Turner H M, Rose K S, Cooper M J
School of Medicine, University of Southampton, UK.
Int J Obes (Lond). 2005 Apr;29(4):381-7. doi: 10.1038/sj.ijo.0802915.
To investigate whether family functioning and cognitions in a group of overweight female adolescents differ significantly from those in a group of normal weight female adolescents.
Cross-sectional study.
In all, 23 overweight female adolescents (mean age: 17.6 y, mean body mass index (BMI: 27.8 kg/m2), and 23 normal weight female adolescents (mean age: 17.7 y, mean BMI: 20.2 kg/m2).
The following self-report measures were completed: the Parental Bonding Inventory, the Young Schema Questionnaire-short version, the Eating Attitudes Test, the Beck Depression Inventory and the Eating Disorder Belief Questionnaire.
Overweight female adolescents reported more negative self-beliefs and greater belief in schema relating to emotional deprivation, fears of abandonment, subjugation and insufficient self-control. They also perceived their fathers as being significantly more overprotective and significantly less caring. Within this group perceived level of maternal care correlated negatively with negative self-beliefs and schema.
Overweight female adolescents show some of the cognitive features associated with the development of an eating disorder. However, positive parent-child relationships may serve to protect overweight adolescents from developing clinical eating disorders and from psychological distress later in life.
调查一组超重女性青少年的家庭功能和认知与一组正常体重女性青少年的家庭功能和认知是否存在显著差异。
横断面研究。
总共23名超重女性青少年(平均年龄:17.6岁,平均体重指数[BMI]:27.8kg/m²)和23名正常体重女性青少年(平均年龄:17.7岁,平均BMI:20.2kg/m²)。
完成以下自我报告测量:父母教养方式问卷、青少年图式问卷简版、饮食态度测试、贝克抑郁量表和饮食失调信念问卷。
超重女性青少年报告了更多的负面自我信念,以及对与情感剥夺、被抛弃恐惧、屈从和自我控制不足相关的图式有更强的信念。她们还认为自己的父亲明显更具过度保护欲,而关怀则明显更少。在这组人群中,感知到的母亲关怀水平与负面自我信念和图式呈负相关。
超重女性青少年表现出一些与饮食失调发展相关的认知特征。然而,积极的亲子关系可能有助于保护超重青少年在日后生活中不发展为临床饮食失调和出现心理困扰。