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

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 statu...

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Veröffentlicht in:European child & adolescent psychiatry 2009-03, Vol.18 (3), p.164-173
Hauptverfasser: Van Vlierberghe, Leen, Braet, Caroline, Goossens, Lien, Mels, Saskia
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creator Van Vlierberghe, Leen
Braet, Caroline
Goossens, Lien
Mels, Saskia
description 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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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.</description><identifier>ISSN: 1018-8827</identifier><identifier>EISSN: 1435-165X</identifier><identifier>DOI: 10.1007/s00787-008-0717-5</identifier><identifier>PMID: 18807222</identifier><identifier>CODEN: EAPSE9</identifier><language>eng</language><publisher>Darmstadt: Steinkopff-Verlag</publisher><subject>Adolescent ; Adolescents ; Adult and adolescent clinical studies ; Anxiety disorders ; Anxiety-Depression ; Binge eating ; Biological and medical sciences ; Body Mass Index ; Child ; Child and Adolescent Psychiatry ; Child clinical studies ; Children ; Children &amp; youth ; Diagnostic and Statistical Manual of Mental Disorders ; Eating disorders ; Female ; Gender ; Humans ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Metabolic diseases ; Miscellaneous ; Obesity ; Obesity - epidemiology ; Observer Variation ; Original Contribution ; Overweight ; Prevalence ; Psychiatric disorders ; Psychiatry ; Psychology. 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Psychiatry ; Referral and Consultation - statistics &amp; numerical data ; Severity of Illness Index ; Socioeconomic status ; Teenagers</subject><ispartof>European child &amp; adolescent psychiatry, 2009-03, Vol.18 (3), p.164-173</ispartof><rights>Steinkopff Verlag Darmstadt 2008</rights><rights>2009 INIST-CNRS</rights><rights>Steinkopff Verlag Darmstadt 2009</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-482924ab54e3b124c540bebcf7447f61acc508ce3daf6a65409ead41cc374eaf3</citedby><cites>FETCH-LOGICAL-c508t-482924ab54e3b124c540bebcf7447f61acc508ce3daf6a65409ead41cc374eaf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00787-008-0717-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00787-008-0717-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,12845,27923,27924,30998,30999,41487,42556,51318</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21212059$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18807222$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-00478072$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Vlierberghe, Leen</creatorcontrib><creatorcontrib>Braet, Caroline</creatorcontrib><creatorcontrib>Goossens, Lien</creatorcontrib><creatorcontrib>Mels, Saskia</creatorcontrib><title>Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents</title><title>European child &amp; adolescent psychiatry</title><addtitle>Eur Child Adolesc Psychiatry</addtitle><addtitle>Eur Child Adolesc Psychiatry</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult and adolescent clinical studies</subject><subject>Anxiety disorders</subject><subject>Anxiety-Depression</subject><subject>Binge eating</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Child and Adolescent Psychiatry</subject><subject>Child clinical studies</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Eating disorders</subject><subject>Female</subject><subject>Gender</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Metabolic diseases</subject><subject>Miscellaneous</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Observer Variation</subject><subject>Original Contribution</subject><subject>Overweight</subject><subject>Prevalence</subject><subject>Psychiatric disorders</subject><subject>Psychiatry</subject><subject>Psychology. 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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.</abstract><cop>Darmstadt</cop><pub>Steinkopff-Verlag</pub><pmid>18807222</pmid><doi>10.1007/s00787-008-0717-5</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adolescents
Adult and adolescent clinical studies
Anxiety disorders
Anxiety-Depression
Binge eating
Biological and medical sciences
Body Mass Index
Child
Child and Adolescent Psychiatry
Child clinical studies
Children
Children & youth
Diagnostic and Statistical Manual of Mental Disorders
Eating disorders
Female
Gender
Humans
Male
Medical sciences
Medicine
Medicine & Public Health
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Mental Disorders - psychology
Metabolic diseases
Miscellaneous
Obesity
Obesity - epidemiology
Observer Variation
Original Contribution
Overweight
Prevalence
Psychiatric disorders
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology
Psychopathology. Psychiatry
Referral and Consultation - statistics & numerical data
Severity of Illness Index
Socioeconomic status
Teenagers
title Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents
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