一项对日本女性中四种情绪调节策略与异常饮食行为的同时关联进行的横断面研究。
A cross-sectional examination of the simultaneous association of four emotion regulation strategies with abnormal eating behaviours among women in Japan.
作者信息
Murayama Yasuo, Ohya Aiko
机构信息
Institute of Human and Social Sciences, Kanazawa University, Kakuma-machi, Kanazawa, Ishikawa, 921-1192, Japan.
Faculty of Psychology, Doshisha University, 1-3 Tatara, Miyakodani, Kyotanabe-shi, Kyoto, 610-0394, Japan.
出版信息
J Eat Disord. 2021 Sep 28;9(1):122. doi: 10.1186/s40337-021-00477-7.
BACKGROUND
Research has suggested an association between emotion regulation strategies (ERSs) and abnormal eating behaviours/attitudes (AEB), and many studies have examined the association of one particular ERS with AEB. Additionally, different ERSs are reported to be strongly correlated with each other. Therefore, the associations between an individual ERS and AEB, reported previously, may be spurious. The present cross-sectional study aims to examine the simultaneous associations of four ERSs (brooding, reflection, expressive suppression, cognitive reappraisal) with AEB in a sample of women in Japan.
METHODS
The participants comprised 1528 Japanese women (M = 40.65 years, SD = 10.22 years, range 21-59). They self-reported the frequency at which they use these ERSs, their levels of AEB (i.e. drive for thinness, bulimic symptoms), and the confounding variables (e.g. psychological distress and BMI) online. AEB was measured using the Japanese version of the 91-item Eating Disorder Inventory; brooding and reflection were measured using the Japanese version of the Rumination Response Scale; individual differences in the use of reappraisal and expression suppression was measured using the Japanese version of the Emotion Regulation Questionnaire (J-ERQ); and participants' psychological distress was assessed using the Kessler 6 Japanese version (K6-J).
RESULTS
Correlation analyses revealed that all ERSs were positively correlated with AEB. However, regression analyses revealed inconsistent findings. In the regression model, after controlling for the confounding variables, only brooding indicated a positive association with the drive for thinness. Regarding bulimic symptoms, all ERSs showed a positive association, except reappraisal, which had a weak, negative association.
CONCLUSION
These results suggest that brooding is related to the symptom levels of both eating disorders among women, whereas, the other ERSs are related to those of bulimic symptoms only. However, further research is required to clarify the causal relations between AEB and ERSs.
背景
研究表明情绪调节策略（ERSs）与异常饮食行为/态度（AEB）之间存在关联，许多研究已考察了某一种特定的ERS与AEB之间的关联。此外，据报道不同的ERSs之间存在强相关性。因此，先前报道的个体ERS与AEB之间的关联可能是虚假的。本横断面研究旨在考察四种ERSs（沉思、反思、表达抑制、认知重评）与日本女性样本中AEB的同时关联。
方法
参与者包括1528名日本女性（M = 40.65岁，SD = 10.22岁，年龄范围21 - 59岁）。她们通过网络自我报告使用这些ERSs的频率、AEB水平（即对瘦身的追求、暴食症状）以及混杂变量（如心理困扰和体重指数）。AEB使用91项日本版饮食失调量表进行测量；沉思和反思使用日本版沉思反应量表进行测量；重新评价和表达抑制使用日本版情绪调节问卷（J - ERQ）进行测量；参与者的心理困扰使用日本版凯斯勒6项量表（K6 - J）进行评估。
结果
相关性分析显示所有ERSs均与AEB呈正相关。然而，回归分析得出了不一致的结果。在回归模型中，在控制混杂变量后，只有沉思与对瘦身的追求呈正相关。关于暴食症状，除重新评价呈弱负相关外，所有ERSs均呈正相关。
结论
这些结果表明，沉思与女性两种饮食失调的症状水平均有关，而其他ERSs仅与暴食症状有关。然而，需要进一步研究以阐明AEB与ERSs之间的因果关系。
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