Family relations and psychosocial risk in families with an obese adolescent.

The aim of the present study is a comparison of family relations in families with an obese adolescent and families with a normal-weight adolescent. Particularly, we studied the parents' and children's perceptions of some crucial areas of their relationship, e.g., communication, support, and some factors of "psychosocial risk" for the adolescents. We compared 30 family triads each with an obese child and 30 family triads each with a normal-weight child. We used a questionnaire aimed to evaluate some crucial variables of family functioning such as communication, family climate, support and satisfaction. A multivariate analysis of variance yielded no difference between obese and nonobese adolescents concerning communication with their mothers and fathers and concerning support given and received from them. In particular, analysis indicated no difference between parents of obese adolescents and parents of normal-weight adolescents regarding openness and problems in communication. As a protective factor against psychosocial risk, in both the samples the relationship with the mother arises as relevant, but, for the nonobese adolescents, both support and communication with this parent were important, whereas for the obese adolescents only support seemed to be really important. The results are discussed with respect to this approach which considered the family as the unit of analysis both from a theoretical and a methodological point of view.

Body-size estimation by obese subjects.

The present aim was to explore the body-image perception of a group of 60 hospitalized obese subjects, aged between 25 and 50 years, undergoing a weight loss treatment and 60 normal-weight persons. The 1978 modified version of the Askevold perception test by Allamani, Marasco, Michele, and Morandi was given. This nonverbal test is aimed at evaluating subjects' perception of the dimensions of different parts of the body by exploiting their projection into space. Each body area (head, the thoracic area, the abdominal area, and the pelvic area) perceived by a subject was calculated using a specifically designed software program (AREA.BASIC2); the same program was used to calculate actual body area. After obtaining the percentage deviation index for each individual [(perceived area/real area) x 100], mean values were analyzed. Obese subjects significantly underestimated the four body areas, unlike the normal weight subject who largely overestimated the abdominal and pelvic areas.