Ratcliff Megan B, Catlin Perry A, Peugh James L, Siegel Robert M, Kirk Shelley, Tamm Leanne
1 Center for Weight Management at Gwinnett Medical Center, Duluth, GA, USA.
2 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Clin Pediatr (Phila). 2018 Mar;57(3):277-284. doi: 10.1177/0009922817715936. Epub 2017 Jul 11.
The objectives of this study were to identify rates of, and factors associated with, "at-risk" scores on a brief psychosocial screener among overweight/obese youth seeking weight management treatment, as well as concordance between youth and caregiver reports. A retrospective chart review of 1443 consecutive patients ages 4 to 18 years and their caregivers was conducted. Almost 1 in 4 youth with overweight/obesity presented with psychosocial symptoms in the at-risk range for significant mental health issues based on caregiver report on the Pediatric Symptom Checklist (PSC) and 1 in 6 based on youth self-report on the Youth Pediatric Symptom Checklist (Y-PSC). Concordance between caregiver and youth was fair (agreement 24% to 40%). Higher scores were associated with male sex and older age on the PSC and with indication of depressive disorder in the electronic medical record on the Y-PSC. Conducting a brief psychosocial screen in comprehensive weight management programs is feasible and clinically indicated.
本研究的目的是确定寻求体重管理治疗的超重/肥胖青少年在简短心理社会筛查中“有风险”分数的发生率及相关因素，以及青少年与照顾者报告之间的一致性。对1443名年龄在4至18岁的连续患者及其照顾者进行了回顾性病历审查。根据照顾者在《儿科症状清单》（PSC）上的报告，近四分之一的超重/肥胖青少年存在显著心理健康问题的有风险范围的心理社会症状，而根据青少年在《青少年儿科症状清单》（Y-PSC）上的自我报告，这一比例为六分之一。照顾者与青少年之间的一致性一般（一致性为24%至40%）。PSC上较高的分数与男性性别和年龄较大相关，Y-PSC上的电子病历中抑郁症的指征也与之相关。在综合体重管理项目中进行简短的心理社会筛查是可行的，且具有临床指征。
