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COVID-19 大流行封锁期间学生群体中的问题性进食行为。

COVID-19 pandemic lockdown and problematic eating behaviors in a student population.

机构信息

1Department of Psychiatry, CHU Clermont-Ferrand, University of Clermont Auvergne, EA 7280, Clermont-Ferrand, France.

2Quebec Heart and Lung Institute (IUCPQ), Québec, QC, G1V 4G5, Canada.

出版信息

J Behav Addict. 2020 Sep 24;9(3):826-835. doi: 10.1556/2006.2020.00053. Print 2020 Oct 12.

Abstract

BACKGROUND AND AIMS

Since mid-March 2020, over 3 billion people have been confined as a result of the COVID-19 pandemic. Problematic eating behaviors are likely to be impacted by the pandemic through multiple pathways. This study examined the relationships between stress related to lockdown measures and binge eating and dietary restriction in a population of French students during the first week of confinement.

METHODS

A sample of undergraduate students (N = 5,738) completed an online questionnaire 7 days after lockdown measures were introduced. The survey comprised variables related to lockdown measures and the COVID-19-pandemic, mood, stress, body image, binge eating and dietary restriction during the past 7 days, as well as intent to binge eat and restrict in the following 15 days.

RESULTS

Stress related to the lockdown was associated with greater likelihood of binge eating and dietary restriction over the past week and intentions to binge eat and restrict over the next 15 days. Greater exposure to COVID-19-related media was associated with increased eating restriction over the past week. Binge eating and restriction (past and intentions) were associated with established risk factors, including female gender, low impulse regulation, high body dissatisfaction, and having a concurrent probable eating disorder.

DISCUSSION AND CONCLUSION

The higher the stress related to the first week of confinement, the higher the risk of problematic eating behaviors among students, particularly those characterized by eating-related concerns. Screening for risk factors and providing targeted interventions might help decrease problematic eating behaviors among those who are most vulnerable.

摘要

背景与目的

自 2020 年 3 月中旬以来,由于 COVID-19 大流行,超过 30 亿人被限制出行。通过多种途径,疫情可能会对不良进食行为产生影响。本研究旨在探讨在法国学生群体中,与封锁措施相关的压力与暴食和饮食限制之间的关系。

方法

在封锁措施实施后的第 7 天,一组大学生(N=5738)完成了在线问卷调查。调查包括与封锁措施和 COVID-19 大流行相关的变量、情绪、压力、身体意象、过去 7 天的暴食和饮食限制,以及在接下来的 15 天内暴食和限制的意向。

结果

与封锁相关的压力与过去一周内暴食和饮食限制的可能性增加以及未来 15 天内暴食和限制的意向相关。更多接触与 COVID-19 相关的媒体与过去一周的饮食限制增加相关。过去和意向中的暴食和限制与既定的风险因素有关,包括女性、低冲动调节、高身体不满和同时存在可能的饮食障碍。

讨论与结论

与禁闭第一周相关的压力越大,学生中出现不良进食行为的风险就越高,特别是那些有进食相关问题的学生。对风险因素进行筛查并提供针对性的干预措施可能有助于减少那些最脆弱人群的不良进食行为。

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