Essay --

Rationale of CBT for adolescent obesity Till date, most of the intervention studies of childhood obesity have recommended the use of comprehensive interventions that include behavioural therapy along with changes in diet and physical activity are the most successful approaches to improving long-term weight and health status.( Jelalian E et al.,1999) American Dietetic Association (2006) and the Expert Committee on the treatment of child and adolescent overweight and obesity (2007) also recommend cognitive behavioural intervention as an essential component of treatment. Considerable empirical support exists for programs that incorporate some combination of techniques such as stimulus control, self-monitoring, goal setting, problem solving, cognitive restructuring, parent skills training, and relapse prevention in the treatment of childhood and adolescent obesity.(Spear BA.,2007; Johnston CA et al.,2008; Stewart L et al.,2008). Recent literature also supports and recommends the use of CBT for adolescent obesity. Cochrane review of 54 randomized clinical trials on lifestyle interventions with the aim to ascertain the most effective intervention in the treatment of childhood obesity found that a behavioural lifestyle intervention with parental involvement, is preferred over standard care or self-help.(Oude L H et al.2009). Kirschenbaum and Kristen (2013) reviewed five recent expert recommendations on the treatment of adolescent obesity and found that all of the expert committees support the use of intensive dietary intervention, physical activity, and cognitive-behavioural counselling. Cognitive behaviour therapy has been found to be effective treatment of adolescent obesity as clearly evident in the literature. With the increasing... ...home from school, stairs climbing at home or school) †¢ Psychopathology (Developmental Psychopathology Checklist by Malvika Kapoor., 2002; Child Behaviour Checklist by Thomas M Achembach.,1991) †¢ Depression Children Depression inventory II by Maria Kovacs., 2010) †¢ Anxiety (Depression anxiety stress scale (DASS) by Lovibond., 1995) †¢ Stress (Stressful Life event scale for Indian children by Savita Malhotra., 1993) †¢ Body image (Body Shape Questionnaire by Cooper et al.,1986.) †¢ Self esteem (Rosenberg Self Esteem Scale by Rosenberg.,1965 ) †¢ Disordered eating pattern ( (Dutch Eating Behaviour Questionnaire by T Van Strein., 1986, Children Eating Behaviour Questionnaire by Jane Wardle et al., 2001) †¢ Isolation, Teasing, bullying ,Social Support , Level of concern, motivation and stage of readiness for behavioural change (Semi-structured interview schedule)