为什么一些超重儿童会出现心理问题？体重和体型担忧的作用。
Why do some overweight children experience psychological problems? The role of weight and shape concern.
作者信息
Allen Karina L, Byrne Susan M, Blair Eve M, Davis Elizabeth A
机构信息
School of Psychology, The University of Western Australia, Crawley, Australia.
出版信息
Int J Pediatr Obes. 2006;1(4):239-47. doi: 10.1080/17477160600913552.
OBJECTIVE
To examine the associations between weight status, weight and shape concern, self-esteem, body dissatisfaction and depression in children.
METHODS
Interviews were conducted with 7- to 13-year-old overweight (n = 89) and healthy weight (n = 118) children, using the Child Eating Disorder Examination, Self-Perception Profile for Children, Children's Body Image Scale and Child Depression Inventory.
RESULTS
Overweight children were more concerned about weight and shape than healthy weight children. After controlling for BMI z-score, children with high weight and shape concern reported lower self-esteem, higher body dissatisfaction and higher depression than children with low weight and shape concern. Concern about weight and shape mediated the relationships between BMI z-score and low self-esteem, body dissatisfaction and depression.
CONCLUSIONS
Results support the hypothesis that differences in weight and shape concern, within samples of overweight and healthy weight children, can account for differences in degree of psychological distress. Findings have implications for the prevention and treatment of psychological problems in overweight children.
目的
探讨儿童体重状况、对体重和体型的关注、自尊、身体不满与抑郁之间的关联。
方法
采用儿童饮食失调检查量表、儿童自我认知量表、儿童身体意象量表和儿童抑郁量表，对89名7至13岁的超重儿童和118名体重正常的儿童进行访谈。
结果
超重儿童比体重正常的儿童更关注体重和体型。在控制体重指数z评分后，与对体重和体型关注度低的儿童相比，对体重和体型关注度高的儿童自尊较低、身体不满程度较高且抑郁程度较高。对体重和体型的关注介导了体重指数z评分与低自尊、身体不满和抑郁之间的关系。
结论
结果支持以下假设：在超重和体重正常的儿童样本中，对体重和体型关注的差异可解释心理困扰程度的差异。研究结果对超重儿童心理问题的预防和治疗具有启示意义。
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