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Journal of Pediatric Psychology Advance Access originally published online on July 18, 2008
Journal of Pediatric Psychology 2009 34(2):147-155; doi:10.1093/jpepsy/jsn070
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Published by Oxford University Press on behalf of the Society of Pediatric Psychology 2008.

Impaired Health-related Quality of Life in Caregivers of Youth Seeking Obesity Treatment

Avani C. Modi, PhD1,2, Shanna M. Guilfoyle, MA1,3 and Meg H. Zeller, PhD1,2

1Cincinnati Children's Hospital Medical Center, 2University of Cincinnati College of Medicine, and 3Kent State University

All correspondence concerning this article should be addressed to 3333 Burnet Avenue, MLC 7039, Cincinnati Children's Hospital Medical Center, Division of Behavioral Medicine and Clinical Psychology, Center for the Promotion of Treatment Adherence and Self Management, Cincinnati, OH 45229. E-mail: avani.modi{at}cchmc.org


  Abstract

Objective To document and identify predictors of caregiver health-related quality of life (HRQOL) in a sample of youth seeking obesity treatment and examine whether it moderates the relation between parent proxy and youth self-report HRQOL. Methods Youth (5–18 years) and their caregivers (N = 120) presenting to a pediatric medical weight management program completed the Pediatric Quality of Life InventoryTM and caregivers completed the Short-Form 36. Results Caregivers were predominantly overweight/obese (90%) and half were African-American. Caregiver HRQOL was lower than "healthy" adults, similar to nontreatment-seeking adults with obesity, and better than treatment-seeking adults with obesity. Caregiver body mass index and socioeconomic status predicted caregiver physical HRQOL. Caregiver age predicted caregiver mental HRQOL. A moderation effect was not detected. Conclusions Given the significant degree of overweight and HRQOL impairment in caregivers of youth seeking obesity treatment, further examination of caregiver functioning in the context of pediatric obesity treatment outcomes is warranted.

Key words: biased reporting; overweight; obesigenic environment; parent proxy.

Received March 21, 2008; revision received May 8, 2008; accepted June 13, 2008


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