Yonsei Med J.  2009 Jun;50(3):340-344. 10.3349/ymj.2009.50.3.340.

The Influence of Weight and Height Status on Psychological Problems of Elementary Schoolchildren through Child Behavior Checklist Analysis

• Kim B
• Park MJ

• KMID: 1758560
• DOI: http://doi.org/10.3349/ymj.2009.50.3.340

Abstract

PURPOSE: This study aimed to evaluate weight and height status and their relationship with psychological problems among elementary schoolchildren.
MATERIALS AND METHODS
A total of 405 schoolchildren (211 boys and 194 girls, aged: 10-13 years), living in Seoul, Korea, participated in this study. The participants were divided into 3 groups according to their weight and height standard deviation score. Psychological assessments were performed using the Korean-Child Behavior Checklist (CBCL).
RESULTS
In this study, 34.4% of boys and 32.1% of girls showed dissatisfaction with their weight, whereas 26.2% of boys and 30.2% of girls showed dissatisfaction with their height. The obese group showed higher weight dissatisfaction than the normal or underweight groups (p < 0.001). The short stature group showed higher dissatisfaction in their height than the normal group (p = 0.01). There was no significant difference in total CBCL problems score according to weight or height status. The underweight and obese groups had higher score for social problems than normal weight group (p < 0.05 respectively). There were no significant differences in each CBCL problem score by height status. As a whole, the prevalence rate of a CBCL total problems score in the clinical range was 3 percent (12/405). These children showed no difference in terms of weight or height, compared with normal students. Among the factors related, only school performance was negatively correlated with the total problems score (p < 0.01).
CONCLUSION
Approximately one-third of elementary schoolchildren were dissatisfied with their height or weight. Although their total CBCL psychological problem scores were closely related with school performance, they did not show any significant relation with height or weight status. Contrary to the general view, our study suggests that psychological problems of elementary schoolchildren may be related more with their school performance than their body physique.

Keyword

Height; weight; psychologic problems; elementary schoolchildren

MeSH Terms

Adolescent
*Body Height
*Body Weight
Child
Child Behavior/*psychology
Child Behavior Disorders/psychology
Female
Humans
Korea
Male
Obesity/psychology
Thinness/psychology

Figure

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  Fig. 1 Total problems scores by weight and height status. No significant differences among three groups.

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  Fig. 2 Specific psychological problems by weight group. The underweight and the obese groups had higher scores for social problems than normal weight group (p < 0.05 respectively). SP, social problems; W, social withdrawal; SC, somatic complaints; AD, anxious/depressed; TP, thought problems; AP, attention problems; DB, delinquent behaviors; AB, aggressive behaviors; SexP, sex problems; EL, emotional lability.

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