Daniel H Sheinbein1, Richard I Stein2, Jacqueline F Hayes3, Mackenzie L Brown3, Katherine N Balantekin4, Rachel P Kolko Conlon5, Brian E Saelens6,7, Michael G Perri8, R Robinson Welch3, Kenneth B Schechtman9, Leonard H Epstein10, Denise E Wilfley3. 1. University of Missouri School of Medicine, Columbia, MO, USA. 2. Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA. 3. Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. 4. Department of Exercise and Nutritional Sciences, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY, USA. 5. Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA. 6. Seattle Children's Research Institute, Seattle, WA, USA. 7. Department of Pediatrics, University of Washington, Seattle, WA, USA. 8. College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA. 9. Division of Biostatistics, Washington University School of Medicine, St. Louis, MO, USA. 10. Department of Pediatrics, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY, USA.
Abstract
BACKGROUND: Children with overweight/obesity are more likely to exhibit symptoms of depression and anxiety than are their peers without overweight/obesity; however, the rates and correlates of depression and anxiety symptoms among children seeking obesity treatment remain unclear. OBJECTIVES: Examine the prevalence and associated factors of depression and anxiety symptoms among treatment-seeking children with overweight/obesity. METHODS: Children 7 to 11 years old (N = 241) and their parents completed assessments before beginning family-based behavioral weight-loss treatment. Disorder-specific self-report questionnaires assessed child depression and anxiety. The social-ecological model served as a framework for examining factors associated with depression and anxiety symptoms. RESULTS: Among our sample, 39.8% (96/241) met clinical cutoffs for depression and/or anxiety symptomatology. Specifically, of these 96, 48 met criteria for both depression and anxiety, 24 for depression only, and 24 for anxiety only. Child eating disorder pathology, parents' use of psychological control (ie, a parenting style characterized by emotional manipulation), and lower child subjective social status were significantly associated with greater child depression symptomatology. Child eating disorder pathology and parent psychological control were significantly associated with greater child anxiety symptomatology. CONCLUSION: Nearly 40% of children exhibited psychopathology symptoms, and a variety of correlates were found. Thus, pediatric weight-loss providers may consider screening for and addressing mental health concerns (and associated factors) prior to and during treatment.
BACKGROUND:Children with overweight/obesity are more likely to exhibit symptoms of depression and anxiety than are their peers without overweight/obesity; however, the rates and correlates of depression and anxiety symptoms among children seeking obesity treatment remain unclear. OBJECTIVES: Examine the prevalence and associated factors of depression and anxiety symptoms among treatment-seeking children with overweight/obesity. METHODS:Children 7 to 11 years old (N = 241) and their parents completed assessments before beginning family-based behavioral weight-loss treatment. Disorder-specific self-report questionnaires assessed childdepression and anxiety. The social-ecological model served as a framework for examining factors associated with depression and anxiety symptoms. RESULTS: Among our sample, 39.8% (96/241) met clinical cutoffs for depression and/or anxiety symptomatology. Specifically, of these 96, 48 met criteria for both depression and anxiety, 24 for depression only, and 24 for anxiety only. Childeating disorder pathology, parents' use of psychological control (ie, a parenting style characterized by emotional manipulation), and lower child subjective social status were significantly associated with greater childdepression symptomatology. Childeating disorder pathology and parent psychological control were significantly associated with greater childanxiety symptomatology. CONCLUSION: Nearly 40% of children exhibited psychopathology symptoms, and a variety of correlates were found. Thus, pediatric weight-loss providers may consider screening for and addressing mental health concerns (and associated factors) prior to and during treatment.
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Authors: Marian Tanofsky-Kraff; Kelly R Theim; Susan Z Yanovski; Allison M Bassett; Noel P Burns; Lisa M Ranzenhofer; Deborah R Glasofer; Jack A Yanovski Journal: Int J Eat Disord Date: 2007-04 Impact factor: 4.861
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Authors: Anne Claire Grammer; John R Best; Lauren A Fowler; Katherine N Balantekin; Richard I Stein; Rachel P Kolko Conlon; Brian E Saelens; R Robinson Welch; Michael G Perri; Leonard H Epstein; Denise E Wilfley Journal: Ann Behav Med Date: 2021-06-28