[Psychological consequences of severe overweight in teenagers]


Factors associated with low self-esteem in children with overweight*



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Factors associated with low self-esteem in children with overweight*.


Danielsen YSStormark KMNordhus IHMæhle MSand LEkornås BPallesen S.

Source


Department of Psychosocial Science, University of Bergen, Bergen, Norway.

Abstract


Objective : Low self-esteem is one of the main psychosocial factors related to childhood overweight. Yet not all overweight children are affected. Little is known about what characterises the group of overweight children with the lowest self-esteem. Our aim was to identify factors related to low domain-specific self-esteem in children with overweight/obesity. Methods: Children (aged 10-13; N = 5,185) and parents from a large population-based sample completed the Eating Disturbance Scale, the Self-Perception Profile for Children, and questions about bullying and socio-economic status (SES). Parents reported the child's weight and height. 545 children with overweight/obesity were identified in the overall sample and selected for the current analyses. Self-esteem scores from this group were compared to scores from children with normal weight. Factors examined in relation to self-esteem in children with overweight/obesity were: age, gender, SES, disturbed eating, bullying, parents' evaluation of weight status and degree of overweight. Results: Children with overweight scored significantly lower than normal-weight children on all self-esteem domains. Athletic competence and physical appearance were most impaired. Disturbed eating and bullying were related to low physical appearance as well as scholastic, social and athletic self-esteem. Being female, a pre-teen, having a higher BMI and being evaluated as overweight by parents were associated with lower satisfaction with physical appearance. Conclusions: Disturbed eating and bullying are significantly related to low self-esteem in the overweight group. Copyright © 2012 S. Karger GmbH, Freiburg.

J Youth Adolesc. 2012 Jan;41(1):67-75. doi: 10.1007/s10964-011-9686-y. Epub 2011 Jun 22.

Psychosocial correlates of shape and weight concerns in overweight pre-adolescents.


Sinton MMGoldschmidt ABAspen VTheim KRStein RISaelens BEEpstein LHWilfley DE.

Source


Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. mmsinton@wm.edu

Abstract


Shape and weight concerns among overweight pre-adolescents heighten risk for eating disorders and weight gain. Treatment and prevention efforts require consideration of psychosocial factors that co-occur with these concerns. This study involved 200 overweight pre-adolescents, aged 7-12 years (M age = 9.8; SD = 1.4), presenting for family-based weight control treatment. Hierarchical regression was used to examine the influence of pre-adolescents' individual characteristics and social experiences, and their parents' psychological symptoms, on shape and weight concerns as assessed by the Child Eating Disorder Examination. Findings revealed that higher levels of dietary restraint, greater feelings of loneliness, elevated experiences with weight-related teasing, and higher levels of parents' eating disorder symptoms predicted higher shape and weight concerns among overweight pre-adolescents. Interventions addressing overweight pre-adolescents' disordered eating behaviors and social functioning, as well as their parents' disordered eating behaviors and attitudes, may be indicated for those endorsing shape and weight concerns.

J Youth Adolesc. 2012 Jan;41(1):27-40. doi: 10.1007/s10964-011-9713-z. Epub 2011 Sep 15.

Weight-based victimization among adolescents in the school setting: emotional reactions and coping behaviors.


Puhl RMLuedicke J.

Source


Rudd Center for Food Policy & Obesity, Yale University, New Haven, CT 06520-8369, USA. rebecca.puhl@yale.edu

Abstract


Weight-based victimization is a frequent experience for adolescents, but little is known about their emotional reactions and coping strategies in response to weight-based teasing and bullying. The present study examined the ways that adolescents cope with experiences of weight-based victimization at school. An initial sample of 1,555 students from two high schools in central Connecticut completed a comprehensive battery of self-report measures to assess their experiences of weight-based teasing and bullying at school, affective responses to these experiences, and coping strategies used to deal with incidents of weight-based victimization. Only those students who reported experiencing weight-based victimization (N = 394) were included for the purposes of the present study. Of this sub-sample, 56% were females, 84% were Caucasian, and the mean age was 16.4 years. Weight-based victimization resulted in 40-50% of adolescents feeling sad and depressed, worse about themselves, bad about their body, angry, and some feeling afraid. Gender differences emerged with respect to how boys and girls react to experiences of weight-based victimization. However, structural equation model estimates demonstrated that both boys and girls who reported negative affect in response to weight-based victimization were more likely to use coping strategies of avoidance (e.g., avoiding gym class), increased food consumption, and binge eating. Binary logistic regressions showed that the odds of students skipping school or reporting that their grades were harmed because of weight-based teasing increased by 5% per teasing incident, even after controlling for gender, age, race, grades, and weight status. To our knowledge, this study is the first systematic examination of affective reactions and coping strategies among overweight adolescents in response to weight-based victimization. These findings can inform efforts to assist overweight youth to cope adaptively with weight-based victimization.

J Sci Med Sport. 2012 Jan;15(1):44-51. doi: 10.1016/j.jsams.2011.08.002. Epub 2011 Sep 22.


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