Abstract
Purpose: We tested the hypothesis that, at two different stages of adolescence, impairment in emotional well-being associated with obesity is mediated by body dissatisfaction (BD). Methods: Self-reported measures of BD, emotional well-being (self-esteem, depressive mood), height and weight, and socio-demographic information were completed by the same female (n = 366) and male (n = 440) participants during early (mean age = 12.8 years) and late (17.3 years) adolescence. For each measure and at each time point, the hypothesis of mediation was tested using the methods suggested by Baron and Kenny (1986). Results: The conditions of complete mediation were satisfied in all the six cases for which an effect of obesity on emotional well-being was observed. That is, in each of these cases, obesity was no longer associated with lower self-esteem or with higher depressive mood after the effects of BD were statistically controlled. Among females, there was no association between obesity and depressive mood at either time point. Conclusion: Impairment in the emotional well-being of overweight adolescents, where this is observed, may be primarily due to the effects of weight-related BD. This appears to be the case for both boys and girls and during both early and late adolescence. The findings are consistent with the view that BD is central to the health and well-being of children and adolescents who are overweight and that distress associated with negative body image may warrant greater attention in the context of obesity prevention and treatment programs.
Original language | English (US) |
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Pages (from-to) | 373-378 |
Number of pages | 6 |
Journal | Journal of Adolescent Health |
Volume | 48 |
Issue number | 4 |
DOIs | |
State | Published - Apr 2011 |
Bibliographical note
Funding Information:The research was supported by Grant R40 MC 00319 from the Maternal and Child Health Bureau (Title V, Social Security Act), Health Resources and Services Administration, Department of Health and Human Services. Dr Mond is supported by a National Health and Medical Research Council Sidney Sax (Public Health) Fellowship.
Keywords
- Body dissatisfaction
- Emotional well-being
- Mediation
- Obesity