Evidence map›Paper›PMID 35971859›Full record

Trial reportPediatric obesity2023

Change in parent and child psychopathology following obesity treatment and maintenance: A secondary data analysis.

Anne Claire Grammer, John R Best, Lauren A Fowler, Richard I Stein, Rachel P Kolko Conlon, Katherine N Balantekin, R Robinson Welch, Michael G Perri, Leonard H Epstein, Denise E Wilfley

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric obesity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Clinically effective child change in family-based behavioral treatment for pediatric obesity: An individual participant mega-analysis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Pooled it
  2. Mental health outcomes of a pediatric-focused obesity randomized control trial in rural communities.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Trial
  3. Article
  4. Review
  5. Article
  6. Evidence Base Update on Behavioral Treatments for Overweight and Obesity in Children and Adolescents.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Anne Claire GrammerDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0001-9163-7055
John R BestDepartment of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Lauren A FowlerDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-9240-7267
Richard I SteinDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Rachel P Kolko ConlonDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-5107-1146
Katherine N BalantekinDepartment of Exercise and Nutrition Sciences, School of Public Health and Health Professions, University at Buffalo, Buffalo, New York, USA.ORCID 0000-0002-6760-2714
R Robinson WelchDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
Michael G PerriDepartment of Clinical & Health Psychology, University of Florida, Gainesville, Florida, USA.
Leonard H EpsteinDivision of Behavioral Medicine, Department of Pediatrics, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.
Denise E WilfleyDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.

Funding

Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
CHILDHOOD OBESITY TREATMENT: A MAINTENANCE APPROACHR01HD036904 · NICHD · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 1999 to 2010
$6.8M
WUSTL Transdisciplinary Pre- and Postdoctoral Training Program in Obesity and Cardiovascular DiseaseT32HL130357 · NHLBI · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2016 to 2025
$4.3M
The Intersection between Loss of Control Eating and Obesity: The Role of Restriction and Food Reinforcement.K01DK120778 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI BALANTEKIN, KATHERINE NAIME · 2020 to 2024
$785k
A mixed methods approach to understanding obesity risk among sexual minority womenK01MD017630 · NIMHD · WASHINGTON UNIVERSITY · PI Lauren Alina Fowler · 2022 to 2026
$596k
A Naturalistic Examination of Dietary Lapses in Low-Income, Treatment-Seeking Families with ObesityF31HL158000 · NHLBI · WASHINGTON UNIVERSITY · PI GRAMMER, ANNE CLAIRE · 2021 to 2022
$92k
NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR000448NHLBI NIH HHS F31 HL158000NHLBI NIH HHS T32 HL130357NICHD NIH HHS R01 HD036904NIDDK NIH HHS K01 DK120778NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK092950NIDDK NIH HHS P30 DK111022NIMHD NIH HHS K01 MD017630
6 · The paper itself

Abstract

backgroundGeneral and eating disorder (ED) psychopathology are common among children and adults with overweight/obesity; few studies have examined their course of change throughout family-based behavioural obesity treatment (FBT) and maintenance.

objectivesExamine: (1) the changes in the parent and child general and ED psychopathology during FBT and maintenance interventions; (2) the associations between change in psychopathology and change in weight among children or parents; (3) the associations between change in psychopathology within parent-child dyads.

methods172 parent-child dyads participated in 4-month FBT and were subsequently randomized to one of three 8-month maintenance interventions. General psychopathology (child anxiety/depressive symptoms, parent severity of global psychological distress), ED psychopathology (shape/weight concern), and percent overweight were assessed at baseline, post-FBT, and post-maintenance. Separate linear mixed-effects models evaluated change in general and ED psychopathology, including an interaction between maintenance condition and time. Partial correlations examined associations between change in psychopathology and percent overweight among children or parents, and associations between change in psychopathology within parent-child dyads.

resultsAmong children, significant reductions were observed from baseline to post-FBT in all forms of psychopathology and from post-FBT to post-maintenance in general psychopathology. Among parents, significant reductions were observed from baseline to post-FBT in all forms of psychopathology; reductions were maintained from post-FBT to post-maintenance. There was no significant interaction between maintenance condition and time. Correlations between change in most forms of parent or child psychopathology and percent overweight were observed.

conclusionsParticipation in FBT and maintenance was associated with improvements in general and ED psychopathology in both parents and children.

Indexed as

Feeding and Eating DisordersPediatric ObesityAdultBehavior TherapyChildHumansOverweightParentsanxietychildrendepressioneating disordersfamily-based treatmentobesity

Identifiers

PMID35971859
PMCPMC9772295

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.