Psychological Aspects of Childhood Obesity: A Controlled Study in a Clinical and Nonclinical Sample

Braet, Caroline; Mervielde, Ivan; Vandereycken, Walter

doi:10.1093/jpepsy/22.1.59

Cited by 283 publications

(205 citation statements)

References 24 publications

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“…Comparison of the present findings with the study by Braet et al [5] indicates that for the referred group CBCL-scores in this study were somewhat higher, whereas for the non-referred group, the increase was substantial. During the past decade, the issue of overweight has received a tremendous amount of attention.…”

Section: Discussionsupporting

confidence: 72%

“…Strikingly, in the Braet et al [5], as well as in the Erermis et al [14] and the Britz et al [7] study, referred overweight youngsters displayed a higher degree of overweight than the non-referred group. Erermis et al [14] entered degree of overweight as a covariate in the analyses, which clearly reduced the number of between group differences in psychological symptoms.…”

Section: Introductionmentioning

confidence: 82%

“…Due to the use of advertisements and school mailings, the present non-referred sample is not necessarily representative for the general population of overweight children and adolescents. Both in the study by Braet et al [5] and the study by Erermis et al [14], non-referred overweight youngsters were also recruited via schools, more precisely by selecting overweight youngsters on the basis of the school physician's data on weight and height. In such designs, youngsters and their parents opt to participate, which limits the external validity of the study.…”

Section: Discussionmentioning

confidence: 99%

“…Parents of overweight youngsters referred to an obesity clinic report more symptoms of internalizing and externalizing problems in their children as compared to parents of non-referred overweight youngsters [5,14]. In the Britz et al study [7] a gender-matched sample of non-referred obese youngsters was composed by selecting the 47 heaviest adolescents from a large population-based control group.…”

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: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

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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“…Furthermore, social functioning has been observed to be an area of difficulty for overweight children and adolescents, 30,31 and social support for eating and exercise was found to be a significant predictor of long-term weight loss in a 10-year follow-up of children treated for obesity. 32 Consequently, an intervention that targets both self-efficacy and social function may have particular benefit for overweight adolescents.…”

Section: Introductionmentioning

confidence: 99%

‘Adventure therapy’ combined with cognitive-behavioral treatment for overweight adolescents

et al. 2005

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Objective: Since peers have such an important influence on adolescents, we evaluated the efficacy of adding peer-based 'adventure therapy' to a standard cognitive-behavioral weight control program for overweight adolescents. Methods: Adolescents (N ¼ 76) aged 13-16 years and 20 to 80% overweight (M ¼ 60.56%, s.d. ¼ 15.17%), were randomly assigned to one of two treatment conditions: cognitive-behavioral group treatment with 'adventure therapy' similar to Outward Bound s (cognitive-behavioral treatment with peer-enhanced adventure therapy (CBT þ PEAT)) or cognitive-behavioral group treatment with aerobic exercise (CBT þ EXER). Anthropometric and psychosocial measures were obtained at baseline, at the end of the 16-week intervention, and at 10 months following randomization. Results: Adolescents assigned to both treatment conditions demonstrated significant weight loss over time, F ¼ 29.06, df ¼ 2, 53, Po0.01. Average weight loss did not differ significantly between groups (À5.31 kg for CBT þ PEAT and À3.20 kg for CBT þ EXER) at the end of treatment. There was a significant difference in the percentage of participants maintaining a minimum 4.5 kg (10 pounds) weight loss (35% in the CBT þ PEAT condition vs 12% in the CBT þ EXER condition, P ¼ 0.042) 10 months from randomization. We also observed a significant age by treatment group interaction, such that older adolescents randomized to CBT þ PEAT demonstrated more than four times the weight loss of older adolescents assigned to CBT þ EXER (M ¼ À7.86 kg vs M ¼ À1.72 kg) at the end of treatment. Conclusions: Peer-based 'adventure therapy' is a promising adjunct to standard cognitive-behavioral weight control intervention for adolescents, and may be most effective for older adolescents.

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Are Overweight Children Unhappy?

Erickson

Robinson²,

Haydel³

et al. 2000

Arch Pediatr Adolesc Med

309

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Psychological Aspects of Childhood Obesity: A Controlled Study in a Clinical and Nonclinical Sample

Cited by 283 publications

References 24 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

‘Adventure therapy’ combined with cognitive-behavioral treatment for overweight adolescents

Are Overweight Children Unhappy?

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