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Body image can predict health-related quality of life (HRQoL) in adolescent girls through self-esteem and psychological well-being. Additionally, depression is a significant predictor of adolescents’ HRQoL and is associated with body image. Therefore, we investigated whether the relationship between body image and HRQoL in adolescent girls is moderated by depression. In this cross-sectional study, adolescent girls’ body image, depression, and HRQoL (n = 385, age: 12–15 years) were measured through self-report questionnaires. Multiple regression and simple slope analyses were conducted to examine the moderating effect of depression. Body image was positively correlated with HRQoL, whereas depression was negatively correlated with body image and HRQoL. Body image, depression, and their interaction explained 44.9% of the variance in HRQoL. Simple slope analysis showed that a more positive body image was associated with higher HRQoL among adolescent girls without depressive symptoms, but was not significantly related to HRQoL for adolescents with depressive symptoms. The moderating effect of depression was confirmed. In conclusion, screening for depression is recommended for adolescent girls prior to implementing body image interventions in schools and the community that are aimed at improving HRQoL. Furthermore, health care providers in schools and the community should provide psychological support for depression along with body image interventions to improve the HRQoL of girls in schools and the community. In particular, for girls with depressive symptoms, depression management should be conducted beforehand.
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Akkaya, N., Atalay, N. S., Selcuk, S. T., Akkaya, S., & Ardic, F. (2011). Impact of body image on quality of life and mood in mastectomized patients and amputees in Turkey. Asian Pacific Journal of Cancer Prevention, 12(10), 2669–2673. PubMed
Ata, R. N., Ludden, A. B., & Lally, M. M. (2007). The effects of gender and family, friend, and media influences on eating behaviors and body image during adolescence. Journal of Youth and Adolescence, 36(8), 1024–1037. CrossRef
Cho, S. C., & Lee, Y. S. (1990). Development of the Korean form of the Kovac’s Children’s Depression Inventory. Journal of the Korean Neuropsychiatric Association, 29, 943–956.
Chung, Y. J. (2010). Relationships between body image attitude and its correlates in early adolescence. Journal of Korean Academy of Family Medicine, 48(5), 103–117.
Demuth, A., Czerniak, U., Krzykała, M., & Ziółkowska-Łajp, E. (2012). Subjective assessment of body image by middle-aged men and women. Studies in Physical Culture and Tourism, 19, 25–29.
Devaraj, S., & Lewis, V. (2010). Enhancing positive body image in women: An evaluation of a group intervention program. Journal of Applied Biobehavioral Research, 15(2), 103–116. CrossRef
Hatata, H., Awaad, M., El sheikh, M., & Refaat, G. (2009). Body image dissatisfaction and its relationships with psychiatric symptomatology, eating beliefs and self esteem in Egyptian female adolescents. Current Psychiatry, 16(2), 171–183.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: The Guilford Press.
Heshmat, R., Kelishadi, R., Motamed-Gorji, N., Motlagh, M. E., Ardalan, G., & Arifirad, T., et al. (2015). Association between body mass index and perceived weight status with self-rated health and life satisfaction in Iranian children and adolescents: The CASPIAN-III study. Quality of Life Research, 24, 263–272. CrossRefPubMed
Kim, E. J. (2008). Self-esteem according to differences between real and ideal body mass index in female college students. Journal of East-West Nursing Research, 14, 54–59. CrossRef
Kim, Y. J. (2007). Weight control and its related factors among children: A gender based approach. Family and Environment Research, 45, 113–122.
Kolodziejczyk, J. K., Gutzmer, K., Wright, S. M., Arredondo, E. M., Hill, L., & Patrick, K., et al. (2015). Influence of specific individual and environmental variables on the relationship between body mass index and health-related quality of life in overweight and obese adolescents. Quality of Life Research, 24, 251–261. CrossRefPubMed
Korea Ministry of Health and Centers for Disease Control and Prevention. (2014). The 10th Korea Youth Risk Behavior Web-based Survey Statistics. Korea Centers for Disease and Prevention.
Kovacs, M. (1981). Rating scale to assess depression in school aged children. ActaPaedopsychiatrica, 46, 305–315.
Lee, J. (2001). Correlation among adolescents gender, obesity, others appraisal of their bodies and the adolescents body-esteem. Chungju, Korea: Korea National University of Education. Unpublished Master dissertation.
Lee, A. Y., & Kim, J. (2006). Relationships among meaning of life, body image, self-esteem, altruism, and resilience in institutionalized adolescents. Studies on Korean Youth, 17, 159–183.
Lee, J. L., Kwon, K. N., & Seo, H. W. (2008). Study of evaluate a social worth and body image perception in women junior and senior. Journal of Sport and Leisure Studies, 33, 615–626.
Lim, H. J., Ki, H. M., Kim, E. J., Suh, Y. S., & Kim, D. H. (2014). The relationships of sex and body mass index to body esteem scale, self-esteem scale, depression in high school students from one high school in Daegu. Korean Journal of Family Practice, 4, 262–267.
McClelland, S. I., Holland, K. J., & Griggs, J. J. (2015). Quality of life and metastatic breast cancer: The role of body image, disease site, and time since diagnosis. Quality of Life Research, 24(12), 2939–2943.
Mendelson, B. K., Mendelson, M. J., Andrews, J., Balfour, L., & Bucholz, A. (1997). Three aspects of body esteem in adolescents and young adults: Differential relations with weight and self-esteem. Research in Child Development, 17(1), 145–160.
Nik-Azi, A., Mohammad Reza Shairi, M. R., Naeinian, M. R., & Sadeghpour, A. (2014). The health-related quality of life 1ndex KIDSCREEN-10: Confirmatory factor analysis, convergent validity and reliability in a sample of Iranian students. Child Indicators Research, 7, 407–420. CrossRef
Noh, H. L., & Choi, K. I. (2009). The effect of body image upon youths with suicide ideation: The mediating effects of stress and sense of depression. Studies on Korean Youth, 20, 141–165.
Organization for Economic Cooperation and Development. (2016). OECD Economic Survey: Korea 2016. Retrieved from http://www.oecd.org/eco/surveys/economic-survey-Korea.htm.
Paxton, S. J. (2013). Body image, eating disorder and depressive symptom outcomes following a school-based body image prevention intervention: A one year follow-up study: Final research Report. Retrieved from http://www.beyondblue.org.au/docs/default-source/research-project-files/bw0223.pdf?sfvrsn=4.
Ravens-Sieberer, U., Erhart, M., Rajmil, L., Herdman, M., Auquier, P., & Bruil, J., European KIDSCREEN Group. (2010). Reliability, construct and criterion validity of the KIDSCREEN-10 score: A short measure for children and adolescents’ well-being and health-related quality of life. Quality of Life Research, 19, 1487–1500. CrossRefPubMedPubMedCentral
Segal, Z. V., Teasdale, J. D., & Williams, J. M. G. (2004). Mindfulness-based cognitive therapy: Theoretical rationale and empirical status. In S. Hayes, V. Follette, M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitivebehavioral tradition. New York: Guilford Press.
Substance Abuse and Mental Health Services Administration. (2014). Results from the 2013 national survey on drug use and health: Mental health findings. Rockville, MD: Substance Abuse and Mental Health Services Administraion. (NSDUH Series H-49, HHS Publication No. (SMA) 14-4887).
Suldo, S. M., & Huebner, E. S. (2004). Does life satisfaction moderate the effects of stressful events on psychological behavior during adolescence? School Psychology Quarterly, 19, 93–105. CrossRef
The World Health Organization Quality of Life Group. (1994). Development of the WHOQOL: Rationale and current status. International Journal of Mental Health, 2, 24–56.
Yi, K., & Kim, K. (2013). Determinants of subjective quality of life of middle school students. Korean Journal of Sociology of Education, 23, 139–168.
- Depression Moderates the Relationship between Body Image and Health-Related Quality of Life in Adolescent Girls
Jin Suk Ra
Yoon Hee Cho
- Springer US