This article describes obesity and its treatment in mentally retarded children and youth. The major cause of obesity and commonly associated syndromes in the retarded are discussed. Traditional treatment approaches, such as psychotherapy, caloric restriction, increased activity, and anorexiant drugs are discussed. Contemporary behavioral approaches to the obese retarded population are reviewed. Implications for practitioners beginning a weight control program are delineated.
Get full access to this article
View all access options for this article.
References
1.
AbramsonE. E.A review of behavioral approaches to weight control. Behavior Research and Therapy, 1973, 11, 547–556.
2.
AbramsonE. E.Behavioral approaches to weight control: An updated review. Behavior Research and Therapy, 1977, 15, 355–363.
3.
AltmanK.BondyA., & HirschG.Behavioral treatment of obesity in patients with Prader Willi Syndrome. Journal of Behavioral Medicine, 1978, 1, 403–412.
4.
BakwinH., & BakwinR. M.Behavior disorders in children (4th ed.). Philadelphia: W. B. Saunders, 1972.
5.
BellackA. S.A comparison of self-reinforcement and self-monitoring in a weight reduction program. Behavior Therapy, 1975, 7, 68–75.
6.
BrayG. A., & BenfieldJ. R.Intestinal bypass for obesity: A summary and perspective. The American Journal of Clinical Nutrition, 1977, 30, 121–127.
7.
BruchH.Psychological aspects of overeating and obesity. Psychosomatics, 1964, 5, 269–274.
8.
BufordL. M.Group education to reduce overweight: Classes for mentally handicapped children. American Journal of Nursing, 1975, 75(11), 1994–1995.
9.
BuskirkE. R.Increasing energy expenditure: The role of exercise. In WilsonN. L. (Ed.), Obesity. Philadelphia: F. A Davis, 1969.
10.
CraddockD.Obesity and its management (2nd ed.). New York: Churchill Livingstone, 1973.
11.
CrispA. H., & StonehillE.Treatment of obesity with special reference to seven severely obese patients. Journal of Psychosomatic Research, 1970, 14, 327–332.
FeinsteinA. R.The treatment of obesity: An analysis of methods, results, and factors which influence success. Journal of Chronic Diseases, 1960, 11, 349–393.
14.
FoxR.RotatoriA. F., & FoxT.The prevalence of obesity in the mentally retarded: A pilot study. Paper presented at the annual meeting of the American Association on Mental Deficiency, Detroit, 1981.
15.
FoxxR. M.Social reinforcement of weight reduction: A case report on an obese retarded adolescent. Mental Retardation, 1972, 10, 21–23.
16.
GarmaA.The psychosomatic shift through obesity, migraine, peptic ulcer, and myocardial infarction in a homosexual. International Journal of Psychoanalysis, 1968, 49, 241–245.
17.
GumaerJ., & SimonR.Behavioral group counseling and schoolwide reinforcement program with obese trainable mentally retarded students. Education and Training of the Mentally Retarded, 1979, 14, 106–111.
18.
HeimanM. F.The management of obesity in the post-adolescent developmentally disabled client with Prader Willi Syndrome. Adolescence, 1978, 13, 291–296.
19.
HowardA. N.Dietary treatment of obesity. In SilverstoneT. (Ed.), Obesity: Its pathogenesis and management. Acton MA: Publishing Sciences Group, Inc., 1975.
20.
LeonG. R.Current directions in the treatment of obesity. Psychological Bulletin, 1976, 83(4), 557–578.
21.
MenolascinoF. J., & EggerM. L.Medical dimensions of mental retardation. Lincoln: University of Nebraska Press, 1978.
22.
MooreB. C.HaynesJ. D., & LaingC. R.Introduction to mental retardation syndromes and terminology. Springfield IL: Charles C Thomas, 1978.
23.
NiesworthJ. T., & SmithR. M.Retardation: Issues, assessment, and intervention. New York: McGraw-Hill, 1978.
24.
PraderA.LabhartA., & WilliH.Ein syndrome von adipositas, kleinwuchs, kryptochismus and oligophrenie nach myatronicartigen zustand in neugeborenenalter. Schweizer Medizinishe Wochenschritte, 1956, 86, 1260.
25.
RobinsonC. H.Normal and therapeutic nutrition (14th ed.). New York: MacMillan, 1972.
26.
RobinsonN. M., & RobinsonH. B.The mentally retarded child (2nd ed.). New York: McGraw-Hill, 1976.
27.
RotatoriA. F.The effect of different reinforcement schedules in the maintenance of weight loss with retarded overweight adults. Dissertation Abstracts International, 1978, 38, 4738-N.
28.
RotatoriA. F., & FoxR.A comparison of two weight reduction programs for moderately retarded adolescents. Behavior Therapy, 1980, 11, 410–416.
29.
RotatoriA. F., & FoxR.Behavioral weight reduction program with mentally handicapped persons: A self-control approach. Baltimore: University Park Press, 1981.
30.
RotatoriA. F.FoxR., & SwitzkyH.A parent-teacher administered weight reduction program for obese Down's Syndrome adolescents. Journal of Behavior Therapy and Experimental Psychiatry, 1979, 10, 339–341.
31.
RotatoriA. F.ParrishP., & FreagonS.Weight loss in retarded children—A pilot study. Journal of Psychiatric Nursing, 1979, 17, 33–34.
32.
RotatoriA. F., & SwitzkyH.Successful behavioral weight loss with moderately mentally retarded individuals. International Journal of Obesity, 1979, 3, 223–228.
33.
SchacterS.Some extraordinary facts about obese humans and rats. American Psychologist, 1971, 26, 129–144.
34.
SilverstoneT.Anorectic drugs. In SilverstoneT. (Ed.), Obesity: Its pathogenesis and management. Acton, MA: Publishing Sciences Group, Inc., 1975.
35.
SoharE., & SnehE.Follow-up of obese patients: 14 years after a successful reducing diet. American Journal of Clinical Nutrition, 1973, 26, 845–848.
36.
StuartR. B., & DavisB.Slim chance in a fat world: Behavioral control of obesity. Champaign IL: Research Press, 1972.