Department of Biological and Health Psychology, Faculty of Psychology, Autonomous University of Madrid, Cantoblanco Campus, 28049, Madrid, Spain.
Pediatric Service, Daroca Primary Health Care Center, Madrid, Spain.
Eat Weight Disord. 2020 Jun;25(3):751-759. doi: 10.1007/s40519-019-00683-y. Epub 2019 May 10.
The prevalence of childhood obesity continues to increase worldwide. The aims of this study were to (1) assess the psychological well-being and rates of teasing of Spanish children with obesity (OG) and compare them with their non-overweight peers (NG), and (2) analyze the mediating role of weight-related teasing on the relation between children's BMI z score and psychological well-being.
The cross-sectional study included 50 preadolescents with obesity, matched with non-overweight children according to age, sex, and socioeconomic status, who were assessed via self-report instruments measuring anxiety, depression, self-esteem, and teasing.
The OG reported higher anxiety, depression, and teasing, and lower self-esteem. SEM revealed that children who scored worse on instruments assessing psychological well-being had higher BMI z scores. Weight-related teasing predicted poor psychological well-being scores and weight-related teasing mediated the relation between BMI and psychological well-being.
The high rates of anxiety, depression, and weight-related teasing, as well as the low self-esteem, which was observed amongst the children with obesity, raise concerns about the quality of life of this population. Furthermore, the finding that weight-related teasing mediated the relationship between BMI and psychological well-being adds to a growing body of research, highlighting the harmful effects of weight-related stigma. Overall, these results highlight the importance of early intervention to assess for, and address, the presence of weight-related teasing and psychological well-being difficulties in preadolescents with obesity.
Level III, case-control study.
儿童肥胖症的患病率在全球范围内持续上升。本研究旨在：(1)评估西班牙肥胖儿童（OG）的心理健康状况和被嘲笑的发生率，并将其与非超重同龄人（NG）进行比较；(2)分析体重相关嘲笑在儿童 BMI z 分数与心理健康之间的关系中的中介作用。
这项横断面研究纳入了 50 名肥胖的青少年，根据年龄、性别和社会经济地位与非超重儿童相匹配，通过自我报告的焦虑、抑郁、自尊和嘲笑评估工具对其进行评估。
OG 报告的焦虑、抑郁和嘲笑程度更高，自尊心更低。结构方程模型显示，在评估心理健康的工具上得分较差的儿童 BMI z 得分更高。与体重相关的嘲笑预测了较差的心理健康评分，并且体重相关的嘲笑在 BMI 和心理健康之间的关系中起中介作用。
肥胖儿童中观察到的高焦虑、抑郁和与体重相关的嘲笑发生率以及低自尊心，令人担忧这一人群的生活质量。此外，体重相关嘲笑在 BMI 和心理健康之间的关系中起中介作用的发现，增加了越来越多的研究，强调了与体重相关的耻辱感的有害影响。总的来说，这些结果强调了早期干预的重要性，以评估和解决肥胖青少年中与体重相关的嘲笑和心理健康问题。
III 级，病例对照研究。
