Ask the experts
My son is 10 and badly overweight. He has been acting out in school and spending weekends in bed. We took him to a psychologist, who diagnosed my boy with clinical depression. I know my son deals with a lot of bullying at school because of his weight. Would losing weight help? Does depression cause obesity or does obesity cause depression?
Depression may be a reaction to life stresses, like trauma, including verbal, physical, or sexual abuse, the death of a loved one, school problems, bullying, or suffering from peer pressure. Youth who are struggling to adapt to the United States culture have found to be at higher risk for developing depression. Research differs as to whether obese children have an increased risk of developing depression.
Psychological contributors to depression include low self-esteem, negative social skills, negative body image, being excessively self-critical, and often feeling helpless when dealing with negative events.
That said, depressive disorders in children do not have one specific cause. Rather, people with these conditions tend to have a number of biological, psychological, and environmental contributors to its development. Biologically, depression is associated with a deficient level of the neurotransmitter serotonin in the brain, a smaller size of some areas of the brain and increased activity in other parts of the brain. Girls are more likely to be given the diagnosis of depression than boys, but that is thought to be due to, among other things, biological differences based on gender, and differences in how girls are encouraged to interpret their experiences and respond to it as opposed to boys. There is thought to be at least a partially genetic component to the pattern of children, and teens with a depressed parent are as much as four times more likely to also develop the disorder. Children who have depression or anxiety are more prone to have other biological problems, like low birth weight, suffering from a physical condition, trouble sleeping, and to having a mother younger than 18 years old at the time of their birth.
Children who suffer from conduct disorder, attention deficit hyperactivity disorder (ADHD), clinical anxiety, or who have cognitive or learning problems, as well as trouble engaging in social activities, also have more risk of developing depression.
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American Psychiatric Association. Treatment of patients with major depressive disorder, third edition. American Psychiatric Association Practice Guidelines; November 2010.
American Psychiatric Association, American Academy of Child and Adolescent Psychiatry. The Use of Medication in Treating Childhood and Adolescent Depression: Information for Patients and Families. American Psychiatric Association 2013.
Andrews, B., and J.M. Wilding. "The relation of depression and anxiety to life-stress and achievement in students." British Journal of Psychology 95 (2004): 509-521.
Amr, M., A. El-Mogy, T. Shams, et al. "Efficacy of vitamin C as an adjunct to fluoxetine therapy in pediatric major depressive disorder: a randomized, double-blind, placebo-controlled pilot study." Nutrition Journal 12 (2013).
Benson, L.P., R.J. Williams, and M.B. Novick. "Pediatric obesity and depression." Clinical Pediatrics 52.1 Jan. 2013: 24-29.
Bhatia, S.K., and S.C. Bhatia. "Childhood and adolescent depression." American Family Physician 75.1 Jan. 2007: 73-80.
Brhel, R. "The role of attachment in healing infant depression." The Attached Family 2009.
Brunsvold, G.L., G. Oepen, E.J. Federman, and R. Akins. "Comorbid depression and ADHD in children and adolescents." Psychiatric Times Sept. 2008.
Chorney, D.B., M.F. Detweiler, T.L. Morris, and B.R. Kuhn. "The interplay of sleep disturbance, anxiety, and depression in children." Journal of Pediatric Psychology 33.4 (2008): 339-348.
Chrisman, A., H. Egger, S.N. Compton, J. Curry, and D.B. Goldston. "Assessment of childhood depression." Child and Adolescent Mental Health 11.2 (2006): 111-116.
Clark, M.S., K.L. Jansen, and J.A. Cloy. "Treatment of childhood and adolescent depression." American Family Physician 85.5 (2012): 442-448.
Dryden, J. "Poverty linked to childhood depression, changes in brain connectivity." Washington University School of Medicine. January 2016.
Duckworth, K., D. Gruttadaro, and D. Markay. "A Family Guide: What Families Need to Know About Adolescent Depression, Second Edition." National Alliance for the Mentally Ill, 2010.
Dunn, V., and I.M. Goodyer. "Longitudinal investigation into childhood- and adolescence-onset depression: psychiatric outcome in early adulthood." British Journal of Psychiatry 188 (2006): 216-222.
Fullana, M.A., D. Mataix-Cols, C.H. Harrington, et al. "Obsessions and compulsions in the community: prevalence, interference, help-seeking, developmental stability, and co-occurring psychiatric conditions." The American Journal of Psychiatry March 2009.
Garaigordobil, M., E. Bernaras, J. Jaureguizar, et al. "Childhood depression: Relation to adaptive, clinical and predictor variables." Front Psychology 8 May 2017: 821.
Gladstone, T.R.G., W.R. Beardslee, and E.E. O'Connor. "The prevention of adolescent depression." Psychiatric Clinics of North America 34.1 March 2011: 35-52.
Hovey, J.D., and C.A. King. "Acculturative stress, depression, suicidal ideation among immigrant and second generation Latino adolescents." Journal of the American Academy of Child and Adolescent Psychiatry 35.9 Sept. 1996: 1183-1192.
Le Noury, J., J.M. Nardo, D. Healy, J. Jureidini, et al. "Restoring study 329: efficacy and harms of paroxetine and imipramine in treatment of major depression in adolescence." The British Medical Journal 351 (2015).
Morgan, C., R.T. Webb, M.J. Carr, et al. "Incidence, clinical management and mortality risk following self harm among children and adolescents: Cohort study in primary care." British Medical Journal October 2017.
Pedersen, T. "Poor sleep in childhood ups risk for later depression, anxiety." Psych Central July 2016.
Pross, N., A. Demazieres, N. Girard, et al. "Effects of changes in water intake on mood of high and low drinkers." Public Library of Science 9.4 April 2014.
Reardon, T., K. Harvey, M. Baranowska, et al. "What do parents perceive are the barriers and facilitators to accessing psychological treatment for mental health problems in children and adolescents? A systematic review of qualitative and quantitative studies." European Child and Adolescent Psychiatry 26.6 (2017): 623-647.
Schuch, F.B., D. Vancampfort, J. Richards, et al. "Exercise as a treatment for depression: a meta-analysis adjusting for publication bias." Journal of Psychiatric Research 77 June 2016: 42-51.
Southammakosane, C., and K. Schmitz. "Pediatric psychopharmacology for treatment of ADHD, depression and anxiety." Pediatrics July 2015.
Stewart, M.E., L. Barnard, J. Pearson, R. Hasan, and G. O'Brien. "Presentation of depression in autism and Asperger syndrome." Autism 10.1 Jan. 2006: 103-116.
University of California, San Francisco. "Exposure to toxic chemicals threatening human reproduction and health." Science News Oct. 2015.
Wieting, J.M. "Cause and effect in childhood obesity: solutions for a national epidemic." Journal of the American Osteopathic Association 108(10) (2008): 545-552.
Williams, L.M., C. Debattista, A-M, Duchemin, et al. "Childhood trauma predicts antidepressant response in adults with major depression: data from the randomized international study to predict optimized treatment for depression." Translational Psychiatry May 2016: e799.