Conlon Rachel P Kolko, Hurst Kelly T, Hayes Jacqueline F, Balantekin Katherine N, Stein Richard I, Saelens Brian E, Brown Mackenzie L, Sheinbein Daniel H, Welch R Robinson, Perri Michael G, Schechtman Kenneth B, Epstein Leonard H, Wilfley Denise E
School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
National Center for Weight and Wellness, Washington, DC, USA.
Pediatr Obes. 2019 Jul;14(7):e12511. doi: 10.1111/ijpo.12511. Epub 2019 Jan 21.
Studies of the association between children's depressive symptoms and obesity treatment response show mixed results. Different measurement may contribute to the inconsistent findings, as children's depressive symptoms are often based on parent-report about their child rather than child self-report.
We assessed both child- and parent-report of child depressive symptoms as predictors of children's obesity treatment response.
Children with overweight/obesity (body mass index [BMI] ≥ 85th percentile; N = 181) and their parents reported on children's depressive symptoms prior to family-based behavioral weight loss treatment.
Child percent overweight reduction from baseline to post-treatment was not predicted by child self-reported depressive symptoms or parent-report of child symptoms (P > 0.80), but was significantly predicted by the interaction between child self-report and parent-report on child (β = 0.14, P = 0.05). In analyses using clinical cutoffs, amongst children with high self-reported symptoms, those whose parents reported low child depressive symptoms had greater reduction in percent overweight (t = 2.67, P = 0.008), whereas amongst children with low self-reported symptoms, parent ratings were not associated with treatment outcome.
Including both child self-report and parent-report of child depressive symptoms may inform obesity care. Research is needed to examine differences amongst child and parent depressive symptom reports and strategies to address symptoms and optimize pediatric obesity treatment.
关于儿童抑郁症状与肥胖治疗反应之间关联的研究结果不一。不同的测量方法可能导致结果不一致，因为儿童抑郁症状通常基于家长对孩子的报告，而非孩子的自我报告。
我们评估了儿童自我报告和家长报告的儿童抑郁症状，作为儿童肥胖治疗反应的预测指标。
超重/肥胖儿童（体重指数[BMI]≥第85百分位数；N = 181）及其父母在基于家庭的行为减肥治疗前报告了儿童的抑郁症状。
从基线到治疗后的儿童超重减轻百分比，并非由儿童自我报告的抑郁症状或家长报告的儿童症状所预测（P > 0.80），但由儿童自我报告与家长报告之间的相互作用显著预测（β = 0.14，P = 0.05）。在使用临床临界值的分析中，在自我报告症状较高的儿童中，那些家长报告儿童抑郁症状较低的儿童超重减轻百分比更大（t = 2.67，P = 0.008），而在自我报告症状较低的儿童中，家长评分与治疗结果无关。
纳入儿童自我报告和家长报告的儿童抑郁症状，可能为肥胖治疗提供参考。需要开展研究，以检验儿童和家长抑郁症状报告之间的差异，以及应对症状和优化儿童肥胖治疗的策略。
