Weight perception and psychological factors in Chinese adolescents.

Weight perception and psychological factors in Chinese adolescents.
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中国青少年体重感知与心理因素.

DOI:
10.1016/s1054-139x(03)00099-5
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发表时间:
2003
期刊:
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子:
--
通讯作者:
Johnson,CAnderson
Johnson,CAnderson
中科院分区:
--
文献类型:
--
作者:
Xie,Bin;Liu,Chunhong;Chou,ChihPing;Xia,Jiang;Spruijt-Metz,Donna;Gong,Jie;Li,Yan;Wang,Hanxiang;Johnson,CAnderson

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目的 调查中国青少年的体重感知模式及其与心理困扰的关系。 方法 本研究纳入了从中国武汉学校随机抽取的 2179 名健康中国青少年子队列,其中 1156 名男孩和 1023 名女孩,年龄为 11 至 15 岁。通过结构化调查问卷来测量体重、身高、对体重状况的自我认知、抑郁心理症状(包括焦虑、抑郁、感知到的同伴孤立)和其他概念。使用一般线性模型来比较实际体重组和感知体重组之间的心理差异。结果感知体重不足更可能发生在男孩中,而感知超重更可能发生在女孩中。与国际肥胖工作组(IOTF)和世界卫生组织(WHO)年龄和性别特定体重指数(BMI)临界值定义的客观体重状况相比,女孩更有可能错误地认为自己超重,而相对较多的男孩将自己的体重状况错误地归类为体重不足。在调整了年龄、父母的受教育程度和城市居住情况后,被认为超重的男孩和女孩比被认为正常和体重不足的受试者更有可能经历焦虑和抑郁 (p < .05)。被认为体重过重的女孩和被认为体重过轻的男孩比其他群体经历了更高的同伴隔离 (p < .05)。不同体重感知群体在社会支持、学校联系、与老师发生冲突以及家庭不和谐方面没有发现显着差异。结论我们的研究结果表明,体重感知扭曲很普遍,并且可能对中国青少年产生有害的心理影响。
PURPOSETo investigate the pattern of weight perception and its relationship with psychological distress among Chinese adolescents.METHODSA sub-cohort of 2179 healthy Chinese adolescents randomly selected from schools in Wuhan, China, including 1156 boys and 1023 girls 11 to 15 years of age was included in the current study. Weight, height, self-perceptions of weight status, depressive psychological symptoms including anxiety, depression, perceived peer isolation, and other constructs were measured by a structured questionnaire. A General Linear Model was used to compare psychological differences between actual and perceived weight groups.RESULTSPerceived underweight was more likely to occur in boys, whereas perceived overweight was more likely to occur in girls. Compared with objective body weight status defined by the International Obesity Task Force (IOTF) and the World Health Organization (WHO) age- and gender-specific body mass index (BMI) cutoffs, girls were more likely to misperceive themselves as overweight, whereas relatively more boys misclassified their weight status as underweight. After adjusting for age, parents’ educational attainment, and urban residence, perceived overweight boys and girls were more likely to experience anxiety and depression than perceived normal and underweight subjects (p < .05). Perceived overweight girls and perceived underweight boys experienced higher peer isolation than other groups (p < .05). Significant differences were not found in social support, school connectedness, trouble with teachers, and family disharmony among different weight-perception groups.CONCLUSIONSOur results suggested distortion of weight perception was prevalent, and may have detrimental psychological influences in Chinese adolescents.
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