Journal
CLINICAL PEDIATRICS
Volume 57, Issue 3, Pages 277-284Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0009922817715936
Keywords
overweight; obesity; mental health; screening; caregiver
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Funding
- Clinical Outcomes Research Enhancement award through Division of Behavioral Medicine and Clinical Psychology at Cincinnati Children's Hospital Medical Center
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The objectives of this study were to identify rates of, and factors associated with, at-risk scores on a brief psychosocial screener among overweight/obese youth seeking weight management treatment, as well as concordance between youth and caregiver reports. A retrospective chart review of 1443 consecutive patients ages 4 to 18 years and their caregivers was conducted. Almost 1 in 4 youth with overweight/obesity presented with psychosocial symptoms in the at-risk range for significant mental health issues based on caregiver report on the Pediatric Symptom Checklist (PSC) and 1 in 6 based on youth self-report on the Youth Pediatric Symptom Checklist (Y-PSC). Concordance between caregiver and youth was fair (agreement 24% to 40%). Higher scores were associated with male sex and older age on the PSC and with indication of depressive disorder in the electronic medical record on the Y-PSC. Conducting a brief psychosocial screen in comprehensive weight management programs is feasible and clinically indicated.
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