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青少年体重状态、体形不满与抑郁的关系及性别差异
作者:陈贵1  郭桂平2 3  蔡太生2  肖水源1 
单位:1. 中南大学公共卫生学院社会医学与卫生事业管理系 长沙 410078 
2.
 中南大学湘雅二医院医学心理学研究所 长沙 410011 
3.
 中南大学公共卫生学院 长沙 410078 
关键词:超重 肥胖 体形不满 抑郁 青少年 
分类号:R395.2
出版年,卷(期):页码:2014,22(6):1010-1015
摘要:

目的:探索青少年体重状况、体形不满和抑郁症状的关系,并在两性别之间就它们之间的关系进行比较。方法:采取方便取样,选取了1101名青少年中学生被试,学生自愿填写一份包括人口学资料、体形不满和流调抑郁量表在内的调查问卷。依据青少年体重状态BMI筛查标准将被试划分为超重/肥胖、正常体重和偏瘦三组,另根据体形不满、抑郁界值对体形不满障碍和抑郁青少年进行筛查。研究分性别比较了三个体重组的体形不满、抑郁的得分及人数筛查情况,进一步就体重状态、体形不满对抑郁的风险预测性进行了分析。结果:男、女不同体重组的体形不满得分及障碍筛查率差异显著,抑郁得分及筛查率差异不显著;同体重组内的体形不满得分及障碍筛查率存在差性别差异。男生的体重状态、体形不满对抑郁风险增加的预测均不显著,女生体重状态对抑郁风险增加的预测不显著,但体形不满能有效预测抑郁的有无。结论:青少年的体形不满与他们的体重状态有关,体形不满可能是抑郁的重要影响因素(本研究仅限女生),但体重状况与抑郁并没表现出直接联系。

Objective: To examine the relationship of weight status and body dissatisfaction, with depression in female and male adolescents. Methods: A total of 1101 adolescents(505 girls, 596 boys) were included in this study. Weight status was divided according the body BMI index reference normal for screening overweight and obesity. Participants who reach body dissatisfaction were screened according the obstacle boundary value of the body dissatisfaction. CES-D (Center for Epidemiological Survey, Depression Scale) was used to assess depression. Results: There were significant differences of the scores and screening rates of body dissatisfaction were among three weight groups in both male and female adolescents. However, no significant differences of depression scores and depression screening rates were found among three weight status groups. In each weight group, there were significant gender differences of body dissatisfaction score and screening rates. Only body dissatisfaction had significant predictive effect on the depression in girls. Conclusion: Adolescents' weight status is related to their body dissatisfaction. Body dissatisfaction, but not weight status, may influence depression in female adolescents.

基金项目:
作者简介:
参考文献:

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