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寻求预防服务的军人未成年子女的父母部署和困扰,以及青少年饮食失调。

Parental deployment and distress, and adolescent disordered eating in prevention-seeking military dependents.

机构信息

Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland.

Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, Bethesda, Maryland.

出版信息

Int J Eat Disord. 2020 Feb;53(2):201-209. doi: 10.1002/eat.23180. Epub 2019 Oct 8.

Abstract

OBJECTIVE

Parental military deployment can lead to stress in the family system due to concerns about the deployed service-member's safety and increased responsibilities for those not deployed. Parent-related stress can impact adolescent disordered eating. Given the important role that stress plays in disordered eating and obesity, it is crucial to understand the impacts of unique stressors to which vulnerable populations are exposed.

METHOD

We studied 126 adolescent (14.3 ± 1.6 years; 59.5% girls; 44.4% non-Hispanic White; BMI-z, 1.91 ± .39) military dependents prior to entering an obesity and binge-eating disorder prevention trial. The Eating Disorder Examination was used to assess adolescent disordered eating. Parents self-reported their own distress and family deployment history that occurred during the adolescent's lifetime.

RESULTS

Parental distress interacted with frequency of parental deployments such that for those with high parental distress, more frequent deployment was associated with greater adolescent shape and weight concerns (β = .21, p = .012) and global eating pathology (β = .18, p = .024).

DISCUSSION

In this hypothesis-generating study, the combination of number of deployments and parental distress may be associated with disordered eating among adolescent military dependents seeking prevention of binge-eating disorder and adult obesity. If these preliminary findings are supported longitudinally, interventions to reduce parental stress related to deployment may be warranted to reduce disordered eating in adolescent dependents.

摘要

目的

父母一方的军事部署可能会导致家庭系统紧张,因为会担心部署人员的安全,并增加未部署人员的责任。与父母有关的压力会影响青少年饮食失调。鉴于压力在饮食失调和肥胖症中起着重要作用,了解易受影响人群所面临的独特压力源的影响至关重要。

方法

我们在进入肥胖和暴食障碍预防试验之前,研究了 126 名青少年(14.3±1.6 岁;59.5%为女孩;44.4%为非西班牙裔白人;BMI-z,1.91±.39)军人子女。使用饮食失调检查评估青少年饮食失调情况。父母自我报告其在青少年时期的自身困扰和家庭部署历史。

结果

父母的困扰与父母部署的频率相互作用,对于那些父母困扰程度较高的人来说,更频繁的部署与青少年对体型和体重的关注(β=0.21,p=0.012)以及整体饮食病理学(β=0.18,p=0.024)增加有关。

讨论

在这项假设生成研究中,部署次数和父母困扰的组合可能与寻求预防暴食障碍和成年肥胖的青少年军人子女的饮食失调有关。如果这些初步发现得到纵向支持,那么可能需要采取干预措施来减轻与部署相关的父母压力,以减少青少年子女的饮食失调。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/635f/7028444/9749aa1e91c9/nihms-1540542-f0001.jpg

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