Mental Disorders in Obese Children and Adolescents

Vila, Gilbert; Zipper, Ewa; Dabbas-Tyan, M.; Bertrand, Catherine; Robert, Jean Jacques; Ricour, C.; Mouren-Siméoni, M. C.

doi:10.1097/01.psy.0000126201.12813.eb

Cited by 131 publications

(91 citation statements)

References 26 publications

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“…Prevalence rates of psychiatric disorders in the present referred sample were lower than those in the studies by Britz et al [7] and Vila et al [46]. However, the former study also demonstrated substantially higher prevalence figures as compared with the latter.…”

Section: Discussioncontrasting

confidence: 75%

“…However, the former study also demonstrated substantially higher prevalence figures as compared with the latter. This might partly be due to the differences in age group and to the assessment of lifetime diagnoses by Britz et al [7] but not by Vila et al [46]. Moreover, it is also important to distinguish between so called investigator-based interviews (K-SADS-R, KID-SCID, ChEDE) on the one hand and respondent-based interviews (M-CIDI) on the other hand.…”

Section: Discussionmentioning

confidence: 99%

“…With the M-CIDI, Britz and colleagues [7] obtained lifetime psychiatric diagnoses in 33 out of 47 obese adolescents (15-21 years) referred for overweight treatment. Vila et al [46] interviewed 155 referred obese youngsters (5-17 years) using the K-SADS-R and demonstrated current mental disorders in 56.77% of the sample. On the other hand, Lamertz and colleagues [27] found considerably lower prevalence rates.…”

Section: Introductionmentioning

confidence: 99%

“…Referred obese youngsters displayed significantly more diagnoses of mood (42.55% vs. 17.02%), anxiety (40.43% vs. 21.28%) and somatoform (14.89% vs. 0.00%) disorders. Unfortunately, the Vila et al study [46] did not include a non-referred sample.…”

Section: Introductionmentioning

confidence: 99%

“…In the study by Britz and colleagues [7] three referred obese adolescents (6.38%) obtained a diagnosis of Bulimia Nervosa (BN), another three of Binge Eating Disorder (BED) and 51.06% reported binge eating episodes. Unfortunately, in the study by Vila et al [46] eating disorders were not included. Lamertz et al [27] diagnosed eating disorders in 3.85% of the overweight youngsters (BMI > 90th percentile; n = 312).…”

Section: Introductionmentioning

confidence: 99%

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Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents

Vlierberghe

Braet

Goossens

et al. 2008

Eur Child Adolesc Psychiatry

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Background: This study aimed firstly to investigate whether youngsters referred for overweight treatment differ from non-referred overweight youngsters on the prevalence of psychiatric disorders and psychological symptoms. Secondly, the potentially moderating role of age, gender, socio-economic status and degree of overweight in the association of referral status and mental disorder in overweight youth was explored. Methods: Participants were 155 overweight youngsters enrolled in an obesity treatment programme (mean age = 13.76; mean BMI = 33.99) and 73 non-referred overweight youngsters (mean age = 13.74; mean BMI = 27.35). The Structured Clinical Interview for DSM-IV-Childhood version and the Child version of the Eating Disorder Examination were administered and participants filled out the Children’s Depression Inventory, the Spence Children’s Anxiety Scale and the Youth Self Report. Parents were asked to complete the Child Behavior Checklist. Results: In the referred group 37.50% and in the non-referred group 23.29% of the participants met criteria for at least one mental disorder. In both groups, anxiety disorders were most prominent. Overall, a higher prevalence of mental disorders was found in the referred group. Referred youth displayed significantly more ‘full blown’ eating disorders and binge eating than non-referred youngsters and exhibited a significantly greater severity of self- and parent-reported internalizing symptoms. Referral was also associated with a significantly higher degree of overweight and significantly lower SES. After controlling for these pre-existing differences in degree of overweight and SES, only the greater severity of parent-reported internalizing symptoms in referred youth remained significant. Older age was generally predictive for the presence of mental disorders and in the non-referred group SES was positively associated with psychiatric disorder. Conclusions: A substantial proportion of overweight youngsters suffer from mental disorders. Referral status and age are associated with the presence of psychopathology. However, differences between referred and non-referred youngsters are not as pronounced as expected on the basis of earlier research in the field

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Section: Discussioncontrasting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents

Vlierberghe

Braet

Goossens

et al. 2008

Eur Child Adolesc Psychiatry

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Association of Pediatric Obesity Treatment, Including a Dietary Component, With Change in Depression and Anxiety

et al. 2019

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IMPORTANCEChildren and adolescents with obesity are at higher risk of developing depression and anxiety, and adolescent dieting is a risk factor for the development of depression. Therefore, determining the psychological effect of obesity treatment interventions is important to consider. OBJECTIVE To investigate the association between obesity treatment interventions, with a dietary component, and the change in symptoms of depression and anxiety in children and adolescents with overweight/obesity. DATA SOURCES Searches of MEDLINE, Embase, Cochrane Library, and PsychINFO were conducted from inception to August 2018. Hand searching of references was conducted to identify missing studies. STUDY SELECTION Obesity treatment interventions, with a dietary component, conducted in children and adolescents (age <18 years) with overweight/obesity, and validated assessment of depression and/or anxiety were included.DATA EXTRACTION AND SYNTHESIS Data were independently extracted by 1 reviewer and checked for accuracy. Meta-analysis, using a random-effects model, was used to combine outcome data and moderator analysis conducted to identify intervention characteristics that may influence change in depression and anxiety. The meta-analyses were finalized in May 2019. MAIN OUTCOMES AND MEASURESChange in symptoms of depression and anxiety postintervention and at the latest follow-up. RESULTSOf 3078 articles screened, 44 studies met inclusion criteria with a combined sample of 3702 participants (age range, 5.6 to 16.6 years) and intervention duration of 2 weeks to 15 months. Studies reported either no change or a statistically significant reduction in symptoms of depression or anxiety. Meta-analyses of 36 studies found a reduction in depressive symptoms postintervention (standardized mean difference [SE], −0.31 [0.04]; P < .001), maintained at follow-up in 11 studies at 6 to 16 months from baseline (standardized mean difference [SE], −0.25 [0.07]; P < .001). Anxiety was reduced postintervention (10 studies; standardized mean difference [SE], −0.38 [0.10]; P < .001) and at follow-up (4 studies; standardized mean difference [SE], −0.32 [0.15]; P = .03). Longer intervention duration was associated with a greater reduction in anxiety (R 2 = 0.82; P < .001). Higher body mass index z score at baseline was associated with a greater reduction in depression (R 2 = 0.19; P = .03).CONCLUSIONS AND RELEVANCE Structured, professionally run pediatric obesity treatment is not associated with an increased risk of depression or anxiety and may result in a mild reduction in symptoms. Treatment of weight concerns should be considered within the treatment plan for young people with depression and obesity.

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Psychological Group Treatment for Obese Women

Buckroyd

Rother

2008

Psychological Responses to Eating Disorders and Obesity

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Mental Disorders in Obese Children and Adolescents

Abstract: These results highlight the importance of including a child psychiatric component in the treatment of obesity, which must engage the whole family.

Cited by 131 publications

References 26 publications

Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents

Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents

Association of Pediatric Obesity Treatment, Including a Dietary Component, With Change in Depression and Anxiety

Psychological Group Treatment for Obese Women

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