G!O@F@LCOCFA!ACVBFE`KCHQ! HKVB!@H!FCLIAE@AEIF!@FP!VIFAEFLCFV7!O@F@LCOCFAU!&F !@PPEAEIF!ABC!PEP@VAEV! VIFACFAQ!7IKAB!EF!ABC! S@OEG7_J@HCP!EFACDTCFAEIF!R@DAEVER@ACP!EF!@!SKFQ!RB7HEV@G!@VAETEA7!@FP!H@ORGCP!@!BC@GAB7!HF@VN! C@VB!]CCNU!!

PAGE 21

! <"! Measures Anthropometrics (@DAEVER@F AH!]CDC!@HHCHHCP!SI D!BCELBA!@FP!]CELBAU! $CELBA!]@H!A@NCF!]EABIKA!HBICH!AI!ABC! FC@DCHA!U"!VCFAEOCACD!KHEFL!@!$@DRCFPIF!5A@PEIOCAC DU!2CELBA!]EAB!IFC!G@7CD!IS!VGIABCH!@FP!FI! HBICHQ!]@H!OC@HKDCP!AI!ABC!FC@DCHA!U"!NEGILD@O! KHEFL!@!J@G@FVC!JC@O!HV@GCU!!$CELBA!@FP!]CELBA! ]CDC!A@NCF!EF!ADERGEV@AC!@FP!ABC!@TCD@LC!]@H!KH CP!SID!@F@G7HCHU!/'&!]@H!V@GVKG@ACP!KHEFL!ABC! ;KCACGCA!SIDOKG@!m/'&n] CELBA!dNLejBCELBA!dVO < eoU!*BEGPDCF\H!/'&!DCHKGAH!]CDC!VIFTCDACP!EFAI![_ HVIDCH!SID!@F@G7HCHU!! Children's Eating Attitudes Test #BC!*BEGPDCF\H!%@AEFL!)AAEAKPCH!#CHA!d*B%)# f!'@GIFC7Q!'V3KEDCQ!g!-@FECGHQ!">ZZe!EH!@! Z>WeU!&F!ABC!RDCHCFA!H@ORGCQ!*DIFJ @VB\H!@GRB@!SID!ABC!AIA@G!HVIDC!]@H!UY^U!!! Schwartz Peer Victimization Scale #BC!5VB]@DA[!(CCD!0EVAEOE[@AEIF!5V@GC!d 5(05f!5VB]@DA[Q!,@DTCDQ!*B@FLCQ!g!1CC_5BEFQ! <==
PAGE 22

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PAGE 23

!
PAGE 24

! >MeQ!ABC!C`KE T@GCFVC!EFACDT@G!]@H!HCA!AI! <=i!IS!ABC!]@EAGEHA!LDIKR!OC@F! VB@FLC!HVIDCU!&F!IABCD!]IDPHQ!EA!]@H!PCVEPCP!AB@A !HVIDCH!AB@A!SCGG!]EABEF!ABEH!PEHA@FVC!IS!ABC! ]@EAGEHA!OC@F!VB@FLC!HVIDC!]IKGP!JC!HO@GG!CFIKLB!AI !JC!VIFHEPCDCP!ADETE@GU!4CcAQ!ABC!PESSCDCFVC! JCA]CCF!ABC!LDIKR!OC@F!VB@FLC!HV IDCH!]@H!V@GVKG@ACPU!#BEH!IJA@EF CP!OC@F!PESSCDCFVC!]@H!ABCF! @PPCP!@FP!HKJAD@VACP!SDIO!ABC!@!RD EIDE!<=i!PESSCDCFVCQ!@FP!PETEPC P!J7!ABC!HA@FP@DP!CDDIDQ!]BEVB! DCHKGACP!EF!A]I![_HA@AEHAEVHU!#BEH!HACR!ACHA CP!]BCABCD!ABC!IJA@EFCP!OC@F!PESSCDCFVC!]@H! HELFESEV@FAG7!PESSCDCFA!AB@F!ABC! RDCPCACDOEFCP!ADETE@G!PESSCDCFVCU !%@VB!IS!ABC!RDIJ@JEGEAECH! @HHIVE@ACP!]EAB!ABC![_HA@AEHAEVH!OKHA!JC!GCHH! AB@F!U=^!AI!DCbCVA!AB C!FKGG!B7RIABCHEH!IS!FIF_ C`KET@GCFVCU!! !(C@DHIF!RDIPKVA!VIDDCG@AEIFH!]CDC!V@GVKG@ ACP!SID!@GG!RH7VBIHIVE@G!T@DE@JGCH!EFVGKPEFL! J@HCGEFC!GCTCGH!IS!PEHIDPCDCP!C@AEFL!@AAEAKPCHQ! JIP7!PEHH@AEHS@VAEIFQ!RCCD!TE VAEOE[@AEIFQ!DCHADEVAEIFQ! VIFVCDF!@JIKA!VBEGP!]CELBAQ!@FP!SIGGI]_KR!GCTCGH! IS!PEHIDPCDCP!C@AEFL!@AAEAKPCH!AI!Cc@OEFC!ABC! PEDCVAEIF!IS!ABC!DCG@AEIFHBERHU! )!BECD@DVBEV@G!GEFC@D!DCLDCHHEIF!]@H!KHCP!AI!@HHCHH!]BCABCD! J@HCGEFC!GCTCGH!IS!VBEGP!DCRIDAC P!JIP7!PEHH@AEHS@VAEIF!@FP!RCCD!TE VAEOE[@AEIF!@FP!R@DCFA!DCRIDACP! DCHADEVAETC!SCCPEFL!@FP!VIFVCDF!@JIKA!VBEGP!]CELBA !RDCPEVACP!PEHIDPCDCP!C@AEFL!@AAEAKPCH!@A!OIFAB! "=!SIGGI]_KRU!*IT@DE@ACH!dJ@HCGEFC!PEHIDPCDCP!C@ AEFL!@AAEAKPCHQ!LDIKR!OCOJCDHBERe!]CDC!CFACDCP! EF!ABC!SEDHA!JGIVNQ!SIGGI]CP!J7!VBEGP!DCRIDACP!T@DE @JGCH!EF!ABC!HCVIFP!JGIV N!dJIP7!PEHH@AEHS@VAEIF! @FP!RCCD!TEVAEOE[@AEIFeQ!@FP!SEF@ GG7!R@DCFA!DCRIDACP!T@DE@JGCH!EF !ABC!ABEDP!JGIVN!dDCHADEVAETC! SCCPEFL!@FP!VIFVCDF!@JIKA!VBEGP!]CELBAeU!)GG! @F@G7HCH!]CDC!VIFPKVACP!KHEFL!@!VIOOCDVE@GG7! @T@EG@JGC!HISA]@DC!RDILD@O!d5(55!"XU =f!5(55Q!&FVUQ!*BEV@LIQ!&GGEFIEHeU!!

PAGE 25

! <^! *$)(#%.!M! .%561#5! Descriptive Data /@HCGEFC!]CELBA!HA@AKH!@FP!PCOILD@RBEV!EFSI DO@AEIF!@DC!RDCHCFACP!EF!#@JGC!"U!+TCD@GGQ! VBEGPDCF!]CDC!@LCH!Y_"M!7C@DH!IGP!d M !n!"=UYQ! SD !n!"UXeU!#BC!O@bIDEA7!IS!VBEGPDCF!]CDC!EPCFAESECP! @H!*@KV@HE@F!dZ^UMieQ!]EAB!ABC!DCO@EFPCD!EPCF AES7EFL!@H!)SDEV@F_)OCDEV@F!dWUWieQ!$EHR@FEV! d^U>ieQ!/E_D@VE@G!dieQ!@FP!+ABCD!d"U^ieU!#B C!R@DAEVER@AEFL!@PKGA!]@H!RDCPIOEF@ACG7!ABC! OIABCD!dYXU^ieQ!ABIKLB!S@ABCDH!d""UYieQ!LD@FPR @DCFAH!dYUWieQ!HACR_OIA BCDH!dieQ!@FP!HACR_ S@ABCDH!d"U^ie!]CDC!@GHI!DCRDCHCFACPU!!#BC!O@bID EA7!IS!GCL@G!LK@DPE@FH!]CDC!O@DDECP!dYYU>ieQ!@FP! OCPE@F!S@OEG7!EFVIOC!]@H!DCRIDACP!AI! JC!pW=Q===!_!p^>Q>>>U!,ESA7!VBEGP _R@DCFA!P7@PH!dYWie! VIORGCACP!ABC!OIFAB!"=!SIGGI]_KRU!&FPCRCFPCFA! t ACHAH!]CDC!KHCP!AI!ACHA!SID!PESSCDCFVCH!JCA]CCF! VBEGPDCF!]BI!VIORGCACP!ABC!OIFAB!"=!SIGGI]_KR!@ FP!ABIHC!]BI!PEP!FIAU!.CHKGAH!EFPEV@ACP!AB@A! FIF_VIORGCACDH!]CDC!7IKFLCD!mAdX^e_=Q!RnU==^o!AB@F!ABCED!VIKFACDR@DAH!]B I!VIORGCACP!ABC!"=_OIFAB!SIGGI]_KR!@HHCHHOCFAU! 5A@AEHAEV@G!Cc@OEF@AEIF!DCTC@GCP!AB@A!VBEGP!@LCQ! LCFPCDQ!@FP!/'&![_HVIDC!VB@FLC!SDIO!J@HCGEFC!AI! OIFAB!"=!SIGGI]_KR!]CDC!KFDCG @ACP!AI!C@AEFL!@AAEAKPCHQ!@FP!ABCD CSIDC!]CDC!FIA!VIFADIGGCP!SID!EF! HKJHC`KCFA!@F@G7HCHU!! !+KAVIOCH!SDIO!ABC!G@DLCD!H@ORGC!]CDC!DCVCF AG7!RKJGEHBCP!d9@FEVNC! CA!@GUQ!<==Z@eQ!JKA!P@A@! SID!ABC!VKDDCFA!R@DAEVER@FAH!]EGG!JC!DCCc@OEFCP!BC DC!AI!S@VEGEA@AC!EFACDRDCA@AEIF!IS!ABC!VKDDCFA! @F@G7HEH!IS!C@AEFL!@AAEAKPCH!@FP!JCB@TEIDH!dHCC! #@JGC!Q!5-!n!U
PAGE 26

! eQ!S@OEG7_J@HCP!d' n!W=XUe!LDIKRH!]EAB!DCHRCVA!AI!PCVD C@HCH!EF!V@GIDEV!EFA@NC!ITCD!AEOCU!! !!(DCGEOEF@D7!@F@G7HCH!HBI]CP!AB@A!ABCD C!]CDC!FI!HELFESEV@FA!PESSCDCFVCH!JCA]CCF!ABC! R@DCFA_IFG7!@FP!S@OEG7_J@HCP!VIFPEAEIFH!IF!ABC!OC@H KDC!IS!C@AEFL!@AAEAKPCH!@A!J@HCGEFC!ID!SIGGI]_ KR!d*B%)#eQ!ABKH!ABIHC!LDIKRH!]CDC!VIGG@RHCP!SI D!HKJHC`KCFA!@F@G7HCHU!(H7VBIHIVE@G!P@A@!SID! EFACDTCFAEIF!@FP!]@EAGEHA!LDIKRH!@DC!RDCHCFACP!EF! #@JGC!MU!(IHEAETC!VB@FLC!HVIDCH!SID!ABC!*B%)#! AIA@G!HVIDC!@FP!/'&![_HVIDC!DCRDCHCFA!EFVDC@HCH!EF !C@AEFL!PEHIDPCDCP!@AAEAK PCH!@FP!]CELBA!HA@AKH! SDIO!J@HCGEFC!AI!OIFAB!"=!SIGGI]_KRQ!DCHRCVAETCG7U!!!!! Disordered Eating Attitudes #BC!GCTCG!IS!PEHIDPCDCP!C@AEFL!@AAEAKPCH!CFPID HCP!J7!VBEGPDCF!EF!EFACDTCFAEIF!dJ@HCGEFCQ!'! n!"=UMZf!5-!n!XUYYf!SIGGI]_KRQ!'n>UZWQ!5-nYU<U>^Q!5-nZUW=e!VIFP EAEIFH!]@H!DCG@AETCG7!GI]Q!VIOR@DCP!AI!ABC!DCVIOOCFPCP! VGEFEV@G!VKAISS!HVIDC!IS! <=!d3@DFCD!CA!@GUQ!">Z
PAGE 27

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PAGE 30

! M=! #@JGC!M_"U!/@HCGEFC!PCOILD@RBEV!EFSIDO@AEIF! !! *IFPEAEIF! *B@D@VACDEHAEV!! (@DCFA_+FG7! ,@OEG7_/@HCP! 2@EAGEHA! 4!! ! *BEGP!@LC!! !"=U>!"=UZ!"=UW! /I7HjLEDGH!dFe! !"XjZ!"=j"W!>j"=! (@DCFA!@LC!! !WMUZ!W"U"UZ!XXUZ!YMUY! *BGEGP!.@VCj%ABFEVEA7! !! !!!!!!!*@KV@HE@F! !<=! <=! "Y! !!!!!!!)SDEV@F!)OCDEV@F! !=! Q>>>! !M! M! "! !!!!!!!p<=Q===_p^>Q>>>! !"! Y! M! *IORGCACP!OIFAB!"=!SIGGI]_KR!dFe!!"Z! "Y! "^!

PAGE 31

! M"! #@JGC!M_!dUU=M!dXX>UXZe!XU"WUYY!dY="U"Xe!">>>U>=!dYY^UYMe!<="^UWe!W=XUe!

PAGE 32

! MUZW!dYU<U>^!dZUW=e! !!!!!!#IA@G!HVIDCQ! !_U^X!dYUYZe!_"UY^!dXU>=e! !!!!!!)JITC!VGEFEV@G!VKAISS!dFeQ!J@HCGEFC! !X! X! !!!!!!)JITC!VGEFEV@G!VKAISS!dFeQ!OIFAB!"=!SIGGI]_KR! M! U"Y!dWU=We!ZU"X!dMUMYe! *,;!! !!!!!!(@DCFA!VIFVCDF!@JIKA!VBEGP!]CELBA! !>UZW!dUZW!dUW"e!">UW"e!

PAGE 33

! MM! #@JGC!M_WU!4KOJCD!IS!7IKAB!]BI!C FPIDHCP!HRCVESEV!EACOH!@A!SIGGI]_KR! !! &FACDTCFAEIF! 2@EAGEHA! !! /@HCGEFC!,IGGI]_KR!/@HCGEFC!,IGGI]_KR! r&!SCCG!TCD7!LKEGA7!@SACD!C@AEFLr! M!M!W!"! r&!GENC!O7!HAIO@VB!AI!JC!CORA7r! M!"! 2 M! r&!TIOEA!@SACD!&!B@TC!C@ACFr!=!=!=!=! r&!B@TC!ABC!KDLC!AI!TIOEA!@SACD!&!B@TC!C@ACFr!=!=!=!=! r&!B@TC!LIFC!IF!C@AEFL!JEFLCH!]BCDC!&!SCCG!AB@A!&! OELBA!FIA!JC!@JGC!AI!HAIRr!M!
PAGE 34

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! WW! 1&5#!+,!.%,%.%4*%5! /EDVBQ!1U1UQ!3DEOO _#BIO@HQ!8UQ!'@DNC7Q!*U4UQ!5@]7CDQ!.UQ!g!9IBFHIFQ!5U1U!d<=="eU!! *IFSEDO@AID7!S@VAID!@F@G7HEH!IS!ABC!*BEGP! ,CCPEFL!;KCHAEIFF@EDCa!)!OC@HKDC!IS!R@DCFA@G! @AAEAKPCHQ!JCGECSH!@FP!RD@VAEVCH!@JIKA! VBEGP!SCCPEFL!@FP!IJCHEA7!RDIFCFCHHU!! Appetite, 36, <="_<"=U!!! /D@CAQ!*UQ!#@FLBCQ!)UQ!/IPCQ!(U-UQ!,D@FVNcQ!$UQ!g! 2EFVNCGQ!'U0U!d<==MeU!&FR@AECFA!ADC@AOCFA!IS! IJCHC!VBEGPDCFa!)!OKGAEVIORIFCFA!RDILD@O! ]EABIKA!HADEFLCFA!V@GIDEC!DCHADEVAEIFU! European Journal of Pediatrics, 162, M>"_M>XU! /D@CAQ!*UQ!g!0@F!2EFVNCGQ!'U!d<===eU!1IFL_ACDO! SIGGI]_KR!IS!@!VILFEAETC!JCB@TEID@G!ADC@AOCFA! RDILD@O!SID!IJCHC!VBEGPDCFU! Behavioral Therapy, 31, ^^_ZWU! /KDDI]HQ!)UQ!g!*IIRCDQ!'U!d<==MU!! *@DACDQ!,U)U!g!/KGENQ!*U'U!d<==ZeU!*BEGPBIIP!IJCHEA7 !RDCTCFAEIF!RDILD@OHa!$I]!PI!ABC7!@SSCVA! C@AEFL!R@ABIGIL7!@FP!IABCD!RH7VBIGILEV@G!OC@HKDCHt! Psychosomatic Medicine, 70 Q!MXM_ MY"U! -@TEHIFQ!8U8UQ!g!/EDVBQ!1U1U!d<=="eU!!2CELBA!HA @AKHQ!R@DCFA!DC@VAEIFQ!@FP!HCGS_VIFVCRA!EF!SETC_ 7C@D_IGP!LEDGH Pediatrics, 107 Q!WX_^MU! %RHACEFQ!1U$UQ!(@GKVBQ!.U)UQ!.ICOOEVBQ!9U4UQ!g!/CCVBCDQ!'U-U!d<==YeU!,@OEG7_J@HCP!IJCHEA7! ADC@AOCFAQ!ABCF!@FP!FI]a!#]CFA7_SETC! 7C@DH!IS!RCPE@ADEV! IJCHEA7!ADC@AOCFAU! Health Psychology, 26 Q!MZ"_M>"U!! %RHACEFQ!1U$UQ!(@GKVBQ!.U)UQ!5@CGCFHQ!/U%UQ!%D FHAQ!'U'UQ!g!2EGSGC7Q!-U%U!d<=="eU!*B@FLCH!EF! C@AEFL!PEHIDPCD!H7ORAIOH!]EAB! RCPE@ADEV!IJCHEA7!ADC@AOCFAU! The Journal of Pediatrics, 139, ^Z_X^U! %RHACEFQ!1U$U!g!5`KEDCHQ!5U!d">ZZeU! The stoplight diet for childre n: An eight week program for parents and children. /IHAIFa!1EAAGCQ!/DI]FU! %RHACEFQ!1U$UQ!0@GIHNEQ!)UQ!2EFLQ!.U.UQ!g!'V *KDGC7Q!9U!d">>=eU!#CF_7C@D!SIGGI]_KR!IS! JCB@TEID@GQ!S@OEG7_J@HCP!AD C@AOCFA!SID!IJCHC!VBEGPDCFU! Journal of the American Medical Association, 264, <^">_<^>WeU!#CF_7C@D!IKAVIOCH!IS!JCB@TEID@G! S@OEG7_J@HCP!ADC@AOCFA!SID!VBEGPBIIP!IJCHEA7U! Health Psychology, 13, MYM_MZMU!

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! W^! %DCDOEHQ!5UQ!*CAEFQ!4UQ!#@O@DQ!'UQ!/KNKHILGKQ!4UQ!)NPCFE[Q!,UQ!g!3INHCFQ!-U!d<==WeU!!&H!IJCHEA7! @!DEHN!S@VAID!SID!RH7VBIR@ ABIGIL7!@OIFL!@PIGCHVCFAHt!! Pediatrics International, 46, !<>X_ M="U! ,@LIA_*@OR@LF@!)UQ!!(CAAEAA!-U9UQ!%FLCGL@K!'U'UQ!/KDDI]H!4U.UQ!3CEHH!1U5UQ!0@GPC[!.UQ!!CA!@GU! d<===eU!#7RC!>>eU!.CG@AEIF!IS!!RCCD! @FP!OCPE@!EFSGKCFVCH!AI!ABC!PCTCGIROCFA!IS !RKDLEFL!JCB@TEIDH!@OIFL!!RDC@PIGCHVCFA!@FP! @PIGCHVCFA!LEDGHU! Archives of Pediatrics & Adolescent Medicine, 153, ""ZW_""Z>U! ,EHBCDQ!9U+U!g!/EDVBQ!1U1U!d ">>>eU!.CHADEVAEFL!@VVCHH!AI!SIIPH!@FP!VBEGPDCF\H!C@AEFLU!! Appetite, 32, W=^_W">U! ,EHBCDQ!9U+U!g!/EDVBQ!1U1U!d<==>^eU! %@AEFL!PEHIDPCDH!EF!!@PIGCHVCFAHa!)! J@VNLDIKFP!R@RCDU! Journal of Adolescent Health, 16, W<=_WMYU! 3@DPFCDQ!.U'UQ!5IDACDQ!.U3UQ!g!,DECPO@FQ!/U4U !d">>YeU!-CTCGIROCFA@G!VB@FLCH!EF!!VBEGPDCF\H! JIP7!EO@LCHU! Journal of Social Behavior and Personality, 12, "=">_!"=MXU!! 3@DFCDQ!-U'UQ!+GOHACPQ!'U(Q!/IBDQ!:U!g!3@DSE FNCGQ!(U%U!d">Z>ZeU!.IGC !IS!JCB@TEIKD!OIPESEV@AEIF!EF!ABC!!ADC@AOCFA! IS!VBEGPBIIP!IJCHEA7!]EAB!ABC!R@DCFAH!@H !ABC!CcVGKHETC!@LCFAH!IS!VB@FLCU!! International Journal of Obesity, 22, "<"Y_"<_<"^U!! $@EFCHQ!9UQ!4CKO@DN_5[A@EFCDQ!-UQ!$@FF@FQ!(UQ!g! .IJEFHIF_+\/DECFQ!.U!d<==ZeU!*BEGP!!TCDHKH!! R@DCFA!DCRIDA!IS!R@DCFA@G!EFSGKC FVCH!IS!VEBGPDCF\H! ]CELBA_DCG@ACP!@AAEA KPCH!!@FP!JCB@TEIDHU! Journal of Pediatric Psychology, "_XU!!

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! WX! &DTEFLQ!1U'U!g!4CKO@DN_5[A@EFCDQ! -U!d<==>_M=>U! 9@FEVNCQ!-U'UQ!5@GGEFCFQ!/U9UQ!(CDDEQ!'U3UQ!1K ACHQ!1U-UQ!$KCDA@Q!'UQ!5EGTCDHACEFQ!9U$UQ!g! /DKOJ@VNQ!/U!d<==Z@eU!*IOR@DEHIF!IS!R@DCFA_I FG7!TH!S@OEG7_J@HCP!EFACDTCFAEIFH!!SID! ITCD]CELBA!VBEGPDCF!EF!KFPCDHCDTCP!DKD@G!HC AAEFLHa!+KAVIOCH!SDIO!(DIbCVA!!5#+.:U! Archives of Pediatrics a nd Adolescent Medicine, 162, """>_"">>eU!%OREDEV@GG7!HKRRIDACP!ADC@AOC FAH!EF!RCPE@ADEV!!RH7VBIGIL7a! RCPE@ADEV!IJCHEA7U! Journal of Pediatric Psychiatry, 24 Q!<>WeU!(@DCFAH\!@F P!VBEGPDCF\H!@PERIHEA7! @FP!C@AEFL!HA7GCU!! Pediatrics, 94, X^M_XX"U! 8EGGCFQ!9U-UQ!#@7GIDQ!*U/UQ!$@7]@DPQ!*UQ!2EGHIFQ!-U'UQ!$@7PCGQ!8U,Q!CA!@GU!d">>WeU!(KDHKEA!!IS! ABEFFCHH!@FP!IFHCA!IS!C@AEFL!PEHIDPCD!H7ORAI OH!EF!@!VIOOKFEA7!H@ORGC!IS!!@PIGCHVCFA! LEDGHa!)!ABDCC_7C@D!RDIHRCVAETC!@F@G7HEHU! International Journal of Eating Disorders, 16, <ZZeU!.CGE@JEGEA7!ACHAEFL!IS !@!VBEGPDCF\H!!TCDHEIF! IS!ABC!%@AEFL!)AAEAKPCH!#CHAU! Journal of the American Acade my of Child and Adolescent Psychiatry, 5, ^W"_^WMU! 'C7CDHQ!'U-UQ!.@7FIDQ!$U)UQ!g!%RHACEFQ!1U$U!d">>Ze U!(DCPEVAIDH!IS!VBEGP!RH7VBIGILEV@G!!VB@FLCH! PKDEFL!S@OEG7_JC@HCP!ADC@AOCFA!SID!IJCHEA7U! Archives of Pediatrics and Adolescent Medicine, 152, Z^^_ZX"U! 'KHAQ!)U!d">>XeU!!'IDJEPEA7!@FP!OIDA@GEA7!@HHIVE @ACP!]EAB!CGCT@ACP!JIP7!]CELBA!EF!!VBEGPDCF!@FP! @PIGCHVCFAHU! American Journal of Clinical Nutrition, 63 Q!WW^5!u!!WWY5U! 4CKO@DN_5[A@EFCDQ!-UQ!2@GGQ!'UQ!3KIQ!9UQ!5AID7Q!' UQ!$@EFCHQ!9U!g!%EHCFJCDLQ!'U!d<==XeU!!+JCHEA7Q! PEHIDPCDCP!C@AEFLQ!@FP!C@AEFL!PEHIDPCDH!EF!@! GIFLEAKPEF@G!HAKP7!IS!!@PIGCHVCFAHa!$I]!PI! PECACDH!S@DC!^!7C@DH!G@ACDt! Journal of the American Di etetic Association, 106 Q!^^>_^XZU!

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! WY! 4CKO@DN_5[A@EFCDQ!-UQ!2@GGQ!'UQ!5AID7Q!'UQ!g!(CDD 7Q!*U!d<==MeU!*IDDCG@ACH!IS!KFBC@GAB7!!]CELBA_ VIFADIG!JCB@TEIDH!@OIFL!@PIGCHVCFAHa!EO RGEV@AEIFH!SID!RDCTCFAEIF!!RDILD@OHU! Health Psychology, 22 Q!ZZ_>ZU! +LPCFQ!*U!1UQ!*@DDIGGQ!'U!-UQ!g!,GCL@GQ!8U! 'U!d<==ZeU!$ELB!JIP7!O@HH!EFPCc!SID!@LC!@OIFL!65! VBEGPDCF!@FP!@PIGCHVCFAHQ!<==M_<==XU! Journal of the American Medical Association, 299 Q! >>eU!+FHC A!IS!@PIGCHVCFA!C@AEFL! PEHIDPCDHa!(IRKG@AEIF!J@HC P!VIBIDA!HAKP7!ITCD!M!7C@DHU! British Medical Journal, 318, YX^_ YXZU! (CH@Q!9U)UQ!57DCQ!#U.UQ!g!9IFCHQ!%U!d<===eU!!(H7VBI HIVE@G!PESSCDCFVCH!@HHIVE @ACP!]EAB!JIP7!]CELBA! @OIFL!SCO@GC!@PIGCHVCFAHa!ABC! EORIDA@FVC!IS!JIP7!EO@LCU! Journal of Adolescent Health, 26 Q!MM=_MMYU! (ECDVC!g!2@DPGC!d">>YeU!!*@KHC!@FP!CSSCVA!JCGEC SH!@FP!HCGS_CHACCO!IS!ITCD]CELBA!!VBEGPDCFU!! Journal of Child Psychology and Psychotherapy, 38 Q!XW^_X^=U! (KBGQ!.U'U!g!1@AFCDQ!9U-U!d<==YeU!5AELO@ Q!IJCHEA7Q!@FP!ABC!BC@GAB!IS!ABC!F@AEIF H!VBEGPDCFU! Psychological Bulletin, 133(4) Q!^^Y_^Z=U! .EVVE@DPCGGEQ!1U)U!g!'V*@JCQ!'U(U!d<=="eU! *BEGPDCF\H!JIP7!EO@LC!VIFVCDFH!@FP!C@AEFL!! PEHAKDJ@FVCa!@!DCTEC] !IS!ABC!GEACD@AKDCU! Clinical Psychology Review, 21 Q!M<^_MWWU!! .ILCDHQ!9U1UQ!$I]@DPQ!8U&UQ!g!0CHHC7Q!9U#U! d">>MeU!6HEFL!HELFESEV@FVC!ACHAH!AI!CT@GK@AC!! C`KET@GCFVC!JCA]CCF!A]I!CcRCDEOCFA@G!LDIKRHU! Psychological Bulletin, 113, ^^M_!^X^U! 5@AACDQ!%U!d">>XeU!&FACDF@G!DCLK G@AEIF!@FP!ABC!CTIGKAEIF!IS!FID O@G!LDI]AB!@H!ABC!J@HEH!SID!! RDCTCFAEIF!IS!IJCHEA7!EF!VBEGPDCFU! Journal of the American Di etetic Association, 96 Q!ZX=_ ZXWU! 5@AACDQ!%U!d<===eU!)!OIPCD@AC!TEC]! IF!S@A!DCHADEVAEIF!SID!7IKFL!VBEGPDCFU! Journal of the American Dietetic Association, 100 Q!M<_MXU! 5@AACDQ!%U!d<==^eU!:IKFL!VBEGP\H !]CELBAa!$CGREFL!]EABIKA!BKD AEFLU!8CGV7!(DCHHU!'@PEHIFQ!! 2EHVIFHEFU! 5VBOEPAQ!6U!d<==>WeU!(H7VBIOCADEV! RDIRCDAECH!IS!ABC!VBEGPDC F\H!C@AEFL!!@AAEAKPCH! ACHAU! International Journal of Eating Disorders, 16,
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! WZ! 5ACEFB@KHCFQ!$U!d<==MU! 5AEVCQ!%U!d<==>>eU!4@AKD@GEHAEV!!]CELBA! DCPKVAEIF!CSSIDAH!RDIHRCVAETCG7!RDCPEVA!LDI]AB! EF!DCG@AETC!]CELBA!@FP!IFHCA!!IS!IJCHEA7! @OIFL!SCO@GC!@PIGCHVCFAHU! Journal of Consulting and Clinical Psychology, 67, >XY_>YWU! 5AIDVBQ!%U)UQ!g!1CPGC7Q!-U.U! d<==^eU!(CCD!TEVAEOE[@AEIF!@FP! RH7VBIHIVE@G!@PbKHAOCFA!EF!! VBEGPDCFa!*KDDCFA!NFI]GCPLC!@FP!SKAKDC!PEDCVAEIFHU! Clinical Pediatrics, 44, <>_MZU! 5AIDOCDQ!5U'U!g!#BIORHIFQ!9U8U!d">>XeU!%cRG@F@AE IFH!IS!JIP7!EO@LC!PEHAKDJ@FVCa!)!ACHA!!IS! O@AKD@AEIF@G!HA@AKHQ!FCL@AETC!TCDJ@G!VIOOCFA@ D7Q!HIVE@G!VIOR@DEHIFQ! @FP!!HIVE@GVKGAKD@G! B7RIABCHCHU! International Journal of Eating Disorders, 19, ">M_<=>>eU!*BEGPBIIP!IJCHEA7U! Current Problems in Pediatrics, 29, "_<>U! #@FISHN7_8D@SSQ!'UQ!,@PCFQ!-UQ!:@FITHNEQ!5UhUQ! 2EGSGC7Q!-U%UQ!g!:@FITHNEQ!9U)U!d<==^eU!!#BC! RCDVCETCP!IFHCA!IS!PECAEFL!@FP!GIHH!IS!VIFA DIG!C@AEFL!JCB@TEIDH!EF!ITCD]CELBA!!VBEGPDCFU! International Journal of Eating Disorders, 38, ""<_"<>^eU!-CHEDC!AI !JC!ABEFFCD!@FP!]CELBA! VIFADIG!@OIFL!!VBEGPDCF! @FP!ABCED!R@DCFAHU! Behavior Therapy, 26, Z^_>>U! #DKJ7Q!$U!g!(@cAIFQ!5U9U!d<==eU!!4C]!:IDNa!3KEGSIDP!(DCHHU! 2CDABCEOQ!%U$UQ!8ICDFCDQ!9UQ!g!(@cAIFQ!5U9U!d<=="e U!1IFLEAKPEF@G!RDCPEVAIDH!IS!DCHADEVAETC!C@AEFL! @FP!JKGEOEV!ACFPCFVECH!EF!ABDCC!PESSCDC FA!@LC!LDIKRH!IS!@PIGCHVCFA!LEDGHU! Journal of Youth and Adolescence, 30, X>_Z"U!!

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