School of Elderly Care Services and Management, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Institute of Healthy Yangtze River Delta, School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China.
Front Public Health. 2024 Jul 25;12:1420532. doi: 10.3389/fpubh.2024.1420532. eCollection 2024.
Body dissatisfaction significantly impacts depression among adolescents with polycystic ovary syndrome (PCOS). This relationship is compounded by various factors. Our study aims to explore the roles of self-esteem and self-compassion in the relationship between body dissatisfaction and depression in adolescent with PCOS.
A cross-sectional study was conducted at the Shanghai First Maternity and Infant Hospital, involving 287 adolescents diagnosed with PCOS from January 2020 to December 2021. Participants completed validated questionnaires covering body dissatisfaction, self-esteem, self-compassion and depression. We utilized correlation and mediation analyses to examine the relationships and mediating effects among these variables.
Body dissatisfaction had a significant positive effect on depression (β = 4.254, < 0.001). Conversely, self-esteem (β = -0.944, < 0.001) and self-compassion (β = -0.318, < 0.001) were negative predictors of depression. Both self-esteem [β = 3.405, 95% CI = (0.151, 0.305)] and self-compassion [β = 1.525, 95% CI = (0.045, 0.165)] were shown to partially mediate the relationship between body dissatisfaction and depression, explaining 37.07% and 16.61% of the total effect, respectively.
This study highlights the importance of fostering self-esteem and self-compassion among adolescents with PCOS to buffer the depressive effects of body dissatisfaction. Interventions aimed at promoting accurate and positive body perceptions, enhancing self-esteem, fostering a supportive attitude toward personal challenges, and maintaining positive emotional states are recommended to decrease the incidence of depression.
身体不满会显著影响多囊卵巢综合征（PCOS）青少年的抑郁情绪。各种因素会加剧这种关系。我们的研究旨在探索自尊和自我同情在多囊卵巢综合征青少年身体不满与抑郁之间关系中的作用。
这是一项横断面研究，在 2020 年 1 月至 2021 年 12 月期间，在上海第一妇婴保健院对 287 名被诊断为 PCOS 的青少年进行了研究。参与者完成了涵盖身体不满、自尊、自我同情和抑郁的有效问卷。我们利用相关性和中介分析来检验这些变量之间的关系和中介效应。
身体不满对抑郁有显著的正向影响（β=4.254，<0.001）。相反，自尊（β=-0.944，<0.001）和自我同情（β=-0.318，<0.001）是抑郁的负向预测因子。自尊[β=3.405，95%置信区间（0.151，0.305）]和自我同情[β=1.525，95%置信区间（0.045，0.165）]均部分中介了身体不满和抑郁之间的关系，分别解释了总效应的 37.07%和 16.61%。
这项研究强调了在多囊卵巢综合征青少年中培养自尊和自我同情的重要性，以缓冲身体不满的抑郁影响。建议采取干预措施，促进准确和积极的身体认知、增强自尊、培养对个人挑战的支持态度以及维持积极的情绪状态，以降低抑郁的发生率。
