Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
J Youth Adolesc. 2012 Jan;41(1):67-75. doi: 10.1007/s10964-011-9686-y. Epub 2011 Jun 22.
Shape and weight concerns among overweight pre-adolescents heighten risk for eating disorders and weight gain. Treatment and prevention efforts require consideration of psychosocial factors that co-occur with these concerns. This study involved 200 overweight pre-adolescents, aged 7-12 years (M age = 9.8; SD = 1.4), presenting for family-based weight control treatment. Hierarchical regression was used to examine the influence of pre-adolescents' individual characteristics and social experiences, and their parents' psychological symptoms, on shape and weight concerns as assessed by the Child Eating Disorder Examination. Findings revealed that higher levels of dietary restraint, greater feelings of loneliness, elevated experiences with weight-related teasing, and higher levels of parents' eating disorder symptoms predicted higher shape and weight concerns among overweight pre-adolescents. Interventions addressing overweight pre-adolescents' disordered eating behaviors and social functioning, as well as their parents' disordered eating behaviors and attitudes, may be indicated for those endorsing shape and weight concerns.
超重的青春期前儿童对体型和体重的担忧会增加其患上饮食失调和体重增加的风险。治疗和预防工作需要考虑与这些担忧同时发生的社会心理因素。本研究涉及 200 名超重的青春期前儿童,年龄在 7-12 岁(M 年龄=9.8;SD=1.4),他们因家庭为基础的体重控制治疗而就诊。分层回归用于检验青春期前儿童的个体特征和社会经历,以及他们父母的心理症状对儿童饮食失调检查评估的体型和体重担忧的影响。研究结果表明,较高的饮食克制水平、更大的孤独感、与体重相关的嘲笑经历增加,以及父母的饮食障碍症状水平较高,都会预测超重的青春期前儿童出现更高的体型和体重担忧。对于那些对体型和体重表示担忧的儿童,可能需要针对他们的饮食失调行为和社会功能,以及他们父母的饮食失调行为和态度进行干预。