Self-esteem and mood in obese children and their mothers: A pilot study

Objective: A test-retest pilot study was conducted to examine the relationship between overweight/obesity, self-esteem and mood in a group of school-age children, and the degree to which they changed after a tailored psycho-educational intervention. Before and after administering the psycho-educational training, the following aspects were assessed: the child's weight (BMI); the child's and mother's levels of self-esteem and mood; the mother's perception of their child; and the child's general quality of life. Method: Subject to their prior informed consent, 12 overweight/obese children aged between 8 and 13 years, and their mothers were involved in a psycho-educational intervention, which consisted in four meetings with both the children and their mothers. The study consisted in measuring anthropometric parameters and administering specific psychological tests (the CDI, TMA, BDI, B-SE, and CBCL) to both the children and their mothers before and after the psycho-educational intervention. Results: The results showed that a high BMI was associated with depressive symptoms (anhedonia, negative mood) and low self-esteem (family life, body experience). Low levels of self-esteem were also found in 50% of the mothers, with no correlations between the mother's and child's self-esteem. On analyzing the mothers' clinically significant depressive symptoms (cognitive-affective sphere), it emerged that they included the perception of more problems in their child. After the psycho-educational intervention, there were improvements in: the children's BMI; the children's depressive symptoms and self-esteem; the mothers' depressive symptoms and self-esteem; and the mothers' perceptions of their child's problems. Conclusions: Our case series confirmed the association between overweight/obesity and psychological issues. Overweight/obese children need to be also addressed regarding the psychological fallout of their physical condition. Any intervention must also include the parents, to make them more aware, more committed, and better able to help their child change.