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Examining Childhood Obesity Through the Lens of Developmental Psychopathology: Framing the Issues to Guide Best Practices in Research and Intervention

机译:通过发育精神病理学镜片检查儿童肥胖:构成问题,以指导研究和干预的最佳实践

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Rates of childhood overweight and obesity among youth in the United States remain historically high and can persist into adulthood, resulting in increased health care expenditures, comorbidities, and reduced quality of life. The purpose of this article is to illustrate how principles drawn from developmental psychopathology (DP) can be applied to enhance current conceptualizations of obesity risk during childhood and beyond. DP is a theoretical perspective that has reshaped the landscape of childhood mental health by using principles of developmental science to model complex processes leading to maladaptation or dysfunction with biological, psychological, and contextual roots. This article focuses on 2 broad interrelated DP tenets: (a) examination of developmental pathways considered both normative and nonnormative as well as processes of individual variation and the nature of developmental change and (b) articulation of complex transactional and transformational processes over time that incorporate both biobehavioral and social-contextual factors embedded in multilevel models. By illustrating how these DP tenets can expand on current childhood obesity knowledge, this article offers a novel perspective that closely aligns central developmental processes with childhood obesity risk and may enrich conceptual models and spark new directions for childhood obesity research, leading ultimately to more effective intervention and prevention efforts necessary to slow or, ideally, reverse, the obesity epidemic.
机译:在美国青年中的儿童时期超重和肥胖的速度仍然历史高,可以持续到已成年期,导致卫生保健支出,合并症和生活质量降低。本文的目的是说明从发育精神病理学(DP)中汲取的原则如何应用于增强童年及以后的肥胖风险的当前概念化。 DP是一种理论观点,通过利用发育科学原理来改造儿童心理健康的景观,以模拟具有生物,心理和上下文根源的综合性过程或功能障碍的复杂过程。本文重点介绍了2个广泛相互关联的DP原则:(a)考察的发展途径,被认为是规范性和无风化以及各个变化的过程以及发育变更的性质和(b)复杂的交易和转型过程的阐述,随着时间的推移嵌入在多级模型中的双向和社会上下文因素。通过说明这些DP Teadets如何扩展当前的儿童肥胖知识,本文提供了一种小说透视,可以与儿童肥胖风险密切地调整中央发育过程,并可以丰富概念模型,激发儿童肥胖研究的新方向,最终导致更有效的干预并预防努力慢慢或理想地,逆转,肥胖流行病。

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