{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T22:50:40Z","timestamp":1785192640732,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2016,7,9]],"date-time":"2016-07-09T00:00:00Z","timestamp":1468022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study aims to examine the association of body image and weight perceptions with risk of depression and suicidal attempts in Jamaican adolescents with sickle cell disease (SCD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adolescents with SCD and a national sample of Jamaican adolescents completed a questionnaire examining body image, weight perceptions, and risk for depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Perceived and desired body images were similar for both groups. Adolescents with SCD had higher levels of \u201cnegative body satisfaction\u201d (43.9% vs. 33.9%; <jats:italic>P<\/jats:italic> = 0.03), risk for depression (28.7% vs. 19.3%; <jats:italic>P<\/jats:italic> = 0.01), and attempted suicide (12.4% vs. 6.6%; <jats:italic>P<\/jats:italic> = 0.02) than national sample. Risk of depression was higher in those who perceived themselves to be over or underweight, and lower in those with more friends and attending school. Females and those with body image dissatisfaction were more likely to have attempted suicide. Within the SCD adolescents, girls were at greater odds of having mental health issues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Jamaican adolescents with SCD have significantly higher rates of negative body satisfaction and depressive symptoms, and nearly twice the rate of attempted suicide, compared with their healthy peers. This underscores the need for healthcare professionals to better explore and discuss healthy weight, body satisfaction, and coping with the demands and uncertainties of having a chronic illness with Jamaican adolescents with SCD, even while promoting body acceptance and good self\u2010esteem. Screening for mood disorders is strongly recommended and gender\u2010specific interventions should be developed. Healthcare professionals need to encourage positive social interactions that improve adolescents\u2019 mental health.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.26091","type":"journal-article","created":{"date-parts":[[2016,7,9]],"date-time":"2016-07-09T14:08:29Z","timestamp":1468073309000},"page":"2159-2166","source":"Crossref","is-referenced-by-count":32,"title":["Increased rates of body dissatisfaction, depressive symptoms, and suicide attempts in Jamaican teens with sickle cell disease"],"prefix":"10.1002","volume":"63","author":[{"given":"Komal","family":"Bhatt\u2010Poulose","sequence":"first","affiliation":[{"name":"Sickle Cell Unit, Tropical Medicine Research Institute The University of the West Indies  Mona Jamaica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"James","sequence":"additional","affiliation":[{"name":"Department of Community Health and Psychiatry The University of the West Indies  Mona Jamaica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marvin","family":"Reid","sequence":"additional","affiliation":[{"name":"Tropical Metabolism Research Unit Tropical Medicine Research Institute The University of the West Indies  Mona Jamaica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Harrison","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Health The University of the West Indies  Mona Jamaica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Asnani","sequence":"additional","affiliation":[{"name":"Sickle Cell Unit, Tropical Medicine Research Institute The University of the West Indies  Mona Jamaica"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/1528-3542.5.4.498"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272431687072007"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2006.09.026"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199803)23:2<125::AID-EAT2>3.0.CO;2-M"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.37.5.597"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0034618"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.159.6.513"},{"key":"e_1_2_6_9_1","first-page":"465","article-title":"Body image perception and the risk of unhealthy behaviours among university students","volume":"58","author":"Nichols SD","year":"2009","journal-title":"West Indian Med J"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2012.10.008"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-0333"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3945\/an.112.003608"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/02724936.1995.11747772"},{"key":"e_1_2_6_14_1","first-page":"10","article-title":"Physical growth, sexual maturation, body image and sickle cell disease","volume":"92","author":"Cepeda ML","year":"2000","journal-title":"J Natl Med Assoc."},{"key":"e_1_2_6_15_1","first-page":"5","article-title":"Anthropometric indices, perceived body image and risk of psychopathology among adolescents with sickle cell anemia in a Teaching Hospital, Lagos","volume":"7","author":"Kate F","year":"2011","journal-title":"Afr J Online."},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-10-40"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.23091"},{"key":"e_1_2_6_18_1","unstructured":"WilksR YoungerN McFarlaneS FrancisD VanDen BroeckJ. 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