母亲报告的父母体重谈话与青少年女孩的情绪健康、体重控制尝试和饮食失调行为。
Mother-reported parental weight talk and adolescent girls' emotional health, weight control attempts, and disordered eating behaviors.
机构信息
Department of Public Health and Center for Obesity Research and Education, Temple University, 1301 Cecil B. Moore Avenue, Ritter Annex 9th Floor, Philadelphia, PA 19122, USA.
Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. 2nd Street, WBOB 3rd floor, Minneapolis, MN 55455, USA.
出版信息
J Eat Disord. 2013 Dec 27;1:45. doi: 10.1186/2050-2974-1-45. eCollection 2013.
BACKGROUND
The aim of this paper is to explore the relationships between mothers' report of parental weight talk about her daughter, herself, and others, and adolescent girls' weight-related behaviors and cognitions among a socio-demographically diverse population of mothers and their adolescent daughters.
METHODS
Data were drawn from the baseline assessment of 218 mother/adolescent daughter dyads. Mothers completed survey items regarding the frequency of weight talk by parents, and girls completed survey items assessing outcomes including body dissatisfaction, depressive symptomology, use of extreme weight control methods, and binge eating.
RESULTS
More frequent comments to daughters about their weight were associated with higher depressive symptomology (p = 0.041), greater prevalence of extreme weight control behaviors (p = 0.040), and greater prevalence of binge eating (p = 0.048) among girls after adjustment for socio-demographic characteristics and girls' standardized body mass index (BMI). For example, among girls whose parents never commented on their weight, 4.2% reported use of any extreme weight control behaviors, while 23.2% of girls whose parents frequently commented on their weight reported use of any of these behaviors. Mothers' more frequent talk about their own weight, shape, or size was associated with lower self-worth (p = 0.007) and higher depressive symptomology (p = 0.004) among girls.
CONCLUSIONS
Frequent parental weight talk as perceived by mothers was associated with adolescent girls' use of harmful weight control methods and poor psychological health, while no associations were found between weight talk and girls' use of healthful weight control strategies. Interventions that help parents create a family environment that supports healthful activities while reducing weight-related talk may be particularly effective in decreasing the prevalence of harmful outcomes among adolescent girls.
背景
本研究旨在探讨母亲对女儿、自身和他人的体重谈论频率与青少年女孩的体重相关行为和认知之间的关系，研究对象为来自不同社会人口背景的母亲及其青少年女儿。
方法
数据来自 218 对母女的基线评估。母亲完成了关于父母体重谈论频率的调查项目，女孩完成了包括身体不满、抑郁症状、使用极端体重控制方法和暴食在内的调查项目。
结果
在调整了社会人口特征和女孩标准化体重指数（BMI）后，更多地向女儿谈论体重与女孩的抑郁症状（p=0.041）、极端体重控制行为的流行率（p=0.040）和暴食的流行率（p=0.048）更高相关。例如，在父母从不评论女儿体重的女孩中，有 4.2%报告使用了任何极端的体重控制行为，而在父母经常评论女儿体重的女孩中，有 23.2%报告使用了这些行为中的任何一种。母亲更频繁地谈论自己的体重、体型或身材与女孩的自我价值感降低（p=0.007）和抑郁症状加重（p=0.004）相关。
结论
母亲感知到的频繁的父母体重谈论与青少年女孩使用有害的体重控制方法和不良的心理健康有关，而体重谈论与女孩使用健康的体重控制策略之间没有关联。帮助父母创造一个支持健康活动、减少与体重相关的谈论的家庭环境的干预措施，可能特别有效地降低青少年女孩中有害结果的流行率。
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