[初中生心理健康与超重、肥胖及不同性别之间的关系研究]

[Study on the relationship between mental health and overweight, obesity, different sex among junior middle school students].

作者信息

Que Min, Tao Fang-biao, He Chun-yan, Zhang Li-hua, Zhu Peng

机构信息

Department of Maternal and Child Health, School of Public Health of Anhui Medical University, Hefei 230032, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2007 May;28(5):460-3.

PMID:17877175

Abstract

OBJECTIVE

To examine the relationships between overweight, obesity and indices as satisfaction of life, trait anxiety, depression, self concept etc. in male and female junior middle school students.

METHODS

A questionnaire survey was administered to 1818 participants in a middle school in Hefei city, Anhui province. This contents of survey would include Multidimensional Students' Life Satisfaction Scale (MSLSS), Center for Epidemiologic Studies Depression Scale (CES-D), Trait Anxiety Inventory (TAI), and Piers-Harris Children's Self Concept Scale (PHSCS). Anthropometric measures were taken together with the calculation of body mass index (BMI). The students were divided into normal-weight, overweight and obesity groups by BMI separate criteria. Gender differences of mental health status and group differences of mental health among normal-weight, overweight obesity students were analyzed. Relationships between BMI and the scores of MSLSS, CES-D, TAI, PHSCS were estimated among boys and girls respectively.

RESULTS

The prevalence rates of overweight and obesity of boys (21.5%, 7.7%) were significantly higher than in girls (8.0%, 2.8%). Difference of the MSLSS scores in gender was significant among normal-weight group (P = 0.002). The difference of the CES-D scores in gender was significant among overweight group (P = 0.046). There were significant group differences of the CES-D scores, TAI scores, and PHSCS scores among normal-weight, overweight and obese girls (P < 0.05). Both the CES-D score and TAI score of obese girls were higher than normal-weight girls (P = 0.012 and P = 0.035). The PHSCS score of obese girls was lower than normal-weight girls (P = 0.014) and the group difference of the CES-D score was also significant between overweight and normal-weight girls (P = 0.025).

CONCLUSION

Both prevalence rates of overweight and obesity of boys were higher than that in girls. Nevertheless, level of mental health level among girls with overweight and obesity were lower than that in boys.

摘要

目的

探讨超重、肥胖与初中男女生生活满意度、特质焦虑、抑郁、自我概念等指标之间的关系。

方法

对安徽省合肥市某中学的1818名参与者进行问卷调查。调查内容包括多维学生生活满意度量表（MSLSS）、流行病学研究中心抑郁量表（CES-D）、特质焦虑量表（TAI）和皮尔斯-哈里斯儿童自我概念量表（PHSCS）。同时进行人体测量并计算体重指数（BMI）。根据BMI标准将学生分为正常体重、超重和肥胖组。分析心理健康状况的性别差异以及正常体重、超重和肥胖学生之间心理健康的组间差异。分别估计男女生中BMI与MSLSS、CES-D、TAI、PHSCS得分之间的关系。

结果

男生超重和肥胖的患病率（21.5%，7.7%）显著高于女生（8.0%，2.8%）。正常体重组中MSLSS得分的性别差异显著（P = 0.002）。超重组中CES-D得分的性别差异显著（P = 0.046）。正常体重、超重和肥胖女生之间的CES-D得分、TAI得分和PHSCS得分存在显著的组间差异（P < 0.05）。肥胖女生的CES-D得分和TAI得分均高于正常体重女生（P = 0.012和P = 0.035）。肥胖女生的PHSCS得分低于正常体重女生（P = 0.014），超重和正常体重女生之间的CES-D得分组间差异也显著（P = 0.025）。