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青少年学校样本中暴饮暴食、失控进食、暴饮暴食与抑郁症状之间的前瞻性关系。

Prospective Relations between Overeating, Loss of Control Eating, Binge Eating, and Depressive Symptoms in a School-Based Sample of Adolescents.

作者信息

Sinclair-McBride Keneisha, Cole David A

机构信息

Division of Psychology, Department of Psychiatry, Boston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, USA.

Psychology and Human Development, Vanderbilt University, 0552 GPC, 230 Appleton Place, Nashville, TN, 37203-5721, USA.

出版信息

J Abnorm Child Psychol. 2017 May;45(4):693-703. doi: 10.1007/s10802-016-0186-0.

Abstract

A sample of 353 community adolescents (grades 9 to 12, 57.6 % female) participated in a 2-wave longitudinal study of eating behaviors (overeating, loss of control eating [LOC], and binge eating) and depression. The study addresses 4 hypotheses. (1) The prospective relations between eating behaviors and depressive symptoms will be reciprocal, with each predicting the other over time. (2) These relations will be stronger for girls than for boys. (3) These relations will be stronger for adolescents with high (not low) body mass index (BMI). (4) LOC will show incremental predictive utility in relation to depressive symptoms over and above overeating. Evidence supported reciprocal relations between binge eating and depressive symptoms and between overeating and depressive symptoms, but not between LOC and depressive symptoms. Sex and BMI did not substantially moderate these relations. Taken separately, overeating but not LOC predicted depressive symptoms. Taken together, neither predictor was significant controlling for the other. Results raise questions about the importance of LOC alone in predicting depressive symptoms in adolescence.

摘要

353名社区青少年(9至12年级,57.6%为女性)参与了一项关于饮食行为(暴饮暴食、失控性进食[LOC]和暴食)与抑郁的两阶段纵向研究。该研究探讨了4个假设。(1)饮食行为与抑郁症状之间的前瞻性关系将是相互的,随着时间的推移,二者相互预测。(2)这些关系在女孩中比在男孩中更强。(3)这些关系在高(而非低)体重指数(BMI)的青少年中更强。(4)与暴饮暴食相比,LOC在预测抑郁症状方面将显示出递增的预测效用。证据支持了暴食与抑郁症状之间以及暴饮暴食与抑郁症状之间的相互关系,但不支持LOC与抑郁症状之间的关系。性别和BMI并未显著调节这些关系。单独来看,暴饮暴食而非LOC能预测抑郁症状。综合来看,两个预测因素在控制对方时均无显著意义。研究结果引发了对于仅LOC在预测青少年抑郁症状方面的重要性的质疑。

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