Center for Psychotherapy Research, Heidelberg University Hospital, 69115 Heidelberg, Germany.
Int J Environ Res Public Health. 2021 Mar 9;18(5):2779. doi: 10.3390/ijerph18052779.
Adolescents and young adults, particularly females, are highly vulnerable to the development of anxiety disorders, depression, and eating disorders. Comorbid anxiety disorder or depression in eating disorders are associated with greater symptom severity, poorer prognosis, and burden of illness. Nonetheless, studies on what affects the relationship between anxiety, depression, and eating disorders in female at-risk samples are scarce. Using hierarchical linear modeling, the present study examined potential moderators to explain between-person differences in the association between anxiety, depression, and eating disorder-related impairment within 12- to 25-year-old females ( = 320). High impairment in anxiety/depression was associated with more severe eating disorder symptoms. Older age as well as greater impairment in mood dysregulation, self-esteem, and perfectionism were linked to more severe eating disorder symptomatology. Whereas mood dysregulation, self-esteem, and perfectionism had no statistically significant moderating effects, younger age appeared to augment the association of anxiety/depression and eating disorder symptomatology. Preventive care in particular needs to consider age-related effects as eating disorder symptoms are associated more strongly with symptoms of anxiety and depression in early adolescence.
青少年和年轻人,尤其是女性,极易患上焦虑症、抑郁症和饮食失调症。在饮食失调症中并发的焦虑症或抑郁症与更严重的症状、更差的预后和更高的疾病负担有关。尽管如此,关于什么因素会影响处于风险中的女性样本中焦虑、抑郁和饮食失调之间的关系的研究仍然很少。本研究使用分层线性建模,检验了潜在的调节因素,以解释在 12 至 25 岁女性(n=320)中,焦虑、抑郁与饮食障碍相关损害之间的个体间差异的关联。焦虑/抑郁的高损害与更严重的饮食障碍症状有关。年龄较大以及情绪调节、自尊和完美主义方面的损害更大与更严重的饮食障碍症状有关。尽管情绪调节、自尊和完美主义没有统计学上显著的调节作用,但年龄较小似乎会增强焦虑/抑郁与饮食障碍症状之间的关联。特别是预防保健需要考虑与年龄相关的影响,因为在青春期早期,饮食障碍症状与焦虑和抑郁症状的关联更强。