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青少年女孩身体不满和饮食失调感知朋友影响的纵向研究。

A longitudinal investigation of perceived friend influence on adolescent girls' body dissatisfaction and disordered eating.

机构信息

a Department of Psychology , Macquarie University.

出版信息

J Clin Child Adolesc Psychol. 2013;42(5):643-56. doi: 10.1080/15374416.2012.743103. Epub 2012 Dec 5.

DOI:10.1080/15374416.2012.743103
PMID:23215623
Abstract

Although major etiological models highlight the importance of friends in the development of adolescent body image and eating problems, longitudinal research that comprehensively investigates possible direct and mediational relationships between these variables is lacking. Thus, this study aimed to examine prospective interrelationships between perceived friend influence, body dissatisfaction, and disordered eating in early adolescent girls, and whether these relationships differed across levels of body mass. A large Australian community sample of female high school students (N = 1,094; Time 1 M age = 12.3 years) completed a battery of self-report questionnaires assessing perceived friend influence, body dissatisfaction, and disordered eating at 3 yearly intervals. Height and weight were also measured at each time point. Structural equation modeling was used to investigate two separate models, in which Time 2 body dissatisfaction was hypothesized to mediate the relationship between Time 1 perceived friend influence and Time 3 dieting and bulimic behaviors. No significant direct or indirect pathways were found between friend influence and disordered eating. Unexpectedly, however, body dissatisfaction was found to prospectively predict girls' perception of friend influence. These findings were remarkably similar in both healthy and overweight girls. The findings suggest that friends may be more influential for those adolescents who have higher levels of body image concern, rather than contributing directly to the development of body dissatisfaction. The peer environment represents an important consideration in adolescent prevention and intervention programs.

摘要

尽管主要的病因学模型强调了朋友在青少年身体形象和饮食问题发展中的重要性,但缺乏全面研究这些变量之间可能存在的直接和中介关系的纵向研究。因此,本研究旨在考察青少年早期女孩感知到的朋友影响、身体不满和饮食失调之间的前瞻性相互关系,以及这些关系是否因体重水平而异。一个大型的澳大利亚社区女高中生样本(N=1094;第 1 次时间点 M 年龄=12.3 岁)在 3 年的时间间隔内完成了一系列自我报告问卷,评估感知到的朋友影响、身体不满和饮食失调。在每个时间点还测量了身高和体重。结构方程模型用于研究两个单独的模型,其中假设第 2 次时间的身体不满在第 1 次时间的感知到的朋友影响与第 3 次节食和暴食行为之间起中介作用。在朋友影响和饮食失调之间没有发现显著的直接或间接途径。然而,令人意外的是,身体不满被发现可以预测女孩对朋友影响的感知。在健康和超重女孩中,这些发现非常相似。这些发现表明,对于那些身体形象担忧程度较高的青少年来说,朋友可能更具影响力,而不是直接导致身体不满的发展。同伴环境是青少年预防和干预计划的一个重要考虑因素。

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