Canals J, Sancho C, Arija M V
Department of Psychology, Rovira i Virgili University, Ctra. Valls s/n, 43007 Tarragona, Spain.
Eur Child Adolesc Psychiatry. 2009 Jun;18(6):353-9. doi: 10.1007/s00787-009-0737-9. Epub 2009 Feb 16.
To investigate the relationship between parents' cognitive and behavioural dimensions and the risk of eating disorders (ED) in non-clinical adolescents.
From an initial sample of 1,336 boys and girls with a mean age of 11.37, a total of 258 subjects were selected either as being at risk of ED or as controls. These subjects and their parents comprised the sample at T1 and were followed-up 2 years later (T2). We examined disordered eating attitudes, body dissatisfaction (BD), body mass index (BMI) and ED diagnoses in the adolescents at two points in time. We also used the Eating Disorder Inventory-2 to examine the disordered eating attitudes of their parents at T1.
The mother's BD, drive for thinness (DT), ineffectiveness and interoceptive awareness, and the father's DT and perfectionism were related to long-term ED. Logistic regression showed that predictors of ED were being female, mother's DT and social insecurity, and adolescent's BD. The BMI was not a predictor in this model. Father's perfectionism was a risk factor of ED.
Specific cognitive and behavioural dimensions of ED in both parents can influence the development of an ED in early adolescents. This should be taken into account in the prevention and family oriented treatment of ED.
探讨非临床青少年中父母的认知和行为维度与饮食失调（ED）风险之间的关系。
从最初的1336名平均年龄为11.37岁的男孩和女孩样本中，共选取了258名受试者，他们要么有饮食失调风险，要么作为对照。这些受试者及其父母构成了T1期的样本，并在2年后进行随访（T2）。我们在两个时间点检查了青少年的饮食失调态度、身体不满（BD）、体重指数（BMI）和饮食失调诊断。我们还使用饮食失调量表-2在T1期检查了他们父母的饮食失调态度。
母亲的身体不满、追求瘦身（DT）、无效感和内感受觉知，以及父亲的追求瘦身和完美主义与长期饮食失调有关。逻辑回归显示，饮食失调的预测因素为女性、母亲的追求瘦身和社会不安全感，以及青少年的身体不满。体重指数在该模型中不是预测因素。父亲的完美主义是饮食失调的一个风险因素。
父母双方饮食失调的特定认知和行为维度可影响青少年早期饮食失调的发展。在饮食失调的预防和家庭导向治疗中应考虑到这一点。
