Child Maltreatment and the Adolescent Patient With Severe Obesity: Implications for Clinical Care

Journal of Pediatric Psychology
Meg H ZellerTeenView Study Group and in Cooperation With Teen-LABS Consortium

Abstract

To characterize prevalence and correlates of child maltreatment (CM) in a clinical sample of adolescents with severe obesity. Multicenter baseline data from 139 adolescents undergoing weight loss surgery (Mage = 16.9; 79.9% female, 66.2% White; Mbody mass index [BMI] = 51.5 kg/m(2)) and 83 nonsurgical comparisons (Mage = 16.1; 81.9% female, 54.2% White; MBMI = 46.9 kg/m(2)) documented self-reported CM (Childhood Trauma Questionnaire) and associations with psychopathology, quality of life, self-esteem and body image, high-risk behaviors, and family dysfunction. CM prevalence (females: 29%; males: 12%) was similar to national adolescent base rates. Emotional abuse was most prevalent. One in 10 females reported sexual abuse. For females, CM rates were higher in comparisons, yet correlates were similar for both cohorts: greater psychopathology, substance use, and family dysfunction, and lower quality of life. While a minority of adolescents with severe obesity reported a CM history, they carry greater psychosocial burden into the clinical setting.

References

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Citations

Sep 26, 2015·Metabolism: Clinical and Experimental·Hao HuangLiegang Liu
Sep 30, 2016·Journal of Pediatric Psychology·Jennifer Reiter-PurtillUNKNOWN TeenView Study Group and in cooperation with Teen-LABS Consortium
Oct 19, 2016·Obesity·Meg H ZellerUNKNOWN TeenView Study Group and in collaboration with the Teen-LABS Consortium
Dec 21, 2017·Childhood Obesity·Katherine HawtonJulian P H Shield
May 18, 2018·Journal of Pediatric Psychology·Kelsey B BornerMeredith L Dreyer Gillette
May 31, 2016·Pediatric Obesity·J N BecnelUNKNOWN TeenView Study Group in cooperation with Teen-LABS Consortium
Sep 17, 2018·Current Obesity Reports·David B SarwerKristine Steffen
Jun 19, 2019·International Journal of Obesity : Journal of the International Association for the Study of Obesity·Jennifer Reiter-PurtillUNKNOWN in cooperation with the TeenView Study Group and Teen-LABS Consortium
Jan 29, 2021·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Krista SchroederDavid B Sarwer

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