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Bulimic behaviours and psychopathology in obese adolescents and in their parents

Bulimic behaviours and psychopathology in obese adolescents and in their parents
Bulimic behaviours and psychopathology in obese adolescents and in their parents

Objective. To help identify and advance the understanding of the potential mechanisms underlying the association between parents' and adolescents' psychological maladjustment in obesity, we evaluated bulimic behaviours and psychopathology in a clinical sample of obese adolescents and in their parents. Methods. This is a cross-sectional cohort study including 115 severely obese, treatment-seeking adolescents aged 12–17 years (mean age: 14.2; mean body mass index z-score: 4.32), and their parents (115 mothers and 96 fathers). Adolescents filled out the Bulimic Investigatory Test, Edinburgh (BITE), the Beck Depression Inventory (BDI), and the State-Trait Anxiety Inventory for Children (STAIC). Their parents completed the General Health Questionnaire (GHQ) and the BITE. A child psychiatrist filled out the Montgomery and Asberg Depression Rating Scale (MADRS) and the Brief Scale for Anxiety (BSA) for the adolescents. Results. Obese adolescents demonstrated significant correlations between the severity of bulimic symptoms and the degree of emotional symptomatology, such as depression and anxiety, but not with the severity of obesity. Psychopathological maladjustment and bulimic symptoms in obese adolescents were significantly associated with the maternal psychopathological disturbances, especially anxiety and somatisation in mother. In fact, maternal psychopathology, not maternal bulimic symptoms, was the factor most strongly associated with bulimic behaviours in obese adolescents. Discussion. These results highlight the importance of including an adolescent and parental psychiatric assessment (bulimic, depressive and anxiety symptoms), particularly maternal psychopathology in the treatment of severely obese adolescents.


psychopathology, bulimic symptom, obesity, adolescence, parents
1747-7166
474-482
Isnard, Pascale
0f73bf90-18a3-414e-b76f-0af67ee5ce7e
Quantin, Laure
e0539cc8-9d7e-4361-b8e2-7bbd9df65732
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Falissard, Bruno
a5030786-d94f-4b6c-8091-48b5cfd15630
Musher-Eizenman, Dara
96431b87-5eb1-45d5-80a2-58acba48cc99
Guedeney, Antoine
9ac8b1e4-b59a-4687-8bd4-6d01317bf53d
Frelut, Marie-Laure
b934514a-44f5-41d4-8445-d57c75e01f6f
Mouren, Marie-Christine
9c60d8ab-fe73-4121-91a8-4522492cd6d5
Isnard, Pascale
0f73bf90-18a3-414e-b76f-0af67ee5ce7e
Quantin, Laure
e0539cc8-9d7e-4361-b8e2-7bbd9df65732
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Falissard, Bruno
a5030786-d94f-4b6c-8091-48b5cfd15630
Musher-Eizenman, Dara
96431b87-5eb1-45d5-80a2-58acba48cc99
Guedeney, Antoine
9ac8b1e4-b59a-4687-8bd4-6d01317bf53d
Frelut, Marie-Laure
b934514a-44f5-41d4-8445-d57c75e01f6f
Mouren, Marie-Christine
9c60d8ab-fe73-4121-91a8-4522492cd6d5

Isnard, Pascale, Quantin, Laure, Cortese, Samuele, Falissard, Bruno, Musher-Eizenman, Dara, Guedeney, Antoine, Frelut, Marie-Laure and Mouren, Marie-Christine (2010) Bulimic behaviours and psychopathology in obese adolescents and in their parents. International Journal of Pediatric Obesity, 5 (6), 474-482. (doi:10.3109/17477160903571987).

Record type: Article

Abstract


Objective. To help identify and advance the understanding of the potential mechanisms underlying the association between parents' and adolescents' psychological maladjustment in obesity, we evaluated bulimic behaviours and psychopathology in a clinical sample of obese adolescents and in their parents. Methods. This is a cross-sectional cohort study including 115 severely obese, treatment-seeking adolescents aged 12–17 years (mean age: 14.2; mean body mass index z-score: 4.32), and their parents (115 mothers and 96 fathers). Adolescents filled out the Bulimic Investigatory Test, Edinburgh (BITE), the Beck Depression Inventory (BDI), and the State-Trait Anxiety Inventory for Children (STAIC). Their parents completed the General Health Questionnaire (GHQ) and the BITE. A child psychiatrist filled out the Montgomery and Asberg Depression Rating Scale (MADRS) and the Brief Scale for Anxiety (BSA) for the adolescents. Results. Obese adolescents demonstrated significant correlations between the severity of bulimic symptoms and the degree of emotional symptomatology, such as depression and anxiety, but not with the severity of obesity. Psychopathological maladjustment and bulimic symptoms in obese adolescents were significantly associated with the maternal psychopathological disturbances, especially anxiety and somatisation in mother. In fact, maternal psychopathology, not maternal bulimic symptoms, was the factor most strongly associated with bulimic behaviours in obese adolescents. Discussion. These results highlight the importance of including an adolescent and parental psychiatric assessment (bulimic, depressive and anxiety symptoms), particularly maternal psychopathology in the treatment of severely obese adolescents.


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More information

Published date: 2010
Keywords: psychopathology, bulimic symptom, obesity, adolescence, parents
Organisations: Clinical Neuroscience

Identifiers

Local EPrints ID: 380441
URI: http://eprints.soton.ac.uk/id/eprint/380441
ISSN: 1747-7166
PURE UUID: d52f0168-ac20-4210-abc4-46aa7d0b61f6
ORCID for Samuele Cortese: ORCID iD orcid.org/0000-0001-5877-8075

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Date deposited: 20 Aug 2015 16:01
Last modified: 20 Jul 2019 00:35

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Contributors

Author: Pascale Isnard
Author: Laure Quantin
Author: Samuele Cortese ORCID iD
Author: Bruno Falissard
Author: Dara Musher-Eizenman
Author: Antoine Guedeney
Author: Marie-Laure Frelut
Author: Marie-Christine Mouren

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