Abstract
Objective
This study investigates whether or not obese children have a stronger tendency to act on impulse than normal weight children, taking into account the multidimensionality and complexity of the impulsivity construct.
Method
A performance based test (Matching Familiar Figure Test, MFFT), a child interview and questionnaire, and parental reports were obtained from 56 overweight children and 53 normal weight children aged 10–18 years.
Results
Overweight children responded in a more impulsive way on the MFFT (P < .01). On the child questionnaire, overweight boys reported more problems with focussing attention (P < .05) and both overweight boys and girls reported being worse at shifting their attention compared with normal weight children (P < .05). In particular, overweight boys showed more impulsivity (P < .05), hyperactivity (P < .01), and inattention symptoms (P < .001) as measured via the clinical interview. Parents of overweight children reported an equal amount of impulsivity and hyperactivity symptoms as parents of normal weight children, but scored their children lower on the Conscientiousness personality dimension (P < .01).
Conclusion
A subgroup of overweight children appears to have a stronger tendency to act on impulse than normal weight children, and demonstrated an impulsivity prone personality. Hence, overweight children should be screened for impulse control deficiencies. More research is needed to clear out the robustness of gender differences, the existence of a specific personality profile and possibly common underlying mechanisms of childhood obesity and Attention Deficit Hyperactivity Disorder.
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References
Achenbach TM, Mcconaughy SH, Howell CT (1987) Child adolescent behavioral and emotional-problems – implications of cross-informant correlations for situational specificity. Psychol Bull 101:213–232
Agranat-Meged AN, Deitcher C, Goldzweig G, Leibenson L, Stein M, Galili-Weisstub E (2005) Childhood obesity and attention deficit/hyperactivity disorder: a newly described comorbidity in obese hospitalized children. Int J Eat Disord 37:357–359
Barkley RA (1990) Attention deficit hyperactivity disorder: a handbook for diagnosis and treatment. The Guilford Press, New York
Barkley RA (1996) Attention-deficit/hyperactivity disorder. In: Mash EJ, Barkley RA (eds) Child psychopathology. The Guilford Press, New York/London, pp 75–143
Barkley RA (1991) The ecological validity of laboratory and analog assessment methods of ADHD symptoms. J Abnorm Child Psychol 19:149–178
Bonato DP, Boland FJ (1983) Delay of gratification in obese children. Addict Behav 8:71–74
Braet C, Mervielde I, Vandereycken W (1997) Psychological aspects of childhood obesity: a controlled study in a clinical and nonclinical sample. J Pediatr Psychol 22:59–71
Carey WB (1985) Temperament and increased weight-gain in infants. J Dev Behav Pediatr 6:128–131
Carey WB, Hegvik RL, Mcdevitt SC (1988) Temperamental factors associated with rapid weight-gain and obesity in middle childhood. J Dev Behav Pediatr 9:194–198
Carpenter KM, Hasin DS, Allison DB, Faith MS (2000) Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: results from a general population study. Am J Public Health 90:251–257
Caspi A (2000) The child is father of the man: personality continuities from childhood to adulthood. J Pers Soc Psychol 78:158–172
Christakis DA, Zimmerman FJ, DiGiuseppe DL, McCarty CA (2004) Early television exposure and subsequent attentional problems in children. Pediatrics 113:708–713
Dawe S, Loxton NJ (2004) The role of impulsivity in the development of substance use and eating disorders. Neurosci Biobehav Rev 28:343–351
Derryberry D, Reed MA (2002) Anxiety-related attentional biases and their regulation by attentional control. J Abnorm Psychol 111:225–236
De Fruyt F, Bartels M, Van Leeuwen KG, De Clercq B, Decuyper M, Mervielde I (2006) Five types of personality continuity in childhood and adolescence. J Pers Soc Psychol 91:538–552
Dougherty DM, Mathias CW, Marsh DM, Jagar AA (2005) Laboratory behavioral measures of impulsivity. Behav Res Meth 37:82–90
Drabman RS, Cordua y Cruz G (1981) Eating styles: a developmental overview. In: Ferguson JM, Taylor CB (eds) The comprehensive textbook of behavioral medicine. Spectrum, New York
Dupaul GJ, Anastopoulos AD, Shelton TL, Guevremont DC, Metevia L (1992) Multimethod assessment of attention-deficit hyperactivity disorder – The diagnostic utility of clinic-based tests. J Clin Child Psychol 21:394–402
Evers A, Van Vliet JC, Groot CJ (2000) Documentatie van tests en testresearch [Documentation on tests and testresearch]. Van Gorcum, Assen
Fassino S, Leombruni P, Piero A, Daga GA, Amianto F, Rovera G, Rovera GG (2002) Temperament and character in obese women with and without binge eating disorder. Compr Psychiatry 43:431–437
Fredriks AM, van Buuren S, Wit JM, Verloove-Vanhorick SP (2000) Body index measurements in 1996–7 compared with 1980. Arch Dis Child 82:107–112
Halperin JM, Sharma V, Greenblatt E, Schwartz ST (1991) Assessment of the continuous performance test: reliability and validity in an nonreferred sample. Psychological Assessment: J Consul Clin Psychol 3:603–608
Hien D, Matzner FJ, First MB, Spitzer RL, Gibbon M, Williams JBW (1994,1998) Structured Clinical Interview for DSM-IV – Child Edition (Version 1.0). Columbia University, New York
Hollingshead A (1975) Four factor index of social status. Yale University Press, New Haven, CT
Holtkamp K, Konrad K, Muller B, Heussen N, Herpertz S, Herpertz-Dahlmann B, Hebebrand J (2004) Overweight and obesity in children with attention-deficit/hyperactivity disorder. Int J Obesity 28:685–689
Johnson WG, Parry W, Drabman RS (1978) The performance of obese and normal size children on a delay of gratification task. Addict Behav 3:205–208
Jorm AF, Christensen H, Henderson AS, Jacomb PA, Korten AE, Rodgers B (1999) Using the BIS/BAS scales to measure behavioural inhibition and behavioural activation: factor structure, validity and norms in a large community sample. Pers Indiv Diff 26:49–58
Kagan J (1966) Reflection-impulsivity: the generality and dynamics of conceptual tempo. J Abnorm Psychol 71:17–24
Kagan J, Rosman B, Day D, Albert J, Philips W (1964) Information processing in the child: significance of analytic and reflective attitudes. Psychol Monogr 78:1–37
Larsen F, Torgersen S (1989) Personality changes after gastric banding surgery for morbid-obesity – a prospective-study. J Psychosom Res 33:323–334
Lledo EP, Waller G (2001) Bulimic psychopathology and impulsive behaviors among nonclinical women. Int J Eat Disord 29:71–75
Marston AR, London P, Cooper LM (1976) Note on eating behavior of children varying in weight. J Child Psychol Psychiatry Allied Disciplines 17:221–224
Matzner F (1994) Videotapes as training tools for the development of the KID-SCID. In: American Academy of Child and Adolescent Psychiatry, 42nd Annual Meeting. Washington DC
Matzner F, Silva RR, Silvan M, Chowdhury M, Nastasi L (1997) Preliminary test-retest reliability of the KID-SCID. In: American Psychiatric Association Meeting, Washington DC, pp 172–173
McCrae RR, Costa PT, Ostendorf F, Angleitner A, Hrebickova M, Avia MD, Sanz J, Sanchez-Bernardos ML, Kusdil ME, Woodfield R, Saunders PR, Smith PB (2000) Nature over nurture: temperament, personality, and life span development. J Pers Soc Psychol 78:173–186
Mervielde I, De Fruyt F (1999) Construction of the hierarchical personality inventory for children. In: Mervielde I, Deary F, De Fruyt F, Ostendorf F (eds) Personality psychology in Europe: proceedings of the eighth European conference on personality psychology. Tilburgh University Press, Netherlands, pp 107–127
Metcalfe J, Mischel W (1999) A hot/cool-system analysis of delay of gratification: dynamics of willpower. Psychol Rev 106:3–19
Milich R, Kramer J (1984) Reflections on impulsivity: an empirical investigation of impulsivity as a construct. In: Gadow K, Bialer I (eds) Advances in learning and behavioural disabilities. JAI, Greenwich, CT, pp 117–150
Nederkoorn C, Braet C, van Eijs Y, Tanghe A, Jansen A (2006) Why the obese cannot resist the food: impulsivity as a risk factor for obesity. Eat Behav 7:315–322
Ogden CL, Kuczmarski RJ, Flegal KM, Mei Z, Guo S, Wei R, Grummer-Strawn LM, Curtin LR, Roche AF, Johnson CL (2002) Centers for disease control and prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics 109:45–60
Olson SL, Schilling EM, Bates JE (1999) Measurement of impulsivity: construct coherence, longitudinal stability, and relationship with externalizing problems in middle childhood and adolescence. J Abnorm Child Psychol 27:151–165
Oosterlaan J, Scheres A, Antrop I, Roeyers H, Sergeant JA (2000) Vragenlijst voor Gedragsproblemen bij kinderen (VvGK): Nederlandse berwerking van de Disruptive Behavior Disorders Rating Scale [Dutch translation of the Disruptive Behavior Disorders Rating Scale]. Swets & Zeitlinger, Lisse
Parsons TJ, Power C, Logan S, Summerbell CD (1999) Childhood predictors of adult obesity: a systematic review. Int J Obesity 23:S1–S107
Patterson GR (2002) The early development of coercive family process. In: Reid JB, Patterson GR, Snyder J (eds) Antisocial behavior in children and adolescents, A developmental analysis and model for intervention. Amercian Psychological Association, Washington DC - London, pp 25–44
Pelham WE, Gnagy EM, Greenslade KE, Milich R (1992) Teacher ratings of Dsm-III-R symptoms for the disruptive behavior disorders. J Am Acad Child Adolesc Psychiatry 31:210–218
Pine DS, Cohen P, Brook J, Coplan JD (1997) Psychiatric symptoms in adolescence as predictors of obesity in early adulthood: a longitudinal study. Am J Public Health 87:1303–1310
Raymond NC, Neumeyer B, Thuras P, Weller CL, Eckert ED, Crow SJ (1999) Compulsive and impulsive traits in individuals with obese binge eating disorder and bulimia nervosa. Eat Dis 7:299–317
Roberts BW, DelVecchio WF (2000) The rank-order consistency of personality traits from childhood to old age: a quantitative review of longitudinal studies. Psychol Bull 126:3–25
Robinson TN (2001) Television viewing and childhood obesity. Pediatr Clin North Am 48:1017
Rothbart MK, Ziaie H, O’Boyle CG (1990) Regulatory mechanisms in infant development. In: Enns JT (ed) The development of attention: research and theory. Elsevier, Amsterdam, pp 47–66
Rothbart MK, Ziaie H, O’Boyle CG (1992) Self-regulation and emotion in infancy. New Dir Child Dev 55:7–23
Ryden A, Sullivan M, Torgerson JS, Karlsson J, Lindroos AK, Taft C (2003) Severe obesity and personality: a comparative controlled study of personality traits. Int J Obesity 27:1534–1540
Salkind NJ, Wright JC (1977) Development of reflection-impulsivity and cognitive efficiency – integrated model. Hum Dev 20:377–387
Silverman IW (2003) Gender differences in delay of gratification: a meta-analysis. Sex Roles 49:451–463
Smith DC, Huber DL, Hall JA (2005) Psychometric evaluation of the structured clinical interview for DSM-IV childhood diagnoses (KID-SCID). J Hum Behav Soc Environ 11:23–40
Strayhorn JM (2002) Self-control: theory and research. J Am Acad Child Adolesc Psychiatry 41:7–16
Timbremont B, Braet C, Dreessen L (2004) Assessing depression in youth: relation between the Children’s depression inventory and a structured interview. J Clin Child Adolesc Psychol 33:149–157
Vitousek K, Manke F (1994) Personality-variables and disorders in Anorexia-Nervosa and Bulimia-Nervosa. J Abnorm Psychol 103:137–147
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH (1997) Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 337:869–873
White JL, Moffitt TE, Caspi A, Bartusch DJ, Needles DJ, Stouthamerloeber M (1994) Measuring impulsivity and examining its relationship to delinquency. J Abnorm Psychol 103:192–205
Wonderlich SA, Connolly KM, Stice E (2004) Impulsivity as a risk factor for eating disorder behavior: assessment implications with adolescents. Int J Eat Dis 36:172–182
Acknowledgments
The authors are grateful to the staff of the Zeepreventorium inpatient treatment centre in De Haan Belgium, especially Ann Tanghe, for the assistance provided. The authors also wish to thank the BOF of Ghent University for the grant awarded.
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Braet, C., Claus, L., Verbeken, S. et al. Impulsivity in overweight children. Eur Child Adolesc Psychiatry 16, 473–483 (2007). https://doi.org/10.1007/s00787-007-0623-2
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DOI: https://doi.org/10.1007/s00787-007-0623-2