Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Body Image Dissatisfaction as a Mediator of the Association between BMI, Self-esteem and Mental Health in Early Adolescents: A Multiple-group Path Analysis across Gender

초기 청소년의 체질량지수, 자아존중감과 정신건강과의 관계에서 신체상 불만족의 매개역할에 대한 성별차이: 다중집단 경로분석

  • Jang, Mi Heui (College of Nursing Science and East-West Nursing Research Institute, Kyung Hee University) ;
  • Lee, Gyungjoo (College of Nursing, University of Illinois at Chicago)
  • 장미희 (경희대학교 간호과학대학.동서간호학연구소) ;
  • 이경주 (시카고 일리노이 대학교 간호대학)
  • Received : 2012.02.16
  • Accepted : 2012.07.31
  • Published : 2013.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was done to examine not only the relationships between body mass index (BMI), self-esteem, body image dissatisfaction (BID) and mental health, according to gender, but the mediating role of BID on mental health in relation to BMI and self-esteem among early adolescents. Methods: Data from 576 (296 boys and 280 girls) elementary school students in grades 5 to 6 were collected. A multiple-group path analysis was utilized to examine the relationships between BMI, self-esteem, BID and mental health by gender. Results: In the path analysis for all students, poor mental health was related directly to BID, while it was indirectly related to BMI and self-esteem. In the multiple-group path analysis of both genders, BID was found to have a significant direct and indirect effect on mental health for girls alone. Conclusion: The findings suggested that BID should be examined early to prevent poor mental health in early adolescent girls. This study helps to elucidate the role of early adolescent BID on mental health and provides insight for further prevention and intervention programs in school and community mental health settings.

Keywords

References

  1. Brausch, A. M., & Muehlenkamp, J. J. (2007). Body image and suicidal ideation in adolescents. Body Image, 4(2), 207-212. http://dx.doi.org/10. 1016/j.bodyim.2007.02.001 https://doi.org/10.1016/j.bodyim.2007.02.001
  2. Byrne, B. M. (2010). Structural equation modeling with AMOS: Basic concepts, applications, and programming (2nd ed.). New York, NY: Taylor & Francis Group.
  3. Chan, F., Lee, G. K., Lee, E. J., Kubota, C., & Allen, C. A. (2007). Structural equation modeling in rehabilitation counseling research. Rehabilitation Counseling Bulletin, 51(1), 44-57. https://doi.org/10.1177/00343552070510010701
  4. Chyung, Y. J. (2010). Relationships between body image attitude and its correlates in early adolescence. Journal of the Korean Home Economics Association, 48(5), 103-117.
  5. Derogatis, L. R., Rickels, K., & Rock, A. F. (1976). The SCL-90 and the MMPI: A step in the validation of a new self-report scale. British Journal of Psychiatry, 128, 280-289. https://doi.org/10.1192/bjp.128.3.280
  6. Fairburn, C. G., Cooper, Z., & Cooper, P. J. (1986). The clinical features and maintenance of bulimia nervosa. In K. D. Brownell & J. P. Foreyt (Eds.), Handbook of eating disorders: Physiology, psychology, and treatment of obesity, anorexia, and bulimia (pp. 389-404). New York, NY: Basic Books.
  7. Gilliland, M. J., Windle, M., Grunbaum, J. A., Yancey, A., Hoelscher, D., Tortolero, S. R., et al. (2007). Body image and children's mental health related behaviors: Results from the healthy passages study. Journal of Pediatric Psychology, 32(1), 30-41. http://dx.doi.org/10.1093/jpepsy/jsl008
  8. Han, S. S. (2006). Relationships between elementary school student's appearance recognition and satisfaction on self-concept and mental health. Unpublished master's thesis, Chuncheon National University of Education, Gangwon.
  9. Harter, S. (1985). Manual for the self-perception profile for children. Denver, COL: University of Denver.
  10. Huang, L., Tao, F. B., Wan, Y. H., Xing, C., Hao, J., Su, P. Y., et al. (2011). Selfreported weight status rather than BMI may be closely related to psychopathological symptoms among Mainland Chinese adolescents. Journal of Tropical Pediatrics, 57(4), 307-311. http://dx.doi.org/10.1093/ tropej/fmp097
  11. Hyun, M. S., Kim, K. H., & Kim, S. A. (2004). Influencing factors on problem behaviors among adolescents: Focused on middle school students in Seoul. Journal of Korean Academy of Nursing, 34(2), 252-260.
  12. Hyun, M. S., Nam, K. A., & Kong, S. S. (2001). A study of relationship between adolescents' sexual development and problem behavior and depressionfocused on middle school students in Kyungki-Do. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 10(4), 533-547.
  13. Kim, D. S. (2009). Body image dissatisfaction as an important contributor to suicidal ideation in Korean adolescents: Gender difference and mediation of parent and peer relationships. Journal of Psychosomatic Research, 66(4), 297-303. http://dx.doi.org/10.1016/j.jpsychores.2008.08.005
  14. Kim, D. S., & Kim, H. S. (2009). Body-image dissatisfaction as a predictor of suicidal ideation among Korean boys and girls in different stages of adolescence: A two-year longitudinal study. Journal of Adolescent Health, 45(1), 47-54. http://dx.doi.org/10.1016/j.jadohealth.2008.11.017
  15. Kim, J. M., & Yi, S. J. (2009). Developmental changes in the effect of sociocultural factors towards appearance, body mass index and self-esteem on body image. Journal of Korean Home Management Association, 27(6), 1-12.
  16. Kim, K. I., Kim, J. H., & Won, H. T. (1984). Korean manual of symptom check list-90-revision. Seoul: ChungAngJukSung Publisher.
  17. Kim, M. Y. (2010). Comparison of body image, self-esteem and behavior problems between children of short and normal stature. Journal of Korean Academy of Child Health Nursing, 16(1), 41-48. http://dx.doi.org/ 10.4094/jkachn.2010.16.1.41
  18. Kong, S. S. (2009). Impact of eating psychopathology, obsessive-compulsion and depression on self-harm behavior in patients with eating disorders. Journal of Korean Academy of Nursing, 39(4), 459-468. http:// dx.doi.org/10.4040/jkan.2009.39.4.459
  19. Kostanski, M., Fisher, A., & Gullone, E. (2004). Current conceptualisation of body image dissatisfaction: Have we got it wrong? Journal of Child Psychology and Psychiatry and Allied Disciplines, 45(7), 1317-1325. http://dx.doi.org/10.1111/j.1469-7610.2004.00315.x
  20. Lee, H. J. (2009). REBT group counseling program development for elementary school obese girls' body image-peer relationship improvement. Unpublished master's thesis, Korea National University of Education, Chung-buk.
  21. Lee, H. Y. (2004). The correlation between their body image and self-esteem dependent on the degree of obesity of obese children. Unpublished master's thesis, KongJu National University, KongJu.
  22. Mendelson, B. K., & White, D. R. (1996). Self-esteem and body esteem: Effects of gender, age, and weight. Journal of Applied Developmental Psychology, 17(3), 321-346. http://dx.doi.org/10.1016/S0193-3973(96)90030-1
  23. Ohring, R., Graber, J. A., & Brooks-Gunn, J. (2002). Girls' recurrent and concurrent body dissatisfaction: Correlates and consequences over 8 years. International Journal of Eating Disorders, 31(4), 404-415. http:// dx.doi.org/10.1002/eat.10049
  24. Park, H. S. (2007). Validation of a path model on adolescents' suicidal ideation and violent behavior. Journal of Korean Academy of Nursing, 37(6), 835-843.
  25. Ricciardelli, L. A., McCabe, M. P., Holt, K. E., & Finemore, J. (2003). A biopsychosocial model for understanding body image and body change strategies among children. Journal of Applied Developmental Psychology, 24(4), 475-495. http://dx.doi.org/10.1016/S0193-3973(03)00070-4
  26. Riesch, S. K., Anderson, L. S., & Krueger, H. A. (2006). Parent-child communication processes: Preventing children's health-risk behavior. Journal for Specialists in Pediatric Nursing, 11(1), 41-56. http://dx.doi. org/10.1111/j.1744-6155.2006.00042.x
  27. Shin, N. Y., & Shin, M. S. (2008). Body dissatisfaction, self-esteem, and depression in obese Korean children. Journal of Pediatrics, 152(4), 502- 506. http://dx.doi.org/10.1016/j.jpeds.2007.09.020
  28. Smolak, L. (2004). Body image in children and adolescents: Where do we go from here? Body Image, 1(1), 15-28. http://dx.doi.org/10.1016/ s1740-1445(03)00008-1
  29. Stice, E. (2002). Risk and maintenance factors for eating pathology: A meta- analytic review. Psychological Bulletin, 128(5), 825-848. https://doi.org/10.1037/0033-2909.128.5.825
  30. ter Bogt, T. F., van Dorsselaer, S. A., Monshouwer, K., Verdurmen, J. E., Engels, R. C., & Vollebergh, W. A. (2006). Body mass index and body weight perception as risk factors for internalizing and externalizing problem behavior among adolescents. Journal of Adolescent Health, 39(1), 27-34. http://dx.doi.org/10.1016/j.jadohealth.2005.09.007

Cited by

  1. Women’s Experiences of Sexual Attention: a Cross-Sectional Study of U.S. University Students vol.26, pp.4, 2013, https://doi.org/10.1080/19317611.2014.885922
  2. Associations of physical activity by intensity (moderate vs. vigorous) with depression and suicidal thoughts among middle school students in South Korea vol.15, pp.12, 2014, https://doi.org/10.5762/kais.2014.15.12.7266
  3. 여대생의 얼굴미용성형 재수술 의도 구조모형 vol.16, pp.12, 2013, https://doi.org/10.5762/kais.2015.16.12.8707
  4. Parent Involvement Intervention in Developing Weight Management Skills for both Parents and Overweight/Obese Children vol.10, pp.1, 2013, https://doi.org/10.1016/j.anr.2015.07.006
  5. 한국 성인의 체질량 지수에 따른 비만도와 주관적 체형인식 간의 차이가 영양소 섭취와 체중조절 및 정신건강에 미치는 영향 : 제 5기 국민건강영양조사 자료를 이용하여 vol.49, pp.3, 2016, https://doi.org/10.4163/jnh.2016.49.3.153
  6. 서울지역 일부 중학생의 학교급식 개선을 위한 급식만족도와 식생활교육 요구도 조사 vol.22, pp.2, 2013, https://doi.org/10.5720/kjcn.2017.22.2.127
  7. 성인초기여성의 섭식장애에 영향을 미치는 요인에 관한 경로 분석 vol.50, pp.6, 2013, https://doi.org/10.4163/jnh.2017.50.6.615
  8. 청소년의 가족건강성, 자아존중감이 신체상에 미치는 효과 vol.16, pp.7, 2013, https://doi.org/10.14400/jdc.2018.16.7.317
  9. 청소년의 외모 관련 사회적 압박감, 신체상 불만족이 정신건강에 미치는 영향 vol.27, pp.1, 2013, https://doi.org/10.22705/jkashcn.2020.27.1.92
  10. Public mental health under the long-term influence of COVID-19 in China: Geographical and temporal distribution vol.277, pp.None, 2020, https://doi.org/10.1016/j.jad.2020.08.045
  11. 청소년 대상 신체상 증진 프로그램의 효과에 대한 체계적 문헌 고찰 및 메타분석 vol.51, pp.5, 2021, https://doi.org/10.4040/jkan.21104