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Pediatr Clin North Am. 2011 Dec;58(6):1393-401, x. doi: 10.1016/j.pcl.2011.09.008. Epub 2011 Oct 14.

Psychological complications of pediatric obesity.

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Department of Psychology, Saint Louis University, 221 North Grand Boulevard, St Louis, MO 63103, USA.


Psychological complications associated with pediatric obesity include low self-esteem, depression, body dissatisfaction, loss-of-control eating, unhealthy and extreme weight control behaviors, impaired social relationships, obesity stigma, and decreased health-related quality of life. Bioecological models offer a framework for understanding the interaction between pediatric obesity and psychological complications and illustrate system-level approaches for prevention and intervention. As the medical setting is often the first point of contact for families, pediatricians are instrumental in the identification and referral of children with psychological complications. Motivational interviewing, patient talking points, brief screening measures, and referral resources are important tools in this process.

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