Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor Darul Ehsan, Malaysia.
Appetite. 2011 Jun;56(3):778-83. doi: 10.1016/j.appet.2011.03.005. Epub 2011 Mar 22.
This study aimed to examine the role of psychological distress in the relationships between sociocultural influences (social pressure to be thin and weight teasing) and disordered eating. Data were collected from 584 university students (59.4% females and 40.6% males), aged 18-24 years old (M=20.6, SD=1.4), selected from four universities in the Klang Valley, Malaysia. Participants completed four standardized questionnaires which measured social pressure to be thin, weight-related teasing, psychological distress and disordered eating. A good fit structural equation modeling (SEM) model was developed for both sexes. For males, the SEM model revealed that sociocultural influences showed an indirect effect on disordered eating through psychological distress. For females, the model showed an indirect effect of sociocultural influences on disordered eating through psychological distress, as well as a direct effect of sociocultural influences on disordered eating. In conclusion, psychological distress mediated the relationships between sociocultural influences and disordered eating in both males and females. Our results suggest that disordered eating intervention programs on reducing psychological distress in university students may be beneficial.
本研究旨在探讨心理困扰在社会文化影响（对瘦的社会压力和体重嘲笑）与饮食失调之间关系中的作用。数据来自马来西亚雪兰莪州四所大学的 584 名 18-24 岁的大学生（59.4%女性，40.6%男性），年龄为 18-24 岁（M=20.6，SD=1.4）。参与者完成了四个标准化问卷，分别测量了对瘦的社会压力、与体重相关的嘲笑、心理困扰和饮食失调。为男女两性都建立了一个良好拟合的结构方程模型（SEM）。对于男性，SEM 模型表明，社会文化影响通过心理困扰对饮食失调产生间接影响。对于女性，该模型显示社会文化影响通过心理困扰对饮食失调产生间接影响，以及社会文化影响对饮食失调的直接影响。总之，心理困扰在社会文化影响与饮食失调之间的关系中起到了中介作用。我们的研究结果表明，减少大学生心理困扰的饮食失调干预计划可能是有益的。
