Weight-teasing and emotional well-being in adolescents: longitudinal findings from Project EAT
Weight-teasing and emotional well-being in adolescents: longitudinal findings from Project EAT
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DOI：
10.1016/j.jadohealth.2005.07.002
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发表时间：
2006-06-01
影响因子：
7.6
通讯作者：
Wall, Melanie
中科院分区：
文献类型：
--
作者：
Eisenberg, Marla E.;Neumark-Sztainer, Dianne;Wall, Melanie
目的：确定体重戏弄是否预示着随后的低自尊、不良身体形象和抑郁症状；并研究两种机制，通过这两种机制，早期的戏弄可能会影响后来的情绪健康。方法：在EAT项目研究的第一阶段（1998-99）和第二阶段（2003-04）中，2516名不同种族和社会经济背景的青少年完成了问卷调查。其中大约三分之一是过渡到青春期中期的早期青少年，三分之二是过渡到青年期的中期青少年。采用多元线性回归分析，分三个阶段检验模型A：时间1戏弄对时间2情绪健康的总影响；模型13:A模型，由时间2戏弄和体重指数（BMI）介导；模型C：模型B，也受时间1情绪健康的调节。结果：大约三分之一的男性和略低于一半的女性报告说，他们在时间1被嘲笑过体重。时间1戏弄预示着在时间2年长和年轻年龄组的男性和女性较低的自尊、较低的身体形象和较高的抑郁症状。然而，这种关系完全被时间2的戏弄和BMI以及时间1的情绪健康所介导。最终模型调整后的R-2统计值从11到0.36不等。结论：在5年的随访中，青春期体重戏弄会影响情绪健康，并且似乎通过两种机制起作用。减少早期的戏弄及其对情绪健康的损害可能会防止长期的情绪健康后果。(c) 2006年青少年医学学会。版权所有。
Purpose: To determine if weight-teasing predicts subsequent low self-esteem, poor body image, and depressive symptoms; and to examine two mechanisms through which early teasing may influence later emotional health.Methods: A racially and socio-economically diverse sample of 2516 adolescents completed surveys for both Wave 1 (1998-99) and Wave 2 (2003-04) of the Project EAT study. Approximately one third of these were early adolescents who transitioned into middle adolescence, and two thirds were middle adolescents who transitioned into young adulthood. Multiple linear regression analysis was conducted in three stages to test Model A: the total effect of Time 1 teasing on Time 2 emotional health; Model 13: Model A, mediated by Time 2 teasing and body mass index (BMI); and Model C: Model B, also mediated by Time 1 emotional health.Results: Approximately one third of males and slightly under half of females reported that they had been teased about their weight at Time 1. Time 1 teasing predicted lower self-esteem, lower body image, and higher depressive symptoms at Time 2 for males and females in the older and younger age groups. This relationship was fully mediated, however, by Time 2 teasing and BMI, and by Time 1 emotional health. Adjusted R-2 statistics for the final models ranged from 11 to.36.Conclusions: Weight-teasing in adolescence affects emotional well-being at 5-year follow-up, and appears to function through two mechanisms. Reducing early teasing and its concurrent damages to emotional health may prevent longer-term emotional health consequences. (c) 2006 Society for Adolescent Medicine. All rights reserved.