Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ)Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ)1990-472XФедеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации6910.18499/1990-472X-%Y-%v-%i-72-77Original ArticleANALYTIC INVESTIGATION OF OVEREATING EPISODE, ANXIETY AND DEPRESSIVE SYMPTOMS IN OBESE CHILDREN AND THEIR PARENTS IN HOSPITALKorzhovaS O-ShiriaevO Yu-MakhortovaI S-ChubarovT V-Voronezh State Medical University727703032020Copyright © 2019, Научно-медицинский вестник Центрального Черноземья2019The study analyzed anxiety-depressive manifestations among children with endogenous-constitutional obesity and their parents. To assess anxiety and depression, Beck psychometric scales of anxiety and depression and the adapted anxiety scale of anxiety by A.M. Parishioners. This article presents the interim results of the analysis of the episode of overeating, which is considered as one of the possible factors that provoke and aggravate the clinical picture of obesity. To study the episode of overeating, a specially designed questionnaire was used, reflecting the dynamics of the episode of overeating. The questionnaire questions are open, which allows patients to independently describe the episode itself in relation to emotions, thoughts and relevant behavior. It has been found that in obese children, the frequency of episodes of overeating is several times a week and is associated with pronounced positive emotions during and after the episode, when triggers of the onset of overeating are pronounced negative emotions. In the group of parents, the emotional state after overeating is qualitatively different and is characterized by pronounced negative emotions at the end of the overeating episode and the presence of guilt. The results obtained are heterogeneous and require further study of the phenomenon of overeating among children with endocrine pathology.overeating episodeanxietydepressionobesitychildrenэпизод перееданиятревогадепрессияожирениедети[Крылов В.И. Психопатология пищевого поведения: нервная анорексия и нервная булимия // Психиатрия и психофармакотерапия. - 2007. - № 2. - С.12-17.][Махортова И.С. Динамика выраженности аффективных нарушений у больных депрессией с избыточной массой тела и расстройствами пищевого поведения в процессе фармакотерапии / Махортова И.С. Ширяев О. Ю. // Журнал неврологии и психиатрии им. С.С. Корсакова. 2017; 117(11) C. 64-68.][Прихожан А. М. Тревожность у детей и подростков: психологическая природа и возрастная динамика. Воронеж: Издательство НПО МОДЭК, 2000.][Федеральные клинические рекомендации (протоколы) по ведению детей̆ с эндокринными заболеваниями. Под ред. Дедова И.И., Петерковой В.А. М.: Издательство Практика; 2014:163- 182. [Dedov II., Peterkova VA. Federal clinical recommendations on supervision of children with endocrine diseases. M.: Praktika; 2014:163-82. (in Russ.)].][Ширяев О. Ю. Особенности динамики ИМТ у пациентов с избыточной массой тела и ожирением при различных вариантах коморбидности / Ширяев О. Ю., Махортова И. С., Цыганков Б. Д. // Прикладные информационные аспекты медицины. - 2016. - №1. - С.155-159.][Ng M, Fleming T., Robinson M., et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study. Lancet.2014;384:766-781.][Rankin J., Matthews L., Cobley S.,et al. Psychological consequences of childhood obesity: psychiatric comorbidity and prevention. Adolescent Health, Medicine and Therapeutics. 2016;7:125-146.][Roberto C.A, Swinburn B, Hawkes C, et al. Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking. Lancet. 2015;385(9985):2400-2409.][Stice E., Presnell K., Shaw H., et al. Psychological and Behavioral Risk Factors for Obesity Onset in Adolescent Girls. A Prospective Study. Journal of Consulting and Clinical Psychology. 2005;73(2):195-202.][Tremmel.M., Gerdtham Ulf-G.,Nilsson P., et al. Economic Burden of Obesity: A Systematic Literature Review. International Journal of Environmental Research and Public Health.2017;14(4): 435.]