在青少年中，感知到的超重而非实际超重与心理健康问题相关。

Perceived rather than actual overweight is associated with mental health problems in adolescence.

作者信息

Lankinen Vilma, Fröjd Sari, Marttunen Mauri, Kaltiala-Heino Riittakerttu

机构信息

a Faculty of Medicine , University of Tampere , Tampere , Finland.

b Faculty of Social Sciences, Health Sciences Unit , University of Tampere , Tampere , Finland.

出版信息

Nord J Psychiatry. 2018 Feb;72(2):89-96. doi: 10.1080/08039488.2017.1389987. Epub 2017 Nov 10.

DOI:10.1080/08039488.2017.1389987

PMID:29124989

Abstract

BACKGROUND

Overweight and perceived overweight are common among adolescents. The nature of the relationship between overweight/perceived overweight and mental health problems is still unclear.

AIMS

The aim of this study was to examine whether actual overweight, perceived overweight or both are associated with internalizing and externalizing disorders among adolescents.

METHODS

Data were collected by two similar school surveys in all Finnish-speaking secondary schools in Tampere (population 200,000) in the academic years 2002-2003 and 2012-2013. A total of 2775 acceptable responses were received. All the analyses were carried out separately for girls and boys. Mean age of the respondents was 15.6 years.

RESULTS

In multivariate analyses perceived overweight, not actual weight, was significantly associated with higher risk of self-reported depression (OR: 4.3, 95% CI: 2.9-6.3, p < .001) and self-reported conduct disorder (OR: 2.3, 95% CI: 1.6-3.3, p < .001) in girls and with higher risk of self-reported depression (OR: 3.26, 95% CI: 1.65-6.4, p = .001) and self-reported social phobia (OR: 2.4, 95% CI: 1.0-5.6, p = .05) in boys.

CONCLUSION

Perceived overweight rather than actual weight status is associated with both internalizing and externalizing mental health problems in adolescents.

摘要

背景

超重和自认为超重在青少年中很常见。超重/自认为超重与心理健康问题之间关系的本质仍不清楚。

目的

本研究的目的是检验实际超重、自认为超重或两者是否与青少年的内化和外化障碍有关。

方法

通过在坦佩雷所有说芬兰语的中学（人口20万）于2002 - 2003学年和2012 - 2013学年进行的两项类似的学校调查收集数据。共收到2775份可接受的回复。所有分析分别针对女孩和男孩进行。受访者的平均年龄为15.6岁。

结果

在多变量分析中，自认为超重而非实际体重，与女孩自我报告的抑郁症风险较高（比值比：4.3，95%置信区间：2.9 - 6.3，p <.001）和自我报告的品行障碍风险较高（比值比：2.3，95%置信区间：1.6 - 3.3，p <.001）显著相关，与男孩自我报告的抑郁症风险较高（比值比：3.26，95%置信区间：1.65 - 6.4，p =.001）和自我报告的社交恐惧症风险较高（比值比：2.4，95%置信区间：1.0 - 5.6，p =.05）显著相关。