Links between psychopathological symptoms and disordered eating behaviors in overweight/obese youths

Objective: Among overweight and obese youths, rates of depression, anxiety disorders, attention‐deficit/hyperactivity disorder (ADHD), and oppositional defiant disorder (ODD) are elevated. We analyze whether these emotional and behavioral problems are associated with specifically disordered eating p...

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Bibliographic Details
Published in:The International journal of eating disorders 2013-03, Vol.46 (2), p.156-163
Main Authors: Pauli-Pott, Ursula, Becker, Katja, Albayrak, Özgür, Hebebrand, Johannes, Pott, Wilfried
Format: Article
Language:English
Subjects:
ADHD
Adolescent
Adult
anxiety
Attention deficit hyperactivity disorder
binge eating
Body Mass Index
Children & youth
depression
Eating disorders
Educational Status
Emotional disorders
Feeding and Eating Disorders - complications
Feeding and Eating Disorders - psychology
Feeding Behavior - psychology
Female
Humans
Male
Mental Disorders - complications
Mental Disorders - psychology
Obesity
Obesity - complications
Obesity - psychology
ODD
Overweight - complications
Overweight - psychology
Psychopathology
Sex Factors
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Summary:Objective: Among overweight and obese youths, rates of depression, anxiety disorders, attention‐deficit/hyperactivity disorder (ADHD), and oppositional defiant disorder (ODD) are elevated. We analyze whether these emotional and behavioral problems are associated with specifically disordered eating pattern. Method: Participants in the study were 128 overweight and obese children/adolescents (BMI: m = 29.3, s = 4.5; BMI‐SDS: m = 2.5, s = 0.4) between 8 and 15 years. Structured psychiatric assessments were conducted adopting a multimethod, multiinformant approach. Results: Children/adolescents with ODD symptoms showed increased eating in response to external cues and binge eating. ADHD symptoms were not associated with disordered eating behaviors. Children/adolescents with symptoms of depression and anxiety showed emotional and binge eating. In particular, overweight girls with symptoms of depression showed restrained eating. Discussion: Our results point to specific eating problems in overweight/obese children with ODD and depression/anxiety symptoms. The findings could help to tailor interventions to optimally meet the specific needs of overweight children with emotional and behavioral problems. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)
ISSN:0276-3478
1098-108X
DOI:10.1002/eat.22055