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儿童饮食障碍量表测量的特征和青少年女性饮食障碍的保护因素。

Characteristics measured by the Eating Disorder Inventory for children at risk and protective factors for disordered eating in adolescent girls.

机构信息

Psychiatric Research Centre, School of Health and Medical Sciences, University of Örebro.

出版信息

Int J Womens Health. 2010 Oct 28;2:375-9. doi: 10.2147/IJWH.S12349.

Abstract

OBJECTIVE

The aim of this study was to examine longitudinally the role of characteristics measured by the Eating Disorder Inventory-Child version (EDI-C) to find early predictors that might constitute risk and protective factors in the development of disordered eating.

METHOD

Participants were divided into three groups based on eating attitudes at T2: disordered eating (n = 49), intermediate eating concern (n = 260), and healthy eating attitudes (n = 120). EDI-C from T1 (four to five years earlier) was then analyzed to find predictors of group classification at T2.

RESULTS

Drive for thinness and body dissatisfaction emerged as risk factors at T1, while drive for thinness, body dissatisfaction, and interoceptive awareness emerged as protective factors after controlling for initial eating concerns and body mass index.

DISCUSSION

Eating disorders should not be seen as a result of a premorbid personality type. Rather we should take a more social-psychological perspective to explain how individual and sociocultural factors work together in the development of these conditions.

摘要

目的

本研究旨在纵向研究饮食障碍量表儿童版(EDI-C)测量的特征在发展障碍性进食中扮演的角色,寻找可能构成风险和保护因素的早期预测因子。

方法

根据 T2 时的饮食态度,参与者被分为三组:饮食障碍组(n=49)、中间饮食关注组(n=260)和健康饮食态度组(n=120)。然后分析 T1 时的 EDI-C,以寻找 T2 时分组的预测因子。

结果

在 T1 时,消瘦驱动和身体不满成为风险因素,而在控制初始饮食关注和体重指数后,消瘦驱动、身体不满和内部感知意识成为保护因素。

讨论

不应该将饮食障碍视为一种潜在的人格类型的结果。相反,我们应该从更社会心理学的角度来解释个体和社会文化因素如何共同作用于这些疾病的发展。

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本文引用的文献

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Risk factors and prodromal eating pathology.风险因素与前驱性进食障碍
J Child Psychol Psychiatry. 2010 Apr;51(4):518-25. doi: 10.1111/j.1469-7610.2010.02212.x. Epub 2010 Jan 14.
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Eating disorders and personality: a methodological and empirical review.饮食失调与人格:方法学与实证综述
Clin Psychol Rev. 2006 May;26(3):299-320. doi: 10.1016/j.cpr.2005.10.003. Epub 2005 Dec 5.

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