Chan Ka Lam, Lee Clara S C, Cheng Cho Man, Hui Lok Yiu, So Wan Tung, Yu Tik Shun, Lin Chung-Ying
Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
J Nerv Ment Dis. 2019 Aug;207(8):637-641. doi: 10.1097/NMD.0000000000001021.
This study aimed to test the differences of weight-related self-stigma and mental health conditions between overweight (OW) and non-OW children in Hong Kong. The correlations between weight-related self-stigma and mental health conditions were also investigated. Children aged 8 to 12 years (n = 367; 198 boys) completed questionnaires on weight-related self-stigma (Weight Bias Internalization Scale [WBIS] and Weight Self-Stigma Questionnaire [WSSQ]) and mental health conditions (Brief Symptom Rating Scale-5 [BSRS-5]). Compared with non-OW children (n = 241; 143 boys), OW children (n = 114; 55 boys) had higher weight-related self-stigma in the WBIS (26.49 ± 8.68 vs. 21.58 ± 7.54; p < 0.001) and WSSQ scores (26.36 ± 8.98 vs. 21.91 ± 8.71; p < 0.001). No significant difference was found between OW and non-OW children in mental health conditions as reflected by the BSRS-5 score (4.29 ± 4.35 vs. 4.44 ± 4.16; p = 0.761). BSRS-5 was significantly associated with the WBIS. OW children tended to have a higher level of self-stigma; those having a higher level of weight-related self-stigma presented with more mental health problems.
本研究旨在测试香港超重（OW）儿童与非超重儿童在体重相关自我污名和心理健康状况方面的差异。同时还调查了体重相关自我污名与心理健康状况之间的相关性。8至12岁的儿童（n = 367；198名男孩）完成了关于体重相关自我污名（体重偏见内化量表[WBIS]和体重自我污名问卷[WSSQ]）以及心理健康状况（简明症状评定量表-5[BSRS-5]）的问卷调查。与非超重儿童（n = 241；143名男孩）相比，超重儿童（n = 114；55名男孩）在WBIS量表（26.49 ± 8.68 vs. 21.58 ± 7.54；p < 0.001）和WSSQ分数（26.36 ± 8.98 vs. 21.91 ± 8.71；p < 0.001）上有更高的体重相关自我污名。在BSRS-5分数所反映的心理健康状况方面，超重儿童与非超重儿童之间未发现显著差异（4.29 ± 4.35 vs. 4.44 ± 4.16；p = 0.761）。BSRS-5与WBIS显著相关。超重儿童往往有更高水平的自我污名；那些体重相关自我污名水平较高的儿童存在更多心理健康问题。
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