Child Maltreatment and the Adolescent Patient With Severe Obesity: Implications for Clinical Care
AuthorZeller, Meg H.
Noll, Jennie G.
Rofey, Dana L.
Baughcum, Amy E.
Courcoulas, Anita P.
Michalsky, Marc P.
Jenkins, Todd M.
Becnel, Jennifer N.
GroupCenter for Weight and Eating Disorders (University of Pennsylvania)
DepartmentSocial and Behavioral Sciences
Permanent link to this recordhttp://hdl.handle.net/20.500.12613/93
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AbstractObjective: To characterize prevalence and correlates of child maltreatment (CM) in a clinical sample of adolescents with severe obesity. Method 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/m2) and 83 nonsurgical comparisons (Mage = 16.1; 81.9% female, 54.2% White; MBMI = 46.9 kg/m2) 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. Results 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. Conclusion While a minority of adolescents with severe obesity reported a CM history, they carry greater psychosocial burden into the clinical setting.
CitationMeg H. Zeller, Jennie G. Noll, David B. Sarwer, Jennifer Reiter-Purtill, Dana L. Rofey, Amy E. Baughcum, James Peugh, Anita P. Courcoulas, Marc P. Michalsky, Todd M Jenkins, Jennifer N. Becnel, for the TeenView Study Group and in Cooperation With Teen-LABS Consortium, Child Maltreatment and the Adolescent Patient With Severe Obesity: Implications for Clinical Care, Journal of Pediatric Psychology, Volume 40, Issue 7, August 2015, Pages 640–648, https://doi.org/10.1093/jpepsy/jsv011
Citation to related workOxford University Press on behalf of the Society of Pediatric Psychology
Has partJournal of Pediatric Psychology, Vol. 40, Issue 7
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