Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
Int Rev Psychiatry. 2012 Jun;24(3):241-6. doi: 10.3109/09540261.2012.678818.
The onset of psychiatric symptoms and disorders is relatively common in childhood, occurring among youths across the weight spectrum. However, available research suggests that certain psychiatric comorbidities are more prevalent in obese children and adolescents than in healthy weight youths. First, we review research on disordered eating, including evidence to suggest that loss of control eating is associated with weight gain and obesity in youths, as well as poor outcome in family-based treatment of paediatric obesity. Second, we highlight evidence on the relationship between depression and obesity, especially in girls. Third, we present data on attention deficit hyperactivity disorder (ADHD), particularly the symptoms of impulsivity and inattention, and childhood obesity. We also consider that some medical conditions and psychotropic medications contribute to weight gain and obesity in children and adolescents. Throughout the review, we emphasize that psychiatric comorbidity may be a cause or consequence of childhood obesity, or they may share common aetiological factors.
精神症状和障碍的发作在儿童期相对常见，在整个体重范围内的青少年中都有发生。然而，现有研究表明，某些精神共病在肥胖儿童和青少年中比在健康体重的青少年中更为普遍。首先，我们回顾了关于饮食失调的研究，包括有证据表明，青少年的失控性进食与体重增加和肥胖有关，以及在儿童肥胖的家庭治疗中预后较差。其次，我们强调了抑郁与肥胖之间的关系的证据，特别是在女孩中。第三，我们介绍了关于注意缺陷多动障碍（ADHD）的数据，特别是冲动和注意力不集中的症状，以及儿童肥胖。我们还认为，一些医疗状况和精神药物会导致儿童和青少年体重增加和肥胖。在整个综述中，我们强调了精神共病可能是儿童肥胖的原因或结果，或者它们可能有共同的病因。
