Department of Child Psychiatry, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
Department of Child Endocrinology, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey.
Arch Pediatr. 2023 Jul;30(5):277-282. doi: 10.1016/j.arcped.2023.02.008. Epub 2023 Apr 13.
Childhood obesity is one of the most severe public health problems, and psychiatric conditions have been associated with obesity. In this study, we aimed to investigate psychological resilience and possible related factors in adolescents with obesity.
The study included 90 adolescents with obesity and 100 healthy adolescents of similar age. Data were collected using a sociodemographic information form, the Child and Youth Resilience Measure-28 (CYRM-28), and the Multidimensional Scale of Perceived Social Support. Scale scores were compared by Pearson's correlation coefficient test with SPSS-23. Multiple linear regression was performed to describe the relationships between variables.
The adolescents participating in the study were similar in terms of age and gender. Psychological resilience and social support in the obesity group were lower than in the control group (p < 0.05). A negative relationship was found between body mass index (BMI) and resilience levels of adolescents with obesity, and a positive relationship was found between social support and resilience levels (p = 0.027 and p < 0.001, respectively). The perceived family and significant other social support subscale scores of adolescents in the obesity group were significantly lower than in the control group (p = 0.037 and p = 0.023, respectively). The most related variable with the CYRM-28 was the level of perceived social support: standardized β = 0.409; t(151) = 5.626; p < 0.001.
A higher BMI has a negative effect on psychological resilience, and family support tends to be lower in these cases. New studies are needed to clarify whether this result is one of the causes of obesity or one of its consequences.
儿童肥胖是最严重的公共卫生问题之一，精神疾病与肥胖有关。本研究旨在调查肥胖青少年的心理弹性及其可能的相关因素。
该研究纳入了 90 名肥胖青少年和 100 名年龄相仿的健康青少年。采用社会人口学信息表、儿童和青少年心理弹性量表-28 版（CYRM-28）和多维感知社会支持量表收集数据。使用 SPSS-23 中的 Pearson 相关系数检验比较量表评分。采用多元线性回归描述变量之间的关系。
参与研究的青少年在年龄和性别方面相似。肥胖组的心理弹性和社会支持均低于对照组（p<0.05）。肥胖青少年的 BMI 与心理弹性水平呈负相关，社会支持与心理弹性水平呈正相关（p=0.027 和 p<0.001）。肥胖组青少年感知的家庭和重要他人社会支持分量表评分明显低于对照组（p=0.037 和 p=0.023）。与 CYRM-28 最相关的变量是感知社会支持水平：标准化β=0.409；t(151)=5.626；p<0.001。
较高的 BMI 对心理弹性有负面影响，并且在这种情况下，家庭支持往往较低。需要进一步的研究来阐明这一结果是肥胖的原因之一还是肥胖的后果之一。
