School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, 31905, Haifa, Israel.
Eating Disorders Clinic, Psychiatric Division, Rambam Medical Center, Haifa, Israel.
Community Ment Health J. 2019 Oct;55(7):1246-1252. doi: 10.1007/s10597-019-00446-0. Epub 2019 Aug 6.
Disordered eating pathology (DEP) represents a range of behaviors and attitudes, from negative body image to full blown eating disorders, appearing mainly in adolescent females. DEP is related to a plethora of biological and psychological factors, including various coping strategies. Sense of coherence (SOC) is a coping mechanism defined as an external and internal ability to adapt to stress and has been found to be associated with better mental health outcomes. However, SOC has not been examined in relation to DEP. Therefore, the aim of this study is to examine the relationship between SOC, DEP and body image disturbances among adolescent girls. The sample consisted of 248 Israeli girls (12-18), who completed self-reported questionnaires. SOC was negatively associated with DEP and body dissatisfaction. The overall rate of those in the high risk group for EDs was found to be higher than previously seen among samples from a similar population (22.5% vs. 19.5%), and was found to have a significantly lower levels of SOC and more negative body image than those at lower risk. Greater SOC was found to be associated with lower levels of DEP. It is suggested that strengthening SOC be incorporated into eating disorder prevention and treatment. Results emphasize the importance of SOC to well-being and mental health.
饮食失调病理学(DEP)代表了一系列行为和态度,从负面的身体形象到全面的饮食失调,主要出现在青春期女性中。DEP 与众多生物和心理因素有关,包括各种应对策略。心理一致感(SOC)是一种应对机制,定义为适应压力的外部和内部能力,并且已经发现与更好的心理健康结果相关。然而,SOC 与 DEP 之间的关系尚未得到检验。因此,本研究旨在研究 SOC、DEP 和青春期女孩身体形象障碍之间的关系。该样本由 248 名以色列女孩(12-18 岁)组成,她们完成了自我报告的问卷。SOC 与 DEP 和身体不满呈负相关。发现患有 ED 高危组的总比率高于之前在类似人群样本中看到的比率(22.5%比 19.5%),并且 SOC 水平明显较低,负面身体形象比低危组更严重。发现 SOC 较高与 DEP 水平较低相关。建议将 SOC 强化纳入饮食失调的预防和治疗中。研究结果强调了 SOC 对幸福感和心理健康的重要性。