Aynur Pekcanlar Akay1, Yesim Ozturk2, Sibel Nur Avcil3, Canem Kavurma4, Evren Tufan5. 1. Department of Child and Adolescent Psychiatry, Dokuz Eylul University School of Medicine, Izmir, Turkey. 2. Division of Pediatric Gastroenterology, Hepatology and Nutrition Department of Pediatrics, Dokuz Eylul University School of Medicine, Izmir, Turkey Division of Pediatric Metabolic Disease, Department of Pediatrics, Dokuz Eylul University School of Medicine, Izmir, Turkey. 3. Department of Child and Adolescent Psychiatry, Adnan Menderes University School of Medicine, Aydın, Turkey. 4. İzmir Dr. Behçet Uz Çocuk Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi, Izmir, Turkey. 5. Department of Child and Adolescent Psychiatry, Abant İzzet Baysal University Medical Faculty, Bolu, Turkey tevrenus@yahoo.com.
Abstract
OBJECTIVE: The goal of this study was to investigate depression and anxiety levels of mothers whose child (7-11 years) and adolescent (12-18 years) offspring had obesity, as well as those mothers' attitudes toward their children and their family relationships. METHOD: This is a cross-sectional, case-control study of 100 dyads. All mothers completed the Beck Depression Inventory, the State-Trait Anxiety Inventory, the Parental Attitude Research Instrument, and the Family Assessment Device. RESULTS: Maternal state anxiety in the group with obesity was significantly higher than controls (p = 0.03). As measured by Family Assessment Device, affective involvement (p = 0.05) and behavior control (p = 0.00) scores were significantly higher for those with obesity. Obesity and adolescence have independent effects on maternal state anxiety; affective involvement domain of family function is affected by both obesity and its interaction with adolescence, while behavior control domain is singularly affected by obesity. CONCLUSIONS: Our results may demonstrate that, for the mothers of children who have obesity, this condition may have an adverse effect on their lives and their family relationships. Pediatric obesity and developmental stage of offspring may have different effects on maternally reported psychometric variables. Cross-sectional design may hinder causal explanations. Further studies with longitudinal designs are needed.
OBJECTIVE: The goal of this study was to investigate depression and anxiety levels of mothers whose child (7-11 years) and adolescent (12-18 years) offspring had obesity, as well as those mothers' attitudes toward their children and their family relationships. METHOD: This is a cross-sectional, case-control study of 100 dyads. All mothers completed the Beck Depression Inventory, the State-Trait Anxiety Inventory, the Parental Attitude Research Instrument, and the Family Assessment Device. RESULTS: Maternal state anxiety in the group with obesity was significantly higher than controls (p = 0.03). As measured by Family Assessment Device, affective involvement (p = 0.05) and behavior control (p = 0.00) scores were significantly higher for those with obesity. Obesity and adolescence have independent effects on maternal state anxiety; affective involvement domain of family function is affected by both obesity and its interaction with adolescence, while behavior control domain is singularly affected by obesity. CONCLUSIONS: Our results may demonstrate that, for the mothers of children who have obesity, this condition may have an adverse effect on their lives and their family relationships. Pediatric obesity and developmental stage of offspring may have different effects on maternally reported psychometric variables. Cross-sectional design may hinder causal explanations. Further studies with longitudinal designs are needed.
Authors: Meg H Zeller; Sanita Hunsaker; Carmen Mikhail; Jennifer Reiter-Purtill; Mary Beth McCullough; Beth Garland; Heather Austin; Gia Washington; Amy Baughcum; Dana Rofey; Kevin Smith Journal: Obesity (Silver Spring) Date: 2016-10-18 Impact factor: 5.002