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      The Influence of Weight and Height Status on Psychological Problems of Elementary Schoolchildren through Child Behavior Checklist Analysis

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          Abstract

          Purpose

          This study aimed to evaluate weight and height status and their relationship with psychological problems among elementary schoolchildren.

          Materials and Methods

          A total of 405 schoolchildren (211 boys and 194 girls, aged: 10-13 years), living in Seoul, Korea, participated in this study. The participants were divided into 3 groups according to their weight and height standard deviation score. Psychological assessments were performed using the Korean-Child Behavior Checklist (CBCL).

          Results

          In this study, 34.4% of boys and 32.1% of girls showed dissatisfaction with their weight, whereas 26.2% of boys and 30.2% of girls showed dissatisfaction with their height. The obese group showed higher weight dissatisfaction than the normal or underweight groups ( p < 0.001). The short stature group showed higher dissatisfaction in their height than the normal group ( p = 0.01). There was no significant difference in total CBCL problems score according to weight or height status. The underweight and obese groups had higher score for social problems than normal weight group ( p < 0.05 respectively). There were no significant differences in each CBCL problem score by height status. As a whole, the prevalence rate of a CBCL total problems score in the clinical range was 3 percent (12/405). These children showed no difference in terms of weight or height, compared with normal students. Among the factors related, only school performance was negatively correlated with the total problems score ( p < 0.01).

          Conclusion

          Approximately one-third of elementary schoolchildren were dissatisfied with their height or weight. Although their total CBCL psychological problem scores were closely related with school performance, they did not show any significant relation with height or weight status. Contrary to the general view, our study suggests that psychological problems of elementary schoolchildren may be related more with their school performance than their body physique.

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          Most cited references39

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          Manual for the Child Behavior Checklist/4-18 and 1991 Profile

          The Child Behavior Checklist for ages 4-18 is designed to record children's competencies and problems as reported by their parents or parent surrogates. It can be self-administered or administered by an interviewer. The 20 competence items obtain parents' reports of the amount and quality of their child's participation in sports, hobbies, games, activities, jobs and chores, and friendships; how well the child gets along with others and plays and works alone; and school functioning. Each of the 118 specific problem items and two open-ended problem items are scored on a 3-step response scale. The Checklist is intended as only one component of many, including teacher reports, standardized tests, physical assessment and direct assessment of the child. Reliability and validity are discussed.
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            Is obesity associated with major depression? Results from the Third National Health and Nutrition Examination Survey.

            Data from the Third National Health and Nutrition Examination Survey (1988-1994) were used to examine the relation between obesity and depression. Past-month depression was defined using criteria from the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, and was measured with the Diagnostic Interview Schedule. Obesity was defined as a body mass index (weight (kg)/height (m)2) of 30 or higher. The authors compared risks of depression in obese and normal-weight (body mass index 18.5-24.9) persons. Obesity was associated with past-month depression in women (odds ratio (OR)=1.82, 95% confidence interval (CI): 1.01, 3.3) but was not significantly associated in men (OR=1.73, 95% CI: 0.56, 5.37). When obesity was stratified by severity, heterogeneity in the association with depression was observed. Class 3 (severe) obesity (body mass index > or =40) was associated with past-month depression in unadjusted analyses (OR=4.98, 95% CI: 2.07, 11.99); the association remained strong after results were controlled for age, education, marital status, physician's health rating, dieting for medical reasons, use of psychiatric medicines, cigarette smoking, and use of alcohol, marijuana, and cocaine. These findings suggest that obesity is associated with depression mainly among persons with severe obesity. Prospective studies will be necessary to clarify the obesity-depression relation but await the identification of potential risk factors for depression in the obese.
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              Is obesity a risk factor for psychopathology among adolescents?

              Although several studies have documented the existence of psychopathology in obese adolescents, disagreement remains regarding the extent and nature of this psychopathology. The aim of the present study was to explore the type and frequency of psychopathology in a clinical as well as a non-clinical sample of obese adolescents, and in a normal weight control group. The study sample consisted of a clinical study group of 30 obese adolescents, a non-clinical obese group of 30 obese adolescents, and a control group of 30 normal weight adolescents. Psychological assessment was performed using a non-structured psychiatric interview, the Child Behavior Checklist (CBCL), Children Depression Inventory (CDI), Rosenberg Self-esteem scale (SES) and the Eating Attitude Test (EAT). More than half of the clinical obese adolescents (16/30) had a DSM-IV diagnosis, often involving major depressive disorder (n = 10). The mean scores of anxiety-depression, social problems, social withdrawal and total problem in the CBCL scale of the clinical obese group were significantly higher than the non-clinical obese group and the normal weight control group. The mean total scores of the SES and the CDI of the clinical obese group were higher than the normal weight control group. The mean total score of EAT of the clinical obese group was significantly higher than the normal weight control group, and the mean score of EAT of the non-clinical obese group was significantly higher than the normal weight control group. The results support previously published reports which show a higher ratio of psychopathology (depression, behavioral problems, low-esteem) among clinical obese adolescents than among non-clinical obese adolescents. Findings provided evidence for a psychosocial at-risk population in a subgroup of obese adolescents.
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                Author and article information

                Journal
                Yonsei Med J
                YMJ
                Yonsei Medical Journal
                Yonsei University College of Medicine
                0513-5796
                1976-2437
                30 June 2009
                23 June 2009
                : 50
                : 3
                : 340-344
                Affiliations
                [1 ]Department of Psychiatry, Sanggyepaik Hospital, College of Medicine, Inje University, Seoul, Korea.
                [2 ]Department of Pediatrics, Sanggyepaik Hospital, College of Medicine, Inje University, Seoul, Korea.
                Author notes
                Corresponding author: Dr. Mi Jung Park, Department of Pediatrics, Sanggyepaik Hospital, College of Medicine, Inje University, Sanggye 7-dong, Nowon-gu, Seoul 139-707, Korea. Tel: 82-2-950-1075, Fax: 82-2-951-1246, pmj@ 123456paik.ac.kr
                Article
                10.3349/ymj.2009.50.3.340
                2703755
                19568594
                36b65ab7-714d-497d-9559-8b75fe382ba8
                © Copyright: Yonsei University College of Medicine 2009

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 June 2008
                : 24 December 2008
                : 24 December 2008
                Categories
                Original Article

                Medicine
                psychologic problems,weight,height,elementary schoolchildren
                Medicine
                psychologic problems, weight, height, elementary schoolchildren

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