Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Association with Self-Perception for Obesity and Mental Health among Korean Adolescent

한국청소년에서 자가비만인식도와 정신건강과의 관련성

  • Hwang, In-Cheol (Department of Family Medicine, Gachon University of Medicine and Science) ;
  • Lee, Kyoung-Shik (Department of Family Medicine, Gachon University of Medicine and Science) ;
  • Park, Dong-Kyun (U-healthcare Center, Gachon University Gil Hospital) ;
  • Jung, Eun-Young (U-healthcare Center, Gachon University Gil Hospital) ;
  • Choi, Chung-Hyun (Clinical Trial Center, Yonsei University Health System) ;
  • Cho, Seong-Jin (Department of Psychiatry, Gachon University of Medicine and Science) ;
  • Bae, Seung-Min (Department of Psychiatry, Gachon University of Medicine and Science)
  • 황인철 (가천의과학대학교 가정의학교실) ;
  • 이경식 (가천의과학대학교 가정의학교실) ;
  • 박동균 (가천의대 길병원 유헬스케어센터) ;
  • 정은영 (가천의대 길병원 유헬스케어센터) ;
  • 최충현 (연세의료원 임상시험센터) ;
  • 조성진 (가천의과학대학교 정신과학교실) ;
  • 배승민 (가천의과학대학교 정신과학교실)
  • Received : 2011.02.09
  • Accepted : 2011.03.31
  • Published : 2011.06.30
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Abstract

Objectives : Obesity has been linked to various psychological problems as well as medical complications, especially among adolescents. Previous studies have suggested an association between body weight and depression or self-esteem ; however, there has been little evidence on self-perception of weight and mental health. The aim of this study was to examine the association of perceptional weight status with mental health in Korean adolescents. Methods : This study was based on data obtained from the third Korean National Health and Nutritional Examination Survey (2005). The study sample consisted of 583 adolescents (268 boys, 315 girls) aged 12-18 years, who had completed the health survey, the health examination, and the nutritional survey. Participants were divided into two groups based on the actual or perceptional weight status: non-obese and obese. Questionnaires for stress, depressive mood, and suicidal thoughts were utilized as mental health indicators. Results : The agreement between actual and perceptional weight status was moderate (k value, 0.585 ; p<0.01). The influencing factors for the discrepancy between actual and perceptional weight status were body mass index of subjects and their parents' education. The obese group was likely to have higher stress levels and more experience of depressive mood or suicidal ideation in regard to both actual and perceptional weight status. A multiple logistic regression analysis revealed that girls who had perceived themselves as obese were more likely to have an experience of depressive mood than other girls (unadjusted OR, 4.98 ; adjusted OR, 5.15). Conclusion : An experience of depressive mood was significantly associated with the perception of weight status and not actual weight status in Korean female adolescents.

Keywords

References

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