CLINICAL AND PSYCHOLOGICAL CHARACTERISTICS OF CHILDREN WITH VARIOUS FORMS OF OBESITY
Keywords:obesity, children, psychical development, emotional sphere, psychosocial factors.
Purpose of the study is to determine the features of mental disorders formation and risk factors in children with various forms of obesity. The study involved 304 obese children aged 7–18 years which depending on the form, degree, type of obesity and the presence of insulin resistance (IR) were divided into 4 groups. Neuroendocrine obesity of the I–III degree with android type and presence of IR (41.12%) and exogenous-constitutional without IR (34.87%) prevailed. Exogenous-constitutional obesity with IR was the least frequently diagnosed (3.95%). Assessment of psychopathological disorders with determination of their nature and frequency depending on the clinical form of obesity allowed to establish the predominance of emotional disorders in children with neuroendocrine obesity, regardless of the insulin resistance level. Children with various clinical forms of
obesity were dominated by asthenic disorders (75.5%), which ranged from preclinical manifestations to pronounced asthenic conditions, which created the basis for disruption of their socio-psychological adaptation and functioning. Patients with exogenous constitutional obesity burdened with insulin resistance were dominated by depressive (41.6%), and without signs of insulin resistance - psychovegetative (33.0%) disorders. Depressive and anxiety disorders dominated the structure of emotional disorders, while such symptoms were more pronounced in obese patients combined with insulin resistance. A meaningful description of the complex symptom complex of clinical and psychological characteristics of obese children is given and the presence of certain gender differences is shown. A complex of psychosocial factors that have a pathogenic effect on the mental development of an obese child is identified. Obese children are developed in a special social situation of development, which is
characterized by complex phenomena of stigmatization and self-stigmatization: the presence of obvious external signs of the disease that distinguishes them from their peers, distortion of their own body image and states of psychoemotional tension, various, including destructive forms of reaction of others to the child.
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