Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA.
Eat Weight Disord. 2021 Oct;26(7):2271-2279. doi: 10.1007/s40519-020-01029-9. Epub 2021 Jan 2.
Disordered eating behaviors are prevalent and problematic in adolescent girls. Given that disordered eating has been linked to attachment insecurity and emotion dysregulation, the current study used an emotion regulation model of attachment theory to investigate pathways to disordered eating among adolescent girls. While past research has examined attachment and eating, an emotion regulation perspective is rarely used. Additionally, limited studies have investigated specific types of eating or mediators or moderators. To address these research gaps, this study examined whether rumination mediates the relationship between attachment anxiety and avoidance and three types of disordered eating and whether stress moderates this mediation.
100 adolescent girls (M = 14.35 years, SD = 2.29) completed online surveys including the Relationship Structures Questionnaire, Dutch Eating Behaviour Questionnaire, Rumination Questionnaire, and Perceived Stress Scale.
The interaction between stress and attachment anxiety on rumination was significant (b = .09, SE = .04, p < .05), and stress and attachment anxiety predicted emotional eating through rumination (b = .50, SE = .15, p < .05). Rumination also predicted external eating (b = .32, SE = .11, p < .05). The mediation was not significant for restrained eating. Attachment avoidance did not significantly predict eating behaviors.
The emotion regulation model of attachment theory provides a suitable framework for studying disordered eating in adolescent girls. Future research may continue the use of this framework to examine related topics. Clinicians treating girls experiencing disordered eating may use interventions to promote healthy emotion regulation strategies.
Level V: cross-sectional descriptive study.
饮食失调行为在少女中普遍存在且问题严重。鉴于饮食失调与依恋不安全感和情绪调节障碍有关，本研究使用依恋理论的情绪调节模型来研究少女饮食失调的途径。虽然过去的研究已经检验了依恋和饮食之间的关系，但很少使用情绪调节的视角。此外，有限的研究调查了特定类型的饮食或中介或调节因素。为了解决这些研究空白，本研究检验了沉思是否在依恋焦虑和回避与三种类型的饮食失调之间的关系中起中介作用，以及压力是否调节这种中介作用。
100 名少女（M = 14.35 岁，SD = 2.29）完成了在线调查，包括关系结构问卷、荷兰饮食行为问卷、沉思问卷和感知压力量表。
压力与依恋焦虑对沉思的交互作用显著（b = .09，SE = .04，p < .05），压力和依恋焦虑通过沉思预测情绪性进食（b = .50，SE = .15，p < .05）。沉思也预测了外食（b = .32，SE = .11，p < .05）。约束性进食的中介作用不显著。依恋回避并不显著预测饮食行为。
依恋理论的情绪调节模型为研究少女饮食失调提供了一个合适的框架。未来的研究可能会继续使用这个框架来检验相关的主题。治疗有饮食失调问题的女孩的临床医生可以使用干预措施来促进健康的情绪调节策略。
五级：横断面描述性研究。
