# Targeting Emotional Eating and Weight Loss in Adolescents

> **NIH NIH R01** · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2020 · $677,943

## Abstract

ABSTRACT
Approximately 20% of adolescents aged 12-19 are obese. Overweight and obesity in adolescents are
associated with numerous health and psychosocial consequences that can carry forward into adulthood.
Developmentally, adolescence is a period of significant biological and physical changes, as well as emotional
development. Emotion regulation is critical in managing interactions with others, and thus reflects an important
task for adolescents. Adolescents who lack adaptive emotion regulation skills may turn to eating to regulate
emotions and provide momentary relief of negative affect. Emotional eating is in fact associated with
depression, binge eating and obesity. Current behavioral weight loss (BWL) treatment for adolescent obesity
does not address emotions and produces variable weight-loss results with high attrition. Incorporating a
treatment that targets emotion regulation may provide the skills needed to reduce emotional eating and
encourage greater weight loss. Dialectical Behavior Therapy (DBT) is an evidence-based treatment that
targets emotion regulation. We have created a new treatment model, Preventing Emotional Eating Routines
(PEER) that targets both emotion regulation and weight loss by incorporating DBT skills with BWL, as well as
an emotion-focused parent training program. Our pilot data suggests that PEER is a promising treatment for
overweight and obese adolescents and their parents. The objective of this proposed study is to further evaluate
the PEER program with overweight and obese adolescents and their parents. We will recruit and randomize
160 adolescents and their parents to either PEER or standard BWL at two sites – University of California, San
Diego and University of Minnesota. Treatment will take place in groups over the course of 6 months.
Assessments will be conducted at baseline, mid-treatment, post-treatment, 6-month follow-up, and 12-month
follow-up. Primary Aims include to evaluate the efficacy of PEER compared to BWL on adolescent weight loss
(Aim 1), emotion regulation and emotional eating (Aim 2). Secondary Aims include examining differences
between PEER and BWL on parent BMI, parent emotion regulation, parent emotional eating, and the parent-
child relationship. Lastly, we will explore moderators and mediators of adolescent weight loss, as well as
emotion phenotypes. This application is a critical next step in the development of a treatment for adolescent
obesity targeting emotion regulation and emotional eating as a mechanism of action.

## Key facts

- **NIH application ID:** 9896823
- **Project number:** 5R01DK116616-03
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN DIEGO
- **Principal Investigator:** Kerri N Boutelle
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $677,943
- **Award type:** 5
- **Project period:** 2018-07-01 → 2023-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9896823

## Citation

> US National Institutes of Health, RePORTER application 9896823, Targeting Emotional Eating and Weight Loss in Adolescents (5R01DK116616-03). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9896823. Licensed CC0.

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