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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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. |
doi_str_mv | 10.1007/s00787-008-0717-5 |
format | Article |
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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><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 & 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</subject><ispartof>European child & 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&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 & 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 & 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 & 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. Psychoanalysis. Psychiatry</subject><subject>Psychopathology</subject><subject>Psychopathology. Psychiatry</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Severity of Illness Index</subject><subject>Socioeconomic status</subject><subject>Teenagers</subject><issn>1018-8827</issn><issn>1435-165X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kVGL1DAQx4so3nn6AXyRIqj4UJ2kSZM-Hod6woI-KPgW0nR6m6ObrJn2ZL-9qV32QFACSfjPbyaT-RfFcwbvGIB6T3nTqgLQFSimKvmgOGeilhVr5I-H-Q5MV1pzdVY8IboFYLIF_rg4Y1qD4pyfF-ErHdzW2yl5V_aeYuoxUWlDX9Jht5_iriS8w-SnQ-lDmXDAlLAvs0QzlSGG6qTFLP5Cf7Odylxy7BOGP4VsH0ckh2Gip8WjwY6Ez47nRfH944dvV9fV5sunz1eXm8pJ0FMlNG-5sJ0UWHeMCycFdNi5QQmhhoZZt3AO694OjW1ytEXbC-ZcrQTaob4o3q51t3Y0--R3Nh1MtN5cX27MogEItczgjmX2zcruU_w5I01m53O342gDxplMCxo407LJ5Ov_ko3KI240ZPDlX-BtnFPIPzacCd4o1i4QWyGXIlGe4qlRBmbx16z-5l61Wfw1Mue8OBaeux329xlHQzPw6ghYcnYckg3O04njLC-Qbeb4ylEOhRtM9x3--_Xf2Py-Nw</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Van Vlierberghe, Leen</creator><creator>Braet, Caroline</creator><creator>Goossens, Lien</creator><creator>Mels, Saskia</creator><general>Steinkopff-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><general>Springer Verlag (Germany)</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope></search><sort><creationdate>20090301</creationdate><title>Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents</title><author>Van Vlierberghe, Leen ; Braet, Caroline ; Goossens, Lien ; Mels, Saskia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-482924ab54e3b124c540bebcf7447f61acc508ce3daf6a65409ead41cc374eaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult and adolescent clinical studies</topic><topic>Anxiety disorders</topic><topic>Anxiety-Depression</topic><topic>Binge eating</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Child and Adolescent Psychiatry</topic><topic>Child clinical studies</topic><topic>Children</topic><topic>Children & youth</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Eating disorders</topic><topic>Female</topic><topic>Gender</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - psychology</topic><topic>Metabolic diseases</topic><topic>Miscellaneous</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Observer Variation</topic><topic>Original Contribution</topic><topic>Overweight</topic><topic>Prevalence</topic><topic>Psychiatric disorders</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology</topic><topic>Psychopathology. Psychiatry</topic><topic>Referral and Consultation - statistics & numerical data</topic><topic>Severity of Illness Index</topic><topic>Socioeconomic status</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Vlierberghe, Leen</creatorcontrib><creatorcontrib>Braet, Caroline</creatorcontrib><creatorcontrib>Goossens, Lien</creatorcontrib><creatorcontrib>Mels, Saskia</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Neurosciences Abstracts</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>ProQuest research library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>European child & adolescent psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Vlierberghe, Leen</au><au>Braet, Caroline</au><au>Goossens, Lien</au><au>Mels, Saskia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents</atitle><jtitle>European child & adolescent psychiatry</jtitle><stitle>Eur Child Adolesc Psychiatry</stitle><addtitle>Eur Child Adolesc Psychiatry</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>18</volume><issue>3</issue><spage>164</spage><epage>173</epage><pages>164-173</pages><issn>1018-8827</issn><eissn>1435-165X</eissn><coden>EAPSE9</coden><abstract>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.</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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source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; SpringerLink |
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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