Hostname: page-component-848d4c4894-sjtt6 Total loading time: 0 Render date: 2024-07-02T21:30:27.709Z Has data issue: false hasContentIssue false

The relation of weight change to depressive symptoms in adolescence

Published online by Cambridge University Press:  26 January 2010

Julia Felton*
Affiliation:
Vanderbilt University
David A. Cole
Affiliation:
Vanderbilt University
Carlos Tilghman-Osborne
Affiliation:
Vanderbilt University
Melissa A. Maxwell
Affiliation:
Vanderbilt University
*
Address correspondence and reprint requests to: Julia Felton, Department of Psychology and Human Development, Peabody 552, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203; E-mail: julia.w.felton@vanderbilt.edu.

Abstract

The Diagnostic and Statistical Manual of Mental Disorders lists weight gain or weight loss as a symptom of depression at all ages, but no study of adolescent depression has examined its relation to actual (not just self-reported) weight change. In the current longitudinal study, 215 adolescents provided physical and self-report measures of change in weight, body mass, and body fat over a 4-month time interval. They also completed psychological measures of body dissatisfaction, problematic eating attitudes, and depressive symptoms. The relation between physical measures of weight change and depressive symptoms varied with age. These relations were explained by individual differences in body dissatisfaction, eating attitudes, and behaviors, leading to questions about weight change as a symptom of depression in adolescence.

Type
Regular Articles
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abraham, S., Luscombe, G., Boyd, C., & Olesen, I. (2004). Predictors of the accuracy of self-reported height and weight in adolescent female school students. International Journal of Eating Disorders, 36, 7682.CrossRefGoogle ScholarPubMed
Adam, C. L., Moar, K. M., Logie, T. J., Ross, A. W., Barrett, P., Morgan, P. J., et al. (2000). Photoperiod regulates growth, puberty and hypothalamic neuropeptide and receptor gene expression in female siberian hamsters 1. Endocrinology, 141, 43494356.CrossRefGoogle Scholar
Ahmed, M. L., Ong, K. K. L., Morrell, D. J., Cox, L., Drayer, N., Perry, L., et al. (1999). Longitudinal study of leptin concentrations during puberty: Sex differences and relationship to changes in body composition 1. Journal of Clinical Endocrinology and Metabolism, 84, 899905.Google Scholar
Ambrosi-Randic, N. (2000). Perception of current and ideal body size in preschool age children. Perceptual and Motor Skills, 90, 885889.CrossRefGoogle ScholarPubMed
Ambrosi- Randic, N., Pokrajac-Bulian, A., & Taksic, V. (2005). Nine, seven, five or three: How many figures do we need for assessing body image? Perceptual and Motor Skills, 100, 488492.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.Google Scholar
Borchardt, C. M., & Meller, W. H. (1996). Symptoms of affective disorder in pre-adolescent vs. adolescent inpatients. Journal of Adolescence, 19, 155161.CrossRefGoogle ScholarPubMed
Bornstein, S. R., Schuppenies, A., Wong, M. L., & Licinio, J. (2006). Approaching the shared biology of obesity and depression: The stress axis as the locus of gene–environment interactions. Molecular Psychiatry, 11, 892902.CrossRefGoogle ScholarPubMed
Byrne, N. M., & Hills, A. P. (1996). Should body-image scales designed for adults be used with adolescents? Perceptual and Motor Skills, 82, 747753.CrossRefGoogle ScholarPubMed
Cash, T. F. (1994). Body-image attitudes: Evaluation, investment, and affect. Perceptual and Motor Skills, 78, 11681170.CrossRefGoogle ScholarPubMed
Cash, T. F. (2000). The Multidimensional Body-Self Relations Questionnaire users' manual. Available from the author at www.body-images.comGoogle Scholar
Cash, T. F., Winstead, B. A., & Janda, L. H. (1986). The great American shape-up. Psychology Today, 20, 3037.Google Scholar
Chaturvedi, S. K., Chandra, P. S., Gururaj, G., Pandian, R. D., & Beena, M. B. (1995). Suicidal ideas during premenstrual phase. Journal of Affective Disorders, 34, 193199.CrossRefGoogle ScholarPubMed
Cole, D. A., Hoffman, K., Tram, J. M., & Maxwell, S. E. (2000). Structural differences in parent and child reports of children's symptoms of depression and anxiety. Psychological Assessment, 12, 174185.CrossRefGoogle ScholarPubMed
Collins, M. E. (1991). Body figure perceptions and preferences among preadolescent children. International Journal of Eating Disorders, 10, 199208.3.0.CO;2-D>CrossRefGoogle Scholar
Conley, A., & Boardman, J. D. (2007). Weight overestimation as an indicator of disordered eating behaviors among young women in the United States. International Journal of Eating Disorders, 40, 441445.CrossRefGoogle ScholarPubMed
Daniels, S. P., Khoury, P. R., & Morrison, J. A. (1997). The utility of body mass index as a measure of body fatness in children and adolescents: Differences by race and gender. Pediatrics, 99, 804807.CrossRefGoogle ScholarPubMed
Eisenberg, M. E., Neumark-Sztainer, D., & Paxton, S. (2006). Five-year change in body satisfaction among adolescents. Journal of Psychometric Research, 61, 521527.CrossRefGoogle ScholarPubMed
Englander-Golden, P., Whitmore, M. R., & Dienstbier, R. A. (1978). Menstrual cycle as focus of study and self reports of moods and behaviors. Motivation and Emotion, 2, 7586.CrossRefGoogle Scholar
Fehm, H. L., Smolnik, R., Kern, W., McGregor, G. P., Bickel, U., & Born, J. (2001). The melanocortin melanocyte-stimulating hormone/adrenocorticotropin4-10 decreases body fat in humans. Journal of Clinical Endocrinology and Metabolism, 86, 11441148.Google ScholarPubMed
Fisher, M., Trieller, K., & Napolitano, B. (1989). Premenstrual symptoms in adolescents. Journal of Adolescent Health Care, 10, 369375.CrossRefGoogle ScholarPubMed
Flament, A. F., Cohen, D., Choquet, M., Jeammet, P., & LeDoux, S. (2001). Phenomenology, psychosocial correlates, and treatment seeking in major depression and dysthymia of adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 10701078.CrossRefGoogle ScholarPubMed
Friedman, R. C., Hurt, S. W., Clarkin, J. F., Corn, R. & Aronoff, M. S. (1983). Symptoms of depression among adolescents and young adults. Journal of Affective Disorders, 5, 3743.CrossRefGoogle ScholarPubMed
Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273279.CrossRefGoogle ScholarPubMed
Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The Eating Attitudes Test: Psychometric features and clinical correlates. Psychological Medicine, 12, 871878.CrossRefGoogle ScholarPubMed
Georgiades, K., Lewinsohn, P. M., Monroe, S. M., & Seeley, J. R. (2006). Major depressive disorder in adolescence: The role of subthreshold symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 45, 936944.CrossRefGoogle ScholarPubMed
Goodman, E., Hinden, B., & Khandelwal, S. (2000). Accuracy of teen and parental reports of obesity and body mass index. Pediatrics, 106, 5258.CrossRefGoogle ScholarPubMed
Harter, S. (1988). Manual for the self-perception profile for adolescents. Denver, CO: University of Denver.Google Scholar
Herzog, D. B. (1984). Are anorexic and bulimic patients depressed? American Journal of Psychiatry, 141, 15941597.Google ScholarPubMed
Himes, J. H., & Faricy, A. (2001). Validity and reliability of self-reported stature and weight of US adolescents. American Journal of Human Biology, 13, 255260.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Hudson, J. I., Pope, H. G., Jonas, J. M., & Yurgelun-Todd, D. (1983). Family history study of anorexia nervosa and bulimia. British Journal of Psychiatry, 142, 133138.CrossRefGoogle ScholarPubMed
Jequier, E., & Tappy, L. (1999). Regulation of body weight in humans. Physiological Reviews, 79, 451480.CrossRefGoogle ScholarPubMed
Kessler, R., Zhao, S., Blazer, D. G., & Swartz, M. (1997). Prevalence, correlates, and course of minor depression and major depression in the National Comorbidity Survey. Journal of Affective Disorders, 45, 1930.CrossRefGoogle ScholarPubMed
Koenig, L. J., & Wasserman, E. L. (1995). Body image and dieting failure in college men and women: Examining links between depression and eating problems. Sex Roles, 32, 225249.CrossRefGoogle Scholar
Kostanski, M., & Gullone, E. (1998). Adolescent body image dissatisfaction: Relationships with self-esteem, anxiety, and depression controlling for body mass. Journal of Child Psychology and Psychiatry and Allied Disciplines, 39, 255262.Google ScholarPubMed
Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatry, 46, 305315.Google ScholarPubMed
Krahnstoever-Davison, K., Markey, C. N., & Birch, L. L. (2003). A longitudinal examination of patterns in girls' weight concerns and body dissatisfaction from ages 5 to 9 years. International Journal of Eating Disorders, 33, 320332.CrossRefGoogle Scholar
Lahmeyer, H. W., Miller, M., & DeLeon-Jones, F. (1982). Anxiety and mood fluctuation during the normal menstrual cycle. Psychosomatic Medicine, 44, 183194.CrossRefGoogle ScholarPubMed
Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1998). Major depressive disorder in older adolescents: Prevalence, risk factors, and clinical implications. Clinical Psychology Review, 18, 765794.CrossRefGoogle ScholarPubMed
Lerner, R. M., & Steinberg, L. (2004). Handbook of adolescent psychology (2nd ed.). Hoboken, NJ: Wiley.CrossRefGoogle Scholar
Markus, H., & Nurius, P. (1986). Possible selves. American Psychologist, 41, 954969.CrossRefGoogle Scholar
Maxwell, M. A., & Cole, D. A.(in press). Weight change and appetite disturbance as symptoms of adolescent depression: Toward an integrative biopsychosocial model. Clinical Psychology Review.Google Scholar
Miller, W. C. (1999). How effective are traditional dietary and exercise interventions for weight loss. Medicine and Science in Sports and Exercise, 31, 11291134.CrossRefGoogle ScholarPubMed
Mitchell, J., McCauley, E., Burke, P. M., & Moss, S. J. (1988). Phenomenology of depression in children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 27, 1220.CrossRefGoogle ScholarPubMed
Musher-Eizenman, D., Holub, S., Edwards-Leeper, L., Persson, A., & Goldstein, S. (2003). The narrow range of acceptable body types of preschoolers and their mothers. Applied Developmental Psychology, 24, 259272.CrossRefGoogle Scholar
Nance, D. M. (1983). The developmental and neural determinants of the effects of estrogen on feeding behavior in the rat: A theoretical perspective. Neuroscience and Biobehavioral Reviews, 7, 189211.CrossRefGoogle Scholar
Neary, N. M., Goldstone, A. P., & Bloom, S. R. (2004). Appetite regulation: From the gut to the hypothalamus. Clinical Endocrinology, 60, 153160.CrossRefGoogle ScholarPubMed
O'Dea, J., & Abraham, S. (1999). Onset of disordered eating attitudes and behaviors in early adolescence: Interplay of pubertal status, gender, weight, and age. Adolescence, 34, 671679.Google ScholarPubMed
Pateyjohns, I. R., Brinkworth, G. D., Buckley, J. D., Noakes, M., & Clifton, P. M. (2006). Comparison of three bioelectric impedance methods with DXA in overweight and obese men. Obesity, 14, 20642070.CrossRefGoogle ScholarPubMed
Patton, G. C., Carlin, J. B., Shao, Q., Hibbert, M. E., Rosier, M., Selzer, R., & Bowes, G. (1997). Adolescent dieting: Healthy weight control or borderline eating disorder? Journal of Child Psychology and Psychiatry, 38, 299306.CrossRefGoogle ScholarPubMed
Patton, G. C., Coffey, C., Posterino, M., Carlin, J. B., & Wolfe, R. (2000). Adolescent depressive disorder: A population-based study of ICD-10 symptoms. Australian and New Zealand Journal of Psychiatry, 34, 741747.CrossRefGoogle ScholarPubMed
Paxton, S. J., Eisenberg, M. E., & Neumark-Sztainer, D. (2006). Prospective predictors of body dissatisfaction in adolescent girls and boys: A five year longitudinal study. Developmental Psychology, 42, 888899.CrossRefGoogle Scholar
Paxton, S. J., Neumark-Sztainer, D., Hannan, P. J., & Eisenberg, M. E. (2006). Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. Journal of Clinical Child and Adolescent Psychology, 35, 539549.CrossRefGoogle ScholarPubMed
Paxton, S. J., Wertheim, E. H., Gibbons, K., Szmukler, G. I., Hillier, L., & Petrovich, J. L. (1991). Body image satisfaction, dieting beliefs, and weight loss behaviors in adolescent girls and boys. Journal of Youth and Adolescence, 20, 361379.CrossRefGoogle ScholarPubMed
Plant, T. M., Gay, V. L., Marshall, G. R., & Arslan, M. (1989). Puberty in monkeys is triggered by chemical stimulation of the hypothalamus. Proceedings of the National Academy of Sciences of the United States of America, 86, 25062510.CrossRefGoogle ScholarPubMed
Presnell, K., Bearman, S. K., & Stice, E. (2004). Risk factors for body dissatisfaction in adolescent boys and girls: A prospective study. International Journal of Eating Disorders, 36, 389401.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385401.CrossRefGoogle Scholar
Roberts, R. E., Lewinsohn, P. M., & Seeley, J. R. (1995). Symptoms of DSM-III-R major depression in adolescence: Evidence from an epidemiological survey. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 16081617.CrossRefGoogle ScholarPubMed
Rosenbaum, M., & Leibel, R. L. (1998). The physiology of body weight regulation: Relevance to the etiology of obesity in children. Pediatrics, 101(3 Suppl.), 525539.CrossRefGoogle Scholar
Ryan, N. D., Puig-Antich, J., Ambrosini, P., Rabinovich, H., Robinson, D., Nelson, B., et al. (1987). The clinical picture of major depression in children and adolescents. Archives of General Psychiatry, 44, 854861.CrossRefGoogle ScholarPubMed
Sallis, J. F. (2000). Age-related decline in physical activity: A synthesis of human and animal studies. Medicine and Science in Sports and Exercise, 32, 15981600.CrossRefGoogle ScholarPubMed
Sihvola, E., Keski-Rahkonen, A., Dick, D. M., Pulkkinen, L., Rose, R. J., Marttunen, M., et al. (2007). Minor depression in adolescence: Phenomenology and clinical correlates. Journal of Affective Disorders, 97, 211218.CrossRefGoogle ScholarPubMed
Sinton, M. M., & Birch, L. L. (2006). Individual and sociocultural influences on pre-adolescent girls' appearance schemas and body dissatisfaction. Journal of Youth and Adolescence, 35, 165175.CrossRefGoogle Scholar
Smucker, M., Craighead, W. E., Craighead, L.W., & Green, B. J. (1986). Normative and reliability data for the children's depression inventory. Journal of Abnormal Child Psychology, 14, 2539.CrossRefGoogle ScholarPubMed
Sørensen, M. J., Nissen, J. B., Mors, O., & Thomsen, P. H. (2005). Age and gender differences in depressive symptomatology and comorbidity: An incident sample of psychiatrically admitted children. Journal of Affective Disorders, 84, 8591.CrossRefGoogle ScholarPubMed
Stanley, S., Wynne, K., McGowan, B., & Bloom, S. (2005). Hormonal regulation of food intake. Physiological Reviews, 85, 11311158.CrossRefGoogle ScholarPubMed
Stice, E., & Bearman, S. K. (2001). Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: A growth curve analysis. Developmental Psychology, 37, 597607.CrossRefGoogle ScholarPubMed
Stice, E., Cameron, R. P., Killen, J. D., Hayward, C., & Barr, T. C. (1999). Naturalistic weight-reduction efforts prospectively predict growth in relative weight and onset of obesity among female adolescents. Journal of Consulting and Clinical Psychology, 67, 967974.CrossRefGoogle ScholarPubMed
Strober, M., Green, J., & Carlson, G. (1981). Phenomenology and subtypes of major depressive disorder in adolescence. Journal of Affective Disorders, 3, 281290.CrossRefGoogle ScholarPubMed
Stroud, L. R., Papandonatos, G. D., Williamson, D. E., & Dahl, R. E. (2004). Sex differences in the effects of pubertal development on responses to a corticotropin-releasing hormone challenge: The Pittsburgh psychobiologic studies. New York Academy of Sciences, 1021, 348351.CrossRefGoogle ScholarPubMed
Stunkard, A. J., Sørensen, T., & Schulsinger, F. (1983). Use of the Danish Adoption Register for the study of obesity and thinness. Research Publications—Association for Research in Nervous and Mental Disorders, 60, 115120.Google Scholar
Swaab, D. F. (1997). Prader–Willi syndrome and the hypothalamus. Acta Paediatrica Supplementum, 423, 5054.CrossRefGoogle ScholarPubMed
Tiggemann, M. (2005). Body dissatisfaction and adolescent self-esteem: Prospective findings. Body Image, 2, 129135.CrossRefGoogle ScholarPubMed
Terasawa, E., & Fernandez, D. L. (2001). Neurobiological mechanisms of the onset of puberty in primates. Endocrine Reviews, 22, 111151.Google ScholarPubMed
Vander-Wal, J. S., & Thelen, M. H. (2000). Eating and body image concerns among obese and average-weight children. Addictive Behaviors, 25, 775778.CrossRefGoogle ScholarPubMed
Vartanian, L. R., Herman, C. P., & Polivy, J. (2004). Accuracy in the estimation of body weight: An alternate test of the motivated-distortion hypothesis. International Journal of Eating Disorders, 36, 6975.CrossRefGoogle ScholarPubMed
Veldhuis, J. D., Roemmich, J. N., & Rogol, A. D. (2000). Gender and sexual maturation-dependent contrasts in the neuroregulation of growth hormone secretion in prepubertal and late adolescent males and females. Journal of Endocrinology and Metabolism, 85, 23852394.Google ScholarPubMed
Wade, G. N., & Gray, J. M. (1979). Gonadal effects on food intake and adiposity: A metabolic hypothesis. Physiology and Behavior, 22, 583593.CrossRefGoogle ScholarPubMed
Walsh, B. T., Roose, S. P., Glassman, A. H., Gladis, M. A., & Sadik, C. (1985). Depression and bulimia. Psychosomatic Medicine, 47, 123131.CrossRefGoogle ScholarPubMed
Wang, Z., Patterson, C. M., & Hills, A. P. (2002). A comparison of self-reported and measured height, weight and BMI in Australian adolescents. Australian and New Zealand Journal of Public Health, 26, 473478.CrossRefGoogle ScholarPubMed
Weiss, B., & Garber, J. (2003). Developmental differences in the phenomenology of depression. Developmental Psychopathology, 15, 403430.CrossRefGoogle ScholarPubMed
Yorbik, O., Birmaher, B., Axelson, D., Williamson, D. E., & Ryan, N. D. (2004). Clinical characteristics of depressive symptoms in children and adolescents with major depressive disorder. Journal of Clinical Psychiatry, 65, 16541659.CrossRefGoogle ScholarPubMed