Advertisement
Article| Volume 36, ISSUE 6, P507-519, November 2022

Examining Mental Health Disorders in Overweight and Obese Pediatric Patients

      Introduction

      We investigated the frequency and variation in three mental health diagnoses among obese or overweight children and adolescents.

      Method

      Logistic regression was used to examine the association between the outcome variables—anxiety, depression, and adjustment disorders—with the following covariates: overweight/obesity status, sex, age, and race.

      Results

      Findings show anxiety, depressive, and adjustment disorder diagnoses were significantly higher for overweight or obese youth in our sample. In addition, diagnosis rates for one or more of these disorders increase as children grow into adolescence. Furthermore, we found significantly higher rates of depression and significantly lower rates of anxiety among youth who live in places with higher rates of poverty.

      Discussion

      Findings indicate a target age for providers to focus on mental health screening among overweight/obese patients: (1) early adolescence (aged 11–14 years) for depressive and adjustment disorders and (2) early childhood (aged 2–4 years) for anxiety disorder.

      KEY WORDS

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric Health Care
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • al Omari O.
        • Sabei S.
        • al Rawajfah O.
        • Abu Sharour L.
        • Aljohani K.
        • Alomari K.
        • Alhalaiqa F.
        Prevalence and predictors of depression, anxiety, and stress among youth at the time of COVID-19: An online cross-sectional multicountry study.
        Depression Research and Treatment. 2020; 20208887727
        • Beers L.S.
        • Godoy L.
        • John T.
        • Long M.
        • Biel M.G.
        • Anthony B.
        • Weissman M.
        Mental health screening quality improvement learning collaborative in pediatric primary care.
        Pediatrics. 2017; 140e20162966
        • Biel M.G.
        • Tang M.H.
        • Zuckerman B.
        Pediatric mental health care must be family mental health care.
        JAMA Pediatrics. 2020; 174: 519-520
        • Brunelle K.
        • Abdulle S.
        • Gorey K.M.
        Anxiety and depression among socioeconomically vulnerable students with learning disabilities: Exploratory meta-analysis.
        Child and Adolescent Social Work Journal. 2020; 37: 359-367
        • Carroll R.
        • Duea S.R.
        • Prentice C.R.
        Implications for health system resilience: Quantifying the impact of the COVID-19-related stay at home orders on cancer screenings and diagnoses in southeastern North Carolina, USA.
        Preventive Medicine. 2022; 158107010
      1. Centers for Disease Control and Prevention. (2022). New reports on health and well-being of children during COVID-19 pandemic. Retrieved from https://www.cdc.gov/media/releases/2022/s0218-children-wellbeing-covid-19.html

        • Cristóbal-Narváez P.
        • Haro J.M.
        • Koyanagi A.
        Perceived stress and depression in 45 low- and middle-income countries.
        Journal of Affective Disorders. 2020; 274: 799-805
      2. Division of Nutrition Physical Activity and Obesity & National Center for Chronic Disease Prevention and Health Promotion. (2022). Consequences of obesity. Retrieved from https://www.cdc.gov/obesity/childhood/consequences.html

        • Farmer R.
        • Mathur R.
        • Bhaskaran K.
        • Eastwood S.V.
        • Chaturvedi N.
        • Smeeth L.
        Promises and pitfalls of electronic health record analysis.
        Diabetologia. 2018; 61: 1241-1248
        • Fox C.K.
        • Gross A.C.
        • Rudser K.D.
        • Foy A.M.H.
        • Kelly A.S.
        Depression, anxiety, and severity of obesity in adolescents: Is emotional eating the link?.
        Clinical Pediatrics. 2016; 55: 1120-1125
      3. Fryar, C. D., Carroll, M. D., & Afful, J. (2020). Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States, 1963–1965 through 2017–2018. Retrieved from cdc.gov/nchs/data/hestat/obesity-child-17-18/obesity-child.htm

        • Hagan J.F.
        • Shaw J.S.
        • Duncan P.M.
        Bright futures: Guidelines for health supervision of infants, children, and adolescents.
        4th ed. American Academy of Pediatrics, Itasca, IL2017
        • Hardin A.P.
        • Hackell J.M.
        • & Committee on Practice and Ambulatory Medicine
        Age limit of pediatrics.
        Pediatrics. 2017; 140e20172151
        • Henderson S.
        • Wagner J.L.
        • Gosdin M.M.
        • Hoeft T.J.
        • Unützer J.
        • Rath L.
        • Hinton L.
        Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community-based organisations in California, United States.
        Health and Social Care in the Community. 2020; 28: 1199-1208
        • Klinger E.V.
        • Carlini S.V.
        • Gonzalez I.
        • Hubert S.S.
        • Linder J.A.
        • Haas J.S.
        Accuracy of race, ethnicity, and language preference in an electronic health record.
        Journal of General Internal Medicine. 2015; 30: 719-723
        • Lau F.
        • Antonio M.
        • Davison K.
        • Queen R.
        • Bryski K.
        An environmental scan of sex and gender in electronic health records: Analysis of public information sources.
        Journal of Medical Internet Research. 2020; 22: e20050
        • LaVille Thoren K.
        • Vista-Wayne J.
        The collaborative care model: Improving access to children's mental health care.
        Journal of Child and Adolescent Psychiatric Nursing. 2021; 34: 83-87
        • Lindberg L.
        • Hagman E.
        • Danielsson P.
        • Marcus C.
        • Persson M.
        Anxiety and depression in children and adolescents with obesity: A nationwide study in Sweden.
        BMC Medicine. 2020; 18: 30
        • Linder A.
        • Gerdtham U.G.
        • Trygg N.
        • Fritzell S.
        • Saha S.
        Inequalities in the economic consequences of depression and anxiety in Europe: A systematic scoping review.
        European Journal of Public Health. 2020; 30: 767-777
        • Ludwig D.S.
        Epidemic Childhood Obesity: Not yet the end of the beginning.
        Pediatrics. 2018; 141e20174078
        • Mannan M.
        • Mamun A.
        • Doi S.
        • Clavarino A.
        Prospective associations between depression and obesity for adolescent males and females – A systematic review and meta-analysis of longitudinal studies.
        PLoS One. 2016; 11e0157240
        • Meyer D.
        • Bishai D.
        • Ravi S.J.
        • Rashid H.
        • Mahmood S.S.
        • Toner E.
        • Nuzzo J.B.
        A checklist to improve health system resilience to infectious disease outbreaks and natural hazards.
        BMJ Global Health. 2020; 5e002429
        • O'Brien D.
        • Harvey K.
        • Howse J.
        • Reardon T.
        • Creswell C.
        Barriers to managing child and adolescent mental health problems: A systematic review of primary care practitioners’ perceptions.
        British Journal of General Practice. 2016; 66: e693-e707
        • Patel V.
        • Burns J.K.
        • Dhingra M.
        • Tarver L.
        • Kohrt B.A.
        • Lund C.
        Income inequality and depression: A systematic review and meta-analysis of the association and a scoping review of mechanisms.
        World Psychiatry. 2018; 17: 76-89
        • Quek Y.H.
        • Tam W.W.S.
        • Zhang M.W.B.
        • Ho R.C.M
        Exploring the association between childhood and adolescent obesity and depression: A meta-analysis.
        Obesity Reviews. 2017; 18: 742-754
      4. R Core Team. (2015). R: A language and environment for statistical computing. Retrieved from http://www.r-project.org/

        • Rankin J.
        • Matthews L.
        • Cobley S.
        • Han A.
        • Sanders R.
        • Wiltshire H.D.
        • Baker J.S.
        Psychological consequences of childhood obesity: Psychiatric comorbidity and prevention.
        Adolescent Health, Medicine and Therapeutics. 2016; 7: 125-146
        • Rao W.W.
        • Zong Q.Q.
        • Zhang J.W.
        • An F.R.
        • Jackson T.
        • Ungvari G.S.
        • Xiang Y.T.
        Obesity increases the risk of depression in children and adolescents: Results from a systematic review and meta-analysis.
        Journal of Affective Disorders. 2020; 267: 78-85
        • Sanyaolu A.
        • Okorie C.
        • Qi X.
        • Locke J.
        • Rehman S.
        Childhood and adolescent obesity in the United States: A public health concern.
        Global Pediatric Health. 2019; 6 (2333794X19891305)
        • Shore L.
        • Toumbourou J.W.
        • Lewis A.J.
        • Kremer P.
        Review: Longitudinal trajectories of child and adolescent depressive symptoms and their predictors – A systematic review and meta-analysis.
        Child and Adolescent Mental Health. 2018; 23: 107-120
        • Whitney D.G.
        • Peterson M.D.
        US national and state-level prevalence of mental health disorders and disparities of mental health care use in children.
        JAMA Pediatrics. 2019; 173: 389-391
        • Zhu Y.
        • Chen X.
        • Zhao H.
        • Chen M.
        • Tian Y.
        • Liu C.
        • Qin S.
        Socioeconomic status disparities affect children's anxiety and stress-sensitive cortisol awakening response through parental anxiety.
        Psychoneuroendocrinology. 2019; 103: 96-103
      5. U.S. Census Bureau. (2018). 2015–2018 American community survey. Retrieved from https://www.census.gov/programs-surveys/acs

      Biography

      Rachel Carroll, Researcher, Human Services Division, American Institutes for Research, Arlington, VA.

      Biography

      April A. Bice, Assistant Professor, School of Nursing, University of North Carolina Wilmington, Wilmington, NC.

      Biography

      Anka Roberto, Assistant Professor, School of Nursing, University of North Carolina Wilmington, Wilmington, NC.

      Biography

      Christopher R. Prentice, Associate Professor, Department of Public and International Affairs, University of North Carolina Wilmington, Wilmington, NC.