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KMID : 0367320110220020112
Journal of the Korean Academy of Child and Adolescent Psychiatry
2011 Volume.22 No. 2 p.112 ~ p.119
Association with Self-Perception for Obesity and Mental Health among Korean Adolescent
Hwang In-Cheol

Lee Kyoung-Shik
Park Dong-Kyun
Jung Eun-Young
Choi Chung-Hyun
Cho Seong-Jin
Bae Seung-Min
Abstract
Objectives: Obesity has been linked to various psychological problems as well as medical complications, especially among adolescents. Previous studies have suggested an association between body weight and depression or self-esteem ; however, there has been little evidence on self-perception of weight and mental health. The aim of this study was to examine the association of perceptional weight status with mental health in Korean adolescents.

Methods: This study was based on data obtained from the third Korean National Health and Nutritional Examination Survey (2005). The study sample consisted of 583 adolescents (268 boys, 315 girls) aged 12-18 years, who had completed the health survey, the health examination, and the nutritional survey. Participants were divided into two groups based on the actual or perceptional weight status: non-obese and obese. Questionnaires for stress, depressive mood, and suicidal thoughts were utilized as mental health indicators.

Results: The agreement between actual and perceptional weight status was moderate (k value, 0.585 ; p<0.01). The influencing factors for the discrepancy between actual and perceptional weight status were body mass index of subjects and their parents¡¯ education. The obese group was likely to have higher stress levels and more experience of depressive mood or suicidal ideation in regard to both actual and perceptional weight status. A multiple logistic regression analysis revealed that girls who had perceived themselves as obese were more likely to have an experience of depressive mood than other girls (unadjusted OR, 4.98 ; adjusted OR, 5.15).

Conclusions : An experience of depressive mood was significantly associated with the perception of weight status and not actual weight status in Korean female adolescents.
KEYWORD
Obesity, Self-Perception, Mental Health, Adolescent
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