Celiloğlu Can, Turan İhsan, Ray Perihan Çam, Özdemir Dilek Semine, Çay Mevra, Çelebi Şükriye Tuğçe, Çimen Ayşe Merve, Namlı Zeynep, Yüksel Bilgin
Department of Pediatric Endocrinology, Çukurova University Faculty of Medicine, Adana, Türkiye.
Department of Child and Adolescent Psychiatry, Çukurova University Faculty of Medicine, Adana, Türkiye.
Front Pediatr. 2025 Jul 31;13:1632927. doi: 10.3389/fped.2025.1632927. eCollection 2025.
The development of obesity is associated with various biological, environmental, and psychological factors, and there is a bidirectional interaction between obesity and psychological health. Several reports have highlighted the intrafamilial transmission of psychopathologies among individuals with obesity. This study aimed to assess symptoms of depression and anxiety in adolescents with exogenous obesity and their mothers, along with maternal caregiver burden and burnout levels.
Adolescents diagnosed with exogenous obesity and their mothers were prospectively enrolled in the study. Clinical data were recorded, and participants completed standardized assessment tools: children filled out the Screen for Child Anxiety Related Emotional Disorders (SCARED) and the Kovacs Children's Depression Inventory (CDI), while mothers completed the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Maslach Burnout Inventory (MBI), and Zarit Caregiver Burden Scale. Results were compared with those of a control group.
A total of 49 obese adolescents (aged 12-18) and their mothers, and 43 age- and sex-matched controls with their mothers, were evaluated. The mean BMI of the obesity group was 35.29 ± 4.77 kg/m (BMI-SDS: 2.44 ± 0.40). No significant differences were observed between adolescents with obesity and control subjects regarding depression and anxiety scores. Similarly, mothers' depression, anxiety, and caregiver burden scores did not significantly differ. However, emotional exhaustion and depersonalization subscale scores on the MBI were significantly higher among mothers of adolescents with obesity.
All adolescents showed elevated depression and anxiety scores compared to national averages, regardless of obesity status. Levels of emotional exhaustion and depersonalization were significantly elevated in mothers of adolescents with obesity. Assessing maternal burnout may contribute to more effective management of childhood obesity.
肥胖的发展与多种生物、环境和心理因素相关，肥胖与心理健康之间存在双向相互作用。几份报告强调了肥胖个体中精神病理学的家族内传播。本研究旨在评估外源性肥胖青少年及其母亲的抑郁和焦虑症状，以及母亲照顾者的负担和倦怠水平。
前瞻性招募被诊断为外源性肥胖的青少年及其母亲参与研究。记录临床数据，参与者完成标准化评估工具：儿童填写儿童焦虑相关情绪障碍筛查量表（SCARED）和科瓦茨儿童抑郁量表（CDI），而母亲完成贝克抑郁量表（BDI）、贝克焦虑量表（BAI）、马氏倦怠量表（MBI）和扎里特照顾者负担量表。将结果与对照组进行比较。
共评估了49名肥胖青少年（12 - 18岁）及其母亲，以及43名年龄和性别匹配的对照组及其母亲。肥胖组的平均BMI为35.29±4.77 kg/m（BMI - SDS：2.44±0.40）。在抑郁和焦虑得分方面，肥胖青少年与对照受试者之间未观察到显著差异。同样，母亲的抑郁、焦虑和照顾者负担得分也无显著差异。然而，肥胖青少年母亲的MBI情感耗竭和去人格化分量表得分显著更高。
无论肥胖状况如何，所有青少年的抑郁和焦虑得分均高于全国平均水平。肥胖青少年母亲的情感耗竭和去人格化水平显著升高。评估母亲的倦怠可能有助于更有效地管理儿童肥胖。
