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Coleman ES, Patrician PA, Vance DE, Rice M. Self-Esteem Among U.S. African American and Latinx Adolescents With Depressive Symptoms and Overweight and/or Obesity. J Psychosoc Nurs Ment Health Serv 2024:1-9. [PMID: 39024261 DOI: 10.3928/02793695-20240712-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2024]
Abstract
PURPOSE To examine the concept of self-esteem among African American and Latinx adolescents with overweight and/or obesity and depressive symptoms in the United States. METHOD Using key terms in CINAHL, PubMed, and PsycINFO databases, an initial search yielded 371 articles; after examining title, abstract, and full text, 33 articles remained. The concept of adolescent self-esteem was analyzed using Rodger's evolutionary method. RESULTS Several antecedents of self-esteem in this context were identified, including bullying, negative portrayal in the media, stressors and hassles, low socioeconomic status, dieting, and family dietary influences. Attributes identified were body image and misperception, body image dissatisfaction, diminished social status, and isolation. Consequences included stigma, somatic complaints, decreased earnings over a lifetime, decreased quality of life, lower educational attainment over a lifetime, and increased substance use. Increased self-esteem, increased number of friends, and in-depth friendships were associated with a lower risk of being overweight or obese. CONCLUSION Adolescent self-esteem varied based on gender, racial and ethnic group, and changed over time in the African American population but remained static in the Latinx population. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].
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Liang Z, Huebner ES, Shao S, Tian L. A longitudinal study of the relationships among competency-based teasing, positivity, and depressive symptoms in Chinese children: Highlighting gender differences. Stress Health 2024:e3438. [PMID: 38884577 DOI: 10.1002/smi.3438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2024] [Revised: 05/27/2024] [Accepted: 06/07/2024] [Indexed: 06/18/2024]
Abstract
Competency-based teasing has been identified as a risk factor for children's depressive symptoms. However, the specific psychological mechanisms mediating this relationship are not well understood, especially in the context of Chinese culture. This study examined the relationship between competency-based teasing, subsequent depressive symptoms, and the possible mediating role of positivity in Chinese children by using parallel process latent growth curve modelling. Gender differences were also explored. A sample of 4376 Chinese children (55.1% boys; age: M = 9.98 years, SD = 0.88) completed measurements of the relevant constructs on five occasions across 2 years, using half-year intervals. The findings revealed that competency-based teasing was significantly positively associated with subsequent depressive symptoms in Chinese children. Furthermore, positivity mediated this relationship in girls, but not in boys. The results suggest that positivity-cultivating and gender-specific interventions may be effective to reduce the risk of depressive symptoms in Chinese children.
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Affiliation(s)
- Zhaoyuan Liang
- Philosophy and Social Science Laboratory of Reading and Development in Children and Adolescents (South China Normal University), Ministry of Education, Guangzhou, China
- School of Psychology, South China Normal University, Guangzhou, China
- School of Medicine, South China University of Technology, Guangzhou, China
| | - E Scott Huebner
- Department of Psychology, University of South Carolina, Columbia, South Carolina, USA
| | - Shan Shao
- GuangDong Revenco Group, Guangzhou, China
| | - Lili Tian
- Philosophy and Social Science Laboratory of Reading and Development in Children and Adolescents (South China Normal University), Ministry of Education, Guangzhou, China
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Trofholz A, Hochgraf AK, Tschida L, Berge JM. Understanding Weight Talk in Racially/Ethnically Diverse Homes: A Qualitative Analysis With Parents. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2023; 55:721-733. [PMID: 37656096 PMCID: PMC10591964 DOI: 10.1016/j.jneb.2023.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 06/27/2023] [Accepted: 07/25/2023] [Indexed: 09/02/2023]
Abstract
OBJECTIVE To explore weight talk in the homes of racially/ethnically diverse immigrant/refugee children and their families. DESIGN Qualitative interviews were conducted with parents of young children. SETTING Twin Cities, Minnesota. PARTICIPANTS Parents from 150 families (25 families each from White, Black, Latino, Hmong, Native American, and Somali households) were recruited from primary care clinics. Eligibility criteria included: participating parent lived with a child aged 5-7 years, shared a meal with this child at least daily, and had another child living in the home. MAIN OUTCOME MEASURES Weight talk (ie, weight-related conversations, teasing), intergenerational transmission of weight talk. ANALYSIS Qualitative content analysis using Nvivo software. RESULTS Themes were found for each of our 4 research questions. Themes included: (1) parents experienced weight talk in their own homes growing up; (2) parents believed their community or culture influenced weight talk in their home; (3) parents described different ways of approaching weight talk, including not discussing weight, being direct about weight, and playful teasing; and (4) parents described various strategies for addressing concerns about their children's weight. CONCLUSIONS AND IMPLICATIONS Results suggested weight and health were salient issues for racially/ethnically diverse parents. Further research is needed to investigate why some parents engage in weight teasing, what prompts weight teasing, and the differences between weight- and health-focused conversations to identify potential targets for intervention. Recommendations for health providers working with families with young children, such as training using nonstigmatizing language, are discussed.
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Affiliation(s)
- Amanda Trofholz
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN.
| | - Anna K Hochgraf
- Department of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN
| | - Lauren Tschida
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN
| | - Jerica M Berge
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN
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Trofholz AC, Tate A, Telke S, Loth KA, Buchanan GJ, Berge JM. Associations Between Weight Talk and Biopsychosocial Outcomes in Children from Racially/Ethnically Diverse Households. JOURNAL OF CHILD AND FAMILY STUDIES 2022; 32:31-43. [PMID: 36824477 PMCID: PMC9943526 DOI: 10.1007/s10826-022-02351-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/08/2022] [Indexed: 06/18/2023]
Abstract
Weight talk in the home-parents talking to their children about their weight, shape or size-has been associated with many negative health outcomes in children and adolescents, although the majority of research has been with adolescents. This study explored associations between weight talk in the home and a broad range of child biopsychosocial outcomes (e.g., weight status, diet quality, psychological well-being, peer problems), in addition to child sex and race/ethnicity. Parents of 5-7 year old children from six racial/ethnic groups (White, African American, Hmong, Latino, Native American, Somali) (n=150) completed an online survey and completed 24-hour dietary recalls on the child. Additionally, anthropometric measurements were taken on the 5-7 year old child and parent. Over one-third of parents reported engaging in weight talk with their child. Overall, weight talk was associated with child weight status, but not with child diet quality. The presence of weight talk differed by race/ethnicity and child weight status. Most psychological (e.g., emotional problems) and social (e.g., peer problems) outcomes differed significantly by race/ethnicity with the following pattern: (1) no significant associations between weight talk and biopsychosocial outcomes were found for Hmong and Latino children; (2) a negative association (e.g., less healthy functioning) was found for African American and Somali children; (3) a positive association (e.g., healthier functioning) was found for Native American children. Future research should investigate why psychological and social outcomes differ by race/ethnicity in children experiencing weight talk. This study confirms the need to develop best practices for helping parents concerned about their child's weight to talk to children in a healthful way.
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Affiliation(s)
- Amanda C Trofholz
- Department of Family Medicine and Community Health at the University of Minnesota, Minneapolis, MN, USA
| | - Allan Tate
- College of Public Health, University of Georgia, Athens, GA
| | - Susan Telke
- Department of Family Medicine and Community Health at the University of Minnesota, Minneapolis, MN, USA
| | - Katie A Loth
- Department of Family Medicine and Community Health at the University of Minnesota, Minneapolis, MN, USA
| | - Gretchen J Buchanan
- Department of Family Medicine and Community Health at the University of Minnesota, Minneapolis, MN, USA
| | - Jerica M Berge
- Department of Family Medicine and Community Health at the University of Minnesota, Minneapolis, MN, USA
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Warnick JL, Darling KE, West CE, Jones L, Jelalian E. Weight Stigma and Mental Health in Youth: A Systematic Review and Meta-Analysis. J Pediatr Psychol 2021; 47:237-255. [PMID: 34791368 DOI: 10.1093/jpepsy/jsab110] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Revised: 09/23/2021] [Accepted: 09/29/2021] [Indexed: 01/08/2023] Open
Abstract
OBJECTIVE Over the past two decades, there has been a steady increase in research focused on the association between weight-based stigma and mental health outcomes in children and adolescents. The present study is a systematic review and meta-analysis of the associations between weight stigma and mental health in youth. METHODS A systematic search of PubMed, PsychInfo, and Embase databases was conducted in January 2020. Inclusion criteria included the following: (a) examined an association between weight stigma and a mental health outcome, (b) mean sample age <18 (+1 standard deviation) years, (c) written in English, and (d) peer reviewed. Forty eligible articles were identified. The moderating effects of age, sex (percent female), weight status (percent with overweight/obesity), and study quality were examined. RESULTS Overall, meta-analytic findings using a random-effects model indicated a statistically significant moderate association between weight stigma and poorer mental health outcomes (r = .32, 95% confidence interval [0.292, 0.347], p < .001). Age and study quality each moderated the association between weight stigma and mental health. Generally, the study quality was fair to poor, with many studies lacking validated measurement of weight stigma. CONCLUSIONS Although there was a significant association between weight stigma and mental health in youth, study quality hinders the current body of literature. Furthermore, findings highlight the lack of consideration of internalized weight stigma in child populations, the importance of using validated measures of weight stigma, and the need for increased awareness of how these associations affect populations of diverse backgrounds.
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Affiliation(s)
- Jennifer L Warnick
- Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University, USA.,Weight Control and Diabetes Research Center, The Miriam Hospital, USA
| | - Katherine E Darling
- Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University, USA.,Weight Control and Diabetes Research Center, The Miriam Hospital, USA
| | - Caroline E West
- Department of Psychological Sciences, Kent State University, USA
| | - Laura Jones
- Department of Clinical and Health Psychology, University of Florida, USA
| | - Elissa Jelalian
- Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University, USA.,Weight Control and Diabetes Research Center, The Miriam Hospital, USA
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Stern M, Soca Lozano S, Lescano C, Rodriguez C, Redwine L. Developing Adaptando Dieta Y Acción Para Todos (ADAPT): An Intervention to Improve Healthy Lifestyle Behaviors Among Latino Parents and Children Living in Rural Communities. J Immigr Minor Health 2021; 23:88-94. [PMID: 32533505 PMCID: PMC10576241 DOI: 10.1007/s10903-020-01037-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Latino migrant farmworkers are at great risk of obesity and its concomitant negative health impacts. Obesity interventions for this underserved, minority population are limited. We expanded upon our prior intervention work in childhood obesity to develop a multi-family, behavioral intervention, ADAPT. We conducted three phases in the development of the ADAPT program: Phase 1, a needs assessment, Phase 2, in-depth focus groups with Latino parents, their children, and stakeholders, and Phase 3, a feasibility and acceptability trial to inform program optimization. Acceptability and feasibility of ADAPT promoting healthier eating and physical activity behaviors was found. Each phase of the project led to implementation changes to ADAPT, resulting in greater intervention optimization. Participants reported key facilitators and barriers to our intervention, expressing great interest in participation. They particularly liked our mindfulness session. We are currently examining the feasibility of integrating mindfulness to optimize ADAPT efficacy.
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Affiliation(s)
- Marilyn Stern
- Department of Child and Family Studies, University of South Florida, 13301 Bruce B. Downs Blvd., MHC 2510, Tampa, FL, 33612, USA.
| | | | - Celia Lescano
- Department of Mental Health Law and Policy, University of South Florida, Tampa, FL, USA
| | | | - Laura Redwine
- College of Nursing, University of South Florida, Tampa, FL, USA
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Khalaf A, Al Hashmi I, Al Omari O. The Relationship between Body Appreciation and Self-Esteem and Associated Factors among Omani University Students: An Online Cross-Sectional Survey. J Obes 2021; 2021:5523184. [PMID: 34258056 PMCID: PMC8249135 DOI: 10.1155/2021/5523184] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Revised: 06/14/2021] [Accepted: 06/15/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Given the rapid pace of globalization and the fact that the Sultanate of Oman is experiencing a significant impact of social media on specifying appearance norms among youth in the country, research into positive body images and self-esteem among young individuals has become a national priority. Whilst body image has been well studied across cultures, both positive body image and the relationship between positive body image and self-esteem among Omani youth have been neglected. The aim of the study was to investigate the relationship between positive body image and self-esteem and associated sociodemographic factors among Omani university students based on gender. METHODS This cross-sectional study used an online survey consisting of the two questionnaires that are Body Appreciation Scale-2 and Rosenberg's Self-Esteem Scale. A total of 237 students were recruited from Sultan Qaboos University's different colleges. RESULTS The results indicated that positive body image has a significant relationship with an individual's self-esteem (β = 0.122, t = 2.197, p=0.038), Cumulative Grade Point Average (cGPA) (β = 0.140, t = 2.306, p=0.022), body mass index (BMI) (β = -0.414, t = -6.930, p < 0.001), monthly household income (β = -0.129, t = 2.467, p=0.029), and the number of social media accounts (≥2, β = -0.132, t = -2.232, p=0.027). In addition, an individual's self-esteem was significantly associated with an individual's cGPA (β = 0.231, t = 3.592, p < 0.001) and mothers' educational level (β = -0.130, t = -2.065, p=0.040) besides body appreciation (β = 0.160, t = 2.491, p=0.013). CONCLUSIONS The findings of this study shed light on the current status of positive body image among university students of Oman. In light of the new knowledge, we propose health interventions that include strategies such as involvement of family, to maintain and/or promote positive body image perceptions among young individuals and subsequently promote healthy appreciation of the physical appearance and self-esteem.
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Affiliation(s)
- Atika Khalaf
- Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden
- College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Iman Al Hashmi
- College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Omar Al Omari
- College of Nursing, Sultan Qaboos University, Muscat, Oman
- School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia
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Szwimer E, Mougharbel F, Goldfield GS, Alberga AS. The Association Between Weight-Based Teasing from Peers and Family in Childhood and Depressive Symptoms in Childhood and Adulthood: A Systematic Review. Curr Obes Rep 2020; 9:15-29. [PMID: 32002762 DOI: 10.1007/s13679-020-00367-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
RECENT FINDINGS Depressive symptoms may be a psychological correlate of weight-based teasing from peers and/or family. However, it is unclear whether the association of weight-based teasing with depressive symptoms differs by time (short term vs. long term), sex (males vs. females), or source (family vs. peers). PURPOSE The purpose of this systematic review was to (1) examine whether the frequency of weight-based teasing differs according to sex and source and; (2) examine whether the association of weight-based teasing with depressive symptoms varies according to time, sex, and source. METHODS On February 16, 2018, a combination of keywords within three concepts, (i) children and adults, (ii) weight-based teasing source, and (iii) mental health outcomes, were searched in four databases (PubMed, PsycINFO, Scopus, and Web of Science) for relevant articles. Cross-sectional and longitudinal original research articles were included, and studies were excluded if the relationship between weight-based teasing and depressive symptoms was not explicitly measured. RESULTS The search yielded 3572 articles, and nineteen studies were included in the final analysis. Experiences of weight-based teasing occurred significantly more among girls than boys. Weight-based teasing was significantly associated with depressive symptoms in both short and long term. Weight-based teasing exhibited a greater association with depressive symptoms in girls vs. boys and when it came from multiple sources than from either source alone. However, it remains uncertain whether one source of teasing is more common than the other, since only two studies found peers to be a more common source of weight-based teasing compared to family. Weight-based teasing from peers and family is associated with depressive symptoms, and girls are more psychologically vulnerable than boys. Interventions are required to reduce weight-based teasing and its harmful psychological effects.
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Affiliation(s)
- Erica Szwimer
- Department of Health, Kinesiology and Applied Physiology, Concordia University, 7141 Sherbrooke Street West, Montreal, Quebec, H4B1R6, Canada
| | - Fatima Mougharbel
- School of Human Kinetics, Psychology and Population Health, University of Ottawa, Ottawa, Ontario, Canada
| | - Gary S Goldfield
- School of Human Kinetics, Psychology and Population Health, University of Ottawa, Ottawa, Ontario, Canada
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
| | - Angela S Alberga
- Department of Health, Kinesiology and Applied Physiology, Concordia University, 7141 Sherbrooke Street West, Montreal, Quebec, H4B1R6, Canada.
- Department of Pediatrics, Faculty of Medicine, McGill University, Montreal, Canada.
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Eisenberg ME, Puhl R, Areba EM, Neumark-Sztainer D. Family weight teasing, ethnicity and acculturation: Associations with well-being among Latinx, Hmong, and Somali Adolescents. J Psychosom Res 2019; 122:88-93. [PMID: 31029452 PMCID: PMC6535114 DOI: 10.1016/j.jpsychores.2019.04.007] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 04/08/2019] [Accepted: 04/08/2019] [Indexed: 10/27/2022]
Abstract
OBJECTIVE This study examines the prevalence of weight-based teasing by family members and associations with unhealthy weight control behaviors, body satisfaction, self-esteem, and depressive symptoms among adolescents from three immigrant communities (Latinx, Hmong, and Somali). METHODS Data come from EAT 2010, a population-based study of weight and related behaviors (N = 1577, mean age = 14.5 years). Adjusted models tested associations between weight-based teasing and well-being, controlling for BMI and ethnic group; effect modification by ethnic group and acculturation were also explored. RESULTS Family weight-based teasing was common (12.1%-42.9% reporting this experience across gender and ethnic groups) and was associated with all four measures of well-being in the expected direction. Associations were statistically equivalent in all ethnic groups and were not modified by acculturation. CONCLUSION Youth from immigrant communities experience family weight-based teasing and associated threats to well-being. Additional research is needed to further understand the cultural context of weight-based teasing and develop relevant prevention messages.
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Affiliation(s)
- Marla E. Eisenberg
- University of Minnesota, Department of Pediatrics, Minneapolis, MN,University of Minnesota, Division of Epidemiology and Community Health, Minneapolis, MN,corresponding author. 717 Delaware St. SE, Minneapolis, MN, 55414. 612-624-9462.
| | - Rebecca Puhl
- University of Connecticut, Rudd Center for Food Policy & Obesity, Hartford, CT
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Winkler MR, Bennett GG, Brandon DH. Factors related to obesity and overweight among Black adolescent girls in the United States. Women Health 2017; 57:208-248. [PMID: 26933972 PMCID: PMC5050158 DOI: 10.1080/03630242.2016.1159267] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Revised: 12/09/2015] [Accepted: 12/09/2015] [Indexed: 10/22/2022]
Abstract
In the United States, Black adolescents have the highest prevalence of pediatric obesity and overweight among girls. While Black girls are disproportionately affected, the reasons for this health disparity remain unclear. The authors conducted a systematic review to investigate the factors related to obesity and overweight among Black adolescent girls. The authors searched four databases for relevant English-language publications using all publication years through 2015. Fifty-one studies met the inclusion criteria and were used for this review. Using a configuration approach to synthesis, three categories were identified, paralleling the bioecological theory of human development: (1) individual, (2) interpersonal, and (3) community and societal factors. A description of each factor's association with obesity among Black adolescent girls is presented. From this review, the authors identified a diverse and vast set of individual, interpersonal, and community and societal factors explored for their relationship with obesity and overweight. Given the insufficient repetition and limited significant findings among most factors, the authors believe that multiple gaps in knowledge exist across all categories regarding the factors related to obesity and overweight among Black adolescent girls. To improve the quality of research in this area, suggested research directions and methodological recommendations are provided.
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Affiliation(s)
| | - Gary G. Bennett
- School of Psychology and Neuroscience, Duke University, Durham, North Carolina, USA
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA
| | - Debra H. Brandon
- School of Nursing, Duke University, Durham, North Carolina, USA
- School of Medicine, Duke University, Durham, North Carolina, USA
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Stern M, Ewing L, Davila E, Thompson AL, Hale G, Mazzeo S. Design and rationale for NOURISH-T: a randomized control trial targeting parents of overweight children off cancer treatment. Contemp Clin Trials 2015; 41:227-37. [PMID: 25559916 DOI: 10.1016/j.cct.2014.12.018] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Revised: 12/23/2014] [Accepted: 12/24/2014] [Indexed: 11/15/2022]
Abstract
Approximately 40% of off-treatment pediatric cancer survivors (PCS) are overweight or obese, which increases their risk for negative long-term physical health complications. Consistent with the Institute of Medicine's (IOM) emphasis on patients transitioning from treatment to cancer survivorship and increasing long-term healthy behaviors in these survivors, we plan to conduct a pilot RCT to address the increasing overweight/obesity rates among PCS by targeting their caregivers as agents for PCS behavior change. We plan to focus on parents' behaviors, attitudes and roles in promoting healthier eating and physical activity (PA) in PCS and adapt an evidence-informed, manualized parent intervention - NOURISH - found to be effective for parents of overweight and obese children and adolescents in reducing child and adolescent BMI. We plan to adapt NOURISH for caregivers of 5-12 year old PCS (6 months-4 years off active cancer treatment). Our pilot feasibility RCT - NOURISH-T (Nourishing Our Understanding of Role modeling to Improve Support for Healthy Transitions) evaluates: 1) the preliminary efficacy of NOURISH-T for PCS, compared with an Enhanced Usual Care (EUC) control condition, and 2) factors to consider to improve future adaptations of the intervention. The project will enroll caregivers of PCS at two pediatric oncology clinics into the 6-week intervention (or EUC) with assessments occurring pre- and post-6 weeks of intervention, and at a 4-month follow-up.
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Affiliation(s)
- Marilyn Stern
- Department of Rehabilitation and Mental Health Counseling, University of South Florida, Tampa, FL, United States.
| | - Lin Ewing
- University of Pittsburgh Medical Center, Pittsburgh, PA, United States
| | - Esther Davila
- Department of Psychology, University of South Florida, Tampa, FL, United States
| | | | - Gregory Hale
- All Children's Hospital/Johns Hopkins Medical Center, St. Petersburg, FL, United States
| | - Suzanne Mazzeo
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, United States; Department of Pediatrics, Virginia Commonwealth University, Richmond, VA, United States
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Awad GH, Norwood C, Taylor DS, Martinez M, McClain S, Jones B, Holman A, Chapman-Hilliard C. Beauty and Body Image Concerns Among African American College Women. JOURNAL OF BLACK PSYCHOLOGY 2014; 41:540-564. [PMID: 26778866 DOI: 10.1177/0095798414550864] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The current study examined body image concerns among African American women. In recent years, there has been an attempt to include ethnic minority samples in body image studies (e.g., Grabe & Hyde, 2006; Hrabosky & Grilo, 2007; Lovejoy, 2001) but few specifically examine unique issues pertaining to beauty and body image for African American college age women. A total of 31 African American women participated in one of five focus groups on the campus of a large Southwestern University to examine beauty and body image. Data were analyzed using a thematic approach and several themes were identified. The majority of themes pertained to issues related to hair, skin tone, body type, and message sources. Themes included: sacrifice, ignorance/racial microaggressions, and validation and invalidation by others, thick/toned/curvy as optimal, hypersexualization, and being thin is for White women. Findings of the current study suggest a reconceptualization of body image for African American women where relevant characteristics such as hair and skin tone are given more priority over traditional body image concerns often associated with European American women.
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