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阿拉伯联合酋长国青少年暴饮暴食的预测因素

Predictors of binge eating in male and female youths in the United Arab Emirates.

作者信息

Schulte Sabrina J

机构信息

Department of International Studies, College of Arts & Sciences, American University of Sharjah, P.O. Box: 26666, United Arab Emirates.

出版信息

Appetite. 2016 Oct 1;105:312-9. doi: 10.1016/j.appet.2016.06.004. Epub 2016 Jun 4.

Abstract

OBJECTIVE

Binge eating is a health-risk behavior associated with obesity, eating disorders and many other diseases. However, binge eating research remains narrow especially in Arab countries where obesity is a primary health concern but studies on psychological factors of compulsive overeating are rare. The present study addressed this gap by examining prevalence rates and key predictors of binge eating among youths in the United Arab Emirates (UAE).

METHOD

Binge eating was assessed together with stress levels, emotional eating, body-related shame and guilt, obsessive-compulsiveness and depression in 254 youths using standardized self-report measures. The study comprised three online-based assessments over a 3-month period.

RESULTS

Moderate to severe binge eating was reported by one-third of participants. Emotional eating and body-related guilt were the most consistent and powerful positive binge eating predictors. While stress levels and body-related shame were statistically significant predictors at follow up, neither obsessive-compulsiveness nor depressive symptomatology predicted binge eating in this study.

DISCUSSION

Findings highlight binge eating as a common concern among youths in the UAE with prevalence rates similar to Western samples. Furthermore, the data suggest that binge eating may operate as a maladaptive coping strategy by alleviating negative emotions including boredom and loneliness. The finding that body-related guilt predicted binge eating is important as until now inconsistencies persist as to the relationship between body-related guilt and eating pathology. The study points towards multifactorial risk and maintenance factors of binge eating and extends our understanding within a population where until now research is poor.

摘要

目的

暴饮暴食是一种与肥胖、饮食失调及许多其他疾病相关的健康风险行为。然而,暴饮暴食的研究仍然有限,尤其是在阿拉伯国家,肥胖是主要的健康问题,但关于强迫性暴饮暴食心理因素的研究却很少。本研究通过调查阿拉伯联合酋长国(阿联酋)青少年中暴饮暴食的患病率及关键预测因素,填补了这一空白。

方法

采用标准化的自我报告量表,对254名青少年的暴饮暴食情况、压力水平、情绪化进食、与身体相关的羞耻感和内疚感、强迫倾向及抑郁状况进行了评估。该研究在3个月内进行了三次基于网络的评估。

结果

三分之一的参与者报告有中度至重度暴饮暴食行为。情绪化进食和与身体相关的内疚感是最一致且有力的暴饮暴食正向预测因素。虽然压力水平和与身体相关的羞耻感在随访时是具有统计学意义的预测因素,但在本研究中,强迫倾向和抑郁症状均不能预测暴饮暴食。

讨论

研究结果表明,暴饮暴食是阿联酋青少年普遍关注的问题,其患病率与西方样本相似。此外,数据表明,暴饮暴食可能是一种适应不良的应对策略,通过缓解包括无聊和孤独在内的负面情绪来起作用。与身体相关的内疚感能预测暴饮暴食这一发现很重要,因为到目前为止,关于与身体相关的内疚感和饮食病理学之间的关系仍存在不一致之处。该研究指出了暴饮暴食的多因素风险及维持因素,并扩展了我们对一个此前研究匮乏的人群的理解。

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