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偏离常态:青少年早期女孩的体重指数(BMI)差异与心理社会适应。

Deviating from the norm: body mass index (BMI) differences and psychosocial adjustment among early adolescent girls.

机构信息

Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 11075 Santa Monica Boulevard, Suite 200, Los Angeles, CA 90025, USA.

出版信息

J Pediatr Psychol. 2013 May;38(4):376-86. doi: 10.1093/jpepsy/jss130. Epub 2012 Dec 17.

DOI:10.1093/jpepsy/jss130
PMID:23248348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3633251/
Abstract

OBJECTIVE

To examine whether deviation from one's ethnic group norm on body mass index (BMI) was related to psychosocial maladjustment among early adolescent girls, and whether specific ethnic groups were more vulnerable to maladjustment.

METHODS

Hierarchical regression analyses were conducted on self- and peer-report measures from an ethnically diverse sample of sixth-grade girls (N = 2,636).

RESULTS

African Americans and Latinas had a higher mean BMI than Asians and Whites. As deviation from their ethnic group BMI norm increased, girls reported greater social anxiety, depression, peer victimization, and lower self-worth, and had lower peer-reported social status. Associations were specific to girls deviating toward obesity status. Ethnic differences revealed that Asian girls deviating toward obesity status were particularly vulnerable to internalizing symptoms.

CONCLUSIONS

Emotional maladjustment may be more severe among overweight/obese girls whose ethnic group BMI norm is furthest away from overweight/obesity status. Implications for obesity work with ethnically diverse adolescents were discussed.

摘要

目的

探讨青少年早期女性的体重指数 (BMI) 偏离其族群正常值是否与心理社会适应不良有关,以及是否特定族群更容易出现适应不良。

方法

对一个种族多样化的六年级女生(N=2636)进行了自陈和同伴报告测量的层次回归分析。

结果

非裔美国人和拉丁裔的平均 BMI 高于亚裔和白人。随着与族群 BMI 正常值的偏差增加,女孩报告的社交焦虑、抑郁、同伴受害和自我价值感降低,以及同伴报告的社会地位降低。这些关联仅适用于向肥胖状态偏离的女孩。种族差异表明,向肥胖状态偏离的亚裔女孩特别容易出现内化症状。

结论

与族群 BMI 正常值离超重/肥胖状态最远的超重/肥胖女孩的情绪适应不良可能更为严重。讨论了与不同种族青少年肥胖工作的影响。

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