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The correlation of depression with Internet use and body image in Korean adolescents

  • Lim, Chang Hoon (Department of Pediatrics, Korea University College of Medicine) ;
  • Kim, Eun Ji (Department of Pediatrics, Korea University College of Medicine) ;
  • Kim, Jong Hyun (Department of Pediatrics, Korea University College of Medicine) ;
  • Lee, Jue Seong (Department of Pediatrics, Korea University College of Medicine) ;
  • Lee, Yoon (Department of Pediatrics, Korea University College of Medicine) ;
  • Park, Sang Hee (Department of Pediatrics, Korea University College of Medicine)
  • Received : 2016.09.06
  • Accepted : 2016.10.18
  • Published : 2017.01.15

Abstract

Purpose: To examine the correlation of depression with Internet use and body image perception, and to analyze the risk factors of depression in a total of 920 students in Seoul, Korea. Methods: Students were recruited by contacting school principals and teachers and were encouraged to fill out a self-report questionnaire designed specifically for this study in July of 2008. Results: Female participants had an increased risk for depression than did male participants (adjusted odds ratio [aOR], 1.790; 95% confidence interval [CI], 1.330-2.410, P<0.001). Older students were more susceptible to depression (aOR, 1.246; 95% CI, 1.115-1.392, P<0.001). Longer daily Internet use and more frequent Internet use were analyzed as risk factors for depression. No physical activity was a risk factor for depression (aOR, 0.392; 95% CI, 1.264-4.526, P=0.014). Dissatisfaction with one's body image increased the risk for depression (aOR, 1.373; 95% CI, 1.169-1.613; P<0.001). Obesity and perception of body image showed no significant relationship with increased risk for depression. Conclusion: Prevalence of depression was 13.8% in adolescents in Seoul, Korea, in July 2008. Female sex, age, daily Internet use duration, weekly Internet use frequency, physical activity, and dissatisfaction with one's body image independently increased risk of depression.

Keywords

References

  1. Borzekowski DL. Adolescents' use of the Internet: a controversial, coming-of-age resource. Adolesc Med Clin 2006;17:205-16.
  2. Paul B, Bryant JA. Adolescents and the internet. Adolesc Med Clin 2005;16:413-26. https://doi.org/10.1016/j.admecli.2005.03.001
  3. Tsitsika A, Critselis E, Kormas G, Filippopoulou A, Tounissidou D, Freskou A, et al. Internet use and misuse: a multivariate regression analysis of the predictive factors of internet use among Greek adolescents. Eur J Pediatr 2009;168:655-65. https://doi.org/10.1007/s00431-008-0811-1
  4. Armstrong N, Balding J, Gentle P, Kirby B. Patterns of physical activity among 11 to 16 year old British children. BMJ 1990;301:203-5. https://doi.org/10.1136/bmj.301.6745.203
  5. Singer MI, Slovak K, Frierson T, York P. Viewing preferences, symptoms of psychological trauma, and violent behaviors among children who watch television. J Am Acad Child Adolesc Psychiatry 1998;37:1041-8. https://doi.org/10.1097/00004583-199810000-00014
  6. Park SK, Kim JY, Cho CB. Prevalence of Internet addiction and correlations with family factors among South Korean adolescents. Adolescence 2008;43:895-909.
  7. Davis S, Smith BG, Rodrigue K, Pulvers K. An examination of Internet usage on two college campuses. Coll Stud J 1999;33:257.
  8. Yoo HJ, Cho SC, Ha J, Yune SK, Kim SJ, Hwang J, et al. Attention deficit hyperactivity symptoms and internet addiction. Psychiatry Clin Neurosci 2004;58:487-94. https://doi.org/10.1111/j.1440-1819.2004.01290.x
  9. Weinstein A, Lejoyeux M. Internet addiction or excessive internet use. Am J Drug Alcohol Abuse 2010;36:277-83. https://doi.org/10.3109/00952990.2010.491880
  10. Keery H, van den Berg P, Thompson JK. An evaluation of the Tripartite Influence Model of body dissatisfaction and eating disturbance with adolescent girls. Body Image 2004;1:237-51. https://doi.org/10.1016/j.bodyim.2004.03.001
  11. Harter S. Causes and consequences of low self-esteem in children and adolescents. In: Baumeister RF. Self-esteem: the puzzle of low self-regard. New York: Plenum Press, 1993:87-116.
  12. Ata RN, Ludden AB, Lally MM. The effects of gender and family, friend, and media influences on eating behaviors and body image during adolescence. J Youth Adolesc 2007;36:1024-37. https://doi.org/10.1007/s10964-006-9159-x
  13. Tiggemann M. Body dissatisfaction and adolescent self-esteem: prospective findings. Body Image 2005;2:129-35. https://doi.org/10.1016/j.bodyim.2005.03.006
  14. Himes JH, Dietz WH. Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services. Am J Clin Nutr 1994;59:307-16. https://doi.org/10.1093/ajcn/59.2.307
  15. Rushton JL, Forcier M, Schectman RM. Epidemiology of depressive symptoms in the National Longitudinal Study of Adolescent Health. J Am Acad Child Adolesc Psychiatry 2002;41:199-205. https://doi.org/10.1097/00004583-200202000-00014
  16. Lawrence JM, Standiford DA, Loots B, Klingensmith GJ, Williams DE, Ruggiero A, et al. Prevalence and correlates of depressed mood among youth with diabetes: the SEARCH for Diabetes in Youth study. Pediatrics 2006;117:1348-58. https://doi.org/10.1542/peds.2005-1398
  17. Trangkasombat U, Larpboonsarp V, Havanond P. CES-D as a screen for depression in adolescents. J Psychiatr Assoc Thailand 1997;42:2-13.
  18. Joormann J, Siemer M, Gotlib IH. Mood regulation in depression: differential effects of distraction and recall of happy memories on sad mood. J Abnorm Psychol 2007;116:484-90. https://doi.org/10.1037/0021-843X.116.3.484
  19. Joormann J, Siemer M. Memory accessibility, mood regulation, and dysphoria: difficulties in repairing sad mood with happy memories? J Abnorm Psychol 2004;113:179-88. https://doi.org/10.1037/0021-843X.113.2.179
  20. Dumas JE, Nilsen WJ. Abnormal child and adolescent psychology. Boston: Allyn and Bacon, 2003.
  21. Roberts RE, Lewinsohn PM, Seeley JR. Symptoms of DSM-III-R major depression in adolescence: evidence from an epidemiological survey. J Am Acad Child Adolesc Psychiatry 1995;34:1608-17. https://doi.org/10.1097/00004583-199512000-00011
  22. Hankin BL, Abramson LY, Moffitt TE, Silva PA, McGee R, Angell KE. Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. J Abnorm Psychol 1998;107:128-40. https://doi.org/10.1037/0021-843X.107.1.128
  23. Ge X, Conger RD, Elder GH Jr. Coming of age too early: pubertal influences on girls' vulnerability to psychological distress. Child Dev 1996;67:3386-400. https://doi.org/10.2307/1131784
  24. Young KS, Rogers RC. The relationship between depression and Internet addiction. Cyberpsychol Behav 1998;1:25-8. https://doi.org/10.1089/cpb.1998.1.25
  25. Yang CK. Sociopsychiatric characteristics of adolescents who use computers to excess. Acta Psychiatr Scand 2001;104:217-22. https://doi.org/10.1034/j.1600-0447.2001.00197.x
  26. Schultze-Krumbholz A, Jakel A, Schultze M, Scheithauer H. Emotional and behavioural problems in the context of cyberbullying: A longitudinal study among German adolescents. Emot Behav Diffic 2012;17:329-45. https://doi.org/10.1080/13632752.2012.704317
  27. Robbins PR. Understanding depression. Jefferson (NC): McFarland & Co., 1993.
  28. Kaltiala-Heino R, Frojd S, Marttunen M. Involvement in bullying and depression in a 2-year follow-up in middle adolescence. Eur Child Adolesc Psychiatry 2010;19:45-55. https://doi.org/10.1007/s00787-009-0039-2
  29. Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 2010;67:220-9. https://doi.org/10.1001/archgenpsychiatry.2010.2
  30. Polivy J. Psychological consequences of food restriction. J Am Diet Assoc 1996;96:589-92. https://doi.org/10.1016/S0002-8223(96)00161-7
  31. French SA, Story M, Downes B, Resnick MD, Blum RW. Frequent dieting among adolescents: psychosocial and health behavior correlates. Am J Public Health 1995;85:695-701. https://doi.org/10.2105/AJPH.85.5.695
  32. Riordan MH, Sappington DE. Awarding monopoly franchises. Am Econ Rev 1987:375-87.
  33. Agliata D, Tantleff-Dunn S. The impact of media exposure on males'body image. J Soc Clin Psychol 2004;23:7-22. https://doi.org/10.1521/jscp.23.1.7.26988
  34. Stice E, Whitenton K. Risk factors for body dissatisfaction in adolescent girls: a longitudinal investigation. Dev Psychol 2002;38:669-78. https://doi.org/10.1037/0012-1649.38.5.669

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