Depression, Anxiety, and Severity of Obesity in Adolescents

Fox, Claudia K.; Gross, Amy C.; Rudser, Kyle; Foy, Allison M. H.; Kelly, Aaron S.

doi:10.1177/0009922815615825

Cited by 81 publications

(77 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For example, dietary restraint as well as prolonged periods of starvation often leads to depressive‐like symptoms such as emotional instability and lethargy . Emotional eating, on the other hand, usually manifests as a mechanism to cope with negative affect . When in reaction to anxiety, emotional eating acts as a biological response to limit hyperarousal, and in reaction to depression, it provides temporary feelings of gratification/satisfaction .…”

Section: Discussionmentioning

confidence: 99%

“…44 When in reaction to anxiety, emotional eating acts as a biological response to limit hyperarousal, 44 and in reaction to depression, it provides temporary feelings of gratification/satisfaction. 44 Although emotional eating serves to alleviate aversive feelings in the short-term, it often exacerbates these feelings over time. 45 Parenting style, specifically the use of psychological control over the child (ie, attempting to manipulate the child's actions, thoughts, and emotions), was associated with both child depression and anxiety symptoms in the full models; this is the first study to show the relation between psychological control over child and mental health status among children with OW/OB.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Factors associated with depression and anxiety symptoms among children seeking treatment for obesity: A social‐ecological approach

et al. 2019

View full text Add to dashboard Cite

Summary 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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors associated with depression and anxiety symptoms among children seeking treatment for obesity: A social‐ecological approach

et al. 2019

View full text Add to dashboard Cite

show abstract

“…One representative study of adolescents with obesity found that after adjusting for demographics and emotional eating, the odds of having severe obesity versus obesity were 3.5 times higher for patients with depression (as measured by PHQ-9; a score ³ 11 was considered depression) compared with those without (OR = 3.5; 95% CI 1.2,20.9, p = 0.030). 31 Similarly, the odds of having severe obesity were also higher with anxiety (Generalized Anxiety Disorder Scale ³ 10), OR = 4.93, 95% CI = 1.17,20.85, p = 0.030). In this study, there was no association of either depression or anxiety with emotional eating, but other studies have found emotional eating as a mediator for obesity in individuals with depression.…”

Section: Discussionmentioning

confidence: 90%

“…A body of literature demonstrates the association of emotional dysregulation with weight gain and obesity. 12,31,37,38 It has been suggested in adults, that a poor emotional regulation may entail the use of maladaptive strategies to manage emotions and stress, for example, by using highly palatable and energy dense food to suppress emotions. 39 Studies in children have demonstrated that emotional eating is often followed by negative emotions, [40][41][42][43] and is likely to be a learned behavior.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial, Behavioral and Clinical correlates of children with overweight and obesity

Thaker

Osganian

Ferranti

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Psychological and behavioral correlates are considered important in the development and persistence of obesity in both adults and youth. This study aimed to identify such features in youth with severe obesity (BMI ³ 120% of 95 th percentile of sex-specific BMI-for-age) compared to those with overweight or non-severe obesity.Methods: Youth with BMI ³ 85 th percentile were invited to participate in a prospective research registry where data was collected on attributes such as family characteristics, eating behaviors, dietary intake, physical activity, perception of health and mental well-being, and cardiometabolic parameters. Results:In a racially/ethnically diverse cohort of 105 youth (65% female, median age 16.1 years, range 4.62-25.5), 51% had severe obesity. The body fat percent increased with the higher levels of obesity. There were no differences in the self-reported frequency of intake of sugar sweetened beverages or fresh produce across the weight categories. However, the participants with severe obesity reported higher levels of emotional eating and eating when bored (p=0.022), levels of stress (p =0.013), engaged in fewer sports or organized activities (p=0.044), and had suboptimal perception of health (p=0.053). Asthma, depression and obstructive sleep apnea were more frequently reported in youth with severe obesity. The presence of abnormal HDL, HOMA-IR, CRP and multiple cardiometabolic risk factors were more common among youth with severe obesity. Conclusions:Youth with severe obesity have identifiable differences in psychosocial and behavioral attributes that can be used to develop targeted intervention strategies to improve their health.

show abstract

“…Previous studies revealed a relatively higher prevalence of psychological problems among obese children compared with that of this study. For example, in a sample of 102 adolescent patients from a weight management clinic, 34% had depressive symptoms and 32% had symptoms of anxiety [26]. A cross-sectional study in Canada found that depressive symptoms were common (36.4%) in youth with obesity [27].…”

Section: Discussionmentioning

confidence: 99%

Associations of physical activity and fruit and vegetable intake with well-being and depressive symptoms among obese schoolchildren in Wuhan, China: a cross-sectional study

Fang

et al. 2018

BMC Public Health

View full text Add to dashboard Cite

BackgroundThe prevalence of childhood obesity is increasing and psychological disorder is a common comorbidity of obesity. We investigated the associations of physical activity (PA) and fruit and vegetable (FV) intake with well-being and depressive symptoms among obese schoolchildren.MethodsParticipants included 188 obese children aged 9.8 ± 0.7 years living in Wuhan, China. Self-administered questionnaires were used to collect the children’s PA and FV intake information. PA was considered to be high if the child participated in sport and/or vigorous free play at least 3 days per week with 60 min per day, while sufficient FV intake was defined as consuming FV 5 times per day. Children’s well-being and depressive symptoms were assessed by standard questionnaires. Multiple logistic regression was performed to determine the odds ratios (ORs) and 95% confidence intervals (CIs) of the relationships of PA and FV intake with well-being and depressive symptoms.ResultsHigh PA and sufficient FV intake were independently associated with significantly decreased risks for depressive symptoms (for PA, OR: 0.39, 95% CI: 0.16–0.92; for FV, OR: 0.21, 95% CI: 0.08–0.55) and poor well-being (for PA, OR: 0.35, 95% CI: 0.16–0.74), respectively. Furthermore, interactive inverse associations were observed between combined high PA and sufficient FV intake with poor well-being and depressive symptoms. Compared to their counterparts, children with high PA and sufficient FV intake had significantly reduced risk for poor well-being (OR: 0.16, 95%CI: 0.05–0.55) and depressive symptoms (OR: 0.12, 95% CI: 0.03–0.48).ConclusionsHigh PA and sufficient FV intake are inversely associated with the risks of poor well-being and depressive symptoms among obese Chinese schoolchildren.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5779-9) contains supplementary material, which is available to authorized users.

show abstract

Depression, Anxiety, and Severity of Obesity in Adolescents

Cited by 81 publications

References 32 publications

Factors associated with depression and anxiety symptoms among children seeking treatment for obesity: A social‐ecological approach

Factors associated with depression and anxiety symptoms among children seeking treatment for obesity: A social‐ecological approach

Psychosocial, Behavioral and Clinical correlates of children with overweight and obesity

Associations of physical activity and fruit and vegetable intake with well-being and depressive symptoms among obese schoolchildren in Wuhan, China: a cross-sectional study

Contact Info

Product

Resources

About