Social Anxiety in Obese Youth in Treatment Setting

The aim of this study was to determine the prevalence of social anxiety in obese children treated in a weight management clinic. We hypothesized that social anxiety would positively correlate with obesity, and that “extremely obese” patients would have significantly higher rates of social anxiety when compared to “obese” patients. Information was collected at a multidisciplinary treatment clinic for obese youth during the first clinic visit. The social anxiety scale was administered (including parent-report and self-report scales for both elementary and adolescent versions) and demographic data was obtained. Social anxiety was found to be significantly positively correlated with BMI percentile. In addition, “extremely obese” patients had significantly higher social anxiety scores than “obese” youth at least for elementary-age youth. Trends in gender differences and racial differences in this obese pediatric clinical sample were consistent with results found in community samples. Social anxiety and obesity were found to be positively correlated in this pediatric clinic-based population. For elementary-age patients, “extremely obese” patients were at greater risk than “obese patients” for social anxiety and its various symptoms—fear of negative evaluation, social avoidance/distress in new situations, and social avoidance/distress in general. Results for adolescents were less clear. Clinical implications of these results were discussed. Limitations of this study, and directions for future research were also discussed.