Department of Developmental, Personality and Social Psychology, Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium.
School of Psychology, Flinders University, GPO Box 2100, Adelaide, SA, 5001, Australia.
Eur Child Adolesc Psychiatry. 2019 Nov;28(11):1447-1460. doi: 10.1007/s00787-019-01306-8. Epub 2019 Mar 9.
Binge eating among adolescents is associated with negative developmental outcomes. From a cognitive perspective, the role of impaired self-regulation is increasingly emphasized as an underlying factor in binge eating, whereas the affect regulation model proposes that affectivity is a key factor in explaining binge eating. Studies combining both perspectives are scarce, but necessary to add to the understanding of this pathological eating behavior. Therefore, the aim of the current study was to investigate unique and joint contributions of both factors in understanding binge eating among adolescents. Participants were 301 adolescents (10-17 years; 67.2% girls; M = 13.46 years; SD = 1.99) from the general community. Adolescents self-reported on different types of binge eating episodes (loss of control over eating in general, objective and subjective binge eating in particular), self-regulation (general self-regulation and inhibitory control) and affectivity (positive and negative). The parents were questioned about their children's self-regulatory capacities. Results revealed main effects of self-regulatory capacities (adolescent report) and negative affectivity in predicting objective binge eating. In addition, negative affectivity interacted with self-regulation (parent report) to predict objective binge eating, whereas positive affectivity interacted with self-regulation (adolescent report) to predict subjective binge eating. No significant effects were found for loss of control over eating specifically. Both self-regulation and affectivity each make unique as well as joint contributions to binge eating among adolescents, with results differing across types of binge eating episodes and informants. Theoretical and practical implications are discussed.
青少年暴食与负面发展结果有关。从认知的角度来看,自我调节受损的作用越来越被强调为暴食的潜在因素,而情感调节模型则提出情感是解释暴食的关键因素。结合这两种观点的研究很少,但对于理解这种病理性进食行为是必要的。因此,本研究的目的是调查这两个因素在理解青少年暴食中的独特和共同贡献。参与者为 301 名来自普通社区的青少年(10-17 岁;67.2%为女孩;M=13.46 岁;SD=1.99 岁)。青少年自我报告了不同类型的暴食发作(总体上无法控制进食、客观暴食和主观暴食)、自我调节(一般自我调节和抑制控制)和情感(积极和消极)。父母被问及他们孩子的自我调节能力。结果显示,自我调节能力(青少年报告)和消极情感在预测客观暴食方面存在主要影响。此外,消极情感与自我调节(父母报告)相互作用预测客观暴食,而积极情感与自我调节(青少年报告)相互作用预测主观暴食。具体来说,没有发现对失去控制进食的显著影响。自我调节和情感都对青少年暴食有独特的和共同的贡献,结果因暴食类型和信息来源而异。讨论了理论和实践意义。