Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Body Mass Index, Body Weight Perception, and Depressed Mood in Korean Adolescents

  • Lim, Yooli (Department of Psychiatry, Sanggye Paik Hospital, Inje University) ;
  • Kim, Bongseog (Department of Psychiatry, Sanggye Paik Hospital, Inje University)
  • Received : 2016.06.06
  • Accepted : 2016.07.25
  • Published : 2017.01.01
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Abstract

Objectives: We examined the relationships between the body mass index, body weight perception, and depressed mood in a nationally representative sample of Korean adolescents. Methods: We analyzed the data from the 2013 Korean Youth Risk Behavior Web-based Survey and evaluated the relationships between the body mass index, body weight perception, and depressed mood by gender (36655 boys and 35780 girls). Results: For boys, a low body mass index and perceiving oneself as underweight were related to depressed mood. For girls, both low and high body mass indices were negatively related to depressed mood. In addition, self-perceptions of being underweight or overweight were positively related to depressed mood. Body weight perception was not a significant mediator in the relationship between body mass index and depressed mood. Conclusion: These results suggest that both body mass index and body weight perception significantly contribute to Korean adolescents' depressed mood. Thus, research and clinical attention needs to be given to underweight as well as overweight adolescents, because those who perceive their weight as not normal are at risk for depression.

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References

  1. Cho SC, Kim JW. Psychiatric disorders in adolescence. J Korean Med Assoc 2008;51:176-186. https://doi.org/10.5124/jkma.2008.51.2.176
  2. Ahn DH. Mental disorders in adolescents. J Korean Med Assoc 2009;52:745-757. https://doi.org/10.5124/jkma.2009.52.8.745
  3. Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A. Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 2003;60:837-844. https://doi.org/10.1001/archpsyc.60.8.837
  4. Kim MY, Kang YJ. Depression and related factors for adolescents. J Korean Soc Sch Health 2000;13:261-270.
  5. Park HS, Koo HY, Jang EH. The study on predictors of depression for Korean female adolescents. J Korean Acad Nurs 2007;37:715-723. https://doi.org/10.4040/jkan.2007.37.5.715
  6. Shin NY, Shin MS. Body dissatisfaction, self-esteem, and depression in obese Korean children. J Pediatr 2008;152:502-506. https://doi.org/10.1016/j.jpeds.2007.09.020
  7. Kim DS. Body image dissatisfaction as an important contributor to suicidal ideation in Korean adolescents: gender difference and mediation of parent and peer relationships. J Psychosom Res 2009;66:297-303. https://doi.org/10.1016/j.jpsychores.2008.08.005
  8. Ozmen D, Ozmen E, Ergin D, Cetinkaya AC, Sen N, Dundar PE, et al. The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents. BMC Public Health 2007;7:80. https://doi.org/10.1186/1471-2458-7-80
  9. Xie B, Liu C, Chou CP, Xia J, Spruijt-Metz D, Gong J, et al. Weight perception and psychological factors in Chinese adolescents. J Adolesc Health 2003;33:202-210. https://doi.org/10.1016/S1054-139X(03)00099-5
  10. Anderson SE, Cohen P, Naumova EN, Jacques PF, Must A. Adolescent obesity and risk for subsequent major depressive disorder and anxiety disorder: prospective evidence. Psychosom Med 2007;69:740-747. https://doi.org/10.1097/PSY.0b013e31815580b4
  11. Al Mamun A, Cramb S, McDermott BM, O'Callaghan M, Najman JM, Williams GM. Adolescents' perceived weight associated with depression in young adulthood: a longitudinal study. Obesity (Silver Spring) 2007;15:3097-3105. https://doi.org/10.1038/oby.2007.369
  12. Smolak L. Body image in children and adolescents: where do we go from here? Body Image 2004;1:15-28. https://doi.org/10.1016/S1740-1445(03)00008-1
  13. Harring HA, Montgomery K, Hardin J. Perceptions of body weight, weight management strategies, and depressive symptoms among US college students. J Am Coll Health 2010;59:43-50. https://doi.org/10.1080/07448481.2010.483705
  14. Byeon H. The relationship between BMI, weight perception and depression-like symptoms in Korean middle school students. J Korea Acad-Industr Coop Soc 2013;14: 6317-6323.
  15. Kim DS, Cho Y, Cho SI, Lim IS. Body weight perception, unhealthy weight control behaviors, and suicidal ideation among Korean adolescents. J Sch Health 2009;79:585-592. https://doi.org/10.1111/j.1746-1561.2009.00452.x
  16. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51:1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  17. Holmbeck GN. Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: examples from the child-clinical and pediatric psychology literatures. J Consult Clin Psychol 1997;65:599-610. https://doi.org/10.1037/0022-006X.65.4.599
  18. Kim JY, Son SJ, Lee JE, Kim JH, Jung IK. The effects of body image satisfaction on obesity stress, weight control attitudes, and eating disorders among female junior high school students. J Korean Home Econ Assoc 2009;47:49-59.
  19. Jung IK. A study on body image perception and weight control by degree of obesity in male students. Korean Education Inquiry 2006;24:31-39.
  20. Lee Y, Shin HK, Choi BM, Eun BL, Park SH, Lee KH et al. A survey of body shape perception and weight control of adolescent girls in three areas of Korea. Korean J Pediatr 2008;51:134-144. https://doi.org/10.3345/kjp.2008.51.2.134
  21. Cohane GH, Pope HG Jr. Body image in boys: a review of the literature. Int J Eat Disord 2001;29:373-379. https://doi.org/10.1002/eat.1033
  22. Olivardia R, Pope HG Jr, John J, Borowiecki III JJ, Cohane GH. Biceps and body image: the relationship between muscularity and self-esteem, depression, and eating disorder symptoms. Psychol Men Masc 2004;5:112-120. https://doi.org/10.1037/1524-9220.5.2.112
  23. McCabe MP, Ricciardelli LA. Body image dissatisfaction among males across the lifespan: a review of past literature. J Psychosom Res 2004;56:675-685. https://doi.org/10.1016/S0022-3999(03)00129-6
  24. Stringaris A. Irritability in children and adolescents: a challenge for DSM-5. Eur Child Adolesc Psychiatry 2011;20:61-66. https://doi.org/10.1007/s00787-010-0150-4
  25. Cortese S, Falissard B, Angriman M, Pigaiani Y, Banzato C, Bogoni G, et al. The relationship between body size and depression symptoms in adolescents. J Pediatr 2009;154:86-90. https://doi.org/10.1016/j.jpeds.2008.07.040
  26. Engstrom JL, Paterson SA, Doherty A, Trabulsi M, Speer KL. Accuracy of self-reported height and weight in women: an integrative review of the literature. J Midwifery Womens Health 2003;48:338-345. https://doi.org/10.1016/S1526-9523(03)00281-2
  27. Sherry B, Jefferds ME, Grummer-Strawn LM. Accuracy of adolescent self-report of height and weight in assessing overweight status: a literature review. Arch Pediatr Adolesc Med 2007;161:1154-1161. https://doi.org/10.1001/archpedi.161.12.1154
  28. Lox CL, Osborn MC, Pellett TL. Body image and affective experiences of subjectively underweight females: implications for exercise behavior. J Appl Biobehav Res 1998;3:110-118. https://doi.org/10.1111/j.1751-9861.1998.tb00048.x
  29. Ryoo KY, Shin YK, Eun BL, Park SH, Tocko YC. Adolescent depression in a provincial city. J Korean Pediatr Soc 2000;43:172-178.

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