Bulimic behaviours and psychopathology in obese adolescents and in their parents
Bulimic behaviours and psychopathology in obese adolescents and in their parents
复制标题
DOI：
10.3109/17477160903571987
复制
发表时间：
2010-12-01
影响因子：
--
通讯作者：
Mouren, Marie-Christine
中科院分区：
文献类型：
--
作者：
Isnard, Pascale;Quantin, Laure;Mouren, Marie-Christine
客观的。为了帮助识别和加深对父母和青少年肥胖心理失调之间关联的潜在机制的理解，我们评估了肥胖青少年及其父母的临床样本的暴食行为和精神病理学。方法。这是一项横断面队列研究，包括 115 名 12-17 岁严重肥胖寻求治疗的青少年（平均年龄：14.2；平均体重指数 z 得分：4.32）及其父母（115 名母亲和 96 名父亲）。青少年填写了爱丁堡暴食症调查测试 (BITE)、贝克抑郁量表 (BDI) 和儿童状态特质焦虑量表 (STAIC)。他们的父母完成了一般健康问卷 (GHQ) 和 BITE。一名儿童精神科医生为青少年填写了蒙哥马利和阿斯伯格抑郁量表（MADRS）和简短焦虑量表（BSA）。结果。肥胖青少年的暴食症状严重程度与抑郁和焦虑等情绪症状程度之间存在显着相关性，但与肥胖的严重程度无关。肥胖青少年的心理病理失调和贪食症状与母亲的心理病理障碍显着相关，尤其是母亲的焦虑和躯体化。事实上，母亲的精神病理学，而不是母亲的暴食症状，是与肥胖青少年暴食行为最密切相关的因素。讨论。这些结果强调了青少年和父母精神病学评估（贪食症、抑郁和焦虑症状）的重要性，特别是在治疗严重肥胖青少年时进行母亲精神病理学评估。
Objective. To help identify and advance the understanding of the potential mechanisms underlying the association between parents' and adolescents' psychological maladjustment in obesity, we evaluated bulimic behaviours and psychopathology in a clinical sample of obese adolescents and in their parents. Methods. This is a cross-sectional cohort study including 115 severely obese, treatment-seeking adolescents aged 12-17 years (mean age: 14.2; mean body mass index z-score: 4.32), and their parents (115 mothers and 96 fathers). Adolescents filled out the Bulimic Investigatory Test, Edinburgh (BITE), the Beck Depression Inventory (BDI), and the State-Trait Anxiety Inventory for Children (STAIC). Their parents completed the General Health Questionnaire (GHQ) and the BITE. A child psychiatrist filled out the Montgomery and Asberg Depression Rating Scale (MADRS) and the Brief Scale for Anxiety (BSA) for the adolescents. Results. Obese adolescents demonstrated significant correlations between the severity of bulimic symptoms and the degree of emotional symptomatology, such as depression and anxiety, but not with the severity of obesity. Psychopathological maladjustment and bulimic symptoms in obese adolescents were significantly associated with the maternal psychopathological disturbances, especially anxiety and somatisation in mother. In fact, maternal psychopathology, not maternal bulimic symptoms, was the factor most strongly associated with bulimic behaviours in obese adolescents. Discussion. These results highlight the importance of including an adolescent and parental psychiatric assessment (bulimic, depressive and anxiety symptoms), particularly maternal psychopathology in the treatment of severely obese adolescents.