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題名 | Weight, Weight Perception and Psychiatric Distress in Freshmen at a National University in Hualien County=花蓮縣國立大學新生之體重、自覺體重和身心壓力 |
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作者 | 李燕鳴; 傳振宗; | 書刊名 | 慈濟醫學 |
卷期 | 17:3 民94.06 |
頁次 | 頁169-175+202 |
分類號 | 525.778 |
關鍵詞 | 自評體型; 身心壓力; 性格特質; 大學新生; 花蓮縣; Weight perception; Psychiatric morbidity; Personality trait; Freshmen; Hualien county; |
語文 | 英文(English) |
中文摘要 | 目的:探討大學新生不理想體重和身心壓力的盛行率,並分析體重與身心壓力的相關性。材料與方法:2001年花蓮縣內一所國立大學新生進行健康檢查,每一位學生由受訓練人員測量身高體重,並請學生自填一份結構式問卷,內容包括自述體型、健康狀況、生理發育困擾、性格特質和簡短自評身心症狀量表。結果:全體825位學生中過重的比例是12.7%,男生14.7%、女生9.7%;此外,15.4%男生和10.6%女生是屬肥胖。整體上有憂鬱症狀、焦慮症狀和身心壓力的盛行率分別是16.0%、20.0%和25.1%。焦慮症狀在體重過重學生間較多(男生26.3%、女生25.9%),但在不同體型間未達統計顯著差異。身心壓力的比例在屬理想體重之女生是最高(28.6%)。整體學生來看十位體重過輕或過重學生中有一人有身心壓力,在理想體重者中亦有14.7%是有身心壓力。與世界衛生組織之國際肥胖工作委員對成年人體型的定義比較,發現女性較會自評為過重而男性則較會自評為過輕。多變項迴歸分析中發現高神經質傾向、低自我接納度和自評健康較差者,依序是重要影響身心壓力的因素。結論:在青年人中有不低比例是體重不理想、對體重認知的偏差或具有身心壓力。過輕或過重體重與身心壓力間無顯著相關。高神經質傾向和低自我接納是預測身心壓力的重要因素。本文結果可供公共衛生政策或臨床介入策略的參考。 |
英文摘要 | Objective: To investigate the prevalence of abnormal weight, weight perception and psychiatric distress in university freshmen. Materials and Methods: A physical checkup of freshmen at a national University was conduced in 2001. Well-trained staff measured students’ height and weight. Self-perceptions of weight status, health, distress about physical development, difficulty in making friends, personality scale, and Brief Symptoms Rating Scale (BSRS) were measured by a structured questionnaire. Results: Of 825 subjects, the overall prevalence of overweight students (at risk of obesity) was 12.7%, 14.8% in the men and 9.7% in the women. A further 15.4% of men and 10.6% of women were obese. The overall prevalence of high depressive symptoms, anxiety and psychiatric morbidity were 16.0%, 20.0% and 25.1%, respectively. High anxiety symptoms were more likely to be positive among those who were overweight (men 26.3%, women 25.9%) but were not significantly different from gender. Women who actually had a normal weight had the highest rate of psychiatric morbidity (28.6%). One out of ten subjects was underweight or overweight and had psychiatric morbidity. Among subjects with normal weighs, 14.7% had psychiatric morbidity. Compared with the objective body weight status defined by the International Obesity Task Force, women were more likely to misperceive themselves as overweight whereas relatively more men misclassified their weight status as underweight. Subjects who perceived their health as worse than their peers, and those who had high neurotic traits and low self-acceptance were more likely to have psychiatric morbidity (p<0.05). Conclusions: Abnormal weight and distortion of weight ,and psychiatric morbidity were prevalent among young adults. There was to significant association between abnormal weight and psychiatric morbidity. High neurotic traits and low self-acceptance were significant factors predicting psychiatric morbidity. These findings may have significant implications for both public health and clinical interventions directed at young adults with abnormal weights. |
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