Division of Behavioral Medicine and Clinical Psychology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
J Dev Behav Pediatr. 2010 Jan;31(1):17-25. doi: 10.1097/DBP.0b013e3181c73641.
To document parenting stress in caregivers of treatment-seeking youth with obesity and examine whether parenting stress is a predictor of pediatric health indicators, including body mass index and weight or obesity-specific health-related quality of life.
Youth (5-18 years) and their caregivers presenting to a pediatric medical weight management program initial visit completed several self-report questionnaires assessing demographics, parenting stress, and weight or obesity-specific health-related quality of life. Youth's height and weight were measured by trained clinic nurses and abstracted from the patient medical records. Study staff measured caregiver's height and weight.
Participants included 120 caregivers and their youth (Mage = 11.0, 65.8% female, and 50% African-American). At treatment initiation, caregivers were primarily obese (Mbody mass index = 35.8). One fifth of caregivers of school-aged children (18%) had clinically increased levels of parenting stress, and 25% reported increased spousal discord specific to parenting. Parenting stress did not significantly predict youth body mass index. Parenting stress significantly predicted obesity-specific parent-proxy health-related quality of life for school-aged children but not self-reported obesity-specific health-related quality of life.
Given that caregivers are critical components of pediatric weight management interventions, those with clinically increased levels of parenting stress would likely benefit from brief problem-solving interventions and anticipatory guidance to address common obstacles when fostering healthier lifestyles for their youth.
记录寻求治疗的肥胖青少年照顾者的育儿压力，并研究育儿压力是否可预测儿科健康指标，包括体重指数和体重或肥胖特定的健康相关生活质量。
参加儿科医疗体重管理计划初诊的青少年（5-18 岁）及其照顾者完成了几份自我报告问卷，评估人口统计学、育儿压力和体重或肥胖特定的健康相关生活质量。经过培训的诊所护士测量了青少年的身高和体重，并从患者病历中提取。研究人员测量了照顾者的身高和体重。
参与者包括 120 名照顾者及其青少年（平均年龄为 11.0 岁，65.8%为女性，50%为非裔美国人）。在治疗开始时，照顾者主要是肥胖（平均体重指数为 35.8）。五分之一的学龄儿童（18%）照顾者的育儿压力处于临床升高水平，25%的照顾者报告说在育儿方面存在伴侣冲突增加的情况。育儿压力与青少年体重指数无显著相关性。育儿压力显著预测了学龄儿童肥胖特定的父母代理健康相关生活质量，但不能预测自我报告的肥胖特定的健康相关生活质量。
鉴于照顾者是儿科体重管理干预的关键组成部分，那些育儿压力处于临床升高水平的照顾者可能受益于简短的解决问题的干预措施和预期指导，以解决在为青少年培养更健康生活方式时的常见障碍。
