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A prospective study of parentally bereaved youth, caregiver depression, and body mass index

机译:大肠病青年,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:审查父母死亡后5年后失去遗传青年和非对照控制的体重指数(BMI)的关系。这项研究于2002年8月9日至2013年12月31日进行。设计:对突然父母死亡对青年的影响的预期,纵向,对照研究。环境:通过验尸官记录和广告招聘了失去的家庭。使用随机数拨号和广告招聘非群集家庭。参与者:123个肠胃失啡的后代与122个非束缚控制后代进行了比较,所有这些都是在5年评估的11-25岁时。主要曝光:丧亲身份,父母死亡类型(事故,自杀或突然的自然死亡)以及治疗前的护理人员抑郁史。结果措施:BMI类别(正常,超重和肥胖),根据国际肥胖工作队的成人工作队和儿童疾病控制和预防准则的中心,以及在父母前后的后代和护理人员的DSM-IV精神病症死亡。结果:与非束缚对照相比,失去的后代更容易在肥胖范围内具有BMI(χ22= 7.13,p <.01)。 B中的BMI类别在受禁失去的后代死亡类型没有差异。护理人员抑郁史史上的非束缚青年中的后代肥胖是一个显着的关联,但对失去的青年BMI进行了保护作用。结论:亲人的青年更有可能比父母死亡年5年的饥饿青年5年更有可能肥胖,并且抑郁的护理人员历史只有在非萎缩青年肥胖的风险增加有关。未来的研究是识别提高患有父母失去的青年风险的机制。

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    Department of Psychiatry University of Pittsburgh School of Medicine Pittsburgh PA United States;

    Department of Psychiatry University of Pittsburgh School of Medicine Pittsburgh PA United States;

    Department of Psychiatry University of Pittsburgh School of Medicine Pittsburgh PA United States;

    Department of Psychiatry University of Pittsburgh School of Medicine Pittsburgh PA United States;

    Western Psychiatric Institute and Clinic Pittsburgh PA United States;

    Western Psychiatric Institute and Clinic Pittsburgh PA United States;

    Department of Psychiatry University of Pittsburgh School of Medicine Pittsburgh PA United;

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  • 正文语种 eng
  • 中图分类 精神病学;
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