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首页> 外文期刊>The journal of clinical psychiatry >A prospective study of parentally bereaved youth, caregiver depression, and body mass index
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A prospective study of parentally bereaved youth, caregiver depression, and body mass index

机译：对父母丧亲的青年，照顾者抑郁和体重指数的前瞻性研究

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Objective: To examine the relationship between body mass index (BMI) in bereaved youth and nonbereaved controls 5 years after a parent's death. The study was conducted from August 9, 2002, through December 31, 2013. Design: A prospective, longitudinal, controlled study of the effects of sudden parental death on youth. Setting: Bereaved families were recruited through coroner records and by advertisement. Nonbereaved families were recruited using random-digit dialing and by advertisement. Participants: 123 parentally bereaved offspring were compared with 122 nonbereaved control offspring, all of whom were aged 11-25 years at the 5-year assessment. Main Exposure: Bereavement status, type of parental death (accident, suicide, or sudden natural death), and history of depression in caregivers prior to parental death. Outcome Measures: BMI categories (normal, overweight, and obese), according to International Obesity Task Force guidelines for adults and Centers for Disease Control and Prevention guidelines for children, and DSM-IV psychiatric disorder in offspring and caregivers before and after time of parental death. Results: Bereaved offspring were more likely to have a BMI in the obese range compared to nonbereaved controls (χ22 = 7.13, P .01). There were no differences in BMI category by death type among bereaved offspring. Caregiver history of depression was a significant correlate of offspring obesity in nonbereaved youth but had a protective effect on the BMI of bereaved youth. Conclusions: Bereaved youth were more likely to be obese than nonbereaved youth 5 years after parental death, and caregiver history of depression was associated with increased risk for obesity in nonbereaved youth only. Future studies are necessary to identify mechanisms that increase risk for obesity in parentally bereaved youth.
机译：目的：研究父母去世5年后，失去亲人的青少年的体重指数（BMI）与没有亲属的对照的关系。该研究于2002年8月9日至2013年12月31日进行。设计：一项关于父母猝死对青少年的影响的前瞻性，纵向，对照研究。地点：死者家属通过验尸官记录和广告招募。非亲人的家庭通过随机拨号和广告招募。参加者：比较了123例父母丧亲的后代和122例非丧亲对照的后代，他们在5年评估中的年龄均为11-25岁。主要暴露：丧亲状态，父母死亡的类型（事故，自杀或突发自然死亡），以及父母死亡前保姆的抑郁史。结果测量：根据国际肥胖特别工作组成人指南和儿童疾病控制与预防中心指南，BMI类别（正常，超重和肥胖）以及父母前后父母和后代的DSM-IV精神病死亡。结果：与非丧亲者相比，丧亲者后代的BMI更可能在肥胖范围内（χ22= 7.13，P <.01）。死者后代的BMI类别按死亡类型无差异。照顾者的抑郁史与非丧亲青年的后代肥胖有显着相关性，但对丧亲青年的BMI有保护作用。结论：丧亲后5年，丧亲的年轻人比未丧亲的年轻人更容易肥胖，而且照顾者的抑郁史仅与非丧亲的年轻人发生肥胖的风险有关。为了确定增加父母丧亲的青年肥胖风险的机制，未来的研究是必要的。

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