Relationship between body image satisfaction and adverse childhood experiences in adolescents

ZUO Xiayun; ZHANG Ziwei; LIAN Qiguo; YU Chunyan; TU Xiaowen; FANG Yuhang; LOU Chaohua

doi:10.16835/j.cnki.1000-9817.2023.03.014

Volume 44 Issue 3

Mar. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(3): 379-383

ZUO Xiayun, ZHANG Ziwei, LIAN Qiguo, YU Chunyan, TU Xiaowen, FANG Yuhang, LOU Chaohua. Relationship between body image satisfaction and adverse childhood experiences in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(3): 379-383. doi: 10.16835/j.cnki.1000-9817.2023.03.014

Citation:

ZUO Xiayun, ZHANG Ziwei, LIAN Qiguo, YU Chunyan, TU Xiaowen, FANG Yuhang, LOU Chaohua. Relationship between body image satisfaction and adverse childhood experiences in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(3): 379-383. doi: 10.16835/j.cnki.1000-9817.2023.03.014

Citation:

ZUO Xiayun, ZHANG Ziwei, LIAN Qiguo, YU Chunyan, TU Xiaowen, FANG Yuhang, LOU Chaohua. Relationship between body image satisfaction and adverse childhood experiences in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(3): 379-383. doi: 10.16835/j.cnki.1000-9817.2023.03.014

PDF( 409 KB)

Relationship between body image satisfaction and adverse childhood experiences in adolescents

doi: 10.16835/j.cnki.1000-9817.2023.03.014

1.
Key Lab of Reproduction Regulation of the National Health Commission, Shanghai Institute for Biomedical and Pharmaceutical Technologies, Shanghai (200237), China

Received Date: 2022-08-14
Rev Recd Date: 2022-11-27
Publish Date: 2023-03-25

Abstract

Abstract

Objective To explore the relationship between body image and adverse childhood experiences (ACEs) in adolescents. Methods A total of 1 701 adolescents in grade 6-8 in three middle schools in Shanghai were selected by stratified cluster sampling, and were investigated anonymously using computer assisted self-interview approach. Information including demographic characteristics, body image satisfaction, and ACEs were collected. The Chi-square test and multivariate Logistic regression were used to explore the relationship between adolescent body image satisfaction and types of ACEs. Results About 60.73% of the respondents were satisfied with their body image, with higher satisfaction among boys(66.16%) than among girls(55.13%)(χ²=21.70, P < 0.01). About 79.19% of the respondents had experienced at least one ACE, and respectively 61.61%, 65.14% and 21.58% of them had experienced abuse, neglect and family dysfunction. Multivariate Logistic regression analysis indicated that experiencing at least one ACE, abuse, neglect and family dysfunction were all related with low body image satisfaction among girls(OR=0.33-0.57, P < 0.01), while among boys neglect, having 3 or more than 4 ACEs were found to be associated with body image satisfaction (OR=0.54-0.64, P < 0.05). The cumulative effects of ACEs on adolescent body image were observed. Conclusion Different types of ACEs are associated with body image in adolescents, ACEs have cumulative effects on adolescent body image, which shows gender differences.Screen of ACEs and improvement of family nurturing environment should be highlighted among adolescents, especially among girls.
- Body image,
- Life change events,
- Mental health,
- Regression analysis,
- Adolescent

FullText(HTML)

References(28)

References

[1]	CASH T, FLEMING E, ALINDOGAN J, et al. Beyond body image as a trait: the development and validation of the Body Image States Scale[J]. Eat Disord, 2002, 10(2): 103-113. doi: 10.1080/10640260290081678
[2]	DION J, BLACKBURN M E, AUCLAIR J, et al. Development and aetiology of body dissatisfaction in adolescent boys and girls[J]. Int J Adolesc Youth, 2015, 20(2): 151-166. doi: 10.1080/02673843.2014.985320
[3]	BROWN T A, FORNEY K J, KLEIN K M, et al. A 30-year longitudinal study of body weight, dieting, and eating pathology across women and men from late adolescence to later midlife[J]. J Abn Psychol, 2020, 129(4): 376-386. doi: 10.1037/abn0000519
[4]	LINARDON J, GREENWOOD C J, FULLER-TYSZKIEWICZ M, et al. Young adult mental health sequelae of eating and body image disturbances in adolescence[J]. Int J Eat Disord, 2021, 54(9): 1680-1688. doi: 10.1002/eat.23575
[5]	MITCHISON D, HAY P, GRIFFITHS S, et al. Disentangling body image: the relative associations of overvaluation, dissatisfaction, and preoccupation with psychological distress and eating disorder behaviors in male and female adolescents[J]. Int J Eat Disord, 2016, 50(2): 118-126.
[6]	MURRAY K M, BYRNE D G, RIEGER E. Investigating adolescent stress and body image[J]. J Adolesc, 2011, 34(2): 269-278. doi: 10.1016/j.adolescence.2010.05.004
[7]	张雷, 严双琴, 汪素美, 等. 童年期不良经历与青春期发育的前瞻性研究[J]. 中国学校卫生, 2019, 40(5): 662-665, 668. doi: 10.16835/j.cnki.1000-9817.2019.05.007 ZHANG L, YAN S Q, WANG S M, et al. Prospective association between adverse childhood experiences and pubertal development[J]. Chin J Sch Health, 2019, 40(5): 662-665, 668. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.05.007
[8]	EASTERLIN M C, CHUNG P J, MEI L, et al. Association of team sports participation with long-term mental health outcomes among individuals exposed to adverse childhood experiences[J]. JAMA Pediatr, 2019, 173 (7): 681-688. doi: 10.1001/jamapediatrics.2019.1212
[9]	马双双, 万宇辉, 郝加虎. 童年期不良经历与终身健康[J]. 卫生研究, 2016, 45(5): 857-861. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201605032.htm MA S S, WAN Y H, HAO J H. Adverse childhood experiences and life-long health[J]. J Hyg Res, 2016, 45(5): 857-861. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201605032.htm
[10]	ZUO X Y, ZHANG Z W, YAN L, et al. Childhood adversity subtypes and violence victimization and perpetration among early adolescents in Shanghai, China[J]. BMC Pediatr, 2021, 21(1): 381. doi: 10.1186/s12887-021-02853-3
[11]	ROBERT W B, LI M M, CHOIRIYYAH I, et al. Body satisfaction in early adolescence: a multisite comparison[J]. J Adolesc Health, 2021, 69(1S): S39-S46.
[12]	PRESNELL K, BEARMAN S K, STICE E. Risk factors for body dissatisfaction in adolescent boys and girls: a prospective study[J]. Int J Eat Disord, 2004, 36(4): 389-401. doi: 10.1002/eat.20045
[13]	FELITTI V J, ANDA R F, NORDENBERG D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults[J]. Am J Prev Med, 1998, 14(4): 245-258. doi: 10.1016/S0749-3797(98)00017-8
[14]	马金凤, 戴江红, 茹建国, 等. 医学生心理健康状况与儿童期不良经历的关系探讨[J]. 中华疾病控制杂志, 2013, 17(3): 218-221. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201303008.htm MA J F, DAI J H, RU J G, et al. Study on the relationship between adult mental health status and adverse childhood experiences among medical college students[J]. Chin J Dis Control Prev, 2013, 17(3): 218-221. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201303008.htm
[15]	肖琴. 安徽省医学生儿童期不良经历与相关风险行为的关联研究[D]. 合肥: 安徽医科大学, 2008. XIAO Q. Study on related factors of adverse childhood experiences of medical college students in Anhui Province[D]. Hefei: Anhui Medical University, 2008. (in Chinese)
[16]	REN L L, XU Y Y, GUO X, et al. Body image as risk factor for emotional and behavioral problems among Chinese adolescents[J]. BMC Public Health, 2018, 18(1): 1179. doi: 10.1186/s12889-018-6079-0
[17]	NIU J J, SEO D C, LOHRMANN D K. Weight perception and dietary intake among Chinese youth, 2004-2009[J]. Int J Behav Med, 2014, 21(4): 691-699. doi: 10.1007/s12529-013-9332-z
[18]	FORSTER M, GOWER A L, MCMORRIS B J, et al. Adverse childhood experiences and school-based victimization and perpetration[J]. J Inter Viol, 2020, 35(3/4): 662-681.
[19]	张紫微, 余春艳, 袁萍, 等. 儿童期不良经历与青春早期抑郁的关联性[J]. 中国学校卫生, 2019, 40(6): 874-877. doi: 10.16835/j.cnki.1000-9817.2019.06.023 ZHANG Z W, YU C Y, YUAN P, et al. Relationship between adverse childhood experiences and deperssion in early adolescence[J]. Chin J Sch Health, 2019, 40 (6): 874-877. doi: 10.16835/j.cnki.1000-9817.2019.06.023
[20]	HAYES S D, CROCKER P, KOWALSKI K C. Gender differences in physical self-perceptions, global self-esteem and physical activity: evaluation of the physical self-perception profile model[J]. J Sport Behav, 1999, 22: 1-14.
[21]	WU Q L, CAO H J, LIN X Y, et al. Child maltreatment and subjective well-being in Chinese emerging adults: a process model involving self-esteem and self-compassion[J]. J Inter Viol, 2022, 37(15-16): NP13685-NP13706.
[22]	YU C W, GUEROLA M M, YI C L, et al. Effects of childhood adversity and resilience on Taiwanese youth health behaviors[J]. Pediatr Neonatol, 2019, 60: 368-376. http://www.ncbi.nlm.nih.gov/pubmed/30201445
[23]	CRANDALL A A, BROADBENT E, STANFILL M, et al. The influence of adverse and advantageous childhood experiences during adolescence on young adult health[J]. Child Abuse Negl, 2020, 108: 104644.
[24]	VARTANIAN L R, SMYTH J M, ZAWADZKI M J, et al. Early adversity, personal resources, body dissatisfaction, and disordered eating[J]. Int J Eat Disord, 2014, 47(6): 620-629.
[25]	DOOM J R, CICCHETTI D, ROGOSCH F A, et al. Child maltreatment and gender interactions as predictors of differential neuroendocrine profiles[J]. Psychoneuroendocrinology, 2013, 38(8): 1442-1454.
[26]	Van DAMMEN L, De ROOIJ S R, BEHNSEN P M, et al. Sex-specific associations between person and environment-related childhood adverse events and levels of cortisol and DHEA in adolescence[J]. PLoS One, 2020, 15 (6): e0233718.
[27]	BARENDSE M, SIMMONS JG, BYRNE ML, et al. Associations between adrenarcheal hormones, amygdala functional connectivity and anxiety symptoms in children[J]. Psychoneuroendocrinology, 2018, 97(2): 156-163.
[28]	NEGRIFF S, GORDIS E B, SUSMAN E J. Associations between HPA axis reactivity and PTSD and depressive symptoms: importance of maltreatment type and puberty[J]. Dev Psychopathol, 2021, 7: 1-12.