Mental health correlates of healthy lifestyle attitudes, beliefs, choices, and behaviors in overweight adolescents.
Mental health correlates of healthy lifestyle attitudes, beliefs, choices, and behaviors in overweight adolescents.
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DOI：
10.1016/j.pedhc.2006.03.004
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发表时间：
2006-11-01
期刊：
影响因子：
--
通讯作者：
Van Blankenstein, Stephanie
中科院分区：
文献类型：
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作者：
Melnyk, Bernadette Mazurek;Small, Leigh;Van Blankenstein, Stephanie
导读：在过去二十年中，超重青少年的数量增加了两倍，2型糖尿病达到了流行病的程度。虽然肥胖已被确定为青少年抑郁和低自尊的相关因素，但超重青少年的关键认知/心理健康变量与健康态度、信念、选择和行为之间的关系还有待探索。因此，本研究的目的是描述这些关系，以便实施有效的干预计划，以促进和维持健康的生活方式行为。方法：对23名超重青少年进行描述性相关研究。测量的关键变量包括抑郁症状、状态和特质焦虑、自尊、对健康生活方式的信念/信心、对健康生活方式的感知困难、健康的态度、选择和行为。研究发现：状态焦虑和特质焦虑以及抑郁症状较高的青少年对健康生活方式的信念较少，而自尊心较高的青少年对自己有能力从事健康生活方式的信念更强。对健康生活方式能力的强烈信念与更健康的生活态度和更健康的生活方式选择有关。那些认为健康的生活方式更难的青少年，他们的态度更不健康，选择和行为也更不健康。讨论：在超重青少年的临床干预中，包括一个强大的认知行为技能构建组件，可能是增强他们对能够参与健康行为的信念/信心的关键，并减少他们在执行这些行为时感受到的困难，这应该导致更健康的选择和生活方式行为。
INTRODUCTION: A tripling in the number of overweight adolescents has occurred during the past two decades, with type 2 diabetes reaching epidemic proportions. Although obesity has been identified as a correlate of depression and low self-esteem in adolescents, the relationships among key cognitive/mental health variables and healthy attitudes, beliefs, choices, and behaviors in overweight teens have yet to be explored. Therefore, the aim of this study was to describe these relationships so that an effective intervention program to promote and sustain healthy lifestyle behaviors could be implemented.METHODS: A descriptive correlational study was conducted with 23 overweight teens. Key variables measured included depressive symptoms, state and trait anxiety, self-esteem, beliefs/confidence about engaging in a healthy lifestyle, perceived difficulty in leading a healthy lifestyle, and healthy attitudes, choices, and behaviors.FINDINGS: Teens with higher state and trait anxiety as well as depressive symptoms had less healthy lifestyle beliefs, and teens with higher self-esteem had stronger beliefs about their ability to engage in a healthy lifestyle. Stronger beliefs about the ability to engage in healthy lifestyles were related to healthier living attitudes and healthier lifestyle choices. Teens who perceived healthy lifestyles as more difficult had less healthy attitudes and reported less healthier choices and behaviors.DISCUSSION: Including a strong cognitive behavioral skills building component into clinical interventions with overweight teens may be key in boosting their beliefs/confidence about being able to engage in healthy behaviors and lessening their perceived difficulty in performing them, which should result in healthier choices and lifestyle behaviors.