ArticleSocial psychiatry and psychiatric epidemiology2022
Examining the role that weight perception and social influences have on mental health among youth in the COMPASS study.
Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Weight perceptions and psychological well-being in young adults: mediating roles of dispositional gratitude, body appreciation, and weight self-stigma.Journal of eating disorders · 2025Article
- Body Weight Perception and Other Factors Associated with Overweight and Obesity in U.S. Adolescents.Children (Basel, Switzerland) · 2025Article
- Association between weight, weight perception, weight teasing and mental health among adolescents.Child and adolescent psychiatry and mental health · 2024Article
- Food Behaviours and Health Indicators in Manitoba Adolescents and Relation to the Healthy Eating Index.International journal of environmental research and public health · 2023Article
- The prevalence of underweight and obesity in Chinese children and adolescents with major depressive disorder and relationship with suicidal ideation and attempted suicide.Frontiers in psychiatry · 2023Article
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Abstract
purposeWe investigated whether social health mitigates the association between weight perception and anxiety and depression 1 year later in a large sample of Canadian youth in a prospective, gender-specific analysis.
methodsWe used 2 years of linked survey data from 20,485 grade 9-11 students who participated in wave 6 (2017/18) and 7 (2018/19) of the COMPASS study. Mental health outcomes included the Generalized Anxiety Disorder-7 item (GAD-7) scale and the 10-item Centre for Epidemiological Studies Depression Scale Revised (CESD-10-R). Social health encompassed students' perceived relationships with friends, family, teachers, and within schools. Multilevel, prospective, linear models regressed mental health (at wave 7) on social health (at wave 6) and weight perception (at wave 6) while controlling for weight status, ethnicity, and grade (at wave 6). Interaction terms were used to test social health factors as moderators in the association between weight perception and mental health.
resultsOverweight perceptions were associated with higher anxiety and depression scores among youth; this was more pronounced among females. Social health was associated with lower anxiety and depression scores. Among females only, an overweight perception had the highest predicted scores for significant depressive symptoms. Among males only, underweight perceptions were associated with higher anxiety scores. No social health factors had moderating effects in females, and only two interactions were significant among males: feeling safe at school had protective associations with anxiety scores among those with underweight perceptions while those with overweight perceptions had higher depression scores when they reported rewarding social relationships.
conclusionOverweight perceptions in all youth, and underweight perceptions in males, predicted anxiety and depression symptoms 1 year later. The role of social health should not be discounted as a means of preventing anxiety and depression in youth, although this study suggests it is not sufficient to protect against adverse associations with overweight perceptions for all youth, and underweight perceptions for males.
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