Sehm Marie, Warschburger Petra
Department of Psychology, University of Potsdam, Karl-Liebknecht-Str. 24-25, 14476, Potsdam, Germany.
J Abnorm Child Psychol. 2015 Nov;43(8):1563-1571. doi: 10.1007/s10802-015-0026-7.
Low self-esteem, lack of interoceptive awareness, perfectionism, body dissatisfaction, dietary restraint, weight teasing, and internalization of the societal body ideal are known to be associated with binge eating (BE) in adolescents. The purpose of the present cross-sectional study was to investigate whether these attributes are BE-specific and whether different patterns exist for boys and girls. We assessed BE, internalizing symptoms and psychological factors in 1039 adolescents from a community sample by self-report. Using multinomial logistic regression and controlling for measured height and weight, we compared adolescents with BE with individuals from a healthy control group and adolescents reporting internalizing symptoms. Individuals from the BE-group reported a greater lack of interoceptive awareness and higher body dissatisfaction than individuals from the healthy control group. Additionally, we found a significant interaction between gender and body dissatisfaction. Internalization of the societal body ideal was related to BE when compared to internalizing symptoms. Results suggest, that the lack of interoceptive awareness and body dissatisfaction display substantial associations with BE, and that the latter effect is especially strong in boys. The internalization of societal standards of beauty emerged as a BE-specific factor and this finding emphasizes the role of the societal body ideal in the nature of eating pathology in boys and in girls. Increasing body satisfaction and the acceptance of realistic body ideals might be effective strategies in preventing eating pathology.
众所周知，自卑、缺乏内感受性觉知、完美主义、身体不满、饮食限制、体重调侃以及社会身体理想的内化与青少年的暴饮暴食（BE）有关。本横断面研究的目的是调查这些特征是否是暴饮暴食所特有的，以及男孩和女孩是否存在不同模式。我们通过自我报告对来自社区样本的1039名青少年的暴饮暴食、内化症状和心理因素进行了评估。使用多项逻辑回归并控制测量的身高和体重，我们将患有暴饮暴食的青少年与健康对照组的个体以及报告有内化症状的青少年进行了比较。与健康对照组的个体相比，暴饮暴食组的个体报告出更大程度的内感受性觉知缺乏和更高的身体不满。此外，我们发现性别与身体不满之间存在显著交互作用。与内化症状相比，社会身体理想的内化与暴饮暴食有关。结果表明，内感受性觉知缺乏和身体不满与暴饮暴食存在显著关联，且后一种影响在男孩中尤为强烈。社会美的标准内化成为暴饮暴食的一个特定因素，这一发现强调了社会身体理想在男孩和女孩饮食病理学本质中的作用。提高身体满意度和接受现实的身体理想可能是预防饮食病理学的有效策略。
