Mi Heui Jang; Gyungjoo Lee

doi:10.4040/jkan.2013.43.2.165

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Original Article
Body Image Dissatisfaction as a Mediator of the Association between BMI, Self-esteem and Mental Health in Early Adolescents: A Multiple-group Path Analysis across Gender: Mi Heui Jang, Gyungjoo Lee; Journal of Korean Academy of Nursing 2013;43(2):165-175.
DOI: https://doi.org/10.4040/jkan.2013.43.2.165
Published online: April 30, 2013

¹College of Nursing Science and East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea.

²College of Nursing, University of Illinois at Chicago, Chicago, Illinois, USA.

Address reprint requests to: Jang, Mi Heui. College of Nursing Science and East-West Nursing Research Institute, Kyung Hee University, #1, Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Korea. Tel: +82-2-961-0592, Fax: +82-2-961-9398, mhjang@khu.ac.kr

• Received: February 16, 2012 • Accepted: July 31, 2012

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Abstract
REFERENCES

Abstract

Purpose
This study was done to examine not only the relationships between body mass index (BMI), self-esteem, body image dissatisfaction (BID) and mental health, according to gender, but the mediating role of BID on mental health in relation to BMI and self-esteem among early adolescents.
Methods
Data from 576 (296 boys and 280 girls) elementary school students in grades 5 to 6 were collected. A multiple-group path analysis was utilized to examine the relationships between BMI, self-esteem, BID and mental health by gender.
Results
In the path analysis for all students, poor mental health was related directly to BID, while it was indirectly related to BMI and self-esteem. In the multiple-group path analysis of both genders, BID was found to have a significant direct and indirect effect on mental health for girls alone.
Conclusion
The findings suggested that BID should be examined early to prevent poor mental health in early adolescent girls. This study helps to elucidate the role of early adolescent BID on mental health and provides insight for further prevention and intervention programs in school and community mental health settings.
Keywords: Body image; Mental health; Body mass index; Self-esteem; Adolescent

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Figure 1

Hypothesized model for this study.

Figure 2

Path model for all students (A) and Multiple-groups path model for boys (B) and girls (C) with the standardized coefficients.

Table 1

Correlations, Means and Standard Deviations for Measured Variables in the Two Groups

Correlations above the diagonal are for boys (n=296); Those below the diagonal are for girls (n=280); Means and standard deviations in the vertical columns are for boys those in the horizontal rows are for girls; BMI=Body mass index; SE=Self-esteem; BID=Body image dissatisfaction; MH=Mental health; SOM=Somatization; OC=Obsessive-compulsive; IS=Interpersonal sensitivity; DEP=Depression; ANX=Anxiety; HOS=Hostility; ^*p<.05; ^**p<.01.

Table 2

Goodness-of-fit Statistics for the Path Models of All Students and Multiple-groups (boys and girls)

Table 3

Maximum-likelihood Estimates of Standardized Path Coefficients Mediating Effect of Body Image Dissatisfaction in Path Model for All Students and Multiple-group Path Model by Gender

SMC=Squared multiple correlations; BMI=Body mass index.

Figure & Data

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Body Image Dissatisfaction as a Mediator of the Association between BMI, Self-esteem and Mental Health in Early Adolescents: A Multiple-group Path Analysis across Gender

J Korean Acad Nurs. 2013;43(2):165-175. Published online April 30, 2013

DOI: https://doi.org/10.4040/jkan.2013.43.2.165

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Body Image Dissatisfaction as a Mediator of the Association between BMI, Self-esteem and Mental Health in Early Adolescents: A Multiple-group Path Analysis across Gender

Figure 1 Hypothesized model for this study.

Figure 2 Path model for all students (A) and Multiple-groups path model for boys (B) and girls (C) with the standardized coefficients.

Figure 1

Figure 2

Body Image Dissatisfaction as a Mediator of the Association between BMI, Self-esteem and Mental Health in Early Adolescents: A Multiple-group Path Analysis across Gender

Table 1

Correlations, Means and Standard Deviations for Measured Variables in the Two Groups

Table 2

Goodness-of-fit Statistics for the Path Models of All Students and Multiple-groups (boys and girls)

Table 3

Maximum-likelihood Estimates of Standardized Path Coefficients Mediating Effect of Body Image Dissatisfaction in Path Model for All Students and Multiple-group Path Model by Gender

SMC=Squared multiple correlations; BMI=Body mass index.

Table 1 Correlations, Means and Standard Deviations for Measured Variables in the Two Groups

Table 2 Goodness-of-fit Statistics for the Path Models of All Students and Multiple-groups (boys and girls)

Table 3 Maximum-likelihood Estimates of Standardized Path Coefficients Mediating Effect of Body Image Dissatisfaction in Path Model for All Students and Multiple-group Path Model by Gender

SMC=Squared multiple correlations; BMI=Body mass index.