Kirsh Gillian, McVey Gail, Tweed Stacey, Katzman Debra K
Community Health Systems Resource Group, The Hospital for Sick Children, Toronto, Ontario, Canada.
J Adolesc Health. 2007 Apr;40(4):351-6. doi: 10.1016/j.jadohealth.2006.11.003. Epub 2007 Jan 25.
Children as young as 12 years of age are presenting for treatment of an eating disorder (ED), underscoring the need to understand the psychological and social make-up of this age group. Early adolescent females seeking treatment for an eating disorder were compared with healthy age-matched controls on psychosocial variables relevant to this stage of development.
Self-report measures of individual (e.g., competence and importance ratings across five domains of self-concept, self-oriented and socially prescribed perfectionism) and contextual factors (e.g., conditional support from mother, father, and peer, and negative peer, family, and school events) were administered to adolescents with EDs (n = 25) and a comparison group comprised of age-matched females from the general population (n = 25 in a low-risk and n = 25 in a high-risk group).
Compared with the control sample, the ED group had significantly lower ratings of competence in physical appearance and higher ratings on the importance of physical appearance and self-oriented perfectionism. There were no group differences on the parental or peer support variables, or on negative life event variables.
This study has implications for early identification and early intervention.
年仅12岁的儿童就开始接受饮食失调(ED)治疗,这凸显了了解该年龄组心理和社会构成的必要性。将寻求饮食失调治疗的青春期早期女性与在与该发育阶段相关的心理社会变量方面年龄匹配的健康对照组进行比较。
对患有饮食失调症的青少年(n = 25)以及由来自普通人群的年龄匹配女性组成的对照组(低风险组n = 25,高风险组n = 25)进行个体自我报告测量(例如,自我概念五个领域的能力和重要性评级、自我导向和社会规定的完美主义)以及情境因素测量(例如,来自母亲、父亲和同伴的条件性支持,以及负面的同伴、家庭和学校事件)。
与对照组相比,饮食失调组在外表能力方面的评分显著较低,而在外表重要性和自我导向完美主义方面的评分较高。在父母或同伴支持变量以及负面生活事件变量上,两组没有差异。
本研究对早期识别和早期干预具有启示意义。