Preadolescents\u27 and Parents\u27 Dietary Coping Efficacy During Behavioral Family-Based Weight Control Treatment

Abstract

Developmentally relevant high-risk dietary situations (e.g., parties where tempting foods are available) may influence overweight youth\u27s weight control, as they increase risk for overeating. Better self-efficacy for coping with these situations-which preadolescents may learn from their parents-could foster successful weight control. Overweight preadolescents (N = 204) ages 7-12 years (67% female), each with one parent, separately completed the Hypothetical High-Risk Situation Inventory (HHRSI) pre- and post-weight loss treatment. The HHRSI assesses temptation to overeat and confidence in refraining from overeating in response to four high-risk dietary scenarios. Participants generated coping strategies for each scenario. Coping strategies and confidence increased and temptation decreased from pre- to post-weight loss treatment. Parents\u27 increase in confidence from pre- to post-treatment was associated with preadolescents\u27 and parents\u27 weight loss. Tailoring treatments to enhance parents\u27 coping skills (e.g., building strategies, targeting high temptation/low confidence scenarios) may maximize preadolescents\u27 weight control

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