Intervention Effect of Solution-Focused Brief Therapy Based on Empowerment Theory on Loneliness in Obese Children
Abstract
Background: Obesity, one of the independent risk factors affecting children’s physical and mental health, has become a serious public health problem in the 21st century. Given physical anxiety and other psychological factors, obese children experience negative impact on their mental health and intellectual development from their loneliness, unwillingness to communicate with others, and lack of peer interaction. Therefore, exploring an effective psychological intervention model that can relieve loneliness in obese children is necessary.
Methods: From February to October 2022, a quasi-experimental study was conducted on obese children recruited from communities in Harbin, China. The children recruited were evaluated with the UCLA Loneliness Scale. According to the evaluation results, one hundred and five children were selected and randomly divided into experiment group (52) and control group (53). The experiment group was given an eight-week solution-focused brief therapy (SFBT) intervention based on empowerment theory. The control and experiment groups were measured and compared before and after the intervention.
Results: The loneliness score of the experiment group was significantly lower than that of the control group (P<0.001). The self-efficacy score of the experiment group was significantly higher than that of the control group (P<0.001). The subjective well-being score of the experiment group was significantly higher than that of the control group (P<0.001).
Conclusion: SFBT intervention based on empowerment theory has an effective intervention effect on loneliness in obese children and can improve their subjective well-being and self-efficacy. The results of this study provide a new perspective for the intervention on psychological problems in obese children.
2. Yuan JN, Jin BH, Si ST, et al (2021). Chang-ing prevalence of overweight and obesi-ty among Chinese children aged 6-15 from 2009-2019. Zhonghua Er Ke Za Zhi , 59(11): 935-41.
3. Sutaria S, Devakumar D, Yasuda SS, et al (2019). Is obesity associated with depres-sion in children? Systematic review and meta-analysis. Arch Dis Child, 104(1): 64-74.
4. Rao WW, Zong QQ, Zhang JW, et al (2020). Obesity increases the risk of de-pression in children and adolescents: Results from a systematic review and meta-analysis. J Affect Disord, 267: 78-85.
5. Cacioppo S, Grippo AJ, London S, et al (2015). Loneliness: clinical import and interventions. Perspect Psychol Sci, 10(2): 238-49.
6. Simon EB, Walker MP (2018). Sleep loss causes social withdrawal and loneliness. Nat Commun, 9(1): 3146.
7. Abadi M, Richard B, Shamblen S, et al (2022). Achieving whole health: a prelim-inary study of tcmlh, a group-based pro-gram promoting self-care and empow-erment among veterans. Health Educ Be-hav, 49(2), 347-57.
8. Karni L, Dalal K, Memedi M, et al (2020). Information and Communications Technology -based Interventions Tar-geting Patient Empowerment: Frame-work Development. J Med Internet Res, 22(8): 174-9.
9. Yang ML (2020). Effects of empowerment education on self-efficacy and progno-sis of patients with community acquired pneumonia. China J Health Psychol, 28(4): 507-10.
10. Zhang N, Chen HQ, Jiang JF, et al (2021). Evaluation of the application of em-powerment health education model in patients with depression. J Nurs Admin, 21(6): 451-6.
11. Xu WS, Chen XR (2015). The Application of Solution Focused Brief Therapy in School Counseling in Taiwan. Psychol Res, 8(4): 16-22.
12. Russell D, Peplau LA, Cutrona CE (1980). The revised UCLA Loneliness Scale: concurrent and discriminant validity ev-idence. J Pers Soc Psychol, 39(3): 472-80.
13. Wang CK, Hu ZF, Liu Y (2001). Evidences for Reliability and Validity of the Chi-nese Version of General Self Efficacy Scale. Chinese J Appl Psychol, 7(1): 37-40.
14. Campbell A, Converse PE, & Rodgers WL (1976). The quality of American life: Percep-tions, evaluations, and satisfactions. Russell Sage Foundation.
15. Liu YL (2018). The Effect of Solution-focused Short-term Psychological Coun-seling Technology on the Happiness of Secondary Vocational School Students. Health Vocat Educ, 36(18): 158-9.
16. Kort B, Froerer A, Walker C (2021). Creat-ing a Common Language: How Solution Focused Brief Therapy Reflects Current Principles of Change and Common Fac-tors. J Solution Focused Pract, 5(1): 5.
17. Novella JK, Ng KM, Samuolis J (2022). A comparison of online and in-person counseling outcomes using solution-focused brief therapy for college stu-dents with anxiety. J Am Coll Health, 70(4): 1161-8.
18. Wang W, Zhang J, Zhang YH, et al (2022). A Randomized Single Blind Study on the Improvement of Social Disability and Self-efficacy in Depressive Disor-der by Solution Focused Group Thera-py. J Kunming Med U, 43(7): 68-73.
19. Zhang HY, Zhang LL, Gong HL (2019). Application of Solution-focused Group Counseling on the Intervention of Pu-pils' Interpersonal Relationship. Guide Sci Edu, 11(7): 158-60.
20. Walker CR, Froerer AS, Gourlay-Fernandez N (2022). The value of using emotions in solution focused brief therapy. J Marital Fam Ther, 48(3): 812-26.
21. Hendar K, Awalya A, Sunawan S (2019). So-lution-focused brief therapy group counseling to increase academic resili-ence and self-efficacy. Jurnal Bimbingan Konseling, 8(3): 1-7.
22. Wang XM (2022). Solution-focused short-course psychological intervention in cataract patients and its effect on nega-tive emotion,subjective well-being,and quality of life. J Clin Path Res, 42(12): 3026-32.
23. Qin L, Wu X, Feng Q, et al (2019). The im-pact of the focus solution mode on the job burnout and subjective well-being of nurses in operating room. Ind Health Oc-cup Dis, 45(1): 14-6.
24. Zhang JZ (2021). The effect of solution-focused short-term therapy combined with paroxetine on patients with obses-sive-compulsive disorder. Chinese J Con-valescent Med, 30(5): 528-30.
25. Liu L (2020). Loneliness and subjective well-being of the elderly under different types of integrated medical and nursing modes. Chinese J Gerontology, 40(18): 3990-2.
26. Wang S, Ren H (2022). Relation of Subjec-tive Well-Being to Intergeneration So-cial Support, Loneliness in the Urban Elderly. Health Educ Health Promot, 17(3): 245-8.
27. Rodgers NH, Berquez A, Hollister J, et al (2020). Using solution-focused principles with older children who stutter and their parents to elicit perspectives of thera-peutic change. Perspect ASHA Spe Interest Groups, 5(6): 1427-40.
28. Zhang P, Chen LJ, Yin YT, et al (2020). Re-lationship of psychological capital, per-ceived social support to subjective well-being of medical undergraduates of a university in Jinan City. Occup Health, 36(3): 387-91
29. Joubert J, Guse T (2021). A Solution-Focused Brief Therapy (SFBT) Interven-tion model to facilitate hope and sub-jective well-being among trauma survi-vors. J Contemp Psychother, 51(4): 303-10.
| Files | ||
| Issue | Vol 52 No 8 (2023) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v52i8.13407 | |
| Keywords | ||
| Empowerment theory Solution-focused brief therapy Obese children Loneliness | ||
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