Wang Peiyi, Garcia Esmeralda R, Yim Ilona S
Department of Psychological Science, University of California, Irvine, CA, 92617, USA.
Department of Psychological Science, University of California, Irvine, CA, 92617, USA.
Appetite. 2022 Feb 1;169:105826. doi: 10.1016/j.appet.2021.105826. Epub 2021 Nov 24.
Acculturative stress is associated with health behaviors that have downstream consequences for health outcomes. Eating disinhibition, a behavior characterized by eating emotionally and uncontrollably in the presence of disinhibiting stimuli, has been consistently associated with acculturative stress, but the underlying mechanism is not well-understood. The current study sought to test the role of depressive symptoms and gender on these associations. Asian undergraduate students (N = 477; 78% female) participated in an online cross-sectional study. Higher acculturative stress was associated with higher eating disinhibition (b = 3.45, 95% CI = [0.75, 6.15]), and depressive symptoms showed a partial indirect effect on this association (indirect effect = 0.57, 95% CI = [0.13, 1.34]). Among male young adults (b = 0.98, 95% CI = [0.24, 2.39]), the indirect correlation was stronger than among female young adults (b = 0.44, 95% CI = [0.05, 1.20]; non-significant trend), implying individual differences underlying the indirect effect of depressive symptoms in the acculturative stress and eating disinhibition correlation. The Intercultural Relations dimension of acculturative stress appeared to drive the observed associations. This study is among the first highlighting the role of acculturative stress, depressive symptoms, and gender in eating disinhibition and provides evidence that can inform health professionals to target at-risk Asian individuals with eating problems.
文化适应应激与对健康结果有下游影响的健康行为相关。饮食抑制解除是一种在解除抑制刺激存在时情绪性且不受控制地进食的行为，一直以来都与文化适应应激相关，但其潜在机制尚不清楚。本研究旨在检验抑郁症状和性别在这些关联中的作用。亚洲本科生（N = 477；78%为女性）参与了一项在线横断面研究。较高的文化适应应激与较高的饮食抑制解除相关（b = 3.45，95%置信区间 = [0.75, 6.15]），并且抑郁症状对这种关联显示出部分间接效应（间接效应 = 0.57，95%置信区间 = [0.13, 1.34]）。在男性青年中（b = 0.98，95%置信区间 = [0.24, 2.39]），间接相关性强于女性青年（b = 0.44，95%置信区间 = [0.05, 1.20]；无显著趋势），这意味着在文化适应应激与饮食抑制解除的相关性中，抑郁症状的间接效应存在个体差异。文化适应应激的跨文化关系维度似乎驱动了所观察到的关联。本研究是首批突出文化适应应激、抑郁症状和性别在饮食抑制解除中的作用的研究之一，并提供了可为健康专业人员针对有饮食问题的高危亚洲个体提供指导的证据。
