Report on Childhood Obesity in China (5) Body Weight, Body Dissatisfaction, and Depression Symptoms of Chinese Children Aged 9-10 Years

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Author:
YAN-PING LI()
GUAN-SHENG MA()
EVERT G. SCHOUTEN()
XIAO-QI HU()
ZHAO-HUI CUI()
DONG WANG()
FRANS J. KOK()
Journal Title:
BIOMEDICAL AND ENVIRONMENTAL SCIENCES
Issue:
Volume 20, Issue 01, 2007
DOI:
Key Word:
Depression symptoms;Body dissatisfaction;Overweight;Children

Abstract: Objective To investigate the relationship between body weight, body dissatisfaction and depression symptoms among Chinese children. Methods The fasting body weight and height of the third and fourth grade students (n=3886, aged 9 or 10years) from 20 schools in Beijing, China, were measured, and the students were asked to choose the figures of body image and to complete the self-reported children's depression inventory (CDI) questionnaire. Results The CDI Cronbach's alpha was 0.81. The total CDI score was 9.60±7.50, 13.2% of children (boys 16.7% vs girls 9.5%) were at risk of developing depression symptoms. Overweight girls, but not boys, had significantly higher total CDI score than their normal weight counteparts. Both obese girls and boys showed a higher negative self-esteem score. More than one fifth underweight girls still wanted to be thinner while more than one third obese boys still wanted to be heavier. Children who wanted to be thinner showed slightly higher scores of ineffectiveness and negative self-esteem. After introducing the body dissatisfaction into the model, overweight was still associated with total CDI score among girls and obesity was still associated with negative self-esteem among both boys and girls. Conclusion Overweight girls show a significantly higher depression symptom score than their normal weight counterparts, which maybe partially explained by body dissatisfaction. Obese boys and girls are both more likely to suffer from low self-esteem, which is partially explained by body dissatisfaction.

  • [1]Erickson S J,Robinson T N,Haydel K F,et al.(2000).Are overweight children unhappy? Body mass index,depressive symptoms,and overweight concerns in elementary school children.Arch Pediatr Adolesc Med 154(9),931-935.
  • [2]Wadden T A,Stunkard A J (1987).Psychopathology and obesity.Ann N Y Acad Sci 499,55-65.
  • [3]Ricciardelli L A,McCabe M P (2001).Children's body image concerns and eating disturbance:a review of the literature.Clin Psychol Rev 21(3),325-344.
  • [4]Wardle J,Cooke L (2005).The impact of obesity on psychological well-being.Best Pract Res Clin Endocrinol Metab 19(3),421-440.
  • [5]Allgood-Merten B,Lewinsohn P M,Hops H (1990).Sex differences and adolescent depression.J Abnorm Psychol 99(1),55-63.
  • [6]Palinkas L A,Wingard D L,Barrett-Connor E (1996).Depressive symptoms in overweight and obese older adults:a test of the "jolly fat" hypothesis.J Psychosom Res 40(1),59-66.
  • [7]Rose J B,Theroux M C,Katz M S (2000).The potency of succinylcholine in obese adolescents.Anesth Analg 90(3),576-578.
  • [8]Sheslow D,Hassink S,Wallace W,et al.(1993).The relationship between self-esteem and depression in obese children.Ann N Y Acad Sci 699,289-291.
  • [9]Erermis S,Cetin N,Tamar M,et al.(2004).Is obesity a risk factor for psychopathology among adolescents? Pediatr Int 46(3),296-301.
  • [10]Rierdan J,Koff E (1997).Weight,weight-related aspects of body image,and depression in early adolescent girls.Adolescence 32(127),615-624.
  • [11]Li Y,Hu X,Ma W,et al.(2005).Body image perceptions among Chinese children and adolescents.Body Image 2,91-103.
  • [12]Xie B,Chou C P,Spruijt-Metz D,et al.(2005).Effects of perceived peer isolation and social support availability on the relationship between body mass index and depressive symptoms.Int J Obes (Lond) 29(9),1137-1143.
  • [13]Xie B,Liu C,Chou CP,et al.(2003).Weight perception and psychological factors in Chinese adolescents.J Adolesc Health 33(3),202-210.
  • [14]Group of China Obesity Task Force (2004).Body mass index reference norm for screening overweight and obesity in Chinese children and adolescents.Zhong Hua Liu Xing Bing Xue Za Zhi 25(2),97-102.
  • [15]Collins M (1991).Body figure perceptions and preferences among preadolescent children.Int J Eat Disord 10,199-208.
  • [16]Kovacs M (1992).The Children's Depression Intentory (CDI)Manual.Multi Health Systems Inc.Press,Noah Tonawanda/NY.
  • [17]Sitarenios G,Kovaxs M (1999).The use of psychological testing for treatment planning and outcomes assessment.In Useof the Children's Depression Inventory (Maruish ME,Ed),pp.267-298,2nd ed.Mahwah.Press,Erlbaum/NJ.
  • [18]Xie D,Li X (2000).Preliminary use of the children's depression inventory in China.Zhong Guo Xin Li Wei Sheng Za Zhi 14(4),225-227.
  • [19]Matthey S,Petrovski P (2002).The Children's Depression Inventory:error in cutoff scores for screening purposes.Psychol Assess 14(2),146-149.
  • [20]Lewinsohn P M,Hops H,Roberts R E,et al.(1993).Adolescent psychopathology:Ⅰ.Prevalence and incidence of depression and other DSM-Ⅲ-R disorders in high school students.J Abnorm Psychol 102(1),133-144.
  • [21]Reinherz H Z,Giaconia R M,Hauf A M,et al.(1999).Major depression in the transition to adulthood:risks and impairments.J Abnorm Psychol 108(3),500-510.
  • [22]Stice E,Bearman S K (2001).Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls:a growth curve analysis.Dev Psychol 37(5),597-607.
  • [23]Scheidt P,Overpeek M D,Wyatt W,et al.(2000).Adolescents general health and wellbeing.Health and health behavior among young people.In WHO policy series:Health policy for children and adolescents (Setterbulte W Ed),issue 1,pp.24-38.World Health Organization.Press,Copenhagen.
  • [24]Daniels J (2005).Weight and weight concerns:are they associated with reported depressive symptoms in adolescents? J Pediatr Health Care 19(1),33-41.
  • [25]Roberts R E,Chen Y W (1995).Depressive symptoms and suicidal ideation among Mexican-origin and Anglo adolescents.J Am Acad Child Adolesc Psychiatry 34(1),81-90.
  • [26]Almqvist F,Kumpulainen K,Ikaheimo K,et al.(1999).Behavioural and emotional symptoms in 8-9-year-old children.Eur Child Adolesc Psychiatry 8(Suppl 4),7-16.
  • [27]Canals J,Marti-Henneberg C,Fernandez-Ballart J,et al.(1995).A longitudinal study of depression in an urban Spanish pubertal population.Eur Child Adolesc Psychiatry 4(2),102-111.
  • [28]Charman T,Pervova I (1996).Self-reported depressed mood in Russian and U.K.schoolchildren.A research note.J Child Psychol Psychiatry 37(7),879-883.
  • [29]Davanzo P,Kerwin L,Nikore V,et al.(2004).Spanish translation and reliability testing of the Child Depression Inventory.Child Psychiatry Hum Dev 35(1),75-92.
  • [30]Frigerio A,Pesenti S,Molteni M,et al.(2001).Depressive symptoms as measured by the CDI in a population of northern Italian children.Eur Psychiatry 16(1),33-37.
  • [31]Swallen K C,Reither E N,Haas S A,et al.(2005).Overweight,obesity,and health-related quality of life among adolescents:the National Longitudinal Study of Adolescent Health.Pediatrics 115(2),340-347.
  • [32]Stice E,Hayward C,Cameron R P,et al.(2000).Body-image and eating disturbances predict onset of depression among female adolescents:a longitudinal study.J Abnorm Psychol 109(3),438-444.
  • [33]Cole D A,Martin J M,Peeke L G,et al.(1998).Are cognitive errors of underestimation predictive or reflective of depressive symptoms in children:a longitudinal study.J Abnorm Psychol 107(3),481-496.
  • [34]Halvarsson K,Lunner K,Sjoden P O (2000).Assessment of eating behaviours and attitudes to eating,dieting and body image in pre-adolescent Swedish girls:a one-year follow-up.Acta Paediatr 89(8),996-1000.
  • [35]Lunner K,Werthem E H,Thompson J K,et al.(2000).A cross-cultural examination of weight-related teasing,body image,and eating disturbance in Swedish and Australian samples.Int J Eat Disord 28(4),430-435.
  • [36]Strauss R S,Pollack H A (2003).Social marginalization of overweight children.Arch Pediatr Adolesc Med 157(8),746-752.
  • [37]van den Berg P,Wertheim E H,Thompson J K,et al.(2002).Development of body image,eating disturbance,and general psychological functioning in adolescent females:a replication using covariance structure modeling in an Australian sample.Int J Eat Disord 32(1),46-51.
  • [38]Braet C,Tanghe A,Bode P D,et al.(2003).Inpatient treatment of obese children:a multicomponent programme without stringent calorie restriction.Eur J Pediatr 162(6),391-396.
  • [39]Goran M I,Reynolds K (2005).Interactive multimedia for promoting physical activity (IMPACT) in children.Obes Res 13(4),762-771.
  • [40]Sacher P M,Chadwick P,Wells J C,et al.(2005).Assessing the acceptability and feasibility of the MEND Programme in a small group of obese 7-11-year-old children.J Hum Nutr Diet 18(1),3-5.
  • [41]Strauss R S,Rodzilsky D,Burack G,et al.(2001).Psychosocial correlates of physical activity in healthy children.Arch Pediatr Adolesc Med 155(8),897-902.
  • [42]Nolen-Hoeksema S,Girgus J S,Seligman M E (1992).Predictors and consequences of childhood depressive symptoms:a 5-year longitudinal study.J Abnorm Psychol 101(3),405-422.
  • [43]Twenge J M,Nolen-Hoeksema S (2002).Age,gender,race,socioeconomic status,and birth cohort differences on the children's depression inventory:a meta-analysis.J Abnorm Psychol 111(4),578-588.
  • [44]Gotlib I H,Lewinsohn P M,Seeley J R (1995).Symptoms versus a diagnosis of depression:differences in psychosocial functioning.J Consult Clin Psychol 63(1),90-100.
  • [45]Barlow S E,Dietz W H (1998).Obesity evaluation and treatment:expert committee recommendations.Pediatrics 102,1-11.
  • [46]Himes J H,Dietz W H (1994).Guidelines for overweight in adolescent preventive services:recommendations from an expert committee.Am J Clin Nutr 59,307-316.
  • [47]Walker L L,Gately P J,Bewick B M,et al.(2003).Children's weight-loss camps:psychological benefit or jeopardy? Int JObes Relat Metab Disord 27(6),748-754.
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