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Psychosocial Correlates of Shape and Weight Concerns in Overweight Pre-Adolescents
Authors:Meghan M. Sinton  Andrea B. Goldschmidt  Vandana Aspen  Kelly R. Theim  Richard I. Stein  Brian E. Saelens  Leonard H. Epstein  Denise E. Wilfley
Affiliation:(1) Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA;(2) Department of Psychology, The College of William and Mary, Williamsburg, VA, USA;(3) Department of Psychology, Washington University, St. Louis, MO, USA;(4) Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, IL, USA;(5) Department of Psychiatry and Behavioral Medicine, Stanford University, Stanford, CA, USA;(6) Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO, USA;(7) Department of Pediatrics, Seattle Children’s Hospital Research Institute and University of Washington, Seattle, WA, USA;(8) Department of Pediatrics, State University of New York at Buffalo School of Medicine, Buffalo, NY, USA
Abstract:
Shape and weight concerns among overweight pre-adolescents heighten risk for eating disorders and weight gain. Treatment and prevention efforts require consideration of psychosocial factors that co-occur with these concerns. This study involved 200 overweight pre-adolescents, aged 7–12 years (M age = 9.8; SD = 1.4), presenting for family-based weight control treatment. Hierarchical regression was used to examine the influence of pre-adolescents’ individual characteristics and social experiences, and their parents’ psychological symptoms, on shape and weight concerns as assessed by the Child Eating Disorder Examination. Findings revealed that higher levels of dietary restraint, greater feelings of loneliness, elevated experiences with weight-related teasing, and higher levels of parents’ eating disorder symptoms predicted higher shape and weight concerns among overweight pre-adolescents. Interventions addressing overweight pre-adolescents’ disordered eating behaviors and social functioning, as well as their parents’ disordered eating behaviors and attitudes, may be indicated for those endorsing shape and weight concerns.
Keywords:
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