超重轨迹及其与青少年抑郁症状的关联。
Trajectories of overweight and their association with adolescent depressive symptoms.
作者信息
Martin-Storey Alexa, Crosnoe Robert
机构信息
Département de Psychoéducation, Université de Sherbrooke.
Department of Sociology and Population Research Center, University of Texas at Austin.
出版信息
Health Psychol. 2015 Oct;34(10):1004-12. doi: 10.1037/hea0000201. Epub 2015 Jan 19.
OBJECTIVE
To explore the potential for a developmental approach to reveal new insights into the well-documented link between weight and depressive symptoms.
METHOD
Latent class analysis identified multiple trajectories of overweight from 24 months to 15 years in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (n = 957). Structural equation models then used these classes to predict depressive symptoms at age 15.
RESULTS
Five latent classes captured continuity and change in weight from early childhood into middle adolescence. Controlling for current weight, stably overweight girls tended to have the most depressive symptoms, but popularity and positive image appeared to buffer against some of the risks that girls faced from being stably overweight or becoming overweight in early to middle childhood. Notably, boys' longitudinal weight patterns were not associated with their depressive symptoms in adolescence.
CONCLUSIONS
Weight histories, controlling for current weight, are important for understanding the psychological experience of overweight, especially when such histories are considered in relation to other aspects of psychosocial functioning. (PsycINFO Database Record
目的
探讨一种发展性方法，以揭示体重与抑郁症状之间已被充分记录的联系的新见解。
方法
在国家儿童健康与人类发展研究所早期儿童保育与青少年发展研究中（n = 957），潜在类别分析确定了从24个月到15岁超重的多种轨迹。然后，结构方程模型使用这些类别来预测15岁时的抑郁症状。
结果
五个潜在类别捕捉了从幼儿期到青春期中期体重的连续性和变化。在控制当前体重的情况下，稳定超重的女孩往往有最多的抑郁症状，但受欢迎程度和积极形象似乎缓冲了女孩因稳定超重或在幼儿期到童年中期超重而面临的一些风险。值得注意的是，男孩的纵向体重模式与他们青春期的抑郁症状无关。
结论
在控制当前体重的情况下，体重史对于理解超重的心理体验很重要，特别是当考虑到这些体重史与心理社会功能的其他方面的关系时。（PsycINFO数据库记录）
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