Janicke David M, Marciel Kristen K, Ingerski Lisa M, Novoa Wendy, Lowry Kelly W, Sallinen Bethany J, Silverstein Janet H
Department of Clinical and Health Psychology, University of Florida, P.O. Box 100165, Gainesville, FL 32610-0165, USA.
Obesity (Silver Spring). 2007 Jul;15(7):1799-807. doi: 10.1038/oby.2007.214.
The psychosocial functioning of overweight youth is a growing concern. Research has shown that overweight children report lower quality of life (QOL) than their non-overweight peers. This study sought to extend the literature by examining the association between peer victimization, child depressive symptoms, parent distress, and health-related QOL in overweight youth. Mediator models are used to assess the effect of child depressive symptoms on the relationship between psychosocial variables and QOL.
The sample consisted of 96 overweight and at-risk-for-overweight children (mean age=12.8 years) and their parents who were recruited from a Pediatric Endocrinology Obesity Clinic. Parents completed a demographic questionnaire, the Pediatric Quality of Life Inventory-parent-proxy version, and the Brief Symptom Inventory. Children completed the Children's Depression Inventory-Short Form, the Schwartz Peer Victimization Scale, and the Pediatric Quality of Life Inventory.
Increased parent distress, child depressive symptoms, and peer victimization were associated with lower QOL by both parent-proxy and self-report. Child depressive symptoms mediated the relationship between psychosocial variables (parent distress and peer victimization) for self-reported QOL but not for parent-proxy-reported QOL.
This study documented the important impact of peer victimization and parental distress on the QOL of overweight children. Expanding our understanding of how overweight children experience and interact with their environment is critical. Further research is needed to examine the mechanisms by which parent distress and peer victimization impact the development of depressive symptoms in overweight children, including coping and support strategies that may buffer these children against the development of depressive symptoms and ultimately lower QOL.
超重青少年的心理社会功能日益受到关注。研究表明，超重儿童报告的生活质量（QOL）低于非超重同龄人。本研究旨在通过考察超重青少年中同伴侵害、儿童抑郁症状、父母苦恼与健康相关生活质量之间的关联来扩展相关文献。中介模型用于评估儿童抑郁症状对心理社会变量与生活质量之间关系的影响。
样本包括96名超重及有超重风险的儿童（平均年龄 = 12.8岁）及其父母，他们是从一家儿科内分泌肥胖诊所招募的。父母完成了一份人口统计学问卷、儿童生活质量量表家长代理版以及简明症状量表。儿童完成了儿童抑郁量表简版、施瓦茨同伴侵害量表以及儿童生活质量量表。
父母苦恼增加、儿童抑郁症状以及同伴侵害与家长代理报告和自我报告的较低生活质量均相关。儿童抑郁症状介导了自我报告生活质量的心理社会变量（父母苦恼和同伴侵害）之间的关系，但未介导家长代理报告生活质量的这种关系。
本研究记录了同伴侵害和父母苦恼对超重儿童生活质量的重要影响。扩展我们对超重儿童如何体验其环境并与之互动的理解至关重要。需要进一步研究来考察父母苦恼和同伴侵害影响超重儿童抑郁症状发展的机制，包括可能缓冲这些儿童抑郁症状发展并最终降低生活质量的应对和支持策略。
