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对基于状态的贪食症状双重途径模型扩展的测试。

Tests of an extension of the dual pathway model of bulimic symptoms to the state-based level.

机构信息

School of Psychology, Deakin University, Victoria, Australia.

School of Psychology, Deakin University, Victoria, Australia.

出版信息

Eat Behav. 2014 Apr;15(2):280-5. doi: 10.1016/j.eatbeh.2014.03.011. Epub 2014 Mar 31.

Abstract

The dual pathway model proposes that trait body dissatisfaction leads to bulimic symptoms via two distinct pathways: dieting and trait negative affect. As many of these modelled variables have state-based equivalents, the present study evaluated the generalisability of this model to predict associations between state body dissatisfaction and instances of disordered eating. 124 women aged 18 to 40 years completed an online survey (accessed via a mobile phone device with web access) over a 7-day period. The mobile phone device prompted participants at random intervals seven times daily to self-report their state body dissatisfaction, current mood experiences, dieting attempts, and disordered eating practices. Multi-level mediation modelling revealed that both negative mood states and dieting significantly mediated the state body dissatisfaction-disordered eating relationships, although the strength of these associations depended on the aspect of disordered eating measured and individual differences in trait body dissatisfaction, internalization of appearance standards, tendency towards dieting, and BMI. Collectively, these results not only support adapting the dual pathway model to the state-level, but also suggest that several of the model implied pathways may be more relevant for individuals with more pathological eating- and body-related concerns and behaviours.

摘要

双路径模型提出,特质性身体不满通过两种不同的途径导致暴食症状:节食和特质性负性情绪。由于这些模型变量中有许多具有基于状态的等价物,本研究评估了该模型对预测状态身体不满与饮食失调发作之间关联的普遍性。124 名年龄在 18 至 40 岁的女性在 7 天的时间内通过手机设备(具有网络访问功能)在线完成了一项调查。手机设备每天随机间隔 7 次提示参与者自我报告其状态身体不满、当前情绪体验、节食尝试和饮食失调行为。多层次中介模型显示,负性情绪状态和节食都显著中介了状态身体不满与饮食失调的关系,尽管这些关联的强度取决于所测量的饮食失调方面以及特质性身体不满、对外表标准的内化、节食倾向和 BMI 的个体差异。总的来说,这些结果不仅支持将双路径模型适用于状态水平,还表明该模型暗示的几个途径可能与更具病理性的饮食和身体相关问题和行为的个体更相关。

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