寻求肥胖症治疗的亚洲青少年的心理困扰与健康相关生活质量的关系。

Wang Chin Eileen Ng, Khairunisa Binte Khaider, Qiao Fan, Chu Shan Elaine Chew
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引用次数: 0

摘要

简介有关接受肥胖症治疗的亚洲青少年社会心理健康的研究十分有限。我们的研究探讨了这些青少年的心理困扰、饮食紊乱和健康相关生活质量(HRQoL)低下的预测因素以及它们之间的关联:2022 年 6 月至 2023 年 1 月期间,我们从 KK 妇女儿童医院体重管理门诊共招募了 82 名 11-17 岁的青少年。参与者填写了以下问卷:(a)评估心理困扰的《青少年常规临床结果评估》(YP-Core);(b)评估饮食行为紊乱的《儿童饮食态度测试》(ChEAT);以及(c)测量 HRQoL 的《儿童生活质量量表》(Pediatric Quality of Life Inventory):参与调查的青少年的平均体重指数为 31.9 ± 5.1 kg/m2。其中 40% 的参与者有明显的心理困扰症状(YP-Core 评分≥14 分),16% 的参与者有饮食失调的风险(ChEAT 评分≥20 分)。在控制了人口统计学变量和 ChEAT 分数后,较高的 YP-Core 分数是决定较差 HRQoL 的唯一重要因素。马来人(回归系数:6.6,95% 置信区间 [CI]:0.6-12.6,P<0.05):与华裔青少年相比,马来裔(回归系数:6.6,95% 置信区间[CI]:0.6-12.6,P = 0.031)和印度裔(回归系数:8.9,95% 置信区间:3.8-14.0,P = 0.001)青少年更有可能报告饮食失调和心理困扰。父母患有肥胖症的青少年(回归系数:3.4,95% CI:0.1-6.7,P = 0.043)也更有可能经历更大的心理压力:了解心理困扰、饮食失调和 HRQoL 的决定因素将有助于对青少年肥胖症的心理并发症进行有针对性的筛查和管理。
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Association of psychological distress with health-related quality of life in Asian adolescents seeking obesity treatment.

Introduction: There is limited research on the psychosocial health of Asian adolescents undergoing obesity treatment. Our study examined the predictors of psychological distress, disordered eating and poor health-related quality of life (HRQoL) in these adolescents and the associations between them.

Methods: A total of 82 adolescents aged 11-17 years were recruited from the Weight Management Clinic in KK Women's and Children's Hospital between June 2022 and January 2023. Participants completed the following questionnaires: (a) Young Person's Clinical Outcomes in Routine Evaluation (YP-Core) assessing for psychological distress, (b) Children's Eating Attitude Test (ChEAT) evaluating for disordered eating behaviours, and (c) Pediatric Quality of Life Inventory (PedsQL) measuring HRQoL.

Results: Participating adolescents had a mean body mass index of 31.9 ± 5.1 kg/m2. Of the participants, 40% reported significantly symptomatic psychological distress (YP-Core score ≥14) and 16% were at risk of eating disorders (ChEAT score ≥20). A higher YP-Core score was the only significant determinant of poorer HRQoL, after controlling for demographic variables and ChEAT scores. Malay (regression coefficient: 6.6, 95% confidence interval [CI]: 0.6-12.6, P = 0.031) and Indian (regression coefficient: 8.9, 95% CI: 3.8-14.0, P = 0.001) adolescents were more likely to report disordered eating and psychological distress, respectively, as compared to Chinese adolescents. Adolescents whose parent(s) had obesity (regression coefficient: 3.4, 95% CI: 0.1-6.7, P = 0.043) were also more likely to experience greater psychological distress.

Conclusion: Understanding the determinants of psychological distress, disordered eating and HRQoL will facilitate targeted screening and management of the psychosocial complications of adolescent obesity.

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