Zametkin Alan J, Zoon Christine K, Klein Hannah W, Munson Suzanne
Mood and Anxiety Disorders Program, Intramural Research Program, National Institute of Mental Health, Bethesda, MD 20892, USA.
J Am Acad Child Adolesc Psychiatry. 2004 Feb;43(2):134-50. doi: 10.1097/00004583-200402000-00008.
To review the past 10 years of published research on psychiatric aspects of child and adolescent obesity and highlight information mental health professionals need for preventing obesity in youths and diagnosing and treating it.
Researchers performed computerized and manual searches of the literature and summarized the most relevant articles.
The growing epidemic of child and adolescent obesity deserves attention for its immediate mental health and long-term medical complications. Mental health professionals working with obese youths should be aware of recent advances in neuroscience, genetics, and etiologies associated with obesity. Those who assess and treat obese youth should view obesity as a chronic disease. Currently, no approved pharmacological or surgical approaches exist to treat childhood obesity.
Health care providers should focus on modest weight-loss goals that correlate with significant health benefits. The most effective treatments include substantial parental involvement. Mental health professionals should help obese children build self-esteem to help them lead full lives regardless of weight.
回顾过去10年发表的关于儿童和青少年肥胖症精神方面的研究，并强调心理健康专业人员在预防青少年肥胖症以及诊断和治疗方面所需的信息。
研究人员对文献进行了计算机检索和人工检索，并总结了最相关的文章。
儿童和青少年肥胖症的流行日益严重，因其对心理健康的直接影响和长期的医学并发症值得关注。与肥胖青少年打交道的心理健康专业人员应了解神经科学、遗传学以及与肥胖症相关病因的最新进展。评估和治疗肥胖青少年的人员应将肥胖视为一种慢性病。目前，尚无经批准的药物或手术方法可用于治疗儿童肥胖症。
医疗保健提供者应专注于与显著健康益处相关的适度减肥目标。最有效的治疗方法包括家长的大量参与。心理健康专业人员应帮助肥胖儿童建立自尊，以帮助他们无论体重如何都能过上充实的生活。
