ArticleChildren (Basel, Switzerland)2026
Social Withdrawal, Eating Behaviors, and Daytime Sleepiness in Adolescents with Obesity: A Biopsychosocial Case-Control Study.
Article in Children (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesAdolescent obesity is increasingly recognized as a multidimensional condition involving psychosocial and behavioral vulnerabilities beyond metabolic risk. Although social withdrawal, dysregulated eating behaviors, and sleep disturbances have each been associated with obesity, integrative studies examining these domains concurrently remain limited. This study aimed to comparatively evaluate social withdrawal characteristics, eating behavior patterns, and daytime sleepiness in adolescents with obesity and normal-weight peers.
methodsThis cross-sectional case-control study included 209 adolescents aged 14-18 years (100 with obesity; 109 normal-weight controls). Social withdrawal was assessed using the Hikikomori Risk Inventory (HRI-24), eating behaviors with the Children's Three-Factor Eating Questionnaire (CTFEQ-17), and daytime sleepiness with the Pediatric Daytime Sleepiness Scale (PDSS). The BMI z-scores were calculated according to the CDC growth charts. Group comparisons and correlation analyses were performed.
resultsAdolescents with obesity demonstrated significantly higher total social withdrawal scores and higher anthropophobia, agoraphobia, lethargy, and depressive mood subscale scores compared with the controls (all
conclusionsAdolescent obesity is associated not only with maladaptive eating behaviors but also with broader psychosocial vulnerabilities, including social withdrawal tendencies and sleep-related difficulties. These findings support a biopsychosocial conceptualization of adolescent obesity and underscore the importance of multidimensional intervention approaches targeting emotional regulation, sleep hygiene, and social functioning alongside weight management strategies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.