299名因评估常见肥胖而住院的青少年的焦虑障碍和重度抑郁障碍：一项回顾性队列研究

IF 1.3 4区医学 Q3 PEDIATRICS

Archives De Pediatrie Pub Date : 2025-05-01 DOI:10.1016/j.arcped.2025.01.004

Morgan Seyler , Caroline Barry , Alexandra Loisel , Marie Rose Moro , Jonathan Lachal , Hervé Lefèvre

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引用次数: 0

摘要

背景：肥胖对青少年有重大的社会心理影响。焦虑和抑郁是肥胖青少年最常见的精神疾病。目的：测量和讨论在多学科治疗中接受常见肥胖生物心理社会评估的青少年精神疾病的患病率。方法：这项回顾性单中心研究描述了299名肥胖青少年住院治疗十多年（2012-2021）的精神障碍，并进行了全球躯体和精神评估。纳入了11-18岁的患者。分析社会人口学资料、精神病学诊断、自我报告问卷（CDI、儿童抑郁量表、STAIC、儿童状态-特质焦虑量表、BES、暴食量表）。结果：27.4%的青少年患有焦虑症（AD）， 18.7%的青少年患有重度抑郁症（MDD）， 49.2%的青少年无精神障碍。在多元回归模型中，暴露于身体暴力（p < 0.01）和BES评分（p < 0.05）也与AD的风险相关。身体暴力暴露、入院时间、BES评分是MDD的危险因素（p < 0.05）。结论：青少年肥胖患者的精神障碍患病率高且呈上升趋势，证实了青少年肥胖患者的心理痛苦。部分患者临床表现不完整。重度抑郁症和AD与个人暴力史和高BES分数有关，反映了一些青少年的代偿性暴饮暴食现象。

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Anxiety disorders and major depressive disorders in 299 adolescents hospitalized for assessment of common obesity: A retrospective cohort study

Background

Obesity has major psychosocial impacts in adolescents. Anxiety and depression are the most common psychiatric conditions in adolescents suffering from obesity.

Objectives

To measure and discuss the prevalence of psychiatric disorders in adolescents hospitalized for biopsychosocial assessment of common obesity during multidisciplinary care.

Methods

This retrospective monocentric study describes mental disorders over a decade (2012–2021) in 299 adolescents with obesity hospitalized for a global somatic and psychiatric assessment. Patients aged 11–18 were included. Sociodemographic data, psychiatric diagnosis, self-report questionnaires (CDI, Children's Depression Inventory, STAIC, State-Trait Anxiety Inventory for children, BES, Binge Eating Scale) were analyzed.

Results

27,4 % of adolescents had an anxiety disorder (AD), 18,7 % had a major depressive disorder (MDD) and 49,2 % had no mental disorder. In multiple regression models, exposure to physical violence (p < 0.01), and the BES score (p < 0.05) were also associated with a risk of AD. Exposure to physical violence, year of admission and the BES score were risk factors for MDD (p < 0.05).

Conclusions

Prevalence of mental disorders is high and increasing, confirming the psychological suffering in adolescent with obesity. Some present with incomplete clinical profiles. MDD and AD are associated with a personal history of violence and a high BES score, reflecting in some adolescents a phenomenon of compensatory binge eating.

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来源期刊

Archives De Pediatrie 医学-小儿科

CiteScore

2.80

自引率

5.60%

发文量

106

审稿时长

24.1 weeks

期刊介绍： Archives de Pédiatrie publishes in English original Research papers, Review articles, Short communications, Practice guidelines, Editorials and Letters in all fields relevant to pediatrics. Eight issues of Archives de Pédiatrie are released annually, as well as supplementary and special editions to complete these regular issues. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. Archives de Pédiatrie is the official publication of the French Society of Pediatrics.