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

TeenView Study Group, Teen-LABS Consortium

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: 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.

Original languageEnglish (US)
Pages (from-to)640-648
Number of pages9
JournalJournal of pediatric psychology
Volume40
Issue number7
DOIs
StatePublished - Jan 1 2015

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Morbid Obesity
Child Abuse
Psychopathology
Quality of Life
Body Image
Sex Offenses
Risk-Taking
Self Concept
Weight Loss
History
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

Cite this

TeenView Study Group ; Teen-LABS Consortium. / Child Maltreatment and the Adolescent Patient With Severe Obesity : Implications for Clinical Care. In: Journal of pediatric psychology. 2015 ; Vol. 40, No. 7. pp. 640-648.
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abstract = "Objective: 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.",
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Child Maltreatment and the Adolescent Patient With Severe Obesity : Implications for Clinical Care. / TeenView Study Group; Teen-LABS Consortium.

In: Journal of pediatric psychology, Vol. 40, No. 7, 01.01.2015, p. 640-648.

Research output: Contribution to journalArticle

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T1 - Child Maltreatment and the Adolescent Patient With Severe Obesity

T2 - Implications for Clinical Care

AU - TeenView Study Group

AU - Teen-LABS Consortium

AU - Zeller, Meg H.

AU - Noll, Jennie G.

AU - Sarwer, David B.

AU - Reiter-Purtill, Jennifer

AU - Rofey, Dana L.

AU - Baughcum, Amy E.

AU - Peugh, James

AU - Courcoulas, Anita P.

AU - Michalsky, Marc P.

AU - Jenkins, Todd M.

AU - Becnel, Jennifer N.

PY - 2015/1/1

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N2 - Objective: 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.

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