Application of Behavioral Economic Principles to Treatment of Childhood Obesity
Obesity is a prevalent problem in childhood (Gortmaker, Dietz, Sobol, & Wehler, 1987), which increases the risk of adult obesity (Stark, Atkins, Wolff, & Douglas, 1981, Abraham, Collins, & Nordsieck, 1971), as well as adult morbidity and mortality (Must, Jacques, Dallal, Bajema, & Dietz, 1992,Nieto, Szklo, & Comstock, 1992). Behavioral treatment procedures have been used with considerable success in treating childhood obesity. Behavioral procedures have been shown to be superior to both no treatment (Epstein, Wing, Koeske, & Valoski, 1984; Israel, Stolmaker, Sharp, Silverman, & Simon, 1984, Kirschenbaum, Harris, & Tomarken, 1984) and attention placebo (Epstein, Wing, Steranchak, Dickson, & Michelson, 1980; Epstein, Wing, Woodall, Penner, Kress, & Koeske, 1985) controls for short term weight control, and behavioral treatments have been successful in maintaining treatment effects over five and then year intervals (Epstein, Valoski, Wing, & McCurley, 1990, Epstein, Valoski, Wing, & McCurley, 1993).
KeywordsPlacebo Obesity Heroin
Unable to display preview. Download preview PDF.
- Abraham, S,. Collins, G., &Nordsieck, M. (1971). Relationship of childhood weight status to morbidity in adults. Public Health Records, 85, 273–284.Google Scholar
- Dietz, W. H., & Gortmaker, S. L. (1985). Do we fatten our children at the television set? Obesity and television viewing in children and adolexcents. Pediatrics, 75, 807–812.Google Scholar
- Shrager, L. (1993). Comparative effects of decreasing sedentary behavior and increasing activity on weight change in obese children and their parents. Manuscript submitted for publication.Google Scholar
- Epstein, L. H., Valoski, A., Wing. R. R., &McCuriey. J. (1993). Ten-year outcomes of behavioral family based treatment for childhood obesity. Manuscript submitted for publication Google Scholar
- Gortmaker, S. L., Dietz,. H., Sobol, A. M., &Wehler, C. A. (1987). Incresing pediatric obesity in the United States. American Journal of Diseases in Children. 141, 535–540.Google Scholar
- Hurch, S. R., &Bauman. R. A. (1987). A behavioral analysis of demand. In L. Green. J. H. KageL (Eds.), Advances in behavioral economics; Volume 1 (pp. 117–165). Norwood, NJ: Ablex.Google Scholar
- Martin. J. E., Dubbert, P. M., Kartell, A. D., Thompson. J. K.. Raczynski, J. R., lake, M., Smith, P. O , Webster. J. S., Sikora. T., &Cohen. R. E. (1984). Behavioral control of exercise in sedentary adults. Studies 1 through 6. Journal of Consulting and Clinical Psychology. 52. 795–811.CrossRefGoogle Scholar
- Nieto. F. J., Szklo. M., &Comstock. G. W. (1992). Childhood weight and growth rate as predictors of adult mortality. American Journal of Epidemiology, 136, 201–213.Google Scholar
- Perrt M. G., Nezu, A. M., &Viegener. B. J. (1992). Improving the long-term management of obesity: Theory, research, and chnical guidelines. New York: John Wiley &Sons.Google Scholar
- Rahlin. H. (1989). Judgement, decision, and choice: A cognitve/behavioral synthesis. New York: W. H Freeman.Google Scholar
- Vara, L. S., &Epstein, L. H. (in press) Laboratory assessment of choice between exercise or sedentary behaviors. Research Quarterly for Exercise and Sport. Wadden, T. A., Stunkard, A. J., &Smoller. J. W. (1986). Three-year follow-up of the reatment of obesity by very low calorie diet, behavior therapy, and their combination. Journal of Consulting and Clinical Psychology, 56, 925–928.Google Scholar