Self‐esteem,perception of relationships,and emotional distress: A cross‐cultural study

This study examined the relative importance of self‐esteem, family cohesion, and support from friends in predicting depressed mood and anxiety in Japanese and American college students. Contrary to expectations, self‐esteem was the strongest predictor of emotional distress in both groups of students. Nevertheless, consistent with predictions derived from Markus and Kitayama's theory of self‐construals, family cohesion accounted for a significantly larger percentage of the variance in predicting emotional distress in Japan than in the United States. In both countries, the relations between support from friends and the measures of emotional distress were entirely mediated by self‐esteem. However, among Japanese students, family cohesion accounted for additional significant variance in predicting the measures of emotional distress, even after controlling for self‐esteem.     

Japanese body image: Structure and esteem scores in a cross‐cultural perspective

Culture appears to affect body image in general and body esteem in particular, yet do cultural differences in these constructs concern with factorial structure or merely the magnitude of their manifestation? This study examined what body parts and functions the body esteem of young Japanese adults consists of, and assessed its relation with several other construals of the self. A secondary goal was to compare scores of body esteem in Japan with data previously obtained for people of similar age and background in diverse cultures, such as the USA, Hong Kong, and Israel. The primary contention of this study was that body image might vary notably across different cultures. Because of cultural differences in the self, and indirectly also due to physiognomic variation, members of various cultures may differ in the way they conceive their own body, have divergent body ideals, and ultimately experience different feelings toward their body. The subjects were 569 Japanese undergraduates who filled in the Body Esteem Scale (BES) as well as measures of self‐esteem, body consciousness, and social anxiety. Findings show fairly similar structure of body esteem to that found in the USA, but lower ratings of body esteem among Japanese than among their American, Chinese, and Israeli counterparts. In addition, findings indicate a large gender difference on the total BES score: Men expressed higher body esteem than women. Among both genders, however, body esteem correlated positively with self‐esteem and body consciousness, but negatively with social anxiety. It is suggested that the structure similarity between Japanese and American body esteem is the result of universal human mating patterns as well as similar personality structure. The reason for the lower Japanese body esteem may involve general tendency for self‐effacement and social anxiety. Further causes for the lower scores, which may concern broader cultural and historical perspectives, are briefly discussed.     

The Role of Body Image and Disordered Eating as Risk Factors for Depression and Suicidal Ideation in Adolescents

There is much empirical literature on factors for adolescent suicide risk, but body image and disordered eating are rarely included in these models. In the current study, disordered eating and body image were examined as risk factors for suicide ideation since these factors are prevalent in adolescence, particularly for females. It was hypothesized that disordered eating and body image, in addition to depressive symptoms, would contribute to suicide ideation. It was also hypothesized that these relationships would be stronger for females than for males. Structural equation modeling was used to test a model of risk for suicide ideation incorporating the above factors in a sample of 392 high school students. Results indicated that disordered eating contributed to both suicide ideation and depressive symptoms, while body image only contributed to depressive symptoms. Depressive symptoms contributed to suicide ideation. The model was found to be cross‐validated with males and females, and no gender differences emerged. Implications of these findings and their importance in constructing future models of adolescent suicide risk are discussed.     

Death anxiety,altruism, self‐efficacy,and organ donation intention among Japanese college students: A moderated mediation analysis

The shortage of organs for transplantation in Japan has alerted health professionals to the low organ donation rate among Japanese people. The unique cultural view of death and altruism has been suggested leading to their low intent to donate cadaveric organs. A cross‐sectional survey was conducted in Japan to investigate the interplay of death anxiety, altruism, and self‐efficacy in influencing Japanese college students' intention to sign donor cards, in order to mobilise this large potential source of organ donors in the future. Six hundred and seven Japanese non‐donor card signers voluntarily completed a self‐administered questionnaire. The results of mediation and moderated mediation analyses with bootstrap approach suggest that death anxiety indirectly hinders Japanese people's intention to become a donor card signer through lowering of self‐efficacy, while altruism intensifies the positive impact of self‐efficacy on signing intention. These findings provide useful insights for organ procurement organisations seeking behavioural change not only in Japan but also in multi‐ethnic societies with a substantial Japanese population.     

Body‐Weight Self‐Schema: Determinant of Mood and Behavior in Women With an Eating Disorder1

The schema approach to self‐concept was used to investigate the association between body‐weight self‐conception and self‐esteem, negative affect states, and disordered eating behavior in women with anorexia nervosa (n= 26) or bulimia nervosa (N= 53) using experience sampling methodology. We predicted that self‐esteem would be lower and unpleasant affect and disordered eating behaviors would be higher when the body‐weight self‐schema was activated in working memory compared to when non‐weight‐related self‐schemas were activated. Participants recorded the currently activated self‐schema, self‐esteem, affect, and behavior in response to an alarm‐watch signal 5 times daily for 5 days. Activation of the body‐weight self‐schema was associated with lower self‐esteem and higher negative affect, but not higher levels of disordered eating behavior. Low self‐esteem and negative affect, however, were associated with disordered eating behavior. Findings have important implications for treatment of eating disorders.     

Self‐criticism and self‐reassurance as mediators between mental health attitudes and symptoms: Attitudes toward mental health problems in Japanese workers

Japanese workers suffer high rates of mental health symptoms, recognised recently by the Japanese government, which has enacted workplace well‐being initiatives. One reason for poor mental health concerns negative attitudes about mental health problems such as shame, which may be mediated by self‐reassurance and self‐criticism. This study aimed to evaluate shame‐based attitudes toward mental health problems and explore the relationship between mental health attitudes, self‐criticism, self‐reassurance, and mental health symptoms. Japanese workers (n = 131) completed three measures: attitudes toward mental health problems, mental health symptoms, and self‐criticism/reassurance. A high proportion of workers reported negative attitudes about mental health problems. There were strong relationships between mental health attitudes, mental health symptoms, self‐criticism, and self‐reassurance. Path analyses revealed that the total and indirect effects (through self‐criticism and self‐reassurance) of mental health attitudes on mental health were larger than the direct effect alone. Hated‐self and family reflected shame were identified as predictors for mental health symptoms. The findings suggest the importance of self‐criticism and self‐reassurance in mental health and mental health attitudes. Implications for help‐seeking behaviours also are discussed. Interventions aimed at reducing self‐criticism and enhancing self‐reassurance are recommended to improve mental health attitudes and increase help‐seeking in Japanese workers.     

Deliberate Self‐Harm in Adolescents Aged 12–18: A Cross‐Sectional Survey of 18,104 Students

Little is known about accurate prevalence and associated factors of deliberate self‐harm (DSH) among adolescents in Asian countries. In this study, the prevalence and associated factors of DSH among adolescents in Japan were examined. Data were derived from a cross‐sectional survey using an anonymous self‐report questionnaire and enrolling 8,620 adolescents aged 12–15 and 9,484 aged 15–18. DSH in the previous 12 months was reported by 3.3% (95% CI, 2.9–3.7) of junior and 4.3% (3.9%–4.7%) of senior high school respondents. The prevalence was more than four times as high among girls as among boys for both age groups. DSH was further strongly associated with having suicidal thoughts, having depression/anxiety symptoms, and having used recreational drugs. These associated factors were similar for both sexes and for both older and younger teenagers. A substantial minority of adolescents present with DSH, even among those aged 12–15. The prevalence of DSH in Japan was in the lower ranges of those reported for Western countries. The identified associated factors were not dissimilar from those reported in the West.     

Predicting interest in liposuction among women with eating problems: a population-based study

The purpose of this paper was to examine predictors of an interest in liposuction among women with eating problems. A questionnaire was sent to 3500 women aged 18-35 years, whereof 378 of 1861 responders screened positively on eating problems. Assessments included sociodemographic status, social network, physical exercise, attitudes towards cosmetic surgery, teasing history, body dysmorphic disorder-like symptoms, body image, self-esteem, personality, interpersonal attachment and emotional distress. Fifty-two percent reported an interest in liposuction, which was independently predicted by appearance orientation, appearance evaluation, being critical/quarrelsome, teasing history, wish for a better relationship with father, low education and being unmarried. Predictors differed somewhat from those previously found in the general population. Considering that our sample consisted of women with self-reported eating problems, the association between liposuction and eating behaviors should be further examined in a sample of patients with a formal eating disorder diagnosis.     

The importance of body satisfaction to physical self‐concept and body mass index in Spanish adolescents

This research examines the association between measured body mass index (BMI) and the perception of BMI by young students. Moreover, this research tests the importance of BMI and self‐concept, in order to predict body dissatisfaction in high school students. The sample consisted of 2087 individuals from different high schools in Extremadura, Spain, both males (n = 1046) and females (n = 1041), ranging in age from 15 to 17 years old (M = 15.42; SD = 0.86). Initially, participants' BMIs were assessed through anthropometry. Later, all individuals were asked about their weight and height, and their self‐reported BMI was calculated. Participants also answered a questionnaire about their perception of self‐concept, as well as completed a test about body image perception using Stunkard images. Outcomes revealed that factors concerning self‐concept and perceived BMI explained body dissatisfaction. Finally, results are discussed with the aim of improving knowledge in body dissatisfaction context.     

Behaviour–emotional characteristics of primary‐school children rated as having language problems

Background Primary‐school teachers are expected to detect problems related to language function, but the teachers' evaluations may be heavily influenced by gender and classroom behaviour. Aim To investigate the relationship between language problems (LPs) and behaviour–emotional problems as rated by primary‐school teachers. Methods All participants participated in a population‐based study, the Bergen Child Study (BCS). Teachers of 9,072 children and parents of 6,234 children completed forms containing questions pertaining to language function and the strengths and difficulties questionnaire (SDQ) to screen for behaviour–emotional problems. LP was defined as a score above the 95th percentile on the sum score of five language items. Children achieving a total SDQ score above the 90th percentile were defined as high scorers, indicating a high risk for behavioural–emotional problems. Results Based on teacher reports, 540 children were defined as having LP, more boys (N = 366) than girls. Children defined as having LP were reported to have significantly higher scores on all SDQ subscales, and a higher total difficulty score than children without language problems (NLP). More LP boys than LP girls were defined as high scorers on the SDQ, with the highest effect size on the hyperactivity–inattention subscore. The agreement between teachers and parents was moderate to low, with the highest consensus of behaviour–emotional problems in children with LP. Conclusions Primary‐school children defined as having LP according to their teachers are frequently characterized by behavioural–emotional problems. Further assessment is warranted for primary‐school children defined as having LP by their teachers.     

Motivations for Self‐Injury,Affect, and Impulsivity: A Comparison of Individuals with Current Self‐Injury to Individuals with a History of Self‐Injury

Individuals who report nonsuicidal self‐injury (NSSI) are characterized by the tendency to act rashly while experiencing distress (negative urgency), the tendency to act without thinking, and endorsement of both social and affect regulation motives for the behavior. However, very little research has identified characteristics that distinguish current self‐injurers from those with a history of the behavior. The purpose of this study was to compare individuals with current self‐injury to a history of self‐injury on impulsivity‐related personality traits, motives for self‐injury, and distress. Among a sample of 429 undergraduates, 120 reported self‐injury. Among these 120 individuals, 33 endorsed self‐injury within the past month, with a mean frequency of 4.77 acts of NSSI. Within the self‐injury group, current self‐injurers reported higher endorsement of affect regulation motives for NSSI, and higher levels of current negative affect than individuals with a history of self‐injury. There were no differences between current and former self‐injurers on measures of impulsivity, endorsement of social motives for NSSI, or positive affect. We propose that individuals who use NSSI to regulate negative affect may be more likely to repeatedly engage in this behavior over time.     

A Cross‐Cultural Analysis of Imagined Interactions

This study examines imagined interactions (IIs) among young adults in the United States, Thailand, and Japan. A comparison of means across cultures on II characteristics reveals that the Japanese participants have the widest variety of II partners, whereas the American participants are the most self‐dominant in their IIs and demonstrate the most II frequency. As for II functions, Japanese and Thai participants keep conflict alive via their IIs more than the Americans, whereas the Thais utilize the II rehearsal and self‐understanding functions the least. The Japanese participants use the II boldness function, which focuses on escaping from societal norms via one’s IIs, more than the Thais and Americans.     

Interdependent self‐construal moderates coping with (but not the initial pain of) ostracism

Ostracism – being excluded and ignored – can cause psychological distress. There has been little research examining how a person's concept of self might influence the effects of ostracism. In the current study, we sought to examine the effect of self‐construal on the distress created by ostracism. Specifically, we assessed the potential moderating effects of self‐construal on both the initial distress of ostracism and the coping process. Participants, recruited in China, completed a self‐construal measure and were either included or ostracized in an online ball‐tossing game. They then reported need‐satisfaction both immediately following the game and after a filler task. Interdependent self‐construal facilitated participants' recovery from some of the negative effects of ostracism, but did not have an impact on the initial pain.     

Experiential avoidance and self‐compassion in chronic pain

The present study investigates the role of coping, experiential avoidance, and self‐compassion on psychological distress prediction (i.e., depression, anxiety, and stress symptoms). A battery of self‐report questionnaires was used to assess coping, experiential avoidance, self‐compassion, and psychological distress in 103 adults with chronic pain from Portuguese primary health care units. Hierarchical regression analyses were performed and showed that experiential avoidance and self‐compassion are the factors that mostly explain psychological distress. Our results suggest that when people with chronic pain are willing to remain in contact with particular private experiences without attempting to control them, they reported less depression, anxiety, and stress. Implications for clinical practice were discussed, suggesting the importance of helping people with chronic pain to increase their willingness to pain rather than avoiding it.     

The Eating Disorders Continuum,Self‐Esteem,and Perfectionism

Among 261 undergraduate women, increased severity of eating disorders along a continuum was associated with decreased self‐esteem, increased perfectionism, and increased scores on 7 subscales of the Eating Disorders Inventory‐2. Women with eating disorders differed from both symptomatic women and asymptomatic women on all variables, whereas symptomatic women differed from asymptomatic women only on self‐esteem, perfectionism, ineffectiveness, body dissatisfaction, and interoceptive awareness. Discriminant analysis correctly classified 45.2% of the women with eating disorders and 59% of the overall sample.     

SCL‐90‐R profiles in a sample of severely violent psychiatric inpatients

A sample of 39 patients who had committed serious violent acts toward others were assessed with the revised Symptom Checklist (SCL‐90‐R). The SCL‐90‐R is a self‐report symptom inventory for the measurement of psychopathology in psychiatric and medical patients. In addition to the patients' self‐report, an observer‐rated SCL‐90‐R was obtained. This was accomplished by letting one pair of nurses complete SCL‐90‐R ratings for each patient. The first aim of the study was to compare the SCL‐90‐R self‐report scores of the patient sample with the psychiatric inpatient norms [Derogatis LR (1992): Clinical Psychometric Research Inc]. Another purpose of this study was to explore possible trends of discordance between the observer ratings and the self‐reports of the study group. Always considering the limitations of the small sample, it was nevertheless also of interest to look for possible sex differences and differences between violent subgroups and between diagnostic groups in the self‐reported scores as well as in the observer ratings. The most striking findings of the present study were that the self‐reported scores were lower than the inpatient norms for SCL‐90‐R and that the patients' self‐reported levels of distress were significantly lower than those found in the observer ratings. Underreporting of psychopathology as a marker of violence risk is discussed in light of these findings. In this study, women reported higher distress levels than men in the Interpersonal Sensitivity symptom dimension. There were no significant differences concerning SCL‐90‐R ratings between patients who had committed homicide, attempted homicide, or physically assaulted another person in a serious but not life‐threatening way. Aggr. Behav. 28:446–457, 2002. © 2002 Wiley‐Liss, Inc.     

Interoceptive sensitivity,body image dissatisfaction,and body awareness in healthy individuals

Relationships among interoceptive sensitivity (IS), body image dissatisfaction, body mass index (BMI), and self‐reported body awareness were investigated in a cross‐sectional study. Eighty‐two Norwegian high school students and 70 Hungarian undergraduate university students participated in the study. Subjects completed two questionnaires (Body Image Ideals Questionnaire – BIQ; Body Awareness Questionnaire – BAQ) followed by the assessment of interoceptive sensitivity using the Mental Tracking Method (MTM). An inverse, medium‐level relationship between body image dissatisfaction and IS was found in both the Norwegian and the Hungarian samples. The relationships between IS and self‐reported body awareness, and between body image dissatisfaction and BMI were uniformly non‐significant in both samples. Predictors of body image dissatisfaction were resting heart rate, gender, and IS in the regression analysis after controlling for BMI, age, and nationality. The negative relationship between IS and body image dissatisfaction described in patients with anorexia nervosa also exists in healthy individuals. There is no direct connection between IS and self‐reported body awareness.     

Independent and interdependent self‐construals: Ramifications for a multicultural society1

Abstract: This study examined American students, Japanese students in Japan, and Japanese students in the USA. First, it examined whether respondents’ scale for independent and interdependent construals of the self (SII) scores would vary depending on the type of relationship (i.e., family members, friends, or peers at the student's university) posited by the instructions. It was found that the SII score of each of the three groups changed depending on the relationship. Second, the relationship between SII scores, perceived conflict, and self‐efficacy were examined. It was found that self‐efficacy was highest among the American students, followed by the Japanese students in the USA, and lowest among the Japanese students in Japan. Self‐efficacy was correlated to independent and interdependent construals of the self. Third, the respondents’ preferences for expressiveness in communication were analyzed. The results of this study showed that there was a difference between the American students and both groups of Japanese students in their preference for three communication styles (independent, mixed, interdependent‐type). Finally, the relationship between intercultural sensitivity, as measured by the intercultural sensitivity inventory, and self‐efficacy were examined. Intercultural sensitivity was shown to have a positive correlation to general self‐efficacy.     

Associations of self‐esteem and temperament traits to self‐ and teacher‐reported social status among classmates

Hintsanen, M., Alatupa, S., Pullmann, H., Hirstiö‐Snellman, P. & Keltikangas‐Järvinen, L. (2010). Associations of self‐esteem and temperament traits to self‐ and teacher‐reported social status among classmates. Scandinavian Journal of Psychology 51, 488–494. The present study examined the validity of self‐ and teacher‐reported social status and its relations to self‐esteem and temperament in a geographically representative cohort of Finnish adolescents (N = 3941, mean age 15.1 years). High agreement was found between self‐ and teacher‐rated social status (r = 0.42). Different aspects of self‐esteem were differently related to social status. When other temperament and self‐esteem variables were included in the analyses, strongest predictor for self‐rated social status in both genders was social self‐esteem (p < 0.01) and for teacher‐rated social status general self‐esteem (p < 0.01). The strongest temperamental predictors of social status were lower inhibition in girls (p < 0.01, self‐ and teacher‐rated) and higher impulsivity (p < 0.01, self‐rated) and activity (p < 0.01, teacher‐rated) in boys. The present findings are consistent with the view that social functioning and peer relations are associated with individual differences in self‐concept and temperament dimensions.     

The association of relational and physical victimization with hostile attribution bias,emotional distress,and depressive symptoms: A cross‐cultural study

The purpose of the present study was to examine the association between relational victimization and socio‐cognitive patterns (i.e. hostile attribution biases and emotional distress) or social–psychological adjustment problems (i.e. depressive symptoms) in Japanese and European American children (N = 272; ages 9–10). Results showed that relational victimization, which was conceptually different from physical victimization, was associated with a greater level of emotional distress for an overall sample; however, the links between relational victimization and hostile attribution biases and depressive symptoms were evidenced only for Japanese children. A follow‐up analysis revealed that hostile attribution biases had a direct effect on depressive symptoms for European American children; however, these biases mediated the link between relational victimization and depressive symptoms for Japanese children. These findings are discussed from normative and cross‐cultural perspectives.