With aging, women’s bodies undergo changes that can affect body image perception, yet little is known about body image in midlife. In a subset of the SWAN cohort from Chicago, the associations between body image and depressive symptoms were investigated . Body image was measured using the Stunkard Adult Female Figure Rating Scale, and a clinically significant level of depressive symptoms was defined as a Center for Epidemiologic Studies Depression Scale (CES-D) score of ≥ 16 (total [i]n[/i] = 405; depression [i]n[/i] = 63 (15.6%)). Differences between perceived actual, perceived ideal and actual body size and responses to questions concerning weight satisfaction and attractiveness were examined using logistic regression for associations with a CES-D score of ≥ 16. Women with body image dissatisfaction (odds ratio, OR = 1.91; [i]p[/i] = 0.04) or who perceived themselves as ‘unattractive’ (OR 7.74; [i]p[/i] < 0.01) had higher odds of CES-D of ≥ 16. There was no significant difference by race, and results were not confounded by body mass index. To conclude, midlife women with poor body image may be more likely to have clinically significant levels of depressive symptoms.
Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
Jackson KL, Janssen I, Appelhans BM, et al. Body image satisfaction and depression in midlife women: the Study of Womens Health Across the Nation (SWAN). Arch Womens Ment Health 2014;17:177-87
Slade PD. What is body image? Behav Res Ther 1994;32:497-502
Preiss K, Brennan L, Clarke D. A systematic review of variables associated with the relationship between obesity and depression. Obes Rev 2013;14:906-18
Perquier F1, Lasfargues A, Mesrine S, Clavel-Chapelon F, Fagherazzi G. Body-size throughout life and risk of depression in postmenopausal women: Findings from the E3N cohort. Obesity (Silver Spring). 2014 Jun 4. Epub ahead of print
Kim JH, Moon HS. [Health perception, body image, sexual function and depression in menopausal women according to menopausal stages]. (Korean). Taehan Kanho Hakhoe Chi 2006;36:449-56
Bloch A. Self-awareness during the menopause. Maturitas 2002;41:61-8