Rickert V I, Hassed S J, Hendon A E, Cunniff C
Department of Obstetrics and Gynecology University of Texas Medical Branch at Galveston, USA.
J Adolesc Health. 1996 Jul;19(1):34-8. doi: 10.1016/1054-139X(95)00225-H.
This study attempted to examine the effects of body image, height dissatisfaction, and peer ridicule on depression and self-image among adolescent females with Turner syndrome.
A prospective, cross-sectional survey examined 59 subjects' responses to standardized measures of depression, self-image, body image, height perception, and teasing.
Descriptive statistics found the mean age of subjects to be 14.8 years (range: 13-19). Approximately 30% reported cardiac defects and 17% indicated kidney anomalies. Only five experienced spontaneous menses and 61% indicated they were receiving estrogen replacement therapy. Linear regression analyses examined the effects of body image, height perceptions, and peer ridicule on depression and self-image scores. The first regression analysis found a five-step model to account for 39% of the variance, with peer ridicule of general appearance being the most important variable. The second linear regression (R2 = .3248, P < .0004) also found peer teasing of general appearance to be significantly associated with self-image scores. Discrepancy scores between ideal versus current body shape or height, as well as teasing about these issues, appeared to be unrelated to depression and self-image among our subjects.
These data suggest that peer ridicule is a domain that requires ongoing assessment by health care providers, as it appears to be an important contributor to mental health problems. Social skill interventions that emphasize strategies to manage teasing, assertively respond to negative statements, and teach effective coping skills are key variables to minimize the emotional discomfort these young women may experience.
本研究试图探讨身体意象、身高不满及同伴嘲笑对特纳综合征青春期女性抑郁和自我意象的影响。
一项前瞻性横断面调查考察了59名受试者对抑郁、自我意象、身体意象、身高认知及取笑的标准化测量的反应。
描述性统计发现受试者的平均年龄为14.8岁（范围：13 - 19岁）。约30%报告有心脏缺陷，17%表明有肾脏异常。只有5人有自然月经，61%表示正在接受雌激素替代疗法。线性回归分析考察了身体意象、身高认知及同伴嘲笑对抑郁和自我意象得分的影响。第一次回归分析发现一个五步模型可解释39%的方差，其中对总体外貌的同伴嘲笑是最重要的变量。第二次线性回归（R2 = .3248，P < .0004）也发现对总体外貌的同伴取笑与自我意象得分显著相关。理想与当前身体形状或身高之间的差异得分，以及关于这些问题的取笑，在我们的受试者中似乎与抑郁和自我意象无关。
这些数据表明，同伴嘲笑是一个需要医疗保健提供者持续评估的领域，因为它似乎是心理健康问题的一个重要促成因素。强调应对取笑的策略、果断回应负面言论以及教授有效应对技巧的社交技能干预措施，是将这些年轻女性可能经历的情绪不适降至最低的关键变量。
