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J Pediatr. 2008 Apr;152(4):502-6. doi: 10.1016/j.jpeds.2007.09.020. Epub 2007 Nov 7.

Body dissatisfaction, self-esteem, and depression in obese Korean children.

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1
Department of Psychiatry, Seoul National University Hospital, Seoul, South Korea.

Abstract

OBJECTIVES:

To investigate the relationship between obesity and psychological well being in children and to examine the mediation effect of body dissatisfaction on mental health of obese Korean children.

STUDY DESIGN:

A total of 413 Korean children in grades 5 and 6 from 3 elementary schools completed self-reporting questionnaires on body dissatisfaction, self-esteem, and level of depressive symptoms. A sex-specific body mass index for age at or the above the 95th percentile was defined as obese, and that between the 85th and 94th percentiles was defined as overweight.

RESULTS:

Obese children demonstrated higher body dissatisfaction and lower self-esteem than normal weight and overweight peers (P = 0 and .008, respectively), but not more depression. Body dissatisfaction mediated the association between obesity and self-esteem. The obese children with body dissatisfaction had significantly lower self-esteem and higher levels of depressive symptoms than the obese children without body dissatisfaction and normal weight children (P = 0).

CONCLUSIONS:

Our findings suggest that childhood obesity may be linked to body dissatisfaction, leading to low self-esteem and high levels of depressive symptoms.

PMID:
18346504
DOI:
10.1016/j.jpeds.2007.09.020
[Indexed for MEDLINE]
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