Associations Between Anxiety Symptoms and Child and Family Factors in Pediatric Obesity

Lim, Crystal S.; Espil, Flint M.; Viana, Andres G.; Janicke, David M.

doi:10.1097/dbp.0000000000000225

Cited by 11 publications

(8 citation statements)

References 39 publications

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“…Data in adolescents have shown heavier body weight to be associated with increased anxiety symptoms and maintenance of increased weight (Kubzansky, Gilthorpe, & Goodman, 2012). Further, youth with overweight and obesity who have high anxiety present with greater psychosocial distress compared to their counterparts with low anxiety (Lim, Espil, Viana, & Janicke, 2015), potentially requiring a specialized intervention. Due to the exploratory nature of findings, IPT should be explicitly evaluated for its impact on weight among obesity-prone youth who present with an anxiety phenotype.…”

Section: Discussionmentioning

confidence: 99%

Excess weight gain prevention in adolescents: Three-year outcome following a randomized controlled trial.

Tanofsky‐Kraff¹,

Shomaker

Wilfley³

et al. 2017

Journal of Consulting and Clinical Psychology

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Objective Interpersonal psychotherapy (IPT) prevents weight gain in adults with obesity and binge-eating-disorder, and is especially effective among those with increased psychosocial problems. However, IPT was not superior to health-education (HE) to prevent excess weight gain at 1-year follow-up in 113 adolescent girls at high-risk for excess weight gain because of loss-of-control (LOC)-eating and high BMI (kg/m2) (Tanofsky-Kraff et al., 2014). Method Participants from the original trial were re-contacted 3-years later for assessment. At baseline, adolescent- and parent-reported social-adjustment problems and trait-anxiety were evaluated. At baseline and follow-ups, BMIz and adiposity by dual-energy X-ray absorptiometry were obtained. Results Nearly 60% were re-assessed at 3-years, with no group differences in participation (ps≥.70). Consistent with 1-year, there was no main effect of group on change in BMIz/adiposity (ps≥.18). In exploratory analyses, baseline social-adjustment problems and trait-anxiety moderated outcome (ps<.01). Among girls with high self-reported baseline social-adjustment problems or anxiety, IPT, compared to HE, was associated with the steepest declines in BMIz (p<.001). For adiposity, girls with high- or low-anxiety in HE, and girls with low-anxiety in IPT experienced gains (ps≤.03), while girls in IPT with high-anxiety stabilized. Parent-reports yielded complementary findings. Conclusion In obesity-prone adolescent girls, IPT was not superior to HE in preventing excess weight gain at 3-years. Consistent with theory, exploratory analyses suggested that IPT was associated with improvements in BMIz over 3-years among youth with high social-adjustment problems or trait-anxiety. Future studies should test the efficacy of IPT for obesity prevention among at-risk girls with social-adjustment problems and/or anxiety.

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Section: Discussionmentioning

confidence: 99%

Excess weight gain prevention in adolescents: Three-year outcome following a randomized controlled trial.

Tanofsky‐Kraff¹,

Shomaker

Wilfley³

et al. 2017

Journal of Consulting and Clinical Psychology

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“… 19 Children who are overweight and obese have also been shown to be at risk for psychosocial difficulties such as body image concerns, and emotional, social and school difficulties. 20 …”

Section: Introductionmentioning

confidence: 99%

Assessment of health-related quality of life and psychological well-being of children and adolescents with obesity enrolled in a New Zealand community-based intervention programme: an observational study

et al. 2017

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ObjectiveTo describe health-related quality of life (HRQOL) and psychological well-being of children and adolescents at enrolment in a multidisciplinary community-based obesity programme and to determine association with ethnicity. This programme targeted indigenous people and those from most deprived households. Further, this cohort was compared with other populations/normative data.MethodsThis study examines baseline demographic data of an unblinded randomised controlled clinical trial. Participants (recruited from January 2012-August 2014) resided in Taranaki, New Zealand, and for this study we only included those with a body mass index (BMI) ≥98th percentile (obese). HRQOL and psychological well-being were assessed using the Pediatric Quality of Life Inventory (PedsQL V.4.0TM) (parent and child reports), and Achenbach’s Child Behavior Checklist (CBCL)/Youth Self Report (YSR).ResultsAssessments were undertaken for 233 participants (45% Māori, 45% New Zealand European, 10% other ethnicities, 52% female, 30% from the most deprived household quintile), mean age 10.6 years. The mean BMI SD score (SDS) was 3.12 (range 2.01–5.34). Total PedsQL generic scaled score (parent) was lower (mean=63.4, SD 14.0) than an age-matched group of Australian children without obesity from the Health of Young Victorians study (mean=83.1, SD 12.5). In multivariable models, child and parental generic scaled scores decreased in older children (β=−0.70 and p=0.031, β=−0.64 and p=0.047, respectively). Behavioural difficulties (CBCL/YSR total score) were reported in 43.5% of participants, with the rate of emotional/behavioural difficulties six times higher than reported norms (p<0.001).ConclusionsIn this cohort, children and adolescents with obesity had a low HRQOL, and a concerning level of psychological difficulties, irrespective of ethnicity. Obesity itself rather than ethnicity or deprivation appeared to contribute to lower HRQOL scores. This study highlights the importance of psychologist involvement in obesity intervention programmes.Trial registration numberAustralian NZ Clinical Trials Registry ANZCTR 12611000862943; Pre-results.

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“…It has been reported that when obesity is accompanied by a psychiatric disorder, the children become disoriented to obesity treatment along with a decrease in their school performance. Also, their body sense becomes more negative and their quality of life more distorted ( 24 , 29 ). With the diagnosis and treatment of the existing psychiatric disorder and improved self-esteem or improvement in other factors associated with mental health, obese individuals may be more successful in increasing their motivation ( 30 ).…”

Section: Discussionmentioning

confidence: 99%

Insulin Resistance is Related to Psychiatric Disorders Among Obese Children

Kızılay¹,

Sapmaz

Şen

et al. 2018

Jcrpe

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Objective:The current study aimed to investigate psychiatric consequences of obesity and the relationship between componenets of the metabolic syndrome and psychiatric disorders in children. Our second aim was to elucidate which of the anthropometric parameters or metabolic components were most strongly associated with psychiatric disorders.Methods:The study included 88 obese and overweight children with a body mass index (BMI) greater than 85th percentile. The patients were evaluated for psychiatric disorders by a single child and adolescent psychiatrist. Forty patients diagnosed with psychiatric disorders and 48 patients with normal psychiatric evaluation were compared in terms of anthropometric and metabolic parameters. BMI, BMI-standard deviation score and BMI percentile, waist circumference, waist to hip ratio, blood pressure and pubertal stage of all patients were recorded. Fasting serum glucose, insulin, lipid profile and homeostatic model assessments of insulin resistance (HOMA-IR) were measured to evaluate the metabolic parameters. Serum and 24 hour urine cortisol levels were measured.Results:HOMA-IR in the group with psychiatric disorders was found to be significantly higher than in the group without psychiatric disorders (6.59±3.36 vs 5.21±2.67; p=0.035). Other anthropometric measurements and metabolic parameters were not significantly different between the two groups.Conclusion:An understanding of the relationships between obesity related medical comorbidities and psychiatric pathologies is important to encourage patients and their families to make successful healthy lifestyle changes and for weight management in terms of appropriate treatment.

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Associations Between Anxiety Symptoms and Child and Family Factors in Pediatric Obesity

Cited by 11 publications

References 39 publications

Excess weight gain prevention in adolescents: Three-year outcome following a randomized controlled trial.

Excess weight gain prevention in adolescents: Three-year outcome following a randomized controlled trial.

Assessment of health-related quality of life and psychological well-being of children and adolescents with obesity enrolled in a New Zealand community-based intervention programme: an observational study

Insulin Resistance is Related to Psychiatric Disorders Among Obese Children

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