{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T20:41:40Z","timestamp":1778013700141,"version":"3.51.4"},"reference-count":50,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,4,16]],"date-time":"2019-04-16T00:00:00Z","timestamp":1555372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["5R01HD036904"],"award-info":[{"award-number":["5R01HD036904"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["5T32HL007456"],"award-info":[{"award-number":["5T32HL007456"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["1F31DK113700"],"award-info":[{"award-number":["1F31DK113700"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000097","name":"National Center for Research Resources","doi-asserted-by":"publisher","award":["UL1 RR024992"],"award-info":[{"award-number":["UL1 RR024992"]}],"id":[{"id":"10.13039\/100000097","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000097","name":"National Center for Research Resources","doi-asserted-by":"publisher","award":["KL2RR024994"],"award-info":[{"award-number":["KL2RR024994"]}],"id":[{"id":"10.13039\/100000097","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["5K24MH070446"],"award-info":[{"award-number":["5K24MH070446"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2019,8]]},"abstract":"Summary<\/jats:title>Background<\/jats:title>Children with overweight\/obesity are more likely to exhibit symptoms of depression and anxiety than are their peers without overweight\/obesity; however, the rates and correlates of depression and anxiety symptoms among children seeking obesity treatment remain unclear.<\/jats:p><\/jats:sec>Objectives<\/jats:title>Examine the prevalence and associated factors of depression and anxiety symptoms among treatment\u2010seeking children with overweight\/obesity.<\/jats:p><\/jats:sec>Methods<\/jats:title>Children 7 to 11\u00a0years old (N\u00a0=\u00a0241) and their parents completed assessments before beginning family\u2010based behavioral weight\u2010loss treatment. Disorder\u2010specific self\u2010report questionnaires assessed child depression and anxiety. The social\u2010ecological model served as a framework for examining factors associated with depression and anxiety symptoms.<\/jats:p><\/jats:sec>Results<\/jats:title>Among our sample, 39.8% (96\/241) met clinical cutoffs for depression and\/or anxiety symptomatology. Specifically, of these 96, 48 met criteria for both depression and anxiety, 24 for depression only, and 24 for anxiety only. Child eating disorder pathology, parents' use of psychological control (ie, a parenting style characterized by emotional manipulation), and lower child subjective social status were significantly associated with greater child depression symptomatology. Child eating disorder pathology and parent psychological control were significantly associated with greater child anxiety symptomatology.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Nearly 40% of children exhibited psychopathology symptoms, and a variety of correlates were found. Thus, pediatric weight\u2010loss providers may consider screening for and addressing mental health concerns (and associated factors) prior to and during treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12518","type":"journal-article","created":{"date-parts":[[2019,4,16]],"date-time":"2019-04-16T12:15:53Z","timestamp":1555416953000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Factors associated with depression and anxiety symptoms among children seeking treatment for obesity: A social\u2010ecological approach"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2079-5037","authenticated-orcid":false,"given":"Daniel H.","family":"Sheinbein","sequence":"first","affiliation":[{"name":"University of Missouri School of Medicine Columbia MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1614-4845","authenticated-orcid":false,"given":"Richard I.","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Medicine Washington University School of Medicine St. Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6241-1839","authenticated-orcid":false,"given":"Jacqueline F.","family":"Hayes","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Washington University School of Medicine St. Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mackenzie L.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Washington University School of Medicine St. Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6760-2714","authenticated-orcid":false,"given":"Katherine N.","family":"Balantekin","sequence":"additional","affiliation":[{"name":"Department of Exercise and Nutritional Sciences University at Buffalo School of Medicine and Biomedical Sciences Buffalo NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5107-1146","authenticated-orcid":false,"given":"Rachel P. Kolko","family":"Conlon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian E.","family":"Saelens","sequence":"additional","affiliation":[{"name":"Seattle Children's Research Institute Seattle WA USA"},{"name":"Department of Pediatrics University of Washington Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3651-1542","authenticated-orcid":false,"given":"Michael G.","family":"Perri","sequence":"additional","affiliation":[{"name":"College of Public Health and Health Professions University of Florida Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Robinson","family":"Welch","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Washington University School of Medicine St. Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth B.","family":"Schechtman","sequence":"additional","affiliation":[{"name":"Division of Biostatistics Washington University School of Medicine St. Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonard H.","family":"Epstein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University at Buffalo School of Medicine and Biomedical Sciences Buffalo NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3599-8689","authenticated-orcid":false,"given":"Denise E.","family":"Wilfley","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Washington University School of Medicine St. Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/10253890.2012.689040"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03327613"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199403)15:2<151::AID-EAT2260150206>3.0.CO;2-D"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1550-8528.1994.tb00099.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-008-0717-5"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0803336"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2004.197"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12122"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001270170062"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1993.tb01103.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-007-0063-8"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.66.3.451"},{"issue":"4","key":"e_1_2_8_14_1","first-page":"237","article-title":"Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents","volume":"5","author":"Angold A","year":"1995","journal-title":"Int J Methods Psychiatr Res"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199910000-00011"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/109019818801500401"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1151"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsl012"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1550-8528.1996.tb00513.x"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2047-6310.2012.00078.x"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.9.1576"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.1337"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2005.167"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1038\/tp.2017.105"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2010.07.001"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.2960"},{"key":"e_1_2_8_27_1","volume-title":"Advance Data From Vital and Health Statistics; no. 314","author":"Kuczmarski RJ","year":"2000"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22028"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20387"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20362"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199605)19:4<391::AID-EAT6>3.0.CO;2-G"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20165"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22693"},{"key":"e_1_2_8_34_1","unstructured":"BarrattW.The Barratt Simplified Measure of Social Status (BSMSS).2012;http:\/\/socialclassoncampus.blogspot.com\/2012\/06\/barratt\u2010simplified\u2010measure\u2010of\u2010social.html. Accessed August 28 2017."},{"key":"e_1_2_8_35_1","volume-title":"The Brief Symptom Inventory (BSI): Administration, Scoring and Procedures Manual","author":"Derogatis LR","year":"1993"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.3.3.433"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.2307\/1126465"},{"key":"e_1_2_8_38_1","volume-title":"Manual for the Child Behavior Checklist\/4\u201318 and 1991 Profile","author":"Achenbach TM","year":"1991"},{"key":"e_1_2_8_39_1","unstructured":"AdlerN StewartJ The Psychosocial Working Group. The MacArthur Scale of Subjective Social Status.2007;http:\/\/www.macses.ucsf.edu\/research\/psychosocial\/subjective.php. Accessed 4\/25\/2018."},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870440310001638098"},{"key":"e_1_2_8_41_1","unstructured":"American FactFinder.https:\/\/factfinder.census.gov\/faces\/nav\/jsf\/pages\/community_facts.xhtml?src=bkmk. Accessed 1\/13\/2018."},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000227639.83607.4d"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.630"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2234"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922815615825"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2014.00925"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272431603258344"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1080\/07317107.2014.878175"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.04.081"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15324796ABM2403_10"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12165"}],"container-title":["Pediatric Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fijpo.12518","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijpo.12518","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ijpo.12518","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijpo.12518","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T18:14:19Z","timestamp":1694283259000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijpo.12518"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,16]]},"references-count":50,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1111\/ijpo.12518"],"URL":"https:\/\/doi.org\/10.1111\/ijpo.12518","archive":["Portico"],"relation":{},"ISSN":["2047-6302","2047-6310"],"issn-type":[{"value":"2047-6302","type":"print"},{"value":"2047-6310","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,16]]},"assertion":[{"value":"2018-07-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12518"}}