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다국어 초록 (Multilingual Abstract)

Aim(s): Aim of this study was to identify moderating effect of school connectedness in relationship between weight bias internalization and depressive symptoms among overweight and obese adolescent girls.

Method(s): In cross-sectional study design, 99 overweight and obese adolescent girls in high schools (aged 13~15 years) was reported their weight bias internalization, school connectedness, and depressive symptoms with self-report questionnaires. Using SPSS PROCESS macro, multiple regression and simple slope analysis were performed to test moderating effect of school connectedness.

Result(s): Weight bias internalization was positively associated with depressive symptoms (B=0.25, t=9.17, p<.001), whereas school connectedness was negatively associated with depressive symptoms (B=-0.28, t=-11.00, p<.001). In addition, interaction between weight bias internalization and depressive symptoms was significant associated factor for depressive symptoms (B=-0.01, t=-2.62, p=.009). Weight bias internalization, school connectedness, and their interaction explained 45.4% of the variance in depressive symptoms. According to simple slope analysis, among the overweight and obese girls with higher school connectedness than 22.62 points (ranged -61.08~31.92), weight bias internalization was not associated with depressive symptoms, while among the overweight and obese girls with lower school connectedness than 22.62 points, weight bias internalization was associated with depressive symptoms.

Conclusion(s): High school connectedness might relieve depressive symptoms associated with weight bias internalization among overweight and obese adolescent girls. Thus, maintain positive school environment and attached relationships with teachers and peers associated with high school connectedness might be essential to relieve depression due to weight bias internalization.