PMID- 30414555
OWN - NLM
STAT- MEDLINE
DCOM- 20190409
LR  - 20190409
IS  - 1573-2517 (Electronic)
IS  - 0165-0327 (Linking)
VI  - 245
DP  - 2019 Feb 15
TI  - The synergic relationship of social anxiety, depressive symptoms and waist 
      circumference in adolescents: Mediation analysis.
PG  - 241-245
LID - S0165-0327(18)31205-9 [pii]
LID - 10.1016/j.jad.2018.10.366 [doi]
AB  - BACKGROUND: It is not well established whether depression leads to weight loss or 
      weight gain, or whether a relationship exists among depression, social anxiety, 
      and weight status. The aim of this study was to evaluate the synergic association 
      among social anxiety, depressive symptoms, and waist circumference (WC) during 
      adolescence and examine whether depression mediated the relationship between 
      social anxiety and WC. METHODS: A cross-sectional study was performed with 1296 
      adolescents from a northeastern district in Brazil. It was used the Social 
      Anxiety Scale for Adolescents (SAS-A) to evaluate symptoms of social anxiety and 
      the Depression Scale of the Center for Epidemiologic Studies (CES-D) for symptoms 
      of depression. Structural equation modeling was used to determine whether 
      depression, social anxiety, and WC were synergically associated. Analysis was 
      adjusted for sex, age, height, and mother's educational level. RESULTS: Symptoms 
      of social anxiety were directly associated with symptoms of depression and WC, 
      whereas symptoms of depression were not associated with WC. LIMITATIONS: This is 
      a cross-sectional study, and so we cannot infer causality in the interpretation 
      of results. CONCLUSION: Social anxiety was found to be associated with depressive 
      symptoms and WC. General medical doctors and health practitioners who observe 
      overweight adolescents with any symptoms of anxiety might consider a thorough 
      evaluation of the patient's mental health.
CI  - Copyright (c) 2018. Published by Elsevier B.V.
FAU - Soares, F C
AU  - Soares FC
AD  - School of Physical Education, University of Pernambuco, Recife, PE, Brazil. 
      Electronic address: fercsoares@gmail.com.
FAU - Barros, M V G
AU  - Barros MVG
AD  - School of Physical Education, University of Pernambuco, Recife, PE, Brazil.
FAU - Bezerra, J
AU  - Bezerra J
AD  - School of Physical Education, University of Pernambuco, Recife, PE, Brazil.
FAU - Santos, S J
AU  - Santos SJ
AD  - School of Physical Education, University of Pernambuco, Recife, PE, Brazil.
FAU - Machado, L
AU  - Machado L
AD  - Postgraduate Program in Neuropsychiatry and Behavioral Sciences, Federal 
      University of Pernambuco, Recife, PE, Brazil.
FAU - Lima, R A
AU  - Lima RA
AD  - School of Physical Education, University of Pernambuco, Recife, PE, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20181102
PL  - Netherlands
TA  - J Affect Disord
JT  - Journal of affective disorders
JID - 7906073
SB  - IM
MH  - Adolescent
MH  - Anxiety/*physiopathology/*psychology
MH  - Brazil
MH  - Cross-Sectional Studies
MH  - Depression/*physiopathology/psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Pediatric Obesity/physiopathology/*psychology
MH  - Psychiatric Status Rating Scales
MH  - *Waist Circumference
OTO - NOTNLM
OT  - Adolescence
OT  - Depression
OT  - Social anxiety
OT  - Waist circumference
EDAT- 2018/11/11 06:00
MHDA- 2019/04/10 06:00
CRDT- 2018/11/11 06:00
PHST- 2018/06/01 00:00 [received]
PHST- 2018/09/19 00:00 [revised]
PHST- 2018/10/31 00:00 [accepted]
PHST- 2018/11/11 06:00 [pubmed]
PHST- 2019/04/10 06:00 [medline]
PHST- 2018/11/11 06:00 [entrez]
AID - S0165-0327(18)31205-9 [pii]
AID - 10.1016/j.jad.2018.10.366 [doi]
PST - ppublish
SO  - J Affect Disord. 2019 Feb 15;245:241-245. doi: 10.1016/j.jad.2018.10.366. Epub 
      2018 Nov 2.