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Relationship between Quality of Life and Body Image Perception in Iranian Medical Students: Structural Equation Modeling
Abstract
Background: The body image is a complex concept that influences various factors, one of these factors is the quality of life. The present study aimed to investigate the relationship between quality of life and body image perception in the medical students of Shahid Beheshti University of Medical Sciences.
Methods: This descriptive study was carried out on 400 students of Shahid Beheshti University of Medical Sciences using a stratified random sampling method and the samples were selected from each faculty in 2017 using simple random sampling Questionnaires (PSDQ) and (SF‑12) were used. Data were analyzed using mean and standard deviation and t‑test, Mann‑Whitney U, ANOVA, kelmogrouf smirnouf test and Spearman Correlation to SPSS 16 software and structural equation modeling (SEM) was to test the relationships between the three parameters (quality of life, body image, and demographic characteristics) using AMOS24 software.
Results: The findings show Quality of life significantly correlated with two demographic variables: location and exercising of students. Body image perception significantly correlated merely with the body mass index and exercising. The Structural Equation Modeling (SEM) results confirmed a positive and direct relationship between the quality of life and body image perception.
Conclusions: The results showed that there is a significant relationship between body image perception and quality of life. Therefore, by modifying and improving the students’ quality of life in the dormitories, the level of students’ self‑concept can be raised in order to prevent the physical and psychological complications of this group of community.
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Yarmohammadi S, Amirsardari M, Akbarzadeh A, Sepidarkish M,
Hashemian AH. Evaluating the relationship of anxiety, stress
and depression with sleep quality of students residing at the
dormitories of tehran university of medical sciences in 2013.
World J Med Sci 2014;11:432‑8.
Cash TF, Phillips KA, Santos MT, Hrabosky JI. Measuring
“negative body image”: Validation of the body image disturbance
questionnaire in a nonclinical population. Body Image
;1:363‑72.
Nye S, Cash TF. Outcomes of manualized cognitive‑behavioral
body image therapy with eating disordered women treated in a
private clinical practice. Eat Disord 2006;14:31‑40.
Biby EL. The relationship between body dysmorphic disorder
and depression, self-esteem, somatization, and obsessive–
compulsive disorder. J Clin Psychol 1998;54:489‑99.
Bong M, Skaalvik EM. Academic self‑concept and self‑efficacy:
How different are they really? Educ Psychol Rev 2003;15:1‑40.
Bell L, Rushforth J. Overcoming Body Image Disturbance:
A Programme for People with Eating Disorders. Routledge;
Group TW. The World Health Organization quality of life
assessment (WHOQOL): Development and general psychometric
properties. Social Sci Med 1998;46:1569‑85.
Testa MA, Simonson DC. Assessment of quality‑of‑life
outcomes. N Engl J Med 1996;334:835‑40.
Fortier‑Brochu É, Beaulieu‑Bonneau S, Ivers H, Morin CM.
Relations between sleep, fatigue, and health‑related quality of life
in individuals with insomnia. J Psychosom Res 2010;69:475‑83.
Hoyt LT, Chase‑Lansdale PL, McDade TW, Adam EK. Positive
youth, healthy adults: Does positive well‑being in adolescence
predict better perceived health and fewer risky health behaviors
in young adulthood? J Adolesc Health 2012;50:66‑73.
Marsh HW. Physical self description questionnaire: Stability and
discriminant validity. Res Q Exerc Sport 1996;67:249‑64.
Abdolmaleki Z, Saleh SB, Bahram A, Abdolmaleki F. Validity
and reliability of the physical self‑description questionnaire
among adolescent girls. J Appl Psychol 2011;4:42‑55.
Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12‑item Short Form Health Survey (SF‑12):
Factor structure, internal consistency and construct validity.
BMC Public Health 2009;9:341.
Browne MW, Cudeck R. Alternative ways of assessing model fit.
Sociol Methods Res 1992;21:230‑58.
Hu SX, Luk AL, Smith GD. The effects of hazardous working
conditions on burnout in Macau nurses. Int J Nurs Sci
;2:86‑92.
Mansour ME, Kotagal U, Rose B, Ho M, Brewer D,
Roy‑Chaudhury A, et al. Health‑related quality of life in urban
elementary schoolchildren. Pediatrics 2003;111:1372‑81.
Hartmann T, Zahner L, Pühse U, Puder JJ, Kriemler S. Effects
of a school‑based physical activity program on physical and
psychosocial quality of life in elementary school children:
A cluster‑randomized trial. Pediatr Exerc Sci 2010;22:511‑22.
Wu XY, Ohinmaa A, Veugelers PJ. Diet quality, physical activity,
body weight and health‑related quality of life among grade 5
students in Canada. Public Health Nutr 2012;15:75‑81.
Sánchez-López M, Salcedo-Aguilar F, Solera-Martínez M,
Moya-Martínez P, Notario-Pacheco B, Martínez–Vizcaíno V.
Physical activity and quality of life in schoolchildren aged
–13 years of Cuenca, Spain. Scand J Med Sci Sports
;19:879‑84.
Berman AH, Liu B, Ullman S, Jadbäck I, Engström K. Children’s
quality of life based on the KIDSCREEN‑27: Child self‑report,
parent ratings and child‑parent agreement in a Swedish random
population sample. PloS One 2016;11:e0150545.
Spangler SL. The Relationship between Quality of Life and
Social Support among Adolescent Survivors of Childhood
Cancer. Pepperdine University; 2009.
Baumann M, Ionescu I, Chau N. Psychological quality of life
and its association with academic employability skills among
newly‑registered students from three European faculties. BMC
Psychiatry 2011;11:63.
Demont‑Heinrich C. The association between physical activity,
mental health and quality of life: A population‑based study.
Health 2009;800:886‑7689.
Wang W, Shi L, Wang K. Assessment of quality of life in patients
with diabetes mellitus and impaired glucose tolerance. Zhonghua
Yu Fang Yi Xue Za Zhi (Chinese J Prev Med) 2001;35:26‑9.
Bucchianeri MM, Arikian AJ, Hannan PJ, Eisenberg ME,
Neumark‑Sztainer D. Body dissatisfaction from adolescence to
young adulthood: Findings from a 10‑year longitudinal study.
Body Image 2013;10:1‑7.
Gillen MM. Associations between positive body image and
indicators of men’s and women’s mental and physical health.
Body Image 2015;13:67‑74.
Duarte C, Ferreira C, Trindade IA, Pinto‑Gouveia J. Body image
and college women’s quality of life: The importance of being
self‑compassionate. J Health Psychol 2015;20:754‑64.
Taylor AH, Fox KR. Effectiveness of a primary care exercise
referral intervention for changing physical self‑perceptions
over 9 months. Health Psychol 2005;24:11‑21.
Grossbard JR, Lee CM, Neighbors C, Larimer ME. Body image
concerns and contingent self‑esteem in male and female college
students. Sex Roles 2009;60:198‑207.
Sira N, White CP. Individual and familial correlates of body
satisfaction in male and female college students. J Am Coll
Health 2010;58:507‑14.
Chen L‑J, Fox KR, Haase AM, Ku PW. Correlates of body
dissatisfaction among Taiwanese adolescents. Asia Pac J Clin
Nutr 2010;19:172‑9.
Swami V, Airs N, Chouhan B, Amparo Padilla Leon M, Towell T.
Are there ethnic differences in positive body image among
female British undergraduates? Eur Psychol 2009;14:288‑96.
Dorak F. Self‑esteem and body image of Turkish adolescent
girls. Soc Behav Pers 2011;39:553‑61.
Tiggemann M. Body dissatisfaction and adolescent self‑esteem:
Prospective findings. Body Image 2005;2:129‑35.
Harrington JM, Badger TA. Body image and quality of life in
men with prostate cancer. Cancer Nurs 2009;32:E1‑7.
Jager G, Doller W, Roth R. Quality of life and image impairment
in patients. J Psychol 2000;39:193‑200.
Cash TF, Jakatdar TA, Williams EF. The body image quality of
life inventory: Further validation with college men and women.
Body Image 2004;1:279‑87.