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身体意象和饮食失调作为青少年抑郁和自杀意念风险因素的作用。

The role of body image and disordered eating as risk factors for depression and suicidal ideation in adolescents.

作者信息

Brausch Amy M, Gutierrez Peter M

机构信息

Department of Psychology, 600 Lincoln Avenue, Eastern Illinois University, Charleston, IL 61920, USA.

出版信息

Suicide Life Threat Behav. 2009 Feb;39(1):58-71. doi: 10.1521/suli.2009.39.1.58.

Abstract

There is much empirical literature on factors for adolescent suicide risk, but body image and disordered eating are rarely included in these models. In the current study, disordered eating and body image were examined as risk factors for suicide ideation since these factors are prevalent in adolescence, particularly for females. It was hypothesized that disordered eating and body image, in addition to depressive symptoms, would contribute to suicide ideation. It was also hypothesized that these relationships would be stronger for females than for males. Structural equation modeling was used to test a model of risk for suicide ideation incorporating the above factors in a sample of 392 high school students. Results indicated that disordered eating contributed to both suicide ideation and depressive symptoms, while body image only contributed to depressive symptoms. Depressive symptoms contributed to suicide ideation. The model was found to be cross-validated with males and females, and no gender differences emerged. Implications of these findings and their importance in constructing future models of adolescent suicide risk are discussed.

摘要

关于青少年自杀风险因素有大量实证文献,但身体意象和饮食失调在这些模型中很少被纳入。在当前研究中,饮食失调和身体意象被作为自杀意念的风险因素进行研究,因为这些因素在青少年中很普遍,尤其是女性。研究假设饮食失调和身体意象,除了抑郁症状外,会导致自杀意念。还假设这些关系对女性的影响比对男性更强。采用结构方程模型在392名高中生样本中检验包含上述因素的自杀意念风险模型。结果表明,饮食失调会导致自杀意念和抑郁症状,而身体意象仅导致抑郁症状。抑郁症状会导致自杀意念。该模型在男性和女性中得到交叉验证,未出现性别差异。讨论了这些发现的意义及其在构建未来青少年自杀风险模型中的重要性。

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