Red Cross Children's Hospital Siegen, Siegen, Germany.
J Dev Behav Pediatr. 2010 Oct;31(8):635-40. doi: 10.1097/DBP.0b013e3181f178eb.
The study investigates whether preintervention depressive symptoms predict weight loss and whether an increase in depressive symptoms during a group-based lifestyle intervention of 1 year's duration is associated with failure in weight reduction while controlling for the influence of psychosocial risks.
Participants were 136 overweight and obese children and adolescents between 7 and 15 years, who had been referred for weight reduction treatment by local pediatric practices. Depressive symptoms in the child/adolescent were screened by a German version of the Children's Depression Inventory, in accordance with DSM-IV criteria, at baseline and conclusion of the program. Family adversity was assessed using the Psychosocial Risk Index at baseline. Preintervention maternal depression was assessed using the Center for Epidemiological Studies Depression Scale.
Preintervention depressive symptoms in the child/adolescent did not predict reduction in body mass index-standard deviation score. High number of psychosocial risks predicted an increase in depressive symptoms. Independently of this association, failure to reduce weight within the 1-year duration of the program was significantly associated with an increase in depressive symptoms.
It is necessary to identify cases at risk to offer further and more specific support.
本研究旨在调查干预前的抑郁症状是否能预测体重减轻，以及在为期 1 年的基于小组的生活方式干预期间抑郁症状的增加是否与体重减轻失败有关，同时控制心理社会风险的影响。
参与者为 136 名 7 至 15 岁超重和肥胖的儿童和青少年，他们因体重减轻治疗而被当地儿科诊所转介。根据 DSM-IV 标准，在基线和项目结束时使用德文版儿童抑郁量表对儿童/青少年的抑郁症状进行筛查。使用心理社会风险指数在基线时评估家庭逆境。使用流行病学研究中心抑郁量表评估母亲在干预前的抑郁情况。
儿童/青少年在干预前的抑郁症状并不能预测体重指数标准差的降低。高数量的心理社会风险预示着抑郁症状的增加。独立于这种关联，在项目 1 年内未能减轻体重与抑郁症状的增加显著相关。
有必要识别风险病例，以提供进一步和更具体的支持。
