Uniformed Services University of the Health Sciences (USUHS), 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
Psychology Department, Fordham University, 441 E. Fordham Road, Bronx, NY 10458, USA.
Eat Behav. 2019 Apr;33:73-77. doi: 10.1016/j.eatbeh.2019.04.001. Epub 2019 Apr 11.
Stressors unique to military families may place dependents of military service members of both sexes at high-risk for disordered-eating. Yet, there are no data examining sex-related differences in eating pathology and distress among this population. Therefore, we examined disordered-eating attitudes and associated psychosocial characteristics in adolescent military dependents at high-risk for both eating disorders and adult obesity (i.e., BMI ≥ 85th percentile and elevated anxiety symptoms and/or loss-of-control eating). One-hundred-twenty-five (55.2% female) adolescent (12-17 y) military dependents were studied prior to entry in an eating disorder and obesity prevention trial. Youth were administered the Eating Disorder Examination interview to determine disordered-eating attitudes, and completed questionnaires to assess self-esteem, social functioning, and depression. Girls and boys did not differ in BMIz (p = .66) or race/ethnicity (p = .997/p = .55). Adjusting for relevant covariates, girls and boys did not differ significantly with regard to disordered-eating global scores (p = .38), self-esteem (p = .23), or social functioning (p = .19). By contrast, girls reported significantly more symptoms of depression (p = .001). Adolescent male and female dependents at high-risk for eating disorders and adult obesity reported comparable levels of eating-related and psychosocial stress. Data are needed to elucidate how adolescent military dependents respond to intervention and whether sex moderates outcome.
应激源是美军家庭所特有的，可能会使男女军人的家属有饮食失调的高风险。然而，目前尚无数据检查该人群中与性别相关的饮食失调和困扰的差异。因此，我们研究了高危青少年军人依赖者（即 BMI≥第 85 百分位数和焦虑症状升高和/或失控性进食）的饮食失调态度和相关的心理社会特征。在参加饮食失调和肥胖预防试验之前，对 125 名（55.2%为女性）青少年（12-17 岁）军人依赖者进行了研究。青少年接受了饮食障碍检查访谈，以确定饮食失调的态度，并完成了评估自尊、社会功能和抑郁的问卷。男孩和女孩在 BMIz（p=0.66）或种族/民族（p=0.997/p=0.55）方面没有差异。在调整了相关协变量后，女孩和男孩在饮食失调总体评分（p=0.38）、自尊（p=0.23）或社会功能（p=0.19）方面没有显著差异。相比之下，女孩报告的抑郁症状明显更多（p=0.001）。有饮食失调和成人肥胖风险的青少年男性和女性依赖者报告了相似水平的与饮食相关的和心理社会压力。需要数据来阐明青少年军人依赖者对干预的反应，以及性别是否调节结果。
