青少年超重、肥胖与抑郁和行为问题的关系
Relations of overweight and obesity to depression and externalizing behavior in adolescents
查看参考文献31篇
文摘
|
目的: 调查青少年超重和肥胖的流行状况,探究青少年体质量与其抑郁和行为问题的关系及其调节因素。方法: 样本由北京18个区县的94所高级中学的10 773名中学生组成,年龄12~18岁。根据 “中国学龄儿童青少年超重、肥胖筛查体质量指数值(BMI)分类标准”对青少年的体质量状况进行超重和肥胖筛查,用流调中心用抑郁量表(CES-D)、青少年行为自评量表(YSR)测量青少年的抑郁症状和行为问题。采用回归分析性别、年龄、家庭经济状况等人口学资料与青少年BMI的关系,及其对青少年体质量与抑郁症状和行为问题之间关系的调节效应。结果: 超重与肥胖的发生率分别为11. 6%(1075 /9282)和6. 2%(571 /9282)。对于女孩,体质量指数与其抑郁症状得分和行为问题得分之间存在正向关联(β=0. 27、0. 37,均P < 0. 01)。家庭经济状况对女孩超重肥胖与抑郁症状得分之间的关系起到调节作用: 家庭经济状况低下的女孩因超重肥胖更易产生抑郁症状(β=0. 61,P < 0. 001)。父亲受教育程度对男孩超重肥胖与行为问题得分之间的关系起到调节作用,父亲受教育程度低其男孩不易因超重肥胖而发生行为问题(β=0. 20,P < 0. 05)。结论: 青少年与超重肥胖相关的抑郁症状存在性别差异; 家庭经济状况和父亲受教育程度对体质量与青少年心理健康的关系起到调节作用。 |
其他语种文摘
|
Objective: To investigate the prevalence of obesity and overweight among adolescents and explore the association among adjustment problems,adolescents' weight status and mental health status. Methods: The sample consisted of 10773 middle school students recruited from Beijing,aged 12 to 18 years. According to the Chinese BMI Index reference normal,overweight and obesity in children and adolescent were screened. Depressive symptoms and externalizing behavior problems were assessed with the Center for Epidemiologic Studies-Depression Scale( CES-D) and Youth Self Report ( YSR) . The moderating effects of social-demographic factors ( such as sex,age and family social economic status) on the link between BMI and mental health were examined by regression analysis. Results: Rates of overweight and obesity were estimated at 11. 6% and 6. 2%,respectively. BMI was associated to depressive symptoms scores and externalizing behaviors scores significantly but only in girls ( β = 0. 27,0. 37; Ps< 0. 01) . For girls,family social economic status ( SES) has a moderating effect on the relationship between BMI and depressive symptoms scores. The depressive symptoms scores for girls from families of lower SES levels was more susceptible to the influence of overweight and obesity( β = 0. 61,P < 0. 001) . For boys,father' s education has a moderating effect on the relationship between BMI and externalizing behaviors,the externalizing behaviors scores for boys from families of lower SES levels was not susceptible to the influence of overweight and obesity ( β = 0. 20,P < 0. 05 ) . Conclusion: Gender difference is revealed between adolescents ' BMI and depressive symptoms. Family social economic status and father' s educational level moderates the link between mental health outcomes and weight status. |
来源
|
中国心理卫生杂志
,2016,30(7):519-526 【核心库】
|
DOI
|
10.3969/j.issn.1000-6729.2016.07.008
|
关键词
|
肥胖
;
超重
;
体质量指数
;
青少年
;
抑郁症状
;
行为问题
|
地址
|
1.
中国科学院心理研究所, 北京, 100101
2.
右江民族医学院, 广西, 百色, 533000
|
语种
|
中文 |
文献类型
|
研究性论文 |
ISSN
|
1000-6729 |
学科
|
社会科学总论;神经病学与精神病学 |
基金
|
国家自然科学基金
|
文献收藏号
|
CSCD:5748963
|
参考文献 共
31
共2页
|
1.
Popkin B M. Global nutrition transition and the pandemic of obesity in developing countries.
Nutr Rev,2012,70(1):3-21
|
CSCD被引
39
次
|
|
|
|
2.
. 2010年全国学生体质与健康调研结果.
中国学校卫生,2011,32(9):IV,1026
|
CSCD被引
2
次
|
|
|
|
3.
谭琪. 中国儿童青少年1985 - 2010年肥胖发展趋势及预测研究.
中国学校卫生,2013,34(5):570-572
|
CSCD被引
9
次
|
|
|
|
4.
付连国. 儿童青少年超重、肥胖对其身体机能影响的多水平分析.
北京大学学报(医学版),2012,44(3):359-363
|
CSCD被引
11
次
|
|
|
|
5.
谭利娜. 郑州地区儿童超质量、肥胖及高血压的调查研究.
重庆医学,2015,44(20):2826-2828
|
CSCD被引
1
次
|
|
|
|
6.
杨怡. 超重、肥胖学龄儿童心理健康状况调查.
中国健康心理学杂志,2015,23(10):1586-1589
|
CSCD被引
2
次
|
|
|
|
7.
Halfon N. Associations between obesity and comorbid mental health,developmental,and physical health conditions in a nationally representative sample of US children aged 10 to 17.
Acad Pediatr,2013,13(1):6-13
|
CSCD被引
1
次
|
|
|
|
8.
洪忻. 南京市中学生超重、肥胖与抑郁症状调查.
中国心理卫生杂志,2008,22(10):744-748
|
CSCD被引
1
次
|
|
|
|
9.
Luppino F S. Overweight,obesity,and depression: a systematic review and meta-analysis of longitudinal studies.
Arch Gen Psychiatry,2010,67(3):220-229
|
CSCD被引
17
次
|
|
|
|
10.
ter Bogt T F. Body mass index and body weight perception as risk factors for internalizing and externalizing problem behavior among adolescents.
J Adolesc Health,2006,39(1):27-34
|
CSCD被引
4
次
|
|
|
|
11.
Bardone A M. Adult physical health outcomes of adolescent girls with conduct disorder, depression, and anxiety.
J Am Acad Child Adolesc Psychiatry,1998,37(6):594-601
|
CSCD被引
1
次
|
|
|
|
12.
Curtin C. Prevalence of overweight in children and adolescents with attention deficit hyperactivity disorder and autism spectrum disorders: a chart review.
BMC Pediatr,2005,5:48
|
CSCD被引
2
次
|
|
|
|
13.
Needham B L. Overweight status and depressive symptoms during adolescence.
J Adolesc Health,2005,36(1):48-55
|
CSCD被引
3
次
|
|
|
|
14.
Lincoln K D. Race and socioeconomic differences in obesity and depression among Black and non-Hispanic White Americans.
J Health Care Poor Underserved,2014,25(1):257-275
|
CSCD被引
1
次
|
|
|
|
15.
李焕玉. 肥胖儿童青少年心理健康研究述评.
长江大学学报(自科版),2014,11(19):84-89
|
CSCD被引
2
次
|
|
|
|
16.
马里昂. 北京西城区中小学生超重与肥胖影响因素分析.
中国公共卫生,2014,30(7):875-877
|
CSCD被引
4
次
|
|
|
|
17.
Strauss R S. Comparison of measured and self-reported weight and height in a crosssectional sample of young adolescents.
Int J Obesity,1999,23(8):904-908
|
CSCD被引
2
次
|
|
|
|
18.
季成叶. 中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准.
中华流行病学杂志,2004,25(2):97-102
|
CSCD被引
38
次
|
|
|
|
19.
刘平. 流调中心用抑郁量表(Center for Epidemiologic Studies- Depression Scale,CES-D).
中国心理卫生杂志,1999(增刊):200-202
|
CSCD被引
52
次
|
|
|
|
20.
刘贤臣. Achenbach青少年行为自评量表的信度和效度研究.
中国心理卫生杂志,1997,11(4):200-203
|
CSCD被引
22
次
|
|
|
|
|