Taner Yasemen, Törel-Ergür Ayça, Bahçivan Gülbağ, Gürdag Mahinur
Department of Child and Adolescent Psychiatry, Ufuk University Faculty of Medicine, Ankara, Turkey.
Turk J Pediatr. 2009 Sep-Oct;51(5):466-71.
Obesity is a common health problem in children and adolescents and has life-threatening physical complications as well as psychological consequences, including negative self-image, low self-esteem and social difficulties. Psychiatric disorders, especially depression and anxiety disorders, are present at higher rates in obese patients. The aim of this study was to investigate the presence and type of psychopathology in a group of obese children and to determine the effect of comorbid psychiatric disorders on treatment compliance. Fifty-four obese patients were evaluated by clinical interviews as well as Schedule for Affective Disorders and Schizophrenia for School-Age Children, Present and Lifetime Version (KIDI-SADS-PL) for psychiatric diagnosis. Fifty percent of the sample was found to have psychopathology and treatment compliance was found to be poor in the group with comorbid psychiatric disorders. This shows that child and adolescent psychiatrists should be included as team members while treating pediatric obese patients.
肥胖是儿童和青少年中常见的健康问题，会导致危及生命的身体并发症以及心理后果，包括负面的自我形象、低自尊和社交困难。精神疾病，尤其是抑郁症和焦虑症，在肥胖患者中的发病率更高。本研究的目的是调查一组肥胖儿童的精神病理学存在情况和类型，并确定共病精神疾病对治疗依从性的影响。通过临床访谈以及《学龄儿童情感障碍和精神分裂症量表（目前和终生版）》（KIDI-SADS-PL）对54名肥胖患者进行精神疾病诊断评估。发现50%的样本存在精神病理学问题，且共病精神疾病组的治疗依从性较差。这表明在治疗小儿肥胖患者时应将儿童和青少年精神科医生纳入团队成员。
