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The Association Between Body Dissatisfaction and Depression: An Examination of the Moderating Effects of Gender, Age, and Weight Status in a Sample of Chinese Adolescents

Published online by Cambridge University Press:  27 April 2015

Gui Chen ,
Guiping Guo ,
Jingbo Gong  and
Shuiyuan Xiao
Gui Chen
Affiliation:
Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, PR China
Guiping Guo
Affiliation:
Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, PR China
Jingbo Gong
Affiliation:
Department of Applied Psychology, Traditional Chinese Medicine University of Hunan, Changsha, Hunan, PR China
Shuiyuan Xiao*
Affiliation:
Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, Hunan, PR China
*
address for correspondence: Shuiyuan Xiao, M.D., Department of Social Medicine and Health Management, School of Public Health, Central South University, 111 Xiangya Road, Changsha, Hunan 410078, PR China. Email: [email protected]
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Abstract

The current study investigated the moderating effects of gender, age, and weight status on the relationship between body dissatisfaction and depression among adolescents. Data were collected on body dissatisfaction, depression, and demographic characteristics from a convenience sample of 1,101 adolescents (505 girls, 596 boys). The relationship between body dissatisfaction and depression differed significantly by weight status (β = −0.318, p < .01), but not gender or age. In addition, their association varied across weight status only in males (βs = 0.501, 0.240, and 0.178 for underweight, normal weight, and overweight respectively, ps < .05) and the early adolescence group (βs = 0.523, 0.282, 0.297 for underweight, normal weight, and overweight respectively, ps < .01). The findings indicated that the association of body dissatisfaction with depression was significant among nearly all weight-status groups of adolescents, and varied across weight status among males and early adolescence groups. This suggests that the prevention programs that aim to reduce depression by reducing body dissatisfaction in adolescents should include all weight-status groups, and pay close attention to underweight adolescents (especially underweight boys and early adolescents who are underweight).

Keywords

overweightobesitybody dissatisfactiondepressionadolescence
Type
Articles
Information
Journal of Psychologists and Counsellors in Schools , Volume 25 , Issue 2 , December 2015 , pp. 245 - 260
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Copyright
Copyright © The Author(s) 2015 

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References

Al Sabbah, H., Vereecken, C.A., Elgar, F.J., Nansel, T., Aasvee, K., Abdeen, Z., . . . Maes, L. (2009). Body weight dissatisfaction and communication with parents among adolescents in 24 countries: International cross-sectional survey. BMC Public Health, 9, 52. doi:10.1186/1471–2458–9–52CrossRefGoogle ScholarPubMed
Banasiak, S.J., Wertheim, E.H., Koerner, J., & Voudouris, N.J. (2001). Test-retest reliability and internal consistency of a variety of measures of dietary restraint and body concerns in a sample of adolescent girls. International Journal of Eating Disorders, 29, 85–89. doi:10.1002/1098–108X(200101)29:1<85::AID-EAT14>3.0.CO;2-G3.0.CO;2-G>CrossRefGoogle Scholar
Baron, R.M., & Kenny, D.A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022–3514.51.6.1173Google Scholar
Cash, T.F., Fleming, E.C., Alindogan, J., Steadman, L., & Whitehead, A. (2002). Beyond body image as a trait: The development and validation of the Body Image States Scale. Eating Disorders, 10, 103–113. doi:10.1080/10640260290081678CrossRefGoogle ScholarPubMed
Chen, C.M. (2008). Overview of obesity in Mainland China. Obesity Reviews, 9 (Suppl. 1), 14–21. doi:10.1111/j.1467–789X.2007.00433.xGoogle Scholar
Cohen-Tovee, E.M. (1993). Depressed mood and concern with weight and shape in normal young women. The International Journal of Eating Disorders, 14, 223–227. doi:10.1002/1098–108X(199309)14:2<223::AID-EAT2260140213>3.0.CO;2-GGoogle Scholar
Cole, T.J., Flegal, K.M., Nicholls, D., & Jackson, A.A. (2007). Body mass index cut offs to define thinness in children and adolescents: International survey. British Medical Journal, 335, 194. doi:10.1136/bmj.39238.399444.55Google Scholar
Connor, G.S., Tremblay, M., Moher, D., & Gorber, B. (2007). A comparison of direct vs. self-report measures for assessing height, weight and body mass index: A systematic review. Obesity Reviews, 8, 307–326. doi:10.1111/j.1467–789X.2007.00347.xGoogle Scholar
Faith, M.S., Allison, D.B., & Geliebter, A. (1997). Emotional eating and obesity: theoretical considerations and practical recommendations. In Dalton, S. (Ed.), Overweight AND weight management: The health professional's guide TO understanding AND practice (Vol. 22, pp. 439–465): Springer Netherlands.Google Scholar
Franko, D.L., & Striegel-Moore, R.H. (2002). The role of body dissatisfaction as a risk factor for depression in adolescent girls: Are the differences Black and White? Journal of Psychosomatic research, 53, 975–983. doi:10.1016/S0022–3999(02)00490–7Google Scholar
Goldfield, G.S., Moore, C., Henderson, K., Buchholz, A., Obeid, N., & Flament, M.F. (2010). Body dissatisfaction, dietary restraint, depression, and weight status in adolescents. Journal of School Health, 80, 186–192. doi:10.1111/j.1746–1561.2009.00485.xCrossRefGoogle ScholarPubMed
Grilo, C.M., Masheb, R.M., Brody, M., Burke-Martindale, C.H., & Rothschild, B.S. (2005). Binge eating and self-esteem predict body image dissatisfaction among obese men and women seeking bariatric surgery. International Journal of Eating Disorders, 37, 347–351. doi:10.1002/eat.20130Google Scholar
Group of China Obesity Task Force. (2004). Body mass index reference norm for screening overweight and obesity in Chinese children and adolescents. China Journal of Epidemiology, 25, 97–102.Google Scholar
Hankin, B.L., & Abramson, L.Y. (2001). Development of gender differences in depression: An elaborated cognitive vulnerability-transactional stress theory. Psychological Bulletin, 127, 773–796. doi:10.1037/0033–2909.127.6.773Google Scholar
Henriques, G.R., & Calhoun, L.G. (1999). Gender and ethnic differences in the relationship between body esteem and self-esteem. The Journal of Psychology, 133, 357–368. doi:10.1080/00223989909599748Google Scholar
Holsen, I., Kraft, P., & Røysamb, E. (2001). The relationship between body image and depressed mood in adolescence: A 5-year longitudinal panel study. Journal of Health Psychology, 6, 613–627. doi:10.1177/135910530100600601Google Scholar
Keel, P.K., Mitchell, J.E., Davis, T.L., & Crow, S.J. (2001). Relationship between depression and body dissatisfaction in women diagnosed with bulimia nervosa. International Journal of Eating Disorders, 30, 48–56. doi:10.1002/eat.1053Google Scholar
Keery, H., van den Berg, P., & Thompson, J.K. (2004). An evaluation of the Tripartite Influence Model of body dissatisfaction and eating disturbance with adolescent girls. Body Image, 1, 237–251. doi:10.1016/j.bodyim.2004.03.001CrossRefGoogle ScholarPubMed
Li, Y., Hu, X., Ma, W., Wu, J., & Ma, G. (2005). Body image perceptions among Chinese children and adolescents. Body Image, 2, 91–103. doi:10.1016/j.bodyim.2005.04.001Google Scholar
Ma, J., & Wu, S.S. (2009). Trend analysis of the prevalence of obesity and overweight among school-age children and adolescents in China. China Journal of School Healthy, 30, 195–200.Google Scholar
Mond, J., Van den Berg, P., Boutelle, K., Hannan, P., & Neumark-Sztainer, D. (2011). Obesity, body dissatisfaction, and emotional well-being in early and late adolescence: Findings from the project EAT study. Journal of Adolescent Health, 48, 373–378. doi:10.1016/j.jadohealth.2010.07.022CrossRefGoogle ScholarPubMed
Mustillo, S., Worthman, C., Erkanli, A., Keeler, G., Angold, A., & Costello, E.J. (2003). Obesity and psychiatric disorder: Developmental trajectories. Pediatrics, 111, 851–859. doi:10.1542/peds.111.4.851Google Scholar
Neumark-Sztainer, D., Croll, J., Story, M., Hannan, P.J., French, S.A., & Perry, C. (2002). Ethnic/racial differences in weight-related concerns and behaviors among adolescent girls and boys: Findings from Project EAT. Journal of Psychosomatic Research, 53, 963–974. doi:10.1016/S0022–3999(02)00486–5Google Scholar
Paxton, S.J., Neumark-Sztainer, D., Hannan, P.J., & Eisenberg, M.E. (2006). Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. Journal of Clinical Child and Adolescent Psychology, 35, 539–549. doi:10.1207/s15374424jccp3504_5Google Scholar
Presnell, K., Bearman, S.K., & Stice, E. (2004). Risk factors for body dissatisfaction in adolescent boys and girls: A prospective study. International Journal of Eating Disorders, 36, 389–401. doi:10.1002/eat.20045Google Scholar
Ricciardelli, L.A., & McCabe, M.P. (2001). Dietary restraint and negative affect as mediators of body dissatisfaction and bulimic behavior in adolescent girls and boys. Behaviour Research and Therapy, 39, 1317–1328. doi:10.1016/S0005–7967(00)00097–8CrossRefGoogle ScholarPubMed
Shin, N.Y., & Shin, M.S. (2008). Body dissatisfaction, self-esteem, and depression in obese Korean children. The Journal of Pediatrics, 152, 502–506. doi:10.1016/j.jpeds.2007.09.020Google Scholar
Siegel, J.M., Yancey, A.K., Aneshensel, C.S., & Schuler, R. (1999). Body image, perceived pubertal timing, and adolescent mental health. Journal of Adolescent Health, 25, 155–165. doi:10.1016/S1054–139X(98)00160–8CrossRefGoogle ScholarPubMed
Simmons, R.G., Burgeson, R., Carlton-Ford, S., & Blyth, D.A. (1987). The impact of cumulative change in early adolescence. Child Development, 58, 1220–1234. doi:10.2307/1130616Google Scholar
Stice, E., Hayward, C., Cameron, R.P., Killen, J.D., & Taylor, C.B. (2000). Body-image and eating disturbances predict onset of depression among female adolescents: A longitudinal study. Journal of Abnormal Psychology, 109, 438. doi:10.1037/0021–843X.109.3.438CrossRefGoogle ScholarPubMed
Striegel-Moore, R.H., Silberstein, L.R., & Rodin, J. (1986). Toward an understanding of risk factors for bulimia. The American Psychologist, 41, 246–263. doi:10.1037/0003–066X.41.3.246Google Scholar
Thomson, A.M., & Bannister, A. P. (1999). Release-independent depression at pyramidal inputs onto specific cell targets: Dual recordings in slices of rat cortex. Journal of Physiology, 519, 57–70. doi:10.1111/j.1469–7793.1999.0057o.xGoogle Scholar
Van den Berg, P.A., Mond, J., Eisenberg, M., Ackard, D., & Neumark-Sztainer, D. (2010). The link between body dissatisfaction and self-esteem in adolescents: Similarities across gender, age, weight status, race/ethnicity, and socioeconomic status. Journal of Adolescent Health, 47, 290–296. doi:10.1016/j.jadohealth.2010.02.004Google Scholar
Wang, X.D., Wang, X.L., & Ma, H. (1999). Scale Manual of Mental Health Assessment (rev. ed., pp. 200–201). Beijing: Chinese Mental Health Journal Publisher.Google Scholar
Wardle, J., & Cooke, L. (2005). The impact of obesity on psychological well-being. Best Practice & Research Clinical Endocrinology & Metabolism, 19, 421–440. doi:10.1016/j.beem.2005.04.006Google Scholar
Xu, X., Mellor, D., Kiehne, M., Ricciardelli, L.A., McCabe, M.P., & Xu, Y. (2010). Body dissatisfaction, engagement in body change behaviors and sociocultural influences on body image among Chinese adolescents. Body Image, 7, 156–164. doi:10.1016/j.bodyim.2009.11.003CrossRefGoogle ScholarPubMed
Zhang, D.R., & Kong, Q.M. (2004). Applicability of EDI-1 in Beijing. Chinese Mental Health Journal, 18, 48–50.Google Scholar