Objective To explore the relationship between mental health, social support and suicidal ideation among overweight and obese adolescents, and to provide guidance for promoting the mental health development of overweight and obese adolescents and reducing the detection rate of suicidal ideation. Methods From April to March 2018,4 250 adolescents in Weifang City were selected and investigated using the Suicide Self-Assessment Scale (SIOSS), the Mental Health Self-Assessment Scale (K10), and the Social Support Scale (SSRS). Results The overweight detection rate of adolescents was 9.55% (406/4 250), and the detection rate of obesity was 6.94% (295/4 250).The mental health scores of rural overweight and obese adolescents were significantly higher than those of urban adolescents(P<0.001).The social support scores of urban overweight and obese adolescents were significantly higher than those of urban adolescents(P<0.001).In rural areas, the scores of suicidal ideation among overweight and obese adolescents were significantly higher than those in urban areas; Mental health and suicidal ideation were significantly positively correlated(r=0.639, P<0.01), and social support was significantly negatively correlated with mental health and suicidal ideation (r=-0.378 and -0.449, P<0.01); Mental health and social support had significant predictive effects on suicidal ideation in overweight and obese adolescents (β=0.278 and -0.197, P<0.01; R2=0.459), and social support played a partial intermediary role between mental health and suicidal ideation. Conclusion By improving their mental health status and improving the social support of overweight and obese adolescents, the suicidal ideation of overweight and obese adolescents can be reduced.
Key words
social support /
mental health /
suicidal ideation /
mediating effect
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References
[1] 刘爽,刘文利.超重和肥胖对儿童发展的不良影响及对健康教育的启示[J].中国健康教育,2017,33(8):735-740.
[2] 李焕玉,王积福.肥胖大学生心理特征研究述评[J].长江大学学报:自科版,2015,12(13):68-71.
[3] 段彩彬,周会,张冰.大学生自杀态度与焦虑、抑郁的关系研究[J].吉林省教育学院学报,2016,32(3):174-176.
[4] 代嘉幸,靳媛,张亚辉.有关有留守经历大学生心理健康状况的研究综述[J].卫生职业教育,2017,18(1):52-53.
[5] 刘耀,况利,艾明,等.生活事件、社会支持及生命质量与大学生自杀未遂的关系[J].第三军医大学学报,2014,36(11):1138-1141.
[6] 赵久波,姜美俊,赵静波,等.幸福感在社会支持与自杀风险之间的调节与中介作用[J].中国健康心理学杂志,2013,21(8):1250-1253.
[7] 夏朝云,王东波,吴素琴,等.自杀意念自评量表的初步制定[J].临床精神医学杂志,2002,12(2):100-102.
[8] 肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-100.
[9] 路长飞,贾存显,张吉玉,等.社会支持评定量表在农村自杀死亡者中的信效度[J].中国心理卫生杂志,2011,25(3):218-222.
[10] Kessler RC,Andrews G, Colpe,et al.Short screening scales to monitorpopulation prevalences and trends in non-specific psychogical distress[J].Psychol Med,2002,32:959-956.
[11] 周成超,楚洁,王婷,等.简易心理状况评定量表Kessler10中文版的信度和效度评价[J].中国临床心理学杂志,2008,16(6):627-629.
[12] 中华人民共和国国家卫生和计划生育委员会.学龄儿童青少年营养不良筛查 WS/T 456-2014[S].北京,2014:1-7.
[13] 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[14] 温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014,22(5):731-745.
[15] 严虎,陈晋东.长沙市城乡中学生自杀行为及影响因素分析[J].中国公共卫生,2013,29(2):163-166.
[16] 张媛,胡小兵,程欣,等.高中生自杀态度的特征及其与自杀意念[J].中国健康心理学杂志,2013,21(2):258-260.
[17] Mei Z, Grummer SLM, Scanlon KS.Does overweight in infancy persist through the preschool years An analysis of CDC pediatric nutrition surveillance system data [J].Soz Praventivmed,2003,48 (3):161-167.
[18] Eisenberg ME, Neumark-Sztainer D, Story M.Associations of weight-based teasing and emotional well-being among adolescents [J].Arch Pediatr Adolesc Med,2003,157:733-738.
[19] 徐慧兰,肖水源,冯姗姗,等.中南大学大学生自杀意念及其危险因素研究[J].中华流行病学杂志,2004,25(4):9-22.
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