Service of Endocrinology, Diabetes and Metabolism, Department of Medicine, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland.
Int J Obes (Lond). 2010 Dec;34 Suppl 2:S37-43. doi: 10.1038/ijo.2010.238.
To enhance the prevention and intervention efforts of childhood obesity, there is a strong need for the early detection of psychological factors contributing to its development and maintenance. Rather than a stable condition, childhood obesity represents a dynamic process, in which behavior, cognition and emotional regulation interact mutually with each other. Family structure and context, that is, parental and familial attitudes, activity, nutritional patterns as well as familial stress, have an important role with respect to the onset and maintenance of overweight and obesity. Behavioral and emotional problems are found in many, though not all, obese children, with a higher prevalence in clinical, treatment-seeking samples. The interrelatedness between obesity and psychological problems seems to be twofold, in that clinically meaningful psychological distress might foster weight gain and obesity may lead to psychosocial problems. The most frequently implicated psychosocial factors are externalizing (impulsivity and attention-deficit hyperactivity disorder) and internalizing (depression and anxiety) behavioral problems and uncontrolled eating behavior. These findings strengthen the need to further explore the interrelatedness between psychological problems and childhood obesity.
为了加强儿童肥胖的预防和干预工作，强烈需要早期发现导致其发展和维持的心理因素。儿童肥胖不是一种稳定的状态，而是一个动态的过程，其中行为、认知和情绪调节相互作用。家庭结构和环境，即父母和家庭的态度、活动、营养模式以及家庭压力，对于超重和肥胖的发生和维持起着重要作用。行为和情绪问题在许多肥胖儿童中存在，但并非所有肥胖儿童都存在，在临床、寻求治疗的样本中更为常见。肥胖和心理问题之间的相关性似乎是双重的，因为临床上有意义的心理困扰可能会导致体重增加和肥胖，而肥胖也可能导致心理社会问题。最常涉及的心理社会因素是外化（冲动和注意缺陷多动障碍）和内化（抑郁和焦虑）行为问题和失控的进食行为。这些发现加强了进一步探索心理问题与儿童肥胖之间相关性的必要性。
