Ramos Pilar, Moreno-Maldonado Concepción, Moreno Carmen, Rivera Francisco
Department of Developmental and Educational Psychology, Faculty of Psychology, University of Seville, Seville, Spain.
Department of Experimental Psychology, Faculty of Psychology, University of Seville, Seville, Spain.
Front Psychol. 2019 Aug 22;10:1952. doi: 10.3389/fpsyg.2019.01952. eCollection 2019.
During adolescence there is a relatively high prevalence of weight problems and eating disorders. Furthermore, body image plays an important role in weight control and eating behaviors as well as in mental health. This study analyses the influence of body mass index, perception of being overweight, and body image satisfaction (BIS) on internalizing symptoms related to mental health in adolescents. In addition, sex, age, socioeconomic status (SES), dieting, and physical activity are taken into consideration. This research is based on the international study (HBSC). The sample consists of 4531 Spanish adolescents from 13 to 18 years old. Participants were selected through random multi-stage sampling stratified by conglomerates. Two instruments were employed: the HBSC questionnaire and the Youth Self-Report (Achenbach System of Empirically Based Assessment, ASEBA). Results demonstrated that BIS -the emotional component related to body image- was the main predictor of adolescent internalizing symptoms. In addition, results show double-inequalities according to the interaction effects of sex, age, and SES. Likewise, interesting results are shown regarding how dieting behaviors to lose or gain weight/volume and physical activity relate to body image perception and satisfaction, as well as with internalizing symptoms. This study highlights important body image aspects relevant to intervention and prevention of internalized mental health problems in adolescence.
在青春期，体重问题和饮食失调的患病率相对较高。此外，身体意象在体重控制、饮食行为以及心理健康方面都起着重要作用。本研究分析了体重指数、超重感知和身体意象满意度（BIS）对青少年心理健康内化症状的影响。此外，还考虑了性别、年龄、社会经济地位（SES）、节食和体育活动。本研究基于国际研究（HBSC）。样本包括4531名13至18岁的西班牙青少年。参与者通过按集群分层的随机多阶段抽样进行选择。使用了两种工具：HBSC问卷和青少年自我报告（基于实证评估的阿肯巴克系统，ASEBA）。结果表明，BIS（与身体意象相关的情感成分）是青少年内化症状的主要预测因素。此外，根据性别、年龄和SES的交互作用，结果显示出双重不平等。同样，关于为减轻或增加体重/体积而进行的节食行为以及体育活动如何与身体意象感知和满意度以及内化症状相关，也显示出有趣的结果。本研究强调了与青少年内化心理健康问题的干预和预防相关的重要身体意象方面。
