Randell Eva, Joffer Junia, Flacking Renée, Starrin Bengt, Jerdén Lars
School of Education, Health and Social Studies, Dalarna University, 791 88 Falun, Sweden, Phone: +46 23 778118; +4670 4619120.
Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, 901 87 Umeå, Sweden.
Int J Adolesc Med Health. 2017 May 24;30(6):/j/ijamh.2018.30.issue-6/ijamh-2016-0107/ijamh-2016-0107.xml. doi: 10.1515/ijamh-2016-0107.
Background Pride and shame are important emotions known to influence identity development and psychological well-being in adolescence. Research evidence indicates that self-rated health (SRH) is a strong predictor of future health. This cross-sectional study, conducted during 2008-2009, aimed to investigate the associations between pride, shame and SRH among adolescent boys and girls. Methods The study sample comprised 705 adolescents in Sweden aged 17-18 years (318 boys and 387 girls) who completed a questionnaire that included items on SRH, shame and pride (participation rate 67%). Logistic regression analyses (univariable and multivariable) were used to investigate the associations between pride and shame as separate and combined constructs on SRH, adjusting for potential confounders (country of birth, parental educational level, school experience, having enough friends, mood in family and being active in associations). Results Pride and shame separately were significantly associated with SRH in both genders. Logistic regression analysis of the pride-shame model showed that the odds of having lower SRH were highest in boys and girls with lower pride-higher shame. In a multivariable logistic regression analysis of the pride-shame model the odds of having lower SRH remained significant in boys and girls with lower pride-higher shame [boys: odds ratio (OR) 3.51, confidence interval (CI) 1.40-8.81; girls: OR 2.70, CI 1.22-5.96] and in girls with lower pride-lower shame (OR 2.16, CI 1.02-4.56). Conclusion The emotions of shame and pride are associated with SRH in adolescence. Experiencing pride seems to serve as a protective mechanism in SRH in adolescents exposed to shame. We believe that this knowledge should be useful in adolescent health promotion.
背景 自豪和羞耻是重要的情绪，已知会影响青少年的身份认同发展和心理健康。研究证据表明，自评健康状况（SRH）是未来健康的有力预测指标。这项横断面研究于2008年至2009年进行，旨在调查青少年男孩和女孩的自豪、羞耻与自评健康状况之间的关联。方法 研究样本包括瑞典705名17 - 18岁的青少年（318名男孩和387名女孩），他们完成了一份问卷，其中包括关于自评健康状况、羞耻和自豪的项目（参与率67%）。采用逻辑回归分析（单变量和多变量）来研究自豪和羞耻作为单独及组合结构与自评健康状况之间的关联，并对潜在混杂因素（出生国家、父母教育水平、学校经历、有足够的朋友、家庭情绪和社团活动参与情况）进行调整。结果 自豪和羞耻分别与两性的自评健康状况显著相关。自豪 - 羞耻模型的逻辑回归分析表明，自豪程度低 - 羞耻程度高的男孩和女孩自评健康状况较差的几率最高。在自豪 - 羞耻模型的多变量逻辑回归分析中，自豪程度低 - 羞耻程度高的男孩和女孩自评健康状况较差的几率仍然显著[男孩：比值比（OR）3.51，置信区间（CI）1.40 - 8.81；女孩：OR 2.70，CI 1.22 - 5.96]，自豪程度低 - 羞耻程度低的女孩也是如此（OR 2.16，CI 1.02 - 4.56）。结论 羞耻和自豪情绪与青少年的自评健康状况相关。在经历羞耻的青少年中，体验到自豪似乎在自评健康方面起到一种保护机制。我们认为这一知识对青少年健康促进应是有用的。
