Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

The association of parental characteristics and psychological problems in obese youngsters

Abstract

Objective:

The aim of the present study was to examine to what extent parental psychological characteristics and parental behavior are related to psychological problems in obese youngsters.

Research methods:

Data were collected from 196 families having an overweight youngster (range 10–16 years old) (mean body mass index (BMI)=31.2; s.d.=5.3) seeking weight-loss treatment and compared with data from normal weight samples. Behavior problems were measured using the Child Behavior Checklist; the Child version of the Eating Disorder Examination was used to assess eating disorder psychopathology. Parental psychopathology was measured using the Symptom Checklist-90; parenting behavior was assessed with the Ghent Parental Behavior Scale.

Results:

Parental psychopathology was prevalent in 59.6% of mothers and 35.7% of fathers. Youngsters exceeding the cutoff for problem behavior ranged between 41.4 and 53.1%. Children's problem behavior was most associated with psychopathology in the mother (r=0.40 for Internalizing and r=0.37 for Externalizing; both P<0.01). The research findings further revealed that the effects of maternal psychopathology were partly mediated by a specific form of parenting behavior, namely Inconsistent discipline, although the effect was stronger for Externalizing behavior (explained variance: 10%) than for Internalizing behavior (explained variance: 4%). No evidence was found for a mediator effect from parenting behavior on the eating disorder symptoms of the obese youngsters. However, several direct relations emerged, suggesting a negative association between a child's eating disorder symptoms and Positive parenting behavior by the mother (r=−0.20 for Eating concern; r=−0.18 for Restraint eating; r=−0.16 for Shape concern; all P<0.05) as well as by the father (r=−0.25 for Eating concern; r=−0.25 for Weight concern; both P<0.01; r=−0.21 for Shape concern; P<0.05).

Discussion:

Parental characteristics were associated with psychological problems in obese youngsters, not only in a direct way but also indirectly. The effects were partly mediated by a particular ineffective parenting style, namely inconsistent discipline on the part of the mother. Pediatric obesity treatments should focus more on parenting behaviors and parental characteristics.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Braet C, Mervielde I, Vandereycken W . Psychological aspects of childhood obesity. A controlled study in a clinical and non-clinical sample. J Pediatr Psychol 1997; 22: 59–71.

    Article  CAS  Google Scholar 

  2. Epstein LH, Klein KR, Wisniewski L . Child and parent factors that influence psychological problems in obese children. Int J Eat Disord 1994; 15: 151–157.

    Article  CAS  Google Scholar 

  3. Kaslow NJ, Deering CG, Racusin GR . Depressed children and their families. Clin Psychol Rev 1994; 14: 39–59.

    Article  Google Scholar 

  4. Stein JA, Newcomb MD . Children's internalizing and externalizing behaviors and maternal health problems. J Pediatr Psychol 1994; 19: 571–594.

    Article  CAS  Google Scholar 

  5. Compas BE, Howell DC, Phares V, Williams RA, Ledoux N . Parent and child stress and symptoms: an integrative analysis. Dev Psychol 1989; 25: 550–559.

    Article  Google Scholar 

  6. Epstein LH, Myers MD, Anderson K . The association of maternal psychopathology and family socioeconomic status with psychological problems in obese children. Obes Res 1996; 4: 65–74.

    Article  CAS  Google Scholar 

  7. Zeller MH, Saelens BE, Roehrig H, Kirk S, Daniels SR . Psychological adjustment of obese youth presenting for weight management treatment. Obes Res 2004; 12: 1576–1586.

    Article  Google Scholar 

  8. Favaro A, Santonastaso P . Effects of parents' psychological characteristics and eating behavior on childhood obesity and dietary compliance. J Psychosom Res 1995; 39: 145–151.

    Article  CAS  Google Scholar 

  9. Dodge KA . Developmental psychopathology in children of depressed mothers. Dev Psychol 1990; 26: 3–6.

    Article  Google Scholar 

  10. Deater-Deckard K, Dodge KA, Bates JE, Pettit GS . Multiple risk factors in the development of externalizing behavior problems: group and individual differences. Dev Psychopathol 1998; 10: 469–493.

    Article  CAS  Google Scholar 

  11. Chamberlain P . Family Interactions. A Social Interactional Approach, Vol. 5. Castalia Publishing Company: Eugene, 1994.

    Google Scholar 

  12. Patterson GR, Reid J, Dishion T . Antisocial Boys. A Social Interactional Approach, Vol. 4. Castalia Publishing Company: Eugene, 1992.

    Google Scholar 

  13. Irivine AB, Biglan A, Smolkowski K, Ary DV . The value of the Parenting Scale for measuring the discipline practices of parents of middle school children. Behav Res Ther 1999; 37: 127–142.

    Article  Google Scholar 

  14. Striegel-Moore RH, Cachelin FM . Etiology of eating disorders in women. Couns Psychol 2001; 29: 635–661.

    Article  Google Scholar 

  15. Fairburn CG, Doll HA, Welch SL, Hay PJ, Davies BA, O'Connor ME . Risk factors for binge eating disorder. A community-based, case–control study. Arch Gen Psychiatry 1998; 55: 425–432.

    Article  CAS  Google Scholar 

  16. Hodges EL, Cochrane CE, Brewerton TD . Family characteristics of binge eating disorder patients. Int J Eat Disord 1998; 23: 145–151.

    Article  CAS  Google Scholar 

  17. Fowler SJ, Bulik CM . Family environment and psychiatric history in women with binge-eating disorder and obese controls. Behav Change 1997; 14: 106–112.

    Article  Google Scholar 

  18. Wilfley DE, Pike KM, Striegel-Moore RH . Toward an integrated model of risk for binge eating disorder. J Gender, Culture Health 1997; 2: 1–31.

    Google Scholar 

  19. Derogatis LR . SCL-90: Administration, Scoring and Procedures Manual-I for the R(evised) Version. Johns Hopkins University School of Medicine, Clinical Psychometrics Research Unit: Baltimore, 1977.

    Google Scholar 

  20. Arrindell WA, Ettema JHM . Handleiding bij een multidimensionele Psychopathologie-indicator. Swets & Zeitlinger: Lisse, 1986.

    Google Scholar 

  21. Van Leeuwen KG, Vermulst AA . Some psychometric properties of the Ghent Parental Behavior Scale. Eur J Psychol Assess 2004; 20: 283–298.

    Article  Google Scholar 

  22. Fredriks AM, van Buuren S, Wit JM, Verloove-Vanhorick SP . Body index measurements in 1996–1997 compared with 1980. Arch Dis Child 2002; 82: 107–112.

    Article  Google Scholar 

  23. Achenbach TM, Edelbrock C . Manual for the Child Behavior Checklist and Revised Child Behavior Profile. University of Vermont Department of Psychiatry: Burlington VT, 1983.

    Google Scholar 

  24. Verhulst FC, Van der Ende J, Koot HM . Handleiding voor de CBCL/4-18 [Manual for the CBCL/4-18]. Erasmus Universiteit Rotterdam, Afdeling Kinder -en Jeugdpsychiatrie: Rotterdam, 1996.

    Google Scholar 

  25. Fairburn CG, Cooper Z . The Eating Disorder Examination, 12th edn. In: Fairburn CG, Wilson GT (eds). Binge Eating: Nature, Assessment and Treatment. Guilford Press: New York, 1993, pp. 317–360.

    Google Scholar 

  26. Bryant-Waugh RJ, Cooper PJ, Taylor CL, Lask BD . The use of the Eating Disorder Examination with children: a pilot study. Int J Eat Disord 1996; 19: 391–397.

    Article  CAS  Google Scholar 

  27. Shavelson RJ, Webb NM . Generalizability Theory. A Primer. Sage Publications, Newburry Park, London, New Delhi, 1991.

    Google Scholar 

  28. Holmbeck GN . Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: examples from the child-clinical and pediatric psychology literatures. J Consult Clin Psychol 1997; 65: 599–610.

    Article  CAS  Google Scholar 

  29. Baron RM, Kenny DA . The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. J Pers Soc Psychol 1986; 51: 1173–1182.

    Article  CAS  Google Scholar 

  30. Sobel ME . Asymptomatic confidence intervals for indirect effects in structural equations models. In: Leinhart S (ed). Sociological Methodology. Jossey-Bass: San Francisco, 1982. pp. 290–312.

    Google Scholar 

  31. Berkowitz R, Stunkard AJ, Stallings VA . Binge-eating disorder in obese adolescent girls. Ann N Y Acad Sci 1993; 699: 200–206.

    Article  CAS  Google Scholar 

  32. Morgan CM, Yanovski SZ, Nguyen TT, McDuffie J, Sebring NG, Jorge MR et al. Loss of control over eating, adiposity, and psychopathology in overweight children. Int J Eat Disord 2002; 31: 430–441.

    Article  Google Scholar 

  33. Dietz WH . Childhood obesity: susceptibility, cause and management. J Pediatr 1983; 103: 676–686.

    Article  Google Scholar 

  34. Johnson B, Brownell KD, St. Jeor ST, Brunner RL, Worby M . Adult obesity and functioning in the family of origin. Int J Eat Disord 1997; 22: 213–218.

    Article  CAS  Google Scholar 

  35. Connell AM, Goodman SH . The association between psychopathology in fathers versus mothers and children's internalizing and externalizing behavior problems: a meta-analysis. Psychol Bull 2002; 128: 746–773.

    Article  Google Scholar 

  36. Stice E . Risk and maintenance factors for eating pathology: a meta-analytic review. Psychol Bull 2002; 128: 825–848.

    Article  Google Scholar 

  37. Epstein LH, Paluch RA, Sealens BE, Ernst MM, Wilfley DE . Changes in eating disorder symptoms with pediatric obesity treatment. J Pediatr 2001; 139: 58–65.

    Article  CAS  Google Scholar 

  38. Fitzgibbon ML, Stolley MR, Kirschenbaum DS . Obese people who seek treatment have different characteristics than those who do not seek treatment. Health Psychol 1993; 12: 342–345.

    Article  CAS  Google Scholar 

  39. Constanzo PR, Woody EZ . Domain specific parenting styles and their impact on the child's development of particular deviance: the example of obesity-proneness. J Clin Psychol 1984; 3: 425–445.

    Article  Google Scholar 

Download references

Acknowledgements

This study was funded by a doctoral fellowship awarded to the first author by the Special Research Fund, Ghent University and by a doctoral fellowship awarded to the fourth author by the fund for Scientific Research – Flanders (Belgium). We thank the Medical Pediatric Center ‘Zeepreventorium’ staff for participating in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C Braet.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Decaluwé, V., Braet, C., Moens, E. et al. The association of parental characteristics and psychological problems in obese youngsters. Int J Obes 30, 1766–1774 (2006). https://doi.org/10.1038/sj.ijo.0803336

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0803336

Keywords

This article is cited by

Search

Quick links