title: Child Maltreatment and the Adolescent Patient With Severe Obesity: Implications for Clinical Care.
abstract: OBJECTIVE
  To characterize prevalence and correlates of child maltreatment (CM) in a clinical sample of adolescents with severe obesity.
  
  
  METHODS
  Multicenter baseline data from 139 adolescents undergoing weight loss surgery (Mage = 16.9; 79.9% female, 66.2% White; Mbody mass index [BMI] = 51.5 kg/m(2)) and 83 nonsurgical comparisons (Mage = 16.1; 81.9% female, 54.2% White; MBMI = 46.9 kg/m(2)) documented self-reported CM (Childhood Trauma Questionnaire) and associations with psychopathology, quality of life, self-esteem and body image, high-risk behaviors, and family dysfunction.
  
  
  RESULTS
  CM prevalence (females: 29%; males: 12%) was similar to national adolescent base rates. Emotional abuse was most prevalent. One in 10 females reported sexual abuse. For females, CM rates were higher in comparisons, yet correlates were similar for both cohorts: greater psychopathology, substance use, and family dysfunction, and lower quality of life.
  
  
  CONCLUSIONS
  While a minority of adolescents with severe obesity reported a CM history, they carry greater psychosocial burden into the clinical setting.
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, meg.zeller@cchmc.org.
authors.forename: Meg H
authors.initials: MH
authors.lastname: Zeller
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Human Development and Family Studies, The Pennsylvania State University.
authors.forename: Jennie G
authors.initials: JG
authors.lastname: Noll
authors.affiliation: Center for Weight and Eating Disorders, Perelman School of Medicine, University of Pennsylvania.
authors.forename: David B
authors.initials: DB
authors.lastname: Sarwer
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Reiter-Purtill
authors.affiliation: Department of Psychiatry, University of Pittsburgh Medical Center.
authors.forename: Dana L
authors.initials: DL
authors.lastname: Rofey
authors.affiliation: Department of Pediatrics, Nationwide Children's Hospital.
authors.forename: Amy E
authors.initials: AE
authors.lastname: Baughcum
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.
authors.forename: James
authors.initials: J
authors.lastname: Peugh
authors.affiliation: Division of General Surgery, University of Pittsburgh Medical Center.
authors.forename: Anita P
authors.initials: AP
authors.lastname: Courcoulas
authors.affiliation: Department of Pediatric Surgery, Nationwide Children's Hospital, and.
authors.forename: Marc P
authors.initials: MP
authors.lastname: Michalsky
authors.affiliation: Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center.
authors.forename: Todd M
authors.initials: TM
authors.lastname: Jenkins
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.
authors.forename: Jennifer N
authors.initials: JN
authors.lastname: Becnel
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002649:Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D063766:Pediatric Obesity / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D015995:Prevalence
keywords: abuse; adolescents; bariatric surgery; neglect; severe obesity