Arch Pediatr. 2025 Mar 20:S0929-693X(25)00049-1. doi: 10.1016/j.arcped.2025.01.004. Online ahead of print.
ABSTRACT
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.
PMID:40118727 | DOI:10.1016/j.arcped.2025.01.004
