Stice Eric
University of Texas at Austin, Department of Psychology, 78712, USA.
Psychol Bull. 2002 Sep;128(5):825-48. doi: 10.1037/0033-2909.128.5.825.
This meta-analytic review of prospective and experimental studies reveals that several accepted risk factors for eating pathology have not received empirical support (e.g., sexual abuse) or have received contradictory support (e.g.. dieting). There was consistent support for less-accepted risk factors(e.g., thin-ideal internalization) as well as emerging evidence for variables that potentiate and mitigate the effects of risk factors(e.g., social support) and factors that predict eating pathology maintenance(e.g., negative affect). In addition, certain multivariate etiologic and maintenance models received preliminary support. However, the predictive power of individual risk and maintenance factors was limited, suggesting it will be important to search for additional risk and maintenance factors, develop more comprehensive multivariate models, and address methodological limitations that attenuate effects.
这项对前瞻性和实验性研究的荟萃分析综述表明，一些公认的饮食病理学风险因素并未得到实证支持（例如，性虐待），或者得到了相互矛盾的支持（例如，节食）。对于不太被认可的风险因素（例如，对瘦理想的内化）有一致的支持，同时也有新出现的证据表明存在增强和减轻风险因素影响的变量（例如，社会支持）以及预测饮食病理学持续存在的因素（例如，消极情绪）。此外，某些多变量病因和持续存在模型得到了初步支持。然而，个体风险和持续存在因素的预测能力有限，这表明寻找额外的风险和持续存在因素、开发更全面的多变量模型以及解决削弱效应的方法学局限性将很重要。
