title: Mental health correlates of healthy lifestyle attitudes, beliefs, choices, and behaviors in overweight adolescents.
abstract: BACKGROUND
  A tripling in the number of overweight adolescents has occurred during the past two decades, with type 2 diabetes reaching epidemic proportions. Although obesity has been identified as a correlate of depression and low self-esteem in adolescents, the relationships among key cognitive/mental health variables and healthy attitudes, beliefs, choices, and behaviors in overweight teens have yet to be explored. Therefore, the aim of this study was to describe these relationships so that an effective intervention program to promote and sustain healthy lifestyle behaviors could be implemented.
  
  
  METHODS
  A descriptive correlational study was conducted with 23 overweight teens. Key variables measured included depressive symptoms, state and trait anxiety, self-esteem, beliefs/confidence about engaging in a healthy lifestyle, perceived difficulty in leading a healthy lifestyle, and healthy attitudes, choices, and behaviors.
  
  
  RESULTS
  Teens with higher state and trait anxiety as well as depressive symptoms had less healthy lifestyle beliefs, and teens with higher self-esteem had stronger beliefs about their ability to engage in a healthy lifestyle. Stronger beliefs about the ability to engage in healthy lifestyles were related to healthier living attitudes and healthier lifestyle choices. Teens who perceived healthy lifestyles as more difficult had less healthy attitudes and reported less healthier choices and behaviors.
  
  
  CONCLUSIONS
  Including a strong cognitive behavioral skills building component into clinical interventions with overweight teens may be key in boosting their beliefs/confidence about being able to engage in healthy behaviors and lessening their perceived difficulty in performing them, which should result in healthier choices and lifestyle behaviors.
authors.affiliation: Arizona State University College of Nursing, Tempe, Ariz 85287-2602, USA. Bernadette.Melnyk@asu.edu <Bernadette.Melnyk@asu.edu>
authors.forename: Bernadette Mazurek
authors.initials: BM
authors.lastname: Melnyk
authors.forename: Leigh
authors.initials: L
authors.lastname: Small
authors.forename: Dianne
authors.initials: D
authors.lastname: Morrison-Beedy
authors.forename: Anne
authors.initials: A
authors.lastname: Strasser
authors.forename: Lisa
authors.initials: L
authors.lastname: Spath
authors.forename: Richard
authors.initials: R
authors.lastname: Kreipe
authors.forename: Hugh
authors.initials: H
authors.lastname: Crean
authors.forename: Diana
authors.initials: D
authors.lastname: Jacobson
authors.forename: Stephanie
authors.initials: S
authors.lastname: Van Blankenstein
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D001294:Attitude to Health; D053198:Child Nutrition Sciences / Q000193:education; D002755:Choice Behavior; D003863:Depression / Q000150:complications / Q000175:diagnosis / Q000523:psychology; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D008019:Life Style; D008297:Male; D008603:Mental Health; D009518:New York; D024802:Nurse's Role; D009765:Obesity / Q000150:complications / Q000517:prevention & control / Q000523:psychology*; D010353:Patient Education as Topic; D011582:Psychological Theory; D000297:Psychology, Adolescent; D012648:Self Care / Q000379:methods / Q000523:psychology; D012649:Self Concept; D011795:Surveys and Questionnaires