The association of parental characteristics and psychological problems in obese youngsters
The association of parental characteristics and psychological problems in obese youngsters
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DOI：
10.1038/sj.ijo.0803336
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发表时间：
2006-12-01
影响因子：
4.9
通讯作者：
Van Vlierberghe, L.
中科院分区：
文献类型：
--
作者：
Decaluwe, V.;Braet, C.;Van Vlierberghe, L.
目的：本研究的目的是探讨父母心理特征和父母行为与肥胖青少年心理问题的关系。5.3)寻求减肥治疗，并与正常体重样本的数据进行比较。使用儿童行为检查表测量行为问题;使用儿童版进食障碍检查来评估进食障碍的精神病理学。父母的精神病理学采用症状自评量表-90测量，父母的行为进行了评估与根特父母行为Scale.Results：父母的精神病理学是流行的母亲和父亲的59.6%和35.7%。超过问题行为临界值的青少年占41.4%至53.1%。儿童的问题行为与母亲的精神病理学最相关（r = 0.40和r = 0.37;均P < 0.01）。研究结果进一步表明，母亲的精神病理学的影响部分介导的一种特定形式的养育行为，即不一致的纪律，虽然效果更强的外化行为（解释方差：10%）比内化行为（解释方差：4%）。没有证据表明父母行为对肥胖青少年的饮食失调症状有中介作用。然而，几个直接的关系出现，表明孩子的饮食失调症状和母亲的积极养育行为之间的负相关（r= -0.20饮食关注; r= -0.18约束饮食; r= -0.16形状关注;所有P < 0.05）以及父亲（r = -0.25，r = -0.25，P均< 0.01; r= -0.21，P均< 0.05）讨论：父母特征与肥胖青少年的心理问题有直接和间接的关系。这种影响部分是由一种特别无效的养育方式所介导的，即母亲方面不一致的纪律。儿童肥胖症的治疗应更多地关注父母的行为和父母的特征。
Objective: The aim of the present study was to examine to what extent parental psychological characteristics and parental behavior are related to psychological problems in obese youngsters.Research methods: Data were collected from 196 families having an overweight youngster (range 10-16 years old) (mean body mass index (BMI) = 31.2; s.d. 5.3) seeking weight-loss treatment and compared with data from normal weight samples. Behavior problems were measured using the Child Behavior Checklist; the Child version of the Eating Disorder Examination was used to assess eating disorder psychopathology. Parental psychopathology was measured using the Symptom Checklist-90; parenting behavior was assessed with the Ghent Parental Behavior Scale.Results: Parental psychopathology was prevalent in 59.6% of mothers and 35.7% of fathers. Youngsters exceeding the cutoff for problem behavior ranged between 41.4 and 53.1%. Children's problem behavior was most associated with psychopathology in the mother (r = 0.40 for Internalizing and r = 0.37 for Externalizing; both P < 0.01). The research findings further revealed that the effects of maternal psychopathology were partly mediated by a specific form of parenting behavior, namely Inconsistent discipline, although the effect was stronger for Externalizing behavior (explained variance: 10%) than for Internalizing behavior (explained variance: 4%). No evidence was found for a mediator effect from parenting behavior on the eating disorder symptoms of the obese youngsters. However, several direct relations emerged, suggesting a negative association between a child's eating disorder symptoms and Positive parenting behavior by the mother (r= -0.20 for Eating concern; r= -0.18 for Restraint eating; r= -0.16 for Shape concern; all P < 0.05) as well as by the father (r = -0.25 for Eating concern; r= -0.25 for Weight concern; both P < 0.01; r= -0.21 for Shape concern; P < 0.05).Discussion: Parental characteristics were associated with psychological problems in obese youngsters, not only in a direct way but also indirectly. The effects were partly mediated by a particular ineffective parenting style, namely inconsistent discipline on the part of the mother. Pediatric obesity treatments should focus more on parenting behaviors and parental characteristics.