Is obesity a risk factor for psychopathology among adolescents?

Erermiş, Serpil; Çetin, Nurcan; Tamar, Müge; Büküşoğlu, Nagehan; Akdeniz, Fisun; Gökşen, Damla

doi:10.1111/j.1442-200x.2004.01882.x

Cited by 289 publications

(215 citation statements)

References 19 publications

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“…Strikingly, in the Braet et al [5], as well as in the Erermis et al [14] and the Britz et al [7] study, referred overweight youngsters displayed a higher degree of overweight than the non-referred group. Erermis et al [14] entered degree of overweight as a covariate in the analyses, which clearly reduced the number of between group differences in psychological symptoms.…”

Section: Introductionmentioning

confidence: 82%

“…Due to the use of advertisements and school mailings, the present non-referred sample is not necessarily representative for the general population of overweight children and adolescents. Both in the study by Braet et al [5] and the study by Erermis et al [14], non-referred overweight youngsters were also recruited via schools, more precisely by selecting overweight youngsters on the basis of the school physician's data on weight and height. In such designs, youngsters and their parents opt to participate, which limits the external validity of the study.…”

Section: Discussionmentioning

confidence: 99%

“…The referred sample consisted of 115 overweight youngsters (69 girls; 46 boys) admitted for treatment of their overweight with a mean age of 13.76 years (SD = 2.20; range [8][9][10][11][12][13][14][15][16][17][18]. The non-referred sample consisted of 73 overweight children and adolescents (45 girls; 28 boys) with a mean age of 13.74 years (SD = 2.54; range 8-18).…”

Section: Methods J Participantsmentioning

confidence: 99%

“…Parents of overweight youngsters referred to an obesity clinic report more symptoms of internalizing and externalizing problems in their children as compared to parents of non-referred overweight youngsters [5,14]. In the Britz et al study [7] a gender-matched sample of non-referred obese youngsters was composed by selecting the 47 heaviest adolescents from a large population-based control group.…”

Section: Introductionmentioning

confidence: 99%

“…Erermis et al [14] entered degree of overweight as a covariate in the analyses, which clearly reduced the number of between group differences in psychological symptoms. It is unclear to what extent confounding effects of degree of overweight might have accounted for the results of the other two studies.…”

Section: Introductionmentioning

confidence: 99%

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

Vlierberghe

Braet

Goossens

et al. 2008

Eur Child Adolesc Psychiatry

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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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Section: Introductionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Methods J Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Vlierberghe

Braet

Goossens

et al. 2008

Eur Child Adolesc Psychiatry

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Childhood Obesity: Consequences and Complications

Steinbeck

2009

Clinical Obesity in Adults and Children

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Common obesity risk alleles in childhood attention‐deficit/hyperactivity disorder

Albayrak

Pütter

Volckmar

et al. 2013

American J of Med Genetics Pt B

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Children with attention-deficit/hyperactivity disorder (ADHD) have a higher rate of obesity than children without ADHD. Obesity risk alleles may overlap with those relevant for ADHD. We examined whether risk alleles for an increased body mass index (BMI) are associated with ADHD and related quantitative traits (inattention and hyperactivity/impulsivity). We screened 32 obesity risk alleles of single nucleotide polymorphisms (SNPs) in a genome-wide association study (GWAS) for ADHD based on 495 patients and 1,300 population-based controls and performed in silico analyses of the SNPs in an ADHD meta-analysis comprising 2,064 trios, 896 independent cases, and 2,455 controls. In the German sample rs206936 in the NUDT3 gene (nudix; nucleoside diphosphate linked moiety X-type motif 3) was associated with ADHD risk (OR: 1.39; 295 Neuropsychiatric GeneticsP ¼ 3.4 Â 10 À4; P corr ¼ 0.01). In the meta-analysis data we found rs6497416 in the intronic region of the GPRC5B gene (G proteincoupled receptor, family C, group 5, member B; P ¼ 7.2 Â 10 À4 ; P corr ¼ 0.02) as a risk allele for ADHD. GPRC5B belongs to the metabotropic glutamate receptor family, which has been implicated in the etiology of ADHD. In the German sample rs206936 (NUDT3) and rs10938397 in the glucosamine-6-phosphate deaminase 2 gene (GNPDA2) were associated with inattention, whereas markers in the mitogen-activated protein kinase 5 gene (MAP2K5) and in the cell adhesion molecule 2 gene (CADM2) were associated with hyperactivity. In the meta-analysis data, MAP2K5 was associated with inattention, GPRC5B with hyperactivity/impulsivity and inattention and CADM2 with hyperactivity/impulsivity. Our results justify further research on the elucidation of the common genetic background of ADHD and obesity.

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Is obesity a risk factor for psychopathology among adolescents?

Cited by 289 publications

References 19 publications

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

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

Childhood Obesity: Consequences and Complications

Common obesity risk alleles in childhood attention‐deficit/hyperactivity disorder

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