Abstract
Objectives
Family factors have been associated with the mental health of children and adolescents. We investigated the relationship between family factors and depressive symptoms in obese Korean children and adolescents.
Methods
Participants included 281 overweight or obese youth (aged 10 to 14) who participated in an obesity intervention program. Participants in the highest tertile on the Child Depression Inventory were categorized as the depressive group. Using the Family Adaptability, Partnership, Growth, Affection, and Resolve Test, we defined a highly functional family with a score of 7 or more. We evaluated the associations between the severity of depressive symptoms and family factors after stratifying for gender using multivariate logistic regression.
Results
Poorly functioning family was associated with higher levels of depressive symptoms (boys, odds ratio [OR] = 5.95, 95% CI [2.54–13.93]; girls OR = 3.16, 95% CI [1.19–8.38]). Having a good parental relationship was significantly associated with lower levels of depressive symptoms in boys (OR = 0.30, 95% CI [0.10–0.96]). In girls, severely obese status showed higher association with depressive symptoms compared to girls who were overweight (OR = 4.74, 95% CI [1.01–19.84]).
Conclusions
We identified associations between family functioning, parent-child relations, obesity severity, and depressive symptoms in this sample of overweight and obese youth, suggesting that the development of family-focused interventions to accompany weight loss strategies may benefit the mental health of obese youth.
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Author Contributions
K.H.P., J.P., and H.M.N. suggested the study. K.H.P., J.P., H.M.N., E.J.S., Y.S.J., H.J.L., and Y.K.J. designed the study and developed the study protocol. K.H.P., J.P., and H.M.N. analysed the data. All authors interpreted the results. J.P. and H.M.N. drafted the manuscript. All authors contributed to the critical revision of the manuscript. K.H.P., J.P., H.M.N., E.J.S., Y.S.J., H.J.L., and Y.K.J. have full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Funding
This study was funded by a grant from the Korea Centers for Disease Control and Prevention (grant number: 2015-ER6401-00 and 2016-ER6405-00).
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Ethics approval was obtained from the Hallym University Sacred Heart Hospital’s Institutional Review Board (approval number: 2015-I134 and 2016-I135).
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Noh, HM., Park, J., Sung, EJ. et al. Family Factors and Obesity in Relation to Mental Health Among Korean Children and Adolescents. J Child Fam Stud 29, 1284–1292 (2020). https://doi.org/10.1007/s10826-019-01558-7
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DOI: https://doi.org/10.1007/s10826-019-01558-7