Myers M D, Raynor H A, Epstein L H
Department of Psychology, University at Buffalo, NY 14260-4110, USA.
Arch Pediatr Adolesc Med. 1998 Sep;152(9):855-61. doi: 10.1001/archpedi.152.9.855.
To explore the influence of 1-year changes in child obesity and maternal psychopathology on changes in child psychological problems.
Hierarchical regression models were used to predict child psychological change, with demographic variables, maternal psychological change, and child percentage overweight change as predictors.
Pediatric obesity research clinic.
Clinic sample of 116 obese 8- to 12-year-old children and their mothers.
Family-based behavioral weight-control program.
Child psychopathology was assessed via mother-reported Child Behavior Checklists and maternal psychopathology was determined by standardizing scores on the Cornell Medical Index and the Symptoms Checklist-90-Revised.
Significant improvements were observed in child percentage overweight (-20.1% overweight), and child and maternal psychopathology. Improved maternal psychopathology accounted for a significant amount of variance in improvements in the Child Behavior Checklist total Problems Scale and internalizing and externalizing problems subscales. Decreased obesity accounted for a significant amount of variance in improvements in the Total Competence scale and, somatic complaints, social problems and social competence subscales of the Child Behavior Checklist. Significant interactions of child obesity change by sex were found for Total Problems and externalizing scores. The interactions were due to girls with greater obesity reduction showing greater improvement in Total Problems, whereas boys with greater obesity reduction showed less improvement in externalizing problems.
These results highlight the multidimensional nature of psychosocial functioning in obese children and call attention to multiple avenues for intervention to improve their psychosocial functioning.
探讨儿童肥胖和母亲精神病理学的1年变化对儿童心理问题变化的影响。
采用分层回归模型预测儿童心理变化，将人口统计学变量、母亲心理变化和儿童超重百分比变化作为预测因素。
儿科肥胖研究诊所。
116名8至12岁肥胖儿童及其母亲的诊所样本。
基于家庭的行为体重控制项目。
通过母亲报告的儿童行为检查表评估儿童精神病理学，通过康奈尔医学指数和症状自评量表-90修订版的标准化分数确定母亲精神病理学。
儿童超重百分比（超重-20.1%）、儿童和母亲精神病理学均有显著改善。母亲精神病理学的改善在儿童行为检查表总问题量表以及内化和外化问题子量表的改善中占显著比例。肥胖的减轻在儿童行为检查表的总体能力量表、躯体主诉、社会问题和社会能力子量表的改善中占显著比例。在总问题和外化分数方面发现了儿童肥胖变化按性别存在显著交互作用。这种交互作用是由于肥胖减轻更多的女孩在总问题上改善更大，而肥胖减轻更多的男孩在外化问题上改善较少。
这些结果突出了肥胖儿童心理社会功能的多维度性质，并呼吁关注多种干预途径以改善他们的心理社会功能。
