Body dissatisfaction and non-suicidal self-injury among Chinese young adults: a moderated mediation analysis

Tie, Bijie; Tang, Chanyuan; Zhu, Chengquan; He, Jinbo

doi:10.1007/s40519-021-01340-z

Cited by 7 publications

(6 citation statements)

References 97 publications

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“…with NSSI in nonclinical samples (Wang et al, 2018), and the latter may be an important indicator of body dissatisfaction, which has also been linked to NSSI (Muehlenkamp & Brausch, 2012;Tie et al, 2022).…”

Section: Structural Model Results Relating Lpas Of De and Nssimentioning

confidence: 97%

“…We also note that the EDDS does not measure food restriction and pathological muscle building. The former has been associated with NSSI in nonclinical samples (Wang et al, 2018), and the latter may be an important indicator of body dissatisfaction, which has also been linked to NSSI (Muehlenkamp & Brausch, 2012; Tie et al, 2022). The research team attempted to ensure the cross‐cultural comparability and validity of the survey items, but it is possible that certain culturally specific forms of DE (e.g., locally derived diuretics, laxatives or appetite suppressants) and NSSI may not have been captured.…”

Section: Discussionmentioning

confidence: 99%

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Latent profile analyses of disordered eating behaviors and nonsuicidal self‐injury among Vietnamese adolescents

Zelkowitz

Cole

Sterba

et al. 2022

Intl J Eating Disorders

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Objective Comorbidity of disordered eating (DE) behaviors and nonsuicidal self‐injury (NSSI) is linked to increased functional impairment. The present study identified subtypes of DE and NSSI comorbidity in a non‐Western, low‐ and middle‐income country where there has been particularly little research in this area. Method Latent profile analyses (LPA) were conducted to identify patterns of subgroup comorbidity in self‐reported DE behaviors and NSSI behaviors, in a sample of Vietnamese high‐school students (N = 1451, 51% female). Parallel‐process LPA was used to predict NSSI subgroup membership from DE subgroup membership. Results A seven‐class LPA model was identified for DE: (1) Low frequencies of all DE behaviors; (2) Frequent levels of all DE behaviors; (3) Frequent fasting and purging behaviors; (4) Frequent binge eating only; (5) Moderate binge eating; (6) Moderate fasting and purging behaviors; (7) Exercise and fasting. A two‐class (high versus low) model was identified for NSSI. Odds of membership in the high‐NSSI class were significantly increased for all DE classes except the class characterized by moderate binge eating. Odds of belonging to the high‐NSSI class were highest for those in DE classes involving purging behaviors. Males predominated in classes characterized by high behavior dysregulation. Discussion DE and NSSI represent important clinical concerns among Vietnamese youth in urban contexts, and males may show particular vulnerability for certain risk behaviors. The association of classes of DE behaviors to NSSI was particularly strong for classes that involved purging, highlighting the importance of this specific behavior for understanding comorbidity of DE and NSSI. Public Significance Disordered eating and nonsuicidal self‐injury (NSSI; hurting oneself without intending to die) commonly co‐occur. There has been less research on disordered eating and NSSI among individuals from non‐Western or low/middle‐income countries. We examined patterns of these behaviors in a school‐based sample of Vietnamese adolescents. We found that patterns of disordered eating distinguished by purging showed particular links to NSSI, which could have implications for screening and treatment.

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Section: Structural Model Results Relating Lpas Of De and Nssimentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Latent profile analyses of disordered eating behaviors and nonsuicidal self‐injury among Vietnamese adolescents

Zelkowitz

Cole

Sterba

et al. 2022

Intl J Eating Disorders

View full text Add to dashboard Cite

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“…However, Negativity towards looks was strongly associated with Self-assessed weight and Self-hatred (see Figure 3), providing information about where the negative perceptions may be rooted and where interventions should focus attention. Other research has found dissatisfaction with body image to be a risk factor for self-harm (Gomez-Castillo et al, 2022;Tie et al, 2022), and suicide ideation (Brausch & Muehlenkamp, 2007). Interventions that build self-esteem have been linked to more positivity around body image (O'Dea & Abraham, 2000).…”

Section: Discussionmentioning

confidence: 99%

Understanding suicidality in Pacific adolescents in New Zealand using network analysis

Gossage

Narayanan

Dipnall

et al. 2023

Suicide & Life Threat Behav

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IntroductionPacific adolescents in New Zealand (NZ) are three to four times more likely than NZ European adolescents to report suicide attempts and have higher rates of suicidal plans. Suicidal thoughts, plans, and attempts, termed suicidality in this study, result from a complex dynamic interplay of factors, which emerging methodologies like network analysis aim to capture.MethodsThis study used cross‐sectional network analysis to model the relationships between suicidality, self‐harm, and individual depression symptoms, whilst conditioning on a multi‐dimensional set of variables relevant to suicidality. A series of network models were fitted to data from a community sample of New Zealand‐born Pacific adolescents (n = 550; 51% male; Mean age (SD) = 17 (0.35)).ResultsSelf‐harm and the depression symptom measuring pessimism had the strongest associations with suicidality, followed by symptoms related to having a negative self‐image about looks and sadness. Nonsymptom risk factors for self‐harm and suicidality differed markedly.ConclusionsDepression symptoms varied widely in terms of their contribution to suicidality, highlighting the valuable information gained from analysing depression at the symptom‐item level. Reducing the sources of pessimism and building self‐esteem presented as potential targets for alleviating suicidality amongst Pacific adolescents in New Zealand. Suicide prevention strategies need to include risk factors for self‐harm.

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“…The validated version of SATAQ-4R would be valuable for advancing psycho-social health and well-being among Chinese adolescents emphasizing gender-specific challenges associated with body dissatisfaction. Given a high burden of body image disturbances and associated mental health crises in this population ( 45 , 46 ), the findings of this study will allow researchers to use robust measurement approaches to assess and address such psycho-social problems. Also, future research evaluating the relevance of the current scale and other psychometric instruments may benefit from the findings of the current study in the given population context.…”

Section: Discussionmentioning

confidence: 99%

Validation of sociocultural attitudes towards appearance questionnaire and its associations with body-related outcomes and eating disorders among Chinese adolescents

et al. 2023

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IntroductionThe Sociocultural Attitudes Towards Appearance Questionnaire-4 Revised (SATAQ-4R) has been widely used in Western countries to link body appearance that is related to eating disorders and body dissatisfaction being commonly reported by adolescents. However, a comprehensive psychometric validation of the SATAQ-4R in Chinese adolescent samples is still lacking. To this end, the aim of the current study was to validate the gender-appropriate SATAQ-4R in a sample of Chinese adolescents, following by an investigation of its associations with body-related outcomes and eating disorder symptoms.MethodsTwo gender-specific studies were conducted to examine the psychometric properties of the SATAQ-4R-Female and SATAQ-4R-Male respectively among adolescent girls (Study1, N=344, with 73 participants at retest) and boys (Study2, N=335, with 64 participants at retest). Confirmatory factor analysis was employed to examine the factor structure and their test-retest reliability, the internal consistency and convergent validity were subsequently examined.ResultsFor the SATAQ-4R-Females, the seven-factor model has a reasonable fit, with Chi-square =1112.769 (p < 0.001), CFI = 0.91, RMSEA = 0.071, SRMR = 0.067. For the SATAR-4R-Males, an acceptable seven-factor model with Chi-square = 982.92 (p<0.001), CFI = 0.91, RMSEA = 0.08, SRMR= 0.06 was observed. With respect to test-retest reliability, the internal consistency for 7 subscales was rated as good (Cronbach’s alpha =0.74 to 0.95) among female adolescents, likewise the internal consistency of the seven subscales was also rated as good (Cronbach’s alpha =0.70 to 0.96) among male participants. Good convergent validity was observed, reflected by associations of the subscales of the gender-specific SATAQ-4R with muscularity-related attitude, body image-acceptance, body appearance, perceived stress level, symptoms of eating disorder and self-esteem.DiscussionFor women and men, the original 7-factor structure was validated among Chinese adolescents, internal reliability coefficients for the seven subscale scores were good and test-retest reliability was acceptable. Our results also confirmed the convergent validity of the two different gender-appropriate scales.

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Body dissatisfaction and non-suicidal self-injury among Chinese young adults: a moderated mediation analysis

Cited by 7 publications

References 97 publications

Latent profile analyses of disordered eating behaviors and nonsuicidal self‐injury among Vietnamese adolescents

Latent profile analyses of disordered eating behaviors and nonsuicidal self‐injury among Vietnamese adolescents

Understanding suicidality in Pacific adolescents in New Zealand using network analysis

Validation of sociocultural attitudes towards appearance questionnaire and its associations with body-related outcomes and eating disorders among Chinese adolescents

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