Predicting BMI in Young Children with Developmental Delay and Externalizing Problems: Links with Caregiver Depressive

Brynna H Heflin1, Jonathan S Comer1, Daniel M Bagner1

  • 1Department of Psychology, Center for Children and Families, Florida International University.

Insights

Caregiver depression increases child obesity risk, especially in highly acculturated parents of young children with developmental delays. Cultural factors like acculturation significantly influence this association.

Area of Science:

  • Child Psychology
  • Public Health
  • Cultural Psychiatry

Background:

  • Caregiver depression is a known risk factor for childhood obesity.
  • Previous research has not adequately explored cultural influences on this relationship.
  • This study focuses on young children with developmental delay and behavioral issues.

Purpose of the Study:

  • To assess the link between caregiver depressive symptoms and child BMI in young children with developmental delay and externalizing behaviors.
  • To investigate the moderating effects of acculturation and enculturation on this association.

Main Methods:

  • Examined 147 three-year-old children with developmental delay and externalizing behaviors.
  • Caregivers were from cultural minority backgrounds.
  • Analyzed the association between caregiver depression and child BMI, considering acculturation and enculturation levels.

Main Results:

  • Higher caregiver depressive symptoms correlated with higher child BMI (b = .189, p = .001).
  • Acculturation significantly moderated this association, with a stronger link observed in highly acculturated caregivers (b = .21, p = .01).
  • Enculturation did not show a significant moderating effect.

Conclusions:

  • Caregiver depression poses an elevated risk for child obesity, particularly in highly acculturated individuals.
  • Clinicians should consider acculturation levels when providing services to culturally diverse families.
  • Optimizing interventions requires understanding the interplay of caregiver mental health and cultural adaptation.
Abstract

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