Objective To investigate the internalized weight bias and weight control beliefs regarding the current status,influencing factors,and impacts on eating behaviors of women losing weight. Methods A convenient sampling method was used to select the females who underwent physical examination in the Peking Union Medical College Hospital from August to December 2023.The general information questionnaire,Weight Bias Internalization Scale,Weight Control Belief Questionnaire,and Chinese version of Three-Factor Eating Questionnaire were utilized for investigation.Latent class analysis was conducted to explore the potential categories based on the characteristics of internalized weight bias and weight control beliefs.Univariate analysis and multiple-factor linear regression analysis were performed to explore influencing factors of potential categories and their effects on eating behaviors. Results A total of 518 subjects were included in this study.The internalized weight bias and weight control beliefs could be classified into three potential categories: low weight bias tolerance type(53.7%),medium weight bias persistence type(29.5%),and high weight bias overcritical type(16.8%).Logistic regression analysis showed that body mass index,unmarriage,and divorce were the influencing factors of the high weight bias overcritical type.The scores of non-control eating and emotional eating in medium weight bias persistence type and high weight bias overcritical type were higher than those in low weight bias tolerance type(all P<0.001). Conclusions The attitudes of Chinese women towards body weight can be categorized into low weight bias tolerance type,medium weight bias persistence type,and high weight bias overcritical type.The high weight bias overcritical type is characterized by high weight bias and high personal responsibility attribution,and it is closely associated with negative eating behaviors.A high body mass index,unmarriage,and divorce are high-risk factors for developing the high weight bias overcritical type.
Humans ; Female ; Feeding Behavior/psychology* ; Surveys and Questionnaires ; Adult ; Body Mass Index ; Weight Loss ; Body Weight ; Body Image ; Middle Aged ; Weight Prejudice

PURPOSE: The purpose of this study was to analyze factors influencing eating problems among young female adults. METHODS: Participants were 193 young female adults aged 19 ~ 29 years who were recruited in August 2017. Four variables related to eating problems in young female adults, including body image dissatisfaction, self-esteem, trait anger, and depression, were measured using reliable instruments. Data were analyzed using the SPSS/WIN 21.0 program and Amos 24.0 for descriptive statistics, Pearson correlation coefficients, and path analysis. RESULTS: The mean for eating problems in young female adults was 8.99, and 9.8% of subjects were classified as high risk with eating problems. Modified model demonstrated good model fit (χ²/df 0.47, GFI 0.99, AGFI 0.99, NFI 0.99, SRMR 0.022, RMSEA 0.001). Path analysis showed that body image dissatisfaction had the greatest direct effect on eating problems. Depression did not have a direct effect on eating problems, whereas it had indirect effects on eating problems through body image dissatisfaction as the mediating factor. Self-esteem had direct effects on depression and indirect effects on eating problems through depression and body image dissatisfaction as mediating factors. Trait anger had direct effects on depression and body image dissatisfaction and indirect effects on eating problems through depression and body image dissatisfaction as mediating factors. These factors accounted for 46% of the total variance, and the fit indices of the model satisfied the criteria of fitness. CONCLUSION: The results of this study reveal the important role of body dissatisfaction and psychological factors such as self-esteem, trait anger, and depression on eating problems. These factors influencing eating problems should be considered when developing programs to improve eating problems in young female adults.
Adult* ; Anger ; Body Image ; Depression ; Eating* ; Female* ; Humans ; Negotiating ; Psychology

PURPOSE: The purpose of this study was to examine the correlations of body image, sexual quality of life (SQOL), depression, and quality of life, and to identify the influencing factors on quality of life of middle-aged adults in the community. METHODS: The participants of this study were 367 middle-aged adults. Data were collected through personal interviews using a questionnaire. Data were analyzed using descriptive statistics, t tests, one-way analysis of variance, Pearson's correlation coefficients, and stepwise multiple regression. RESULTS: Body image, SQOL, depression, and quality of life according to the general characteristics and health-related characteristics commonly showed significant differences in age, level of education, duration of marriage, living arrangement, occupation, monthly income, presence of disease, exercise, stressor, frequency of sexual intercourse with spouse, and degree of deep sleep. Quality of life showed significant positive correlations with body image and SQOL, but a significantly negative correlation with depression. Body image, depression, education level, SQOL, and stressor, which accounted for 42.0% of the variance, were significant predictors influencing quality of life in middle-aged adults in the community. CONCLUSIONS: To improve quality of life in middle-aged adults ahead of old age, an assessment of their body image, depression, SQOL should be made and a variety of nursing interventions should be followed to improve their positive body image, depression, and SQOL.
Body Image/*psychology ; Cross-Sectional Studies ; Data Interpretation, Statistical ; Depressive Disorder/*psychology ; Female ; *Health Status ; Humans ; Male ; Middle Aged ; Quality of Life/*psychology ; Republic of Korea ; Sexual Behavior/*psychology ; Surveys and Questionnaires

BACKGROUND: The popular demand for cosmetic surgery is increasing explosively, but little is known about how perceptions of cosmetic surgery among women are related to demographics or psychological factors. A survey was conducted to compare changes in perception about cosmetic surgery among professional women in 2010 and 2014. METHODS: A questionnaire-based survey was performed at a general hospital by female nurses in 2010 and 2014. Participants included 350 women in 2010 and 470 women in 2014; 323 individuals in 2010 and 449 individuals in 2014 completed the survey (overall response rates of 92.3% and 95.5%, respectively). Participants identified their demographic data, which included age, educational level, marital status, monthly income, and previous experience with cosmetic surgery. The survey included standardized measures for appearance interest, body image satisfaction, self-esteem, and perceptions toward cosmetic surgery (delineated in terms of actual considerations). RESULTS: Compared to 2010, actual considerations for cosmetic surgery were higher in 2014, specifically for women in their 20s, a monthly income between 2 to 3 million won, and those with high scores of self-esteem, appearance interest, and body image satisfaction. CONCLUSIONS: In this study, in order for professional women to undergo appropriate cosmetic surgery and be satisfied with the results, it is necessary to obtain a deeper understanding about the factors that influence the perceptions of cosmetic surgery.
Body Image ; Data Collection ; Demography ; Female ; Hospitals, General ; Humans ; Marital Status ; Psychology ; Surgery, Plastic*

With society's increasing interest in weight control and body weight, we investigated the association between psychological factors and body image misperception in different age groups of adult Korean women with a normal weight. On a total of 4,600 women from the Korea National Health and Nutrition Examination Survey 2007-2009, a self-report questionnaire was used to assess body weight perception and 3 psychological factors: self-rated health status, stress recognition, and depressed mood. Through logistic regression analysis, a poor self-rated health status (P = 0.001) and a higher recognition of stress (P = 0.001) were significantly associated with body image misperception and this significance remained after controlling for several sociodemographic (Model 1: adjusted odds ratio [aOR], 1.62; 95% confidence interval [CI], 1.31-2.00), health behavior and psychological factors (Model 2: aOR, 1.59; 95% CI, 1.29-1.96; Model 3: aOR, 1.36; 95% CI, 1.01-1.84). Especially, highly stressed middle-aged (50-64 yr) women were more likely to have body image misperception (Model 2: aOR, 2.85; 95% CI, 1.30-6.26). However, the correlation between depressed mood and self-reported body weight was inconsistent between different age groups. In conclusion, self-rated health status and a high recognition rate of severe stress were related to body weight misperception which could suggest tailored intervention to adult women especially women in younger age or low self-rated health status or a high recognition rate of severe stress.
Adult ; Age Distribution ; Aged ; Aging/psychology ; Body Dysmorphic Disorders/*epidemiology/*psychology ; Body Image/*psychology ; *Body Weight ; Comorbidity ; Depression/*epidemiology/*psychology ; Female ; Health Surveys ; Humans ; Middle Aged ; Prevalence ; Psychology ; Reference Values ; Republic of Korea/epidemiology ; Risk Factors ; Self Report ; Women's Health/statistics & numerical data ; Young Adult

OBJECTIVES: Mental health disorders and suicide are an important and growing public health concern in Korea. Evidence has shown that both globally and in Korea, obesity is associated with an increased risk of developing some psychiatric disorders. Therefore, we examined the association between distorted body weight perception (BWP) and suicidal ideation. METHODS: Data were obtained from the 2007-2012 Korea National Health and Nutritional Evaluation Survey (KNHANES), an annual cross-sectional nationwide survey that included 14 276 men and 19 428 women. Multiple logistic regression analyses were conducted to investigate the associations between nine BWP categories, which combined body image (BI) and body mass index (BMI) categories, and suicidal ideation. Moreover, the fitness of our models was verified using the Akaike information criterion. RESULTS: Consistent with previous studies, suicidal ideation was associated with marital status, household income, education level, and perceived health status in both genders. Only women were significantly more likely to have distorted BWP; there was no relationship among men. In category B1 (low BMI and normal BI), women (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.48 to 3.42) were more likely to express suicidal ideation than women in category B2 (normal BMI and normal BI) were. Women in overweight BWP category C2 (normal BMI and fat BI) also had an increased OR for suicidal ideation (OR, 2.25; 95% CI, 1.48 to 3.42). Those in normal BWP categories were not likely to have suicidal ideation. Among women in the underweight BWP categories, only the OR for those in category A2 (normal BMI and thin BI) was significant (OR, 1.34; 95% CI, 1.13 to 1.59). CONCLUSIONS: Distorted BWP should be considered an important factor in the prevention of suicide and for the improvement of mental health among Korean adults, especially Korean women with distorted BWPs.
Adult ; Aged ; Body Image/*psychology ; *Body Mass Index ; Body Weight ; Cross-Sectional Studies ; Demography ; Female ; Health Status ; Humans ; Income ; Interviews as Topic ; Logistic Models ; Male ; Marital Status ; Mental Health ; Middle Aged ; Nutrition Surveys ; Obesity/psychology ; Odds Ratio ; Sex Factors ; Social Class ; Socioeconomic Factors ; Suicidal Ideation ; Young Adult

Attitude to Health ; Beauty ; Body Image ; Female ; Humans ; Reconstructive Surgical Procedures ; psychology ; Self Concept

Attitude to Health ; Beauty ; Body Image ; Female ; Humans ; Reconstructive Surgical Procedures ; psychology ; Self Concept

OBJECTIVETo investigate the incidence of depression and its etiological factors in patients with cryptorchidism 6-16 years after surgical treatment.

METHODSUsing Self-Rating Depression Scale and Correlation Factor Questionnaire, we investigated the incidence of depression symptoms among 70 patients with cryptorchidism 6-16 years after surgical treatment and another 70 healthy males as controls, and analyzed the related factors of depression symptoms.

RESULTSThe incidence rate of depression symptoms was 50% in the cryptorchidism patients postoperatively, extremely significantly higher than 4.3% in the control group (χ2 = 23.5, P <0.01). Multiple stepwise regression analysis showed that the main risk factors of depression symptoms were worries about natural fertility (F = 15.8992, P <0.01), dissatisfaction with scrotal appearance (F = 4.6003, P <0.05), and the status of being married (F = 4.1002, P <0.05).

CONCLUSIONSymptoms of depression often occur in cryptorchidism patients after operation, and the major etiological factors are infertility, dissatisfaction with scrotal appearance, and the status of being married.

Adult ; Body Image ; psychology ; Case-Control Studies ; Cryptorchidism ; psychology ; surgery ; Depression ; epidemiology ; etiology ; Female ; Humans ; Incidence ; Infertility, Male ; psychology ; Male ; Marital Status ; Multivariate Analysis ; Risk Factors ; Scrotum ; pathology ; Surveys and Questionnaires ; Time Factors

OBJECTIVES: To examine the relationship between health-related quality of life (HRQoL) and body mass index (BMI) of obese children. METHODS: This cross-sectional study included 387 children. HRQoL was measured with the PedsQLTM 4.0 Generic Core Scale. BMI was classified according to the World Health Organization Asia-Pacific obesity guidelines. Psychosocial factors (body image, self-esteem, and depression/anxiety) were also measured. Data were analyzed using one-way analysis of variance, Pearson's correlation and Path analysis. RESULTS: Obese participants reported lower score for physical evaluation, self-esteem, appearance evaluation component of body image, total HRQoL score, and physical/emotional/social function components of HRQoL ; they reported higher score for depression/anxiety. In addition, results indicated that as BMI increased, appearance evaluation, total HRQoL score, and social function component of HRQoL dropped. Path analysis revealed that BMI did not directly affect HRQoL ; however, BMI directly affects body image and self-esteem, indirectly mediates depression/anxiety, and thereby impacts on an individual's HRQoL. CONCLUSIONS: Body image and self-esteem, rather than BMI itself, have more influence on HRQoL. This reinforces the importance of therapeutic intervention to enhance body image and self-esteem among obese children.
Body Image ; Body Mass Index ; Child* ; Cross-Sectional Studies ; Humans ; Obesity* ; Pediatric Obesity ; Psychology ; Quality of Life* ; World Health Organization