Swipe om te navigeren naar een ander artikel
The online version of this article (doi:10.1007/s11136-017-1701-7) contains supplementary material, which is available to authorized users.
Obesity is a highly stigmatizing condition for both adults and children, and both obesity and stigma experiences are negatively related with health-related quality of life (HRQoL). However, the relations among these constructs have been modeled in different and sometimes inconsistent terms in past research, and have been the object of surprisingly few studies in pediatric populations. The present study addresses this gap by comparing, in a sample of preadolescent children, four competing models (i.e., additive, mediation, moderation, and moderated mediation models) accounting for the role of stigma experiences in the concurrent relation between body weight and HRQoL.
A community sample of 600 children aged 8–11 years completed the Perception of Teasing Scale to assess weight-based teasing experiences and the PedsQL 4.0 to assess HRQoL. Parent-reported height and weight were used to calculate age- and gender-adjusted zBMI. Log-likelihood test, BIC difference, and Wald test were used for model comparisons.
The mediation model outperformed both additive and moderation models and was found to be equally informative (but more parsimonious) as compared to the moderated mediation account. The same pattern of results was replicated for both global HRQoL and domain-specific quality of life domains (i.e., physical, emotional, social, and scholastic).
The mediation model provided the best fitting and more parsimonious representation of the relations between body weight, stigma experiences, and HRQoL, meaning that an increased likelihood of experiencing weight-based teasing episodes, rather than excess weight per se, is associated with reduced quality of life in middle childhood.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Supplementary material 1 (DOC 72 kb)11136_2017_1701_MOESM1_ESM.doc
World Health Organization. (2016). Consideration of the evidence on childhood obesity for the Commission on Ending Childhood Obesity: Report of the ad hoc working group on science and evidence for ending childhood obesity. Geneva: Switzerland.
Vila, G., Zipper, E., Dabbas, M., Bertrand, C., Robert, J. J., Ricour, C., et al. (2004). Mental disorders in obese children and adolescents. Psychosomatic Medicine, 66(3), 387–394. PubMed
Steele, R. G., Gayes, L. A., Dalton, W. T., Smith, C., Maphis, L., & Conway-Williams, E. (2016). Change in health-related quality of life in the context of pediatric obesity interventions: A meta-analytic review. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association. doi: 10.1037/hea0000362.
Tsiros, M. D., Olds, T., Buckley, J. D., Grimshaw, P., Brennan, L., Walkley, J.,… & Coates, A. M. (2009). Health-related quality of life in obese children and adolescents. International Journal of Obesity, 33(4), 387–400. doi: 10.1038/ijo.2009.42.
Schipper, H., Clinch, J. J., & Olweny, C. L. (1996). Quality of life studies: Definitions and conceptual issues. Quality of Life and Pharmacoeconomics in Clinical Trials, 2, 11–23.
Meers, M. R., Koball, A. M., Oehlhof, M. W., Laurene, K. R., & Musher-Eizenman, D. R. (2011). Assessing anti-fat bias in preschoolers: A comparison of a computer generated line-drawn figure array and photographic figure array. Body Image, 8(3), 293–296. doi: 10.1016/j.bodyim.2011.04.006. CrossRefPubMed
Hayden-Wade, H. A., Stein, R. I., Ghaderi, A., Saelens, B. E., Zabinski, M. F., & Wilfley, D. E. (2005). Prevalence, characteristics, and correlates of teasing experiences among overweight children vs. non-overweight peers. Obesity Research, 13(8), 1381–1392. doi: 10.1038/oby.2005.167. CrossRefPubMed
Lillis, J., Levin, M. E., & Hayes, S. C. (2011). Exploring the relationship between body mass index and health-related quality of life: A pilot study of the impact of weight self-stigma and experiential avoidance. Journal Of Health Psychology, 16(5), 722–727. doi: 10.1177/1359105310388321. CrossRefPubMed
MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. New York, NY: Routledge.
Bang, K. S., Chae, S. M., Hyun, M. S., Nam, H. K., Kim, J. S., & Park, K. H. (2012). The mediating effects of perceived parental teasing on relations of body mass index to depression and self-perception of physical appearance and global self-worth in children. Journal of Advanced Nursing, 68, 2646–2653. doi: 10.1111/j.1365-2648.2012.05963.x. CrossRefPubMed
Stern, M., Mazzeo, S. E., Gerke, C. K., Porter, J. S., Bean, M. K., & Laver, J. H. (2007). Gender, ethnicity, psychosocial factors, and quality of life among severely overweight, treatment-seeking adolescents. Journal of Pediatric Psychology, 32(1), 90–94. doi: 10.1093/jpepsy/jsl013. CrossRefPubMed
Muthén, L. K., & Muthén, B. O. (2010). Mplus user’s guide: Statistical analysis with latent variables: User’s guide. Los Angeles: Muthén & Muthén.
Kass, R. E., & Raftery, A. E. (1995). Bayes factors. Journal of the American Statistical Association, 90(430), 773–795. CrossRef
Haraldstad, K., Christophersen, K. A., Eide, H., Nativg, G. K., & Helseth, S. (2011). Health related quality of life in children and adolescents: Reliability and validity of the Norwegian version of KIDSCREEN-52 questionnaire, a cross sectional study. International Journal of Nursing Studies, 48(5), 573–581. doi: 10.1016/j.ijnurstu.2010.10.001. CrossRefPubMed
Box, G. E. (1976). Science and statistics. Journal of the American Statistical Association, 71(356), 791–799. CrossRef
Storch, E. A., Milsom, V. A., DeBraganza, N., Lewin, A. B., Geffken, G. R., & Silverstein, J. H. (2007). Peer victimization, psychosocial adjustment, and physical activity in overweight and at-risk-for-overweight youth. Journal of Pediatric Psychology, 32(1), 80–89. doi: 10.1093/jpepsy/jsj113. CrossRefPubMed
Eddy, K. T., Tanofsky-Kraff, M., Thompson-Brenner, H., Herzog, D. B., Brown, T. A., & Ludwig, D. S. (2007). Eating disorder pathology among overweight treatment-seeking youth: Clinical correlates and cross-sectional risk modeling. Behaviour Research and Therapy, 45, 2360–2371. doi: 10.1016/j.brat.2007.03.017. CrossRefPubMed
Gray, W. N., Janicke, D. M., Ingerski, L. M., & Silverstein, J. H. (2008). The impact of peer victimization, parent distress and child depression on barrier formation and physical activity in overweight youth. Journal of Developmental and Behavioral Pediatrics, 29(1), 26–33. doi: 10.1097/DBP.0b013e31815dda74. PubMed
Long, M. W., Ward, Z. J., Resch, S. C., Cradock, A. L., Wang, Y. C., Giles, C. M., et al. (2016). State-level estimates of childhood obesity prevalence in the United States corrected for report bias. Nature Publishing Group. doi: 10.1038/ijo.2016.130.
Gray, W. N., Simon, S. L., Janicke, D. M., & Dumont-Driscoll, M. (2011). Moderators of weight-based stigmatization among youth who are overweight and non-overweight: The role of gender, race, and body dissatisfaction. Journal of Developmental and Behavioral Pediatrics, 32, 110–116. doi: 10.1097/DBP.0b013e3182099754. CrossRefPubMed
Sinton, M. M., Goldschmidt, A. B., Aspen, V., Theim, K. R., Stein, R. I., Saelens, B. E.,… & Wilfley, D. E. (2012). Psychosocial correlates of shape and weight concerns in overweight pre-adolescents. Journal of youth and adolescence, 41, 67–75. doi: 10.1007/s10964-011-968.
- How is weight stigma related to children’s health-related quality of life? A model comparison approach
- Springer International Publishing