Sim Leslie A, Whiteside Stephen, Harbeck-Weber Cynthia, Sawchuk Nicholas, Lebow Jocelyn
Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Child Psychiatry Hum Dev. 2023 Oct 18. doi: 10.1007/s10578-023-01617-7.
Weight suppression, defined as the discrepancy between an individual's highest historical weight and their current weight, has been implicated in the development and maintenance of eating disorders. Although weight suppression has also been found to impact mood, anxiety and suicidal behavior in patients with and without disordered eating, it has not been examined as a transdiagnostic risk factor for general psychopathology. The current study examined growth records of 281 children and adolescents (ages 7 to 17) newly diagnosed with psychiatric disorders to determine whether these children were more likely to be weight suppressed as compared to an age- and gender-matched control group. Findings suggest that weight suppression is related to an increased risk for anxiety disorders and externalizing disorders for males. These results underscore the need for psychiatric and behavioral health providers to review pediatric growth charts as a routine part of psychiatric evaluation. As weight restoration is a necessary precondition for eating disorder recovery, more research is necessary to determine if weight restoration can enhance treatments for psychiatric symptoms occurring in the context of weight suppression.
体重抑制被定义为个体历史最高体重与当前体重之间的差异，它与饮食失调的发生和维持有关。尽管体重抑制也被发现会影响有无饮食紊乱的患者的情绪、焦虑和自杀行为，但尚未将其作为一般精神病理学的跨诊断风险因素进行研究。本研究检查了281名新诊断为精神疾病的儿童和青少年（7至17岁）的生长记录，以确定与年龄和性别匹配的对照组相比，这些儿童体重被抑制的可能性是否更高。研究结果表明，体重抑制与男性焦虑症和外化障碍风险增加有关。这些结果强调了精神科和行为健康提供者有必要将查看儿科生长图表作为精神科评估的常规部分。由于体重恢复是饮食失调康复的必要前提，因此需要更多研究来确定体重恢复是否可以增强对体重抑制情况下出现的精神症状的治疗。
