Esen Öksüzoğlu Makbule, Akdemir Devrim, Akgül Sinem, Özdemir Pınar
Department of Child and Adolescent Psychiatry, Kastamonu Training and Research Hospital, 37150, Kastamonu, Turkey.
Department of Child and Adolescent Psychiatry, Hacettepe University, Ankara, Turkey.
Arch Pediatr. 2024 Nov;31(8):527-532. doi: 10.1016/j.arcped.2024.07.007. Epub 2024 Oct 30.
Mood symptoms and disordered eating behaviors are common in adolescents with overweight and obesity. This study aimed to investigate the relationships between mood symptoms, difficulties in emotion regulation, and emotional eating behaviors in adolescents with overweight and obesity.
In this cross-sectional study, adolescents with normal weight (N = 45), overweight (N = 45), or obesity (N = 55) were assessed using semi-structured clinical interviews and self-report scales. Path analysis was used to examine factors contributing to emotional eating behaviors, considering psychiatric comorbidities, mood symptoms, emotional/binge/restrictive eating behaviors, difficulties in emotion regulation, and self-esteem.
Adolescents with overweight and obesity exhibited more depressive, anxiety, and anger symptoms; restrictive, emotional, and external eating behaviors; and psychopathologies such as mood disorders, anxiety disorders, and attention-deficit/hyperactivity disorder (ADHD) compared with normal-weight adolescents. ADHD diagnosis, difficulties in emotion regulation, hypomanic/manic symptoms, and anger symptoms directly predicted emotional eating behavior, while self-esteem was an indirect predictor.
Adolescents with overweight and obesity tend to exhibit similar psychological characteristics, including increased mood symptoms and maladaptive eating behaviors associated with higher rates of anxiety and mood disorders, compared with their normal-weight peers. The most significant predictors of emotional eating behaviors were ADHD and difficulties in emotion regulation. Given the frequency of psychological comorbidities in obesity, their detection and management should be encouraged.
情绪症状和饮食紊乱行为在超重和肥胖青少年中很常见。本研究旨在调查超重和肥胖青少年的情绪症状、情绪调节困难与情绪化饮食行为之间的关系。
在这项横断面研究中，使用半结构化临床访谈和自我报告量表对体重正常（N = 45）、超重（N = 45）或肥胖（N = 55）的青少年进行评估。路径分析用于检查导致情绪化饮食行为的因素，同时考虑精神共病、情绪症状、情绪化/暴饮暴食/限制性饮食行为、情绪调节困难和自尊。
与体重正常的青少年相比，超重和肥胖的青少年表现出更多的抑郁、焦虑和愤怒症状；限制性、情绪化和外在饮食行为；以及情绪障碍、焦虑障碍和注意力缺陷多动障碍（ADHD）等精神病理学症状。ADHD诊断、情绪调节困难、轻躁狂/躁狂症状和愤怒症状直接预测情绪化饮食行为，而自尊是间接预测因素。
与体重正常的同龄人相比，超重和肥胖的青少年往往表现出相似的心理特征，包括情绪症状增加和与焦虑和情绪障碍发生率较高相关的适应不良饮食行为。情绪化饮食行为的最重要预测因素是ADHD和情绪调节困难。鉴于肥胖中精神共病的频率，应鼓励对其进行检测和管理。
