Psychological correlates of childhood obesity
Psychological correlates of childhood obesity
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DOI：
10.1038/ijo.2010.238
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发表时间：
2010-12-01
影响因子：
4.9
通讯作者：
Munsch, S.
中科院分区：
文献类型：
--
作者：
Puder, J. J.;Munsch, S.
要加强预防和介入儿童肥胖的工作，我们必须及早发现导致儿童肥胖的心理因素。儿童肥胖不是一个稳定的状态，而是一个动态的过程，在这个过程中，行为、认知和情绪调节相互作用。家庭结构和环境，即父母和家庭的态度、活动、营养模式以及家庭压力，对超重和肥胖的发生和维持起着重要作用。行为和情绪问题在许多（虽然不是全部）肥胖儿童中发现，在临床和寻求治疗的样本中患病率较高。肥胖和心理问题之间的相互关系似乎是双重的，在临床上有意义的心理困扰可能会促进体重增加和肥胖可能会导致心理社会问题。最常涉及的心理社会因素是外化（冲动和注意力缺陷多动障碍）和内化（抑郁和焦虑）行为问题和不受控制的饮食行为。这些发现加强了进一步探讨心理问题和儿童肥胖之间的相互关系的必要性。国际肥胖杂志（2010）34，S37-S43; doi：10.1038/ijo.2010.238
To enhance the prevention and intervention efforts of childhood obesity, there is a strong need for the early detection of psychological factors contributing to its development and maintenance. Rather than a stable condition, childhood obesity represents a dynamic process, in which behavior, cognition and emotional regulation interact mutually with each other. Family structure and context, that is, parental and familial attitudes, activity, nutritional patterns as well as familial stress, have an important role with respect to the onset and maintenance of overweight and obesity. Behavioral and emotional problems are found in many, though not all, obese children, with a higher prevalence in clinical, treatment-seeking samples. The interrelatedness between obesity and psychological problems seems to be twofold, in that clinically meaningful psychological distress might foster weight gain and obesity may lead to psychosocial problems. The most frequently implicated psychosocial factors are externalizing (impulsivity and attention-deficit hyperactivity disorder) and internalizing (depression and anxiety) behavioral problems and uncontrolled eating behavior. These findings strengthen the need to further explore the interrelatedness between psychological problems and childhood obesity. International Journal of Obesity (2010) 34, S37-S43; doi:10.1038/ijo.2010.238