title: Body image and children's mental health related behaviors: results from the healthy passages study.
abstract: OBJECTIVE
  This study examined the relationship between body image discrepancy (BID) scores for actual versus ideal body image for children and indicators of child mental health.
  
  
  METHODS
  Data were collected from 650 5th graders and their parents who participated in the Healthy Passages Phase I study. Participants were recruited through schools in Alabama, California, and Texas. Measures included the Collins Body Image to produce child- and parent-reported child BID scores, respectively, body mass index (BMI) for child and parent, the Strengths and Difficulties Questionnaire (SDQ), and the Positive and Negative Affect Scale for Children (PANAS-C).
  
  
  RESULTS
  After controlling for potential confounders, children's internalizing problems as rated by parents and negative affect as rated by children were significantly associated with discrepancies based on child- and parent-reported child BID scores, respectively.
  
  
  CONCLUSIONS
  Overall, higher child- and parent-reported child BID scores were significantly associated with more internalizing problems and negative affect among children. There were some inconsistencies in the associations between other mental health behaviors and child BID scores contingent on parent or child ratings. Early intervention may be indicated to prevent possible adverse consequences, especially for internalizing problems, from the effects of child- and parent-reported child BID scores on adolescent and adult mental health and well-being.
authors.affiliation: MSPH, Center for the Advancement of Youth Health and Comprehensive Youth Violence Center, University of Alabama at Birmingham, 1530 3rd Avenue South, 912 Building, Birmingham, Alabama 35294-1200, USA. mjgill@uab.edu
authors.forename: M Janice
authors.initials: MJ
authors.lastname: Gilliland
authors.forename: Michael
authors.initials: M
authors.lastname: Windle
authors.forename: Jo Anne
authors.initials: JA
authors.lastname: Grunbaum
authors.forename: Antronette
authors.initials: A
authors.lastname: Yancey
authors.forename: Deanna
authors.initials: D
authors.lastname: Hoelscher
authors.forename: Susan R
authors.initials: SR
authors.lastname: Tortolero
authors.forename: Mark A
authors.initials: MA
authors.lastname: Schuster
mesh_terms: D001828:Body Image; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D019964:Mood Disorders / Q000453:epidemiology* / Q000523:psychology; D015588:Observer Variation; D010290:Parents; D012917:Social Adjustment; D011795:Surveys and Questionnaires