Li Yan-Ping, Ma Guan-Sheng, Schouten Evert G, Hu Xiao-Qi, Cui Zhao-Hui, Wang Dong, Kok Frans J
National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing, China.
Biomed Environ Sci. 2007 Feb;20(1):11-8.
To investigate the relationship between body weight, body dissatisfaction and depression symptoms among Chinese children.
The fasting body weight and height of the third and fourth grade students (n = 3886, aged 9 or 10 years) from 20 schools in Beijing, China, were measured, and the students were asked to choose the figures of body image and to complete the self-reported children's depression inventory (CDI) questionnaire.
The CDI Cronbach's alpha was 0.81. The total CDI score was 9.60 +/- 7.50, 13.2% of children (boys 16.7% vs girls 9.5%) were at risk of developing depression symptoms. Overweight girls, but not boys, had significantly higher total CDI score than their normal weight counteparts. Both obese girls and boys showed a higher negative self-esteem score. More than one fifth underweight girls still wanted to be thinner while more than one third obese boys still wanted to be heavier. Children who wanted to be thinner showed slightly higher scores of ineffectiveness and negative self-esteem. After introducing the body dissatisfaction into the model, overweight was still associated with total CDI score among girls and obesity was still associated with negative self-esteem among both boys and girls.
Overweight girls show a significantly higher depression symptom score than their normal weight counterparts, which maybe partially explained by body dissatisfaction. Obese boys and girls are both more likely to suffer from low self-esteem, which is partially explained by body dissatisfaction.
探讨中国儿童体重、身体不满意与抑郁症状之间的关系。
测量了来自中国北京20所学校的三、四年级学生（n = 3886，年龄9或10岁）的空腹体重和身高，要求学生选择身体形象的图片，并完成儿童抑郁自评量表（CDI）问卷。
CDI的克朗巴哈系数为0.81。CDI总分为9.60±7.50，13.2%的儿童（男孩16.7%，女孩9.5%）有出现抑郁症状的风险。超重女孩而非超重男孩的CDI总分显著高于正常体重的同龄人。肥胖女孩和男孩的自尊负性得分均较高。超过五分之一的体重过轻女孩仍希望更瘦，而超过三分之一的肥胖男孩仍希望更胖。希望更瘦的儿童的无效感和自尊负性得分略高。在模型中引入身体不满意因素后，超重仍与女孩的CDI总分相关，肥胖仍与男孩和女孩的自尊负性相关。
超重女孩的抑郁症状得分显著高于正常体重的同龄人这可能部分由身体不满意所解释。肥胖男孩和女孩都更易患低自尊，这部分由身体不满意所解释。
