The Research Institute of Nursing Science, Seoul National University College of Nursing, Seoul, South Korea.
J Adv Nurs. 2012 Dec;68(12):2646-53. doi: 10.1111/j.1365-2648.2012.05963.x. Epub 2012 Mar 4.
To report a correlational study of the relation of body mass index to children's perceptions of physical appearance and global self-worth and depression, as mediated by their perceptions of parental teasing.
The relation between depression and self-perception in children with obesity has been reported. Recently, parental factors were found to be related to childhood obesity. Little is known about the effects of perceived parental teasing on depression and self-perception in children.
A descriptive correlational research design was used.
Data were collected from 455 children in the fifth and sixth grades in four provinces of South Korea using self-report questionnaires for measuring self-perception of physical appearance and global self-worth, depression and perceived parental teasing between October-December in 2009. The children's weight and height information from school health records was used. Multiple regression analysis and the Sobel test were used to identify the mediating effect of perceived parental teasing.
Among the children, 20% were overweight or obese. Although children with obesity did not differ in the level of depression from their normal weight counterparts, they demonstrated lower perceived physical appearance and higher perceived parental teasing. The mediating effects of perceived parental teasing were found for the relations between body mass index and self-perception of physical appearance and global self-worth, and body mass index and depression, respectively.
Obese children at risk of parental teasing should be identified to prevent their psychological problems. A well-designed intervention study is necessary to examine the effects of psycho-emotional interventions for obese children.
报告一项关于体重指数与儿童对身体外貌和整体自我价值感及抑郁的感知之间关系的相关性研究，其关系通过儿童对父母嘲笑的感知来介导。
已有报道称肥胖儿童的抑郁与自我认知之间存在关联。最近，研究发现父母因素与儿童肥胖有关。对于感知到的父母嘲笑对肥胖儿童的抑郁和自我认知的影响，知之甚少。
采用描述性相关性研究设计。
2009 年 10 月至 12 月，使用自我报告问卷从韩国四个省份的五年级和六年级的 455 名儿童中收集有关身体外貌和整体自我价值感、抑郁和感知到的父母嘲笑的自我感知数据。使用来自学校健康记录的儿童体重和身高信息。采用多元回归分析和 Sobel 检验来确定感知到的父母嘲笑的中介效应。
在这些儿童中，有 20%超重或肥胖。虽然肥胖儿童的抑郁水平与体重正常的儿童没有差异，但他们表现出较低的身体外貌感知和较高的感知到的父母嘲笑。感知到的父母嘲笑在体重指数与身体外貌自我感知和整体自我价值感之间的关系，以及体重指数与抑郁之间的关系中均存在中介效应。
应识别出有被父母嘲笑风险的肥胖儿童，以预防其心理问题。有必要进行精心设计的干预研究，以检验针对肥胖儿童的心理干预效果。
