Association between Mental Distress and Weight-Related Self-Stigma via Problematic Social Media and Smartphone Use among Malaysian University Students: An Application of the Interaction of Person-Affect-CognitionExecution (I-PACE) Model  

作　　者：Wan Ying Gan Wei-Leng Chin Shih-Wei Huang Serene En Hui Tung Ling Jun Lee Wai Chuen Poon Yan Li Siaw Kerry SO’Brien Iqbal Pramukti Kamolthip Ruckwongpatr Jung-Sheng Chen Mark D.Griffiths Chung-Ying Lin 

机构地区：[1]Department of Nutrition,Faculty of Medicine and Health Sciences,Universiti Putra Malaysia,Serdang,43400,Malaysia [2]Department of Family Medicine,E-Da Hospital,I-Shou University,Kaohsiung,82445,Taiwan [3]Bariatric and Metabolism International Surgery Center,E-Da Hospital,I-Shou University,Kaohsiung,82445,Taiwan [4]Institute of Environmental Toxin and Emerging Contaminant,Cheng Shiu University,Kaohsiung,83347,Taiwan [5]Center for Environmental Toxin and Emerging-Contaminant Research,Cheng Shiu University,Kaohsiung,83347,Taiwan [6]Division of Nutrition,Dietetics and Food Science,School of Health Sciences,IMU University,Bukit Jalil,Kuala Lumpur,57000,Malaysia [7]Sunway Business School,Sunway University,Selangor,47500,Malaysia [8]Faculty of Education,Universiti Malaya,Kuala Lumpur,50603,Malaysia [9]School of Social Sciences,Faculty of Arts,Monash University,Melbourne,VIC 3800,Australia [10]Department of Community Health Nursing,Faculty of Nursing,Universitas Padjadjaran,West Java,45363,Indonesia [11]Institute of Allied Health Sciences,College of Medicine,National Cheng Kung University,Tainan,701401,Taiwan [12]Department of Medical Research,E-Da Hospital,I-Shou University,Kaohsiung,82445,Taiwan [13]International Gaming Research Unit,Psychology Department,Nottingham Trent University,Nottingham,NG14FQ,UK [14]Biostatistics Consulting Center,National Cheng Kung University Hospital,College of Medicine,National Cheng Kung University,Tainan,701401,Taiwan [15]School of Nursing,College of Nursing,Kaohsiung Medical University,Kaohsiung,807378,Taiwan

出　　处：《International Journal of Mental Health Promotion》2025年第3期319-331,共13页国际心理健康促进杂志(英文)

基　　金：supported in part by(received funding from)the Ministry of Science and Technology,Taiwan(MOST 110-2410-H-006-115,MOST 111-2410-H-006-100);the National Science and Technology Council,Taiwan(NSTC 112-2410-H-006-089-SS2);the Higher Education Sprout Project,the Ministry of Education at the Headquarters of University Advancement at the National Cheng Kung University(NCKU);the 2021 Southeast and South Asia and Taiwan Universities Joint Research Scheme(NCKU 31).

摘　　要：Background:Weight-related self-stigma(WRSS)is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes.Social support and coping models explain how individuals may use different coping methods to deal with their mental health needs.Psychological distress(e.g.,depression and stress)could lead to overuse of social media and smartphones.When using social media or smartphones,individuals are likely to be exposed to negative comments regarding weight/shape/size posted on the social media.Consequently,individuals who experience problematic social media use(PSMU)or problematic smartphone use(PSPU)may develop WRSS.Therefore,the present study examined the roles of PSMU and PSPU as mediators in the relationship between psychological distress and WRSS.Methods:Using convenience sampling via an online survey,622 participants with a mean age of 23.70 years(SD=4.33)completed questions assessing sociodemographic variables,psychological distress,PSMU,PSPU,WRSS,and self-reported weight and height.Results:The hierarchical regression models showed that sex(β=0.08,p=0.01),BMI(β=0.39,p<0.001),depression(β=0.21,p=0.001),stress(β=0.18,p=0.01),PSMU(β=0.09,p=0.045),and PSPU(β=0.14,p=0.001)were significant factors for WRSS.Conclusion:The mediation models showed that both PSMU and PSPU were significant mediators in the relationships between depression and stress with WRSS.The present findings provide some evidence for understanding WRSS and has important implications for developing interventions to reduce its negative impact on individuals’health and well-being.

关 键 词：Weight-related self-stigma stress coping theory I-PACE model depression stress social media use smartphone use 

分 类 号：H31[语言文字—英语]