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身体意象灵活性介导了与身体意象相关的受害经历和羞耻感对暴饮暴食及体重的影响。

Body image flexibility mediates the effect of body image-related victimization experiences and shame on binge eating and weight.

作者信息

Duarte Cristiana, Pinto-Gouveia José

机构信息

University of Coimbra, CINEICC - Cognitive and Behavioural Centre for Research and Intervention, Portugal.

University of Coimbra, CINEICC - Cognitive and Behavioural Centre for Research and Intervention, Portugal.

出版信息

Eat Behav. 2016 Dec;23:13-18. doi: 10.1016/j.eatbeh.2016.07.005. Epub 2016 Jul 15.

Abstract

OBJECTIVES

The current study examined a path model testing the indirect effect of negative body-image related memories of being teased and bullied in childhood and adolescence on binge eating severity symptoms, via its effect on current body image shame and body image flexibility.

METHODS

Participants were 853 Portuguese women from the general community who completed a set of self-report measures of body image-related bullying and teasing experiences in childhood and adolescence, current body image shame, body image flexibility, binge eating symptoms, body mass index (BMI) and depressive symptoms.

RESULTS

The path model accounted for 40% of the variance of binge eating symptoms and 14% of the variance of BMI, and revealed a very good fit. Findings corroborated the plausibility of the hypothesized associations suggesting that negative body image-related memories and emotional experiences are significantly associated with binge eating symptoms and BMI, and that body image flexibility is a significant mediator of these associations. The examined relationships were preserved after controlling for the effect of depressive symptoms.

CONCLUSIONS

The current study's findings contribute to clarify the role that body image-related memories and emotional experiences may play on individuals' difficulties in regulating eating behaviour and weight, and provides preliminary support for the potential effect of body image flexibility as a self-regulatory process that operates in these associations.

摘要

目的

本研究检验了一个路径模型,该模型通过童年和青少年时期与负面身体意象相关的被嘲笑和欺负的记忆对当前身体意象羞耻感和身体意象灵活性的影响,来测试其对暴饮暴食严重程度症状的间接影响。

方法

参与者为853名来自葡萄牙普通社区的女性,她们完成了一系列关于童年和青少年时期与身体意象相关的欺凌和嘲笑经历、当前身体意象羞耻感、身体意象灵活性、暴饮暴食症状、体重指数(BMI)和抑郁症状的自我报告测量。

结果

该路径模型解释了暴饮暴食症状变异的40%和BMI变异的14%,并显示出非常好的拟合度。研究结果证实了假设关联的合理性,表明与负面身体意象相关的记忆和情感体验与暴饮暴食症状和BMI显著相关,并且身体意象灵活性是这些关联的重要中介变量。在控制了抑郁症状的影响后,所检验的关系依然存在。

结论

本研究结果有助于阐明与身体意象相关的记忆和情感体验在个体调节饮食行为和体重困难中可能发挥的作用,并为身体意象灵活性作为在这些关联中起作用的自我调节过程的潜在影响提供了初步支持。

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