Mental distress or psychiatric condition? Exploring the gray area of categorizing psychological suffering among adolescents with obesity: a mixed methods study.
Introduction Obesity in adolescents is associated with increased mental distress and psychiatric disorders, both of which are under-diagnosed in clinical practice. Methods We designed a mixed methods study, to explore the practical challenges of this screening and its consequences. The qualitative p...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 34; no. 8; pp. 2545 - 2555 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187670760&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187670760 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Aug2025 vid: 34 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 187670760 183314323 187670760 187670760 10.1007/s00787-025-02673-1 187670760 ppf: 2545 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Mental distress or psychiatric condition? Exploring the gray area of categorizing psychological suffering among adolescents with obesity: a mixed methods study. aug: au: Loisel, Alexandra Beauquesne, Agathe Seyler, Morgane Barry, Caroline Hassler, Christine Radjack, Rahmeth Moro, Marie-Rose Lachal, Jonathan Lefèvre, Hervé affil: https://ror.org/00ph8tk69 AP-HP, Cochin Hospital, Maison de Solenn, Maison Des Adolescents (Cochin), 97 Bd du Port-Royal, 75014, Paris, France sug: subj: Mental Disorders Diagnosis Psychological Distress Pediatric Obesity In Adolescence Attitude to Obesity Human Male Female Adolescence Multimethod Studies Qualitative Studies Physician Attitudes Interviews Psychiatrists Pediatricians Self Assessment Questionnaires Depression Severity of Illness Anxiety Prospective Studies Quantitative Studies Life Expectancy Adolescent: 13-18 years Male Female ab: Introduction Obesity in adolescents is associated with increased mental distress and psychiatric disorders, both of which are under-diagnosed in clinical practice. Methods We designed a mixed methods study, to explore the practical challenges of this screening and its consequences. The qualitative part interviewed 20 physicians: non psychiatrist physicians and child and adolescent psychiatrists – practicing in various specialized settings. The quantitative part examined self-assessment questionnaires and psychiatric clinical diagnoses in 242 patients admitted for inpatient appraisal of obesity. Results 7.9% reported severe depressive symptoms and 71.9% severe anxiety symptoms. Among this cohort, 28.5% were diagnosed with anxiety disorder and 16.9% with depression disorder. Both qualitative and quantitative data show that a large share of adolescents with obesity experience mental health distress, often intense. However, in most of these adolescents, this distress is not diagnosed as a mental health condition, thus creating a discrepancy which we named a "gray area" of psychological suffering. Conclusions Screening adolescents with obesity for both mental health distress and disease should be systematic. Frontline professionals need improved training and referral pathways and resources. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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