한인영, 유형준1, 류옥현2, 심경원3, 이영선4

이화여자대학교 사회복지전문대학원, 1한림대학교 한강성심병원, 2한림대학교 춘천성심병원, 3이화여자대학교 의과대학부속 목동병원, 4조선대학교 행정복지학부

Background: This study investigated the main and mediating effects exerted by social physique anxiety (anxiety) and perceived stress (stress) on relationship between obesity and depression in women at obesity clinics.
Methods: A survey was conducted on 363 women who agreed to participate in this study. Collected data were analyzed by the structural equation modeling method.
Results: The entire model including measurement and structural model showed sufficient fit index for CFI (0.927), TLI (0.908), and RMSEA (0.053). Body mass index (BMI) had a statistically significant direct effect on stress and anxiety. Anxiety had a statistically significant direct effect on stress. Stress had a statistically significant direct effect on depression. The effects of BMI on depression were significantly mediated by anxiety and stress. The effects of anxiety on depression were significantly mediated by stress.
Conclusions: The fact that the effects of BMI on depression were significantly mediated by social physique anxiety and stress can provide a foundational necessity for healthcare providers to attend to the psychosocial aspects of health in women seen at obesity clinics.

Korean J Health Promot 2010;10(4):147-153

Keywords: Body mass index, Depression, Social physique anxiety, Stress