A "family-based" approach to the treatment of obese type II diabetic patients

J Consult Clin Psychol. 1991 Feb;59(1):156-62. doi: 10.1037//0022-006x.59.1.156.


Forty-nine obese diabetic patients with obese spouses (diabetic or nondiabetic) were randomly assigned to an alone or together condition. Patients in the alone group participated by themselves in a 20-week behavioral weight control program; their spouses attended assessment sessions only. Patients in the together group attended the program with their spouses; both were targeted for weight loss and taught social support strategies. Weight losses of patients treated alone and together did not differ significantly at posttreatment (19.9 vs. 19.1 lb) or 1-year follow-up (11.6 vs. 7.0 lb). However, there was a significant interaction of treatment and gender; women did better when treated with their spouses, whereas men did better when treated alone. A "family-based" approach was not effective for these obese Type II diabetic patients as a whole but may be helpful for women.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Behavior Therapy / methods*
  • Diabetes Complications*
  • Eating
  • Family
  • Female
  • Humans
  • Male
  • Marriage
  • Middle Aged
  • Obesity / etiology
  • Obesity / therapy*
  • Sex Factors
  • Social Support
  • Weight Loss