BSPED2015 e-Posters Obesity (4 abstracts)
Psychological sequelae in obese paediatric patients and predictors for weight loss
Hannah Gallen 2 , Indraneel Banerjee 1 , Peter E Clayton 1 , Sarah Ehtisham 1 , Jacqueline Nicholson 1 , Raja Padidela 1 , Leena Patel 1 , Hannah Tobin 1 & Mars Skae 1
1Royal Manchester Children’s Hospital, Manchester, UK; 2University of Manchester, Manchester, UK.
Introduction: There is limited data on the psychological sequelae of obesity in paediatric patients.
Aims/methods: We aimed to assess the prevalence of psychological comorbidities in obese paediatric patients. Internationally validated self-report questionnaires were offered to 19 patients and their parents from a tier three paediatric obesity clinics. These included the Paediatric Index of Emotional Distress (PI-ED); Beck Youth Inventory exploring self-perceptions of competency, potency, and self-worth; Pediatric Quality of Life Inventory (PedsQL); Parent-Proxy report (PedsQL Parent); and two in-house derived motivation questionnaires for parents and patients.
Results: Fourteen patients completed the PI-ED, of which more than half (57%) reported emotional distress (5, female and 3, male). 15 patients completed the Beck Youth Inventory of which 53% reported low self-esteem (4, female and 4, male). 17 patients had QoL scores below cut offs for the social and physical domains, as well as for overall psychosocial health and overall QoL (total score). The parents of these children also reported low scores for all domains except schooling. Those aged <10 years reported the highest QoL scores. Females reported significantly lower scores for emotional, social and overall QoL domains, particularly those between 10 and 15.9 years. Those who completed motivation scores reported medium to high motivation with a non-significant correlation between reduction in BMI SDS (Z-score) and increased patient and parent motivation scores (P=0.19 and P=0.47 respectively).
Discussion/conclusion: More than half of obese paediatric patients in our cohort experience a high prevalence of emotional distress and low self-esteem. Obese paediatric patients, particularly females between the ages of 10–15.9 years are the most vulnerable with reduced QoL. Initial observations may suggest high motivation scores are a positive indicator for weight change but more research should be carried out to establish a link.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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