Date of Award
Master of Arts (MA)
Chair and Committee
Baseline parent-report of child depression and parent self-reported depression have been found to predict childrenΓÇÖs outcome in family-based behavioral weight loss treatment: FBT), although less is known about how child self-reported depression, changes in depression over time, and depression assessed via multiple informants is associated with FBT outcome. Two hundred and forty-one overweight children and their parents entered FBT, and 178 completed the pre- and post-FBT assessments. Depression was assessed via child and parent self-report, and parent-report on child. Linear regression examined child and parent depression: both baseline and change from baseline to post-FBT) as predictors of child FBT outcome: change in percent overweight). Regression models also evaluated the additive value of assessing depression via multiple informants: child and parent). Baseline depression: child self-report, parent self-report, parent-report on child) failed to significantly predict FBT outcome. In addition, the main effects of change in depression: child self-report, parent self-report, parent-report on child) were not significant. However, the interaction between baseline child self-reported depression and parent-report on child depression significantly predicted child FBT outcome. Furthermore, the interactions between change in child and parent depression significantly predicted child FBT outcome: 1) child self-reported depression change and parent self-reported depression change; and 2) child self-reported depression change and parent-report on child depression change. In the three significant models, children who experienced increased depressive symptoms and whose parents also reported an increase in depressive symptoms: either in their self-report or in their report of childrenΓÇÖs depression) exhibited the poorest FBT outcome. When evaluating depression via child self-report, parent self-report, and parent-report on child, the childrenΓÇÖs and parentsΓÇÖ self-reports did not independently predict child FBT outcome, but rather evaluating heightened depression scores on multiple measures: e.g., child self-report and parent-report on child) was significantly predictive. Early identification of and intervention for depression may enhance the tailoring of FBT and improve treatment outcome.
Kolko, Rachel, "Children's and Parents' Depression in Relation to Family-Based Behavioral Weight Loss Treatment Outcome" (2011). All Theses and Dissertations (ETDs). 495.