Stein R F
Adolescence. 1987 Spring;22(85):77-90.
Obesity appears to be one of today's most common health problems. Its incidence has doubled in the past 75 years (Waxler & Leef, 1969), and it is estimated that 45 million Americans are obese (body weight 15% over ideal weight). There also seems to be preoccupation with dieting, as evidenced by the proliferation of weight-control devices and schemes. It has been noted that depression, distorted body image, problems in peer and family relations, and poor school performance are evident among the obese (Bowers, Faulkner, & Michel, 1979). The literature is replete with evidence of body image distortion in obesity. Among the factors contributing to this distortion are age of onset, presence of emotional disturbance, and negative evaluation of the obese person by significant others (Wineman, 1980). Since body image is an important concept, perhaps movement can be made to other areas of self-concept, such as family, social, identity, and personal conceptions of selfhood. The purpose of this study is to provide information about the total self-concept of obese students as compared to nonobese students in a junior nursing class. A determination is made of the relationships between self-concept and variables of obesity, age of onset, and social class. Implications for nursing care are described.
肥胖似乎是当今最常见的健康问题之一。在过去75年里,其发病率翻了一番(Waxler & Leef,1969年),据估计有4500万美国人肥胖(体重超过理想体重15%)。人们似乎也对节食极为关注,各种体重控制设备和方案的大量涌现就是明证。有人指出,肥胖者中明显存在抑郁、身体意象扭曲、同伴及家庭关系问题以及学业成绩不佳的情况(Bowers、Faulkner & Michel,1979年)。文献中充斥着肥胖者身体意象扭曲的证据。导致这种扭曲的因素包括发病年龄、情绪障碍的存在以及重要他人对肥胖者的负面评价(Wineman,1980年)。由于身体意象是一个重要概念,或许可以转向自我概念的其他领域,比如家庭、社会、身份认同以及自我的个人观念。本研究的目的是提供有关护理专业低年级班级中肥胖学生与非肥胖学生总体自我概念的信息。确定自我概念与肥胖、发病年龄和社会阶层等变量之间的关系。描述对护理的启示。