Skip to content
Licensed Unlicensed Requires Authentication Published by De Gruyter November 13, 2015

Anxiety, depression and self-esteem levels in obese children: a case-control study

  • Seda Topçu EMAIL logo , Filiz Şimşek Orhon , Meltem Tayfun , Seyit Ahmet Uçaktürk and Fatma Demirel

Abstract

Background: Obesity is a global health problem affecting all age groups. Childhood obesity, which may cause chronic diseases including diabetes mellitus, cardiovascular disease and cancer, etc., deserves more attention. However, few studies highlight the association between childhood obesity and psychological diseases. In the present study, we aimed to evaluate the psychological condition in obese children.

Methods: One hundred and sixty-seven obese (body mass index (BMI) >95th percentile) and 200 normal weight children (BMI between 5th and 85th percentile) aged 9–16 years were enrolled into this case-control study. In order to assess the self-concept, anxiety and depression levels: the Piers-Harris Children’s Self-Concept Scale (PHCSCS), state and trait anxiety inventory for children (STAI-C) and the children depression inventory (CDI) were administered both obese and control groups.

Results: There were significant differences among obese and control groups in terms of the total score of PHCSCS [55 (22–69) versus 65 (57–74)], STAI-C [37 (20–55) versus 28 (20–42)], and CDI [12 (4–39)] versus [8 (3–19)]; respectively (p<0.001, p<0.001, p<0.001). We also found statistically significant differences among groups in all of the subscales parameters of PHCSCS (p<0.001).

Conclusions: Our results indicate that obese children may experience psychiatric disorders more than normal-weight peers.


Corresponding author: Seda Topçu, MD, Division of Social Pediatrics, Department of Pediatrics, Ankara University School of Medicine, 1549. Cadde, Hardem Apartmanı, B Blok, Daire 12. Çiğdem-Çankaya, Ankara, Turkey, Phone: +90 505 706 46 32, Fax: +90 312 306 59 17, E-mail:

Funding: This project received no funding.

Conflict of interest statement: No conflict of interest was declared by the authors.

Disclosure statement: We have no relevant financial or nonfinancial relationships to disclose.

References

1. Rendon-Macias ME, Rosas-Vargas H, Villasis-Keever MA, Perez-Garcia C. Children’s perception on obesity and quality of life: a Mexican survey. BMC Pediatr 2014;14:131.10.1186/1471-2431-14-131Search in Google Scholar

2. Gunduz Z, Dursun I, Tulpar S, Bastug F, Baykan A, et al. Increased endothelial microparticles in obese and overweight children. J Pediatr Endocrinol Metab 2012;25:1111–7.10.1515/jpem-2012-0194Search in Google Scholar

3. Han JC, Lawlor DA, Kimm SY. Childhood obesity. Lancet 2010;375:1737–48.10.1016/S0140-6736(10)60171-7Search in Google Scholar

4. Machann W, Beer M, Breunig M, Stork S, Angermann C, et al. Cardiac magnetic resonance imaging findings in 20-year survivors of mediastinal radiotherapy for Hodgkin’s disease. Int J Radiat Oncol Biol Phys 2011;79:1117–23.10.1016/j.ijrobp.2009.12.054Search in Google Scholar PubMed

5. Blaine B. Does depression cause obesity?: a meta-analysis of longitudinal studies of depression and weight control. J Health Psychol 2008;13:1190–7.10.1177/1359105308095977Search in Google Scholar PubMed

6. de Wit L, Luppino F, van Straten A, Penninx B, Zitman F, et al. Depression and obesity: a meta-analysis of community-based studies. Psychiatry Res 2010;178:230–5.10.1016/j.psychres.2009.04.015Search in Google Scholar PubMed

7. Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 2010;67:220–9.10.1001/archgenpsychiatry.2010.2Search in Google Scholar PubMed

8. Haase M, Starick E, Fereidouni S, Strebelow G, Grund C, et al. Possible sources and spreading routes of highly pathogenic avian influenza virus subtype H5N1 infections in poultry and wild birds in Central Europe in 2007 inferred through likelihood analyses. Infect Genet Evol 2010;10:1075–84.10.1016/j.meegid.2010.07.005Search in Google Scholar PubMed

9. Styne D. Puberty. In: Gardner D, Shoback D, editors. Greenspan’s basic and clinical endocrinology, 9th ed. New York, NY: McGraw Hill, 2011:527–552.Search in Google Scholar

10. Niemann M, Breunig F, Beer M, Herrmann S, Strotmann J, et al. The right ventricle in Fabry disease: natural history and impact of enzyme replacement therapy. Heart 2010;96:1915–9.10.1136/hrt.2010.204586Search in Google Scholar PubMed

11. Vahlenkamp TW, Teifke JP, Harder TC, Beer M, Mettenleiter TC. Systemic influenza virus H5N1 infection in cats after gastrointestinal exposure. Influenza Other Respi Viruses 2010;4:379–86.10.1111/j.1750-2659.2010.00173.xSearch in Google Scholar PubMed PubMed Central

12. Kovacs M. The children’s depression, inventory (CDI). Psychopharmacol Bull 1985;21:995–8.Search in Google Scholar

13. Abdelwhabel SM, Erfan AM, Grund C, Ziller M, Arafa AS, et al. Simultaneous detection and differentiation by multiplex real time RT-PCR of highly pathogenic avian influenza subtype H5N1 classic (clade 2.2.1 proper) and escape mutant (clade 2.2.1 variant) lineages in Egypt. Virol J 2010;7:260.Search in Google Scholar

14. Grove T, De Beer MS, Joubert PH. Developing a systems approach for Thaumatotibia leucotreta (Lepidoptera: Tortricidae) on ‘Hass’ avocado in South Africa. J Econ Entomol 2010;103:1112–28.10.1603/EC09045Search in Google Scholar

15. Beer M, Stamm H, Machann W, Weng A, Goltz JP, et al. Free breathing cardiac real-time cine MR without ECG triggering. Int J Cardiol 2010;145:380–2.10.1016/j.ijcard.2010.02.052Search in Google Scholar PubMed

16. Birmaher B, Ryan ND, Williamson DE, Brent DA, Kaufman J. Childhood and adolescent depression: a review of the past 10 years. Part II. J Am Acad Child Adolesc Psychiatry 1996;35:1575–83.10.1097/00004583-199612000-00008Search in Google Scholar PubMed

17. Birmaher B, Brent D, Issues AWGoQ, Bernet W, Bukstein O, et al. Practice parameter for the assessment and treatment of children and adolescents with depressive disorders. J Am Acad Child Adolesc Psychiatry 2007;46:1503–26.10.1097/chi.0b013e318145ae1cSearch in Google Scholar PubMed

18. Melvin GA, Dudley AL, Gordon MS, Ford S, Taffe J, et al. What happens to depressed adolescents? A follow-up study into early adulthood. J Affect Disord 2013;151:298–305.10.1016/j.jad.2013.06.012Search in Google Scholar PubMed

19. Wech T, Gutberlet M, Greiser A, Stab D, Ritter CO, et al. High-resolution functional cardiac MR imaging using density-weighted real-time acquisition and a combination of compressed sensing and parallel imaging for image reconstruction. Rofo 2010;182:676–81.10.1055/s-0029-1245504Search in Google Scholar PubMed

20. Eschbaumer M, Wackerlin R, Rudolf M, Keller M, Konig P, et al. Infectious blood or culture-grown virus: a comparison of bluetongue virus challenge models. Vet Microbiol 2010;146:150–4.10.1016/j.vetmic.2010.05.004Search in Google Scholar PubMed

21. Ekmay RD, de Beer M, Rosebrough RW, Richards MP, McMurtry JP, et al. The role of feeding regimens in regulating metabolism of sexually mature broiler breeders. Poult Sci 2010;89:1171–81.10.3382/ps.2009-00465Search in Google Scholar PubMed

22. Beesdo K, Knappe S, Pine DS. Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatr Clin North Am 2009;32:483–524.10.1016/j.psc.2009.06.002Search in Google Scholar PubMed PubMed Central

23. Gubata ME, Urban N, Cowan DN, Niebuhr DW. A prospective study of physical fitness, obesity, and the subsequent risk of mental disorders among healthy young adults in army training. J Psychosom Res 2013;75:43–8.10.1016/j.jpsychores.2013.04.003Search in Google Scholar PubMed

24. Chwastiak LA, Rosenheck RA, Kazis LE. Association of psychiatric illness and obesity, physical inactivity, and smoking among a national sample of veterans. Psychosomatics 2011;52:230–6.10.1016/j.psym.2010.12.009Search in Google Scholar PubMed PubMed Central

25. Russell-Mayhew S, McVey G, Bardick A, Ireland A. Mental health, wellness, and childhood overweight/obesity. J Obes 2012;2012:281801.10.1155/2012/281801Search in Google Scholar PubMed PubMed Central

26. Piers EV, Herzberg DS. Piers-Harris 2: Piers-Harris Children’s Self-Concept Scale. 2. Los Angeles, CA: Western Psychological Services, 2003.Search in Google Scholar

27. Galvez Casas A, Rodriguez Garcia PL, Rosa Guillamon A, Garcia-Canto E, Perez-Soto JJ et al. Relationship between body weight status and self-concept in schoolchildren. Nutr Hosp 2014;31:730–6.Search in Google Scholar

28. Stoupa A, Goischke A, Garcin C, Elie C, Viaud M, et al. Can school health check-ups serve as screening tool for growth anomalies and obesity in children? J Pediatr Endocrinol Metab 2015;28:1115–21.10.1515/jpem-2014-0530Search in Google Scholar PubMed

29. Madsen KA, Garber AK, Mietus-Snyder ML, Orrell-Valente JK, Tran CT, et al. A clinic-based lifestyle intervention for pediatric obesity: efficacy and behavioral and biochemical predictors of response. J Pediatr Endocrinol Metab 2009;22:805–14.10.1515/JPEM.2009.22.9.805Search in Google Scholar

Received: 2015-6-23
Accepted: 2015-9-18
Published Online: 2015-11-13
Published in Print: 2016-3-1

©2016 by De Gruyter

Downloaded on 16.4.2024 from https://www.degruyter.com/document/doi/10.1515/jpem-2015-0254/html
Scroll to top button