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Gepubliceerd in: Quality of Life Research 1/2021

09-09-2020

Assessing the relationship between weight stigma, stress, depression, and sleep in Chinese adolescents

Auteurs: Zhanxia Wang, Jiajia Dang, Xinge Zhang, Justin B. Moore, Rui Li

Gepubliceerd in: Quality of Life Research | Uitgave 1/2021

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Abstract

Introduction

Weight stigma is defined as the social devaluation of people with overweight or obesity, and its negative effects on the health of adolescents from western countries are well documented, but little is known about the relationships with health behaviors and outcomes in Asian youth. The prevalence of obesity among Chinese adolescents continues to increase, potentially causing negative evaluations of youth with obesity, and potentially reduced quality of life. The health effects of these negative evaluations of Chinese youth with obesity have received little attention.

Purpose

The purpose of this study was to examine relationships between weight stigma, stress, depression, and sleep in Chinese adolescents.

Methods

We utilized a cross-sectional study conducted in Wuhan, China. Sociodemographic, weight stigma, stress, depression, and sleep data were collected through a self-reported questionnaire. Descriptive statistics, t test, correlations, and mediation analyses were performed. A total of 1626 adolescents between 14 and 19 years of age were included in the analysis.

Results

The data showed that adolescents with weight stigma presented significantly higher level of stress and depression, lower global sleep quality, longer sleep latency, and shorter sleep duration than those without weight stigma (p < 0.05). Stress and depression mediated the relationship between weight stigma and global sleep quality (SE = 0.007, 95% CI = 0.053 to 0.081).

Conclusion

These findings suggest that adolescents who experience weight stigma may have increased stress and depressive symptoms, which are associated with poorer global sleep quality and more daytime dysfunction.

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Literatuur
1.
go back to reference Tomiyama, A. J. (2014). Weight stigma is stressful. A review of evidence for the cyclic obesity/weight-based stigma model. Appetite, 82, 8–15. CrossRef Tomiyama, A. J. (2014). Weight stigma is stressful. A review of evidence for the cyclic obesity/weight-based stigma model. Appetite, 82, 8–15. CrossRef
2.
go back to reference Papadopoulos, S., & Brennan, L. (2015). Correlates of weight stigma in adults with overweight and obesity: A systematic literature review. Obesity, 23(9), 1743–1760. CrossRef Papadopoulos, S., & Brennan, L. (2015). Correlates of weight stigma in adults with overweight and obesity: A systematic literature review. Obesity, 23(9), 1743–1760. CrossRef
3.
go back to reference PhD, E. Y. C., PhD, L. E. B.-R., PhD, D. M., PhD, S. F., Katterman, S., PhD, M. R., et al. (2007). Depressed mood in class III obesity predicted by weight-related stigma. Obesity Surgery, 17(5), 669–671. CrossRef PhD, E. Y. C., PhD, L. E. B.-R., PhD, D. M., PhD, S. F., Katterman, S., PhD, M. R., et al. (2007). Depressed mood in class III obesity predicted by weight-related stigma. Obesity Surgery, 17(5), 669–671. CrossRef
5.
go back to reference Puhl, R. M., Peterson, J. L., & Luedicke, J. (2013). Weight-based victimization: Bullying experiences of weight loss treatment-seeking youth. Pediatrics, 131(1), e1–e9. CrossRef Puhl, R. M., Peterson, J. L., & Luedicke, J. (2013). Weight-based victimization: Bullying experiences of weight loss treatment-seeking youth. Pediatrics, 131(1), e1–e9. CrossRef
6.
go back to reference Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research. Psychological Bulletin, 127(1), 87–127. CrossRef Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research. Psychological Bulletin, 127(1), 87–127. CrossRef
7.
go back to reference Carskadon, M. A. (2011). Sleep in adolescents: The perfect storm. Pediatrics Clinnics North America, 58(3), 637–647. CrossRef Carskadon, M. A. (2011). Sleep in adolescents: The perfect storm. Pediatrics Clinnics North America, 58(3), 637–647. CrossRef
8.
go back to reference Paruthi, S., Brooks, L. J., D'Ambrosio, C., Hall, W. A., Kotagal, S., Lloyd, R. M., et al. (2016). Recommended amount of sleep for pediatric populations: A consensus statement of the American academy of sleep medicine. Journal of Clinical Sleep Medicine, 12(6), 785–786. CrossRef Paruthi, S., Brooks, L. J., D'Ambrosio, C., Hall, W. A., Kotagal, S., Lloyd, R. M., et al. (2016). Recommended amount of sleep for pediatric populations: A consensus statement of the American academy of sleep medicine. Journal of Clinical Sleep Medicine, 12(6), 785–786. CrossRef
9.
go back to reference Shen, L., van Schie, J., Ditchburn, G., Brook, L., & Bei, B. (2018). Positive and negative emotions: Differential associations with sleep duration and quality in adolescents. Journal of Youth & Adolescence, 47(12), 2584–2595. CrossRef Shen, L., van Schie, J., Ditchburn, G., Brook, L., & Bei, B. (2018). Positive and negative emotions: Differential associations with sleep duration and quality in adolescents. Journal of Youth & Adolescence, 47(12), 2584–2595. CrossRef
11.
go back to reference Mcknight-Eily, L. R., Eaton, D. K., Lowry, R., Croft, J. B., Presley-Cantrell, L., & Perry, G. S. (2011). Relationships between hours of sleep and health-risk behaviors in US adolescent students. Preventive Medicine, 53(4), 271–273. CrossRef Mcknight-Eily, L. R., Eaton, D. K., Lowry, R., Croft, J. B., Presley-Cantrell, L., & Perry, G. S. (2011). Relationships between hours of sleep and health-risk behaviors in US adolescent students. Preventive Medicine, 53(4), 271–273. CrossRef
14.
go back to reference Maher, E. (2004). Health-related quality of life of severely obese children and adolescents. Child Care Health & Development, 30(1), 94–95. CrossRef Maher, E. (2004). Health-related quality of life of severely obese children and adolescents. Child Care Health & Development, 30(1), 94–95. CrossRef
15.
go back to reference Andreyeva, T., Puhl, R. M., & Brownell, K. D. (2008). Changes in perceived weight discrimination among Americans, 1995–1996 through 2004–2006. Obesity, 16(5), 1129–1134. CrossRef Andreyeva, T., Puhl, R. M., & Brownell, K. D. (2008). Changes in perceived weight discrimination among Americans, 1995–1996 through 2004–2006. Obesity, 16(5), 1129–1134. CrossRef
16.
go back to reference Major, B., Eliezer, D., & Rieck, H. (2012). The psychological weight of weight stigma. Social Psychological & Personality Science, 3(6), 651–658. CrossRef Major, B., Eliezer, D., & Rieck, H. (2012). The psychological weight of weight stigma. Social Psychological & Personality Science, 3(6), 651–658. CrossRef
19.
go back to reference Schvey, N. A., Puhl, R. M., & Brownell, K. D. (2014). The stress of stigma: Exploring the effect of weight stigma on cortisol reactivity. Psychosomatic Medicine, 76(2), 156–162. CrossRef Schvey, N. A., Puhl, R. M., & Brownell, K. D. (2014). The stress of stigma: Exploring the effect of weight stigma on cortisol reactivity. Psychosomatic Medicine, 76(2), 156–162. CrossRef
20.
go back to reference Major, B., & O’brien, L. T. (2005). The social psychology of stigma. Annual Review of Psychology, 56(1), 393–421. CrossRef Major, B., & O’brien, L. T. (2005). The social psychology of stigma. Annual Review of Psychology, 56(1), 393–421. CrossRef
21.
go back to reference Jung, F. U., Bae, Y. J., Kratzsch, J., Riedel-Heller, S. G., & Luck-Sikorski, C. (2020). Internalized weight bias and cortisol reactivity to social stress. Cognitive, Affective & Behavioral Neuroscience, 20(1), 49–58. CrossRef Jung, F. U., Bae, Y. J., Kratzsch, J., Riedel-Heller, S. G., & Luck-Sikorski, C. (2020). Internalized weight bias and cortisol reactivity to social stress. Cognitive, Affective & Behavioral Neuroscience, 20(1), 49–58. CrossRef
22.
go back to reference Jackson, S. E., Kirschbaum, C., & Steptoe, A. (2016). Perceived weight discrimination and chronic biochemical stress: A population-based study using cortisol in scalp hair. Obesity, 24(12), 2515–2521. CrossRef Jackson, S. E., Kirschbaum, C., & Steptoe, A. (2016). Perceived weight discrimination and chronic biochemical stress: A population-based study using cortisol in scalp hair. Obesity, 24(12), 2515–2521. CrossRef
24.
go back to reference Wu, Y. K., & Berry, D. C. (2017). Impact of weight stigma on physiological and psychological health outcomes for overweight and obese adults: A systematic review. Journal of Advanced Nursing, 74(5), 1030–1042. CrossRef Wu, Y. K., & Berry, D. C. (2017). Impact of weight stigma on physiological and psychological health outcomes for overweight and obese adults: A systematic review. Journal of Advanced Nursing, 74(5), 1030–1042. CrossRef
25.
go back to reference Kemeny, M. E., Gruenewald, T. L., & Dickerson, S. S. (2004). Shame as the emotional response to threat to the social self: Implications for behavior, physiology, and health. Psychological Inquiry, 15, 153–160. Kemeny, M. E., Gruenewald, T. L., & Dickerson, S. S. (2004). Shame as the emotional response to threat to the social self: Implications for behavior, physiology, and health. Psychological Inquiry, 15, 153–160.
26.
go back to reference Himmelstein, M. S., Puhl, R. M., & Watson, R. J. (2019). Weight-based victimization, eating behaviors, and weight-related health in sexual and gender minority adolescents. Appetite, 141, 104321. CrossRef Himmelstein, M. S., Puhl, R. M., & Watson, R. J. (2019). Weight-based victimization, eating behaviors, and weight-related health in sexual and gender minority adolescents. Appetite, 141, 104321. CrossRef
28.
go back to reference Chang, C. H., Chen, S. J., & Liu, C. Y. (2017). Pediatric sleep apnea and depressive disorders risk: A population-based 15-year retrospective cohort study. PLoS ONE, 12(7), e0181430. CrossRef Chang, C. H., Chen, S. J., & Liu, C. Y. (2017). Pediatric sleep apnea and depressive disorders risk: A population-based 15-year retrospective cohort study. PLoS ONE, 12(7), e0181430. CrossRef
29.
go back to reference Pearl, R. L., White, M. A., & Grilo, C. M. (2014). Weight bias internalization, depression, and self-reported health among overweight binge eating disorder patients. Obesity, 22(5), E142–E148. CrossRef Pearl, R. L., White, M. A., & Grilo, C. M. (2014). Weight bias internalization, depression, and self-reported health among overweight binge eating disorder patients. Obesity, 22(5), E142–E148. CrossRef
30.
go back to reference Baum, K. T., Desai, A., Field, J., Miller, L. E., Rausch, J., & Beebe, D. W. (2014). Sleep restriction worsens mood and emotion regulation in adolescents. Journal of Child Psychology & Psychiatry, 55(2), 180–190. CrossRef Baum, K. T., Desai, A., Field, J., Miller, L. E., Rausch, J., & Beebe, D. W. (2014). Sleep restriction worsens mood and emotion regulation in adolescents. Journal of Child Psychology & Psychiatry, 55(2), 180–190. CrossRef
31.
go back to reference Goldsmith, R. E., Chesney, S. A., Heath, N. M., & Barlow, M. R. (2013). Emotion regulation difficulties mediate associations between betrayal trauma and symptoms of posttraumatic stress, depression, and anxiety. Journal of Traumatic Stress, 26(3), 376–384. CrossRef Goldsmith, R. E., Chesney, S. A., Heath, N. M., & Barlow, M. R. (2013). Emotion regulation difficulties mediate associations between betrayal trauma and symptoms of posttraumatic stress, depression, and anxiety. Journal of Traumatic Stress, 26(3), 376–384. CrossRef
34.
go back to reference Li Jianqiao, W. R., Qin, L., & Hong, W. (2013). Influencing factor related to sub-health in adolescents: A systematic review. Chinese Journal of Evidence-Based Medicine, 13(03), 251–258. Li Jianqiao, W. R., Qin, L., & Hong, W. (2013). Influencing factor related to sub-health in adolescents: A systematic review. Chinese Journal of Evidence-Based Medicine, 13(03), 251–258.
35.
go back to reference Sun Jiandong, D. M. P., & Xiangyu, H. (2012). Academic stress among adolescents in China. Australasian Epidemiologist, 19, 1. Sun Jiandong, D. M. P., & Xiangyu, H. (2012). Academic stress among adolescents in China. Australasian Epidemiologist, 19, 1.
37.
go back to reference Wong, W. K. (1998). Psychosocial adjustment of obese Chinese adolescent girls in Hong Kong. The Chinese University of Hong Kong. Wong, W. K. (1998). Psychosocial adjustment of obese Chinese adolescent girls in Hong Kong. The Chinese University of Hong Kong.
39.
go back to reference Cohen, S., & Williamson, G. M. (1991). Stress and infectious disease in humans. Psychological Bulletin, 109(1), 5–24. CrossRef Cohen, S., & Williamson, G. M. (1991). Stress and infectious disease in humans. Psychological Bulletin, 109(1), 5–24. CrossRef
40.
go back to reference Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. CrossRef Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. CrossRef
42.
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: The Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: The Guilford Press.
43.
go back to reference IBM Corp. IBM SPSS Statistics for Windows, Version 22.0. Armonk: IBM Corp; 2013. IBM Corp. IBM SPSS Statistics for Windows, Version 22.0. Armonk: IBM Corp; 2013.
46.
go back to reference Preiss, K., Brennan, L., & Clarke, D. (2013). A systematic review of variables associated with the relationship between obesity and depression. Obesity Reviews, 14(11), 906–918. CrossRef Preiss, K., Brennan, L., & Clarke, D. (2013). A systematic review of variables associated with the relationship between obesity and depression. Obesity Reviews, 14(11), 906–918. CrossRef
47.
go back to reference Innamorati, M., Imperatori, C., Lamis, D. A., Contardi, A., & Fabbricatore, M. (2016). Weight Bias Internalization Scale discriminates obese and overweight patients with different severity levels of depression: The italian version of the WBIS. Current Psychology, 36(2), 1–10. Innamorati, M., Imperatori, C., Lamis, D. A., Contardi, A., & Fabbricatore, M. (2016). Weight Bias Internalization Scale discriminates obese and overweight patients with different severity levels of depression: The italian version of the WBIS. Current Psychology, 36(2), 1–10.
52.
go back to reference Stetler, C., & Miller, G. E. (2011). Depression and hypothalamic-pituitary-adrenal activation: A quantitative summary of four decades of research. Psychosomatic Medicine, 73(2), 114–126. CrossRef Stetler, C., & Miller, G. E. (2011). Depression and hypothalamic-pituitary-adrenal activation: A quantitative summary of four decades of research. Psychosomatic Medicine, 73(2), 114–126. CrossRef
55.
go back to reference Whitaker, B. N., Fisher, P. L., et al. (2018). Impact of degree of obesity on sleep, quality of life, and depression in youth. Journal of Pediatric Health Care Official Publication of National Association of Pediatric Nurse Associates & Practitioners, 32(2), e37–e44. CrossRef Whitaker, B. N., Fisher, P. L., et al. (2018). Impact of degree of obesity on sleep, quality of life, and depression in youth. Journal of Pediatric Health Care Official Publication of National Association of Pediatric Nurse Associates & Practitioners, 32(2), e37–e44. CrossRef
57.
go back to reference Mellman, T. A. (2006). Sleep and anxiety disorders. Psychiatric Clinics of North America, 3(4), 261–268. Mellman, T. A. (2006). Sleep and anxiety disorders. Psychiatric Clinics of North America, 3(4), 261–268.
59.
go back to reference Liu, Y., Peng, T., & Zhang, S. (2018). The relationship between depression, daytime napping, daytime dysfunction, and snoring in 0.5 million Chinese populations: Exploring the effects of socio-economic status and age. BMC Public Health, 18(1), 759. CrossRef Liu, Y., Peng, T., & Zhang, S. (2018). The relationship between depression, daytime napping, daytime dysfunction, and snoring in 0.5 million Chinese populations: Exploring the effects of socio-economic status and age. BMC Public Health, 18(1), 759. CrossRef
61.
go back to reference Blanchet, R., Kengneson, C.-C., Bodnaruc, A. M., Gunter, A., & Giroux, I. (2019). Factors influencing parents’ and children’s misperception of children’s weight status: A systematic review of current research. Current Obesity Reports, 8(4), 373–412. CrossRef Blanchet, R., Kengneson, C.-C., Bodnaruc, A. M., Gunter, A., & Giroux, I. (2019). Factors influencing parents’ and children’s misperception of children’s weight status: A systematic review of current research. Current Obesity Reports, 8(4), 373–412. CrossRef
64.
go back to reference Hoefelmann, L. P., Lopes, A. D. S., Silva, K. S. D., Moritz, P., & Nahas, M. V. (2013). Sociodemographic factors associated with sleep quality and sleep duration in adolescents from Santa Catarina, Brazil: What changed between 2001 and 2011? Sleep Medicine, 14(10), 1017–1023. CrossRef Hoefelmann, L. P., Lopes, A. D. S., Silva, K. S. D., Moritz, P., & Nahas, M. V. (2013). Sociodemographic factors associated with sleep quality and sleep duration in adolescents from Santa Catarina, Brazil: What changed between 2001 and 2011? Sleep Medicine, 14(10), 1017–1023. CrossRef
Metagegevens
Titel
Assessing the relationship between weight stigma, stress, depression, and sleep in Chinese adolescents
Auteurs
Zhanxia Wang
Jiajia Dang
Xinge Zhang
Justin B. Moore
Rui Li
Publicatiedatum
09-09-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02620-4