a Department of Psychology , University of Potsdam.
J Clin Child Adolesc Psychol. 2018 Sep-Oct;47(5):770-784. doi: 10.1080/15374416.2016.1178124. Epub 2016 Jul 11.
There is evidence that intrapersonal psychological factors might contribute to the development of binge eating. However, studies considering reciprocal effects between risk factors and disordered eating are rare. The present article investigates the nature of the temporal relationships between binge eating and low self-esteem, depressive symptoms, interoceptive deficits, perfectionism, weight/shape concerns, dietary restraint, and the internalization of the societal body ideal in adolescence while taking into account the moderating effects of age and gender. A German population-based sample of 1039 boys and girls from 12 to 19 years of age answered self-report questionnaires on risk factors and eating pathology on 2 measurement points separated by 20 months. Data were analyzed using a cross-lagged panel design. Low self-esteem, interoceptive deficits, weight/shape concerns, and the internalization of the societal body ideal predicted binge eating longitudinally in bivariate analyses. Binge eating predicted later depressive symptoms, whereas perfectionism and dietary restraint were not longitudinally linked to binge eating in either direction. Low self-esteem and weight/shape concerns emerged as multivariate predictors of binge eating in girls and boys, respectively. No moderating effects of age were observed. The results suggest that depressive symptoms might rather be a consequence of binge eating than a risk factor, and this underscores that even subclinical eating pathology might be associated with negative psychological outcomes. Central risk factors that should be targeted in prevention programs might be low self-esteem for girls and weight/shape concerns for boys.
有证据表明，个体心理因素可能会导致暴食行为的发展。然而，考虑到危险因素和饮食失调之间的相互影响的研究很少。本文调查了在考虑年龄和性别调节作用的情况下，青少年时期暴食行为与低自尊、抑郁症状、内感受缺陷、完美主义、体重/体型担忧、饮食克制和社会身体理想内化之间的时间关系的性质，同时考虑了风险因素和饮食失调之间的相互影响。一项基于德国人群的研究，共有 1039 名 12 至 19 岁的男孩和女孩，在 20 个月的时间内，通过 2 次测量点，回答了关于风险因素和饮食失调的自我报告问卷。使用交叉滞后面板设计分析数据。在二元分析中，低自尊、内感受缺陷、体重/体型担忧和社会身体理想内化均预测暴食行为呈纵向发展。暴食行为预测了随后的抑郁症状，而完美主义和饮食克制在两个方向上都没有与暴食行为呈纵向联系。低自尊和体重/体型担忧分别成为女孩和男孩暴食行为的多变量预测因素。未观察到年龄的调节作用。研究结果表明，抑郁症状可能是暴食行为的后果，而不是危险因素，这强调了即使是亚临床饮食失调也可能与负面心理结果有关。预防计划中应针对的核心危险因素可能是女孩的低自尊和男孩的体重/体型担忧。
