Cella Stefania, Cipriano Annarosa, Aprea Cristina, Cotrufo Paolo
Observatory on Eating Disorders, Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Observatory on Eating Disorders, Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Appetite. 2022 Feb 1;169:105825. doi: 10.1016/j.appet.2021.105825. Epub 2021 Nov 23.
Parental bonding, low self-esteem, emotion dysregulation, and eating style are correlated with each other and are associated with binge eating among adolescents. However, no studies have yet examined all these variables simultaneously. In the current study, the independent and combined influences of such constructs on binge eating were tested with structural equation modeling.
A sample of 973 students aged between 12 and 16 (M = 14.17, SD = 1.25) years was screened by means of self-report measures assessing parental bonding, self-esteem, emotion dysregulation, eating styles and binge eating severity.
Self-esteem (β = -0.205) and eating styles (emotional β = 0.313, external β = 0.133, and restrained β = 0.178) had a direct effect on binge eating severity. The model (χ = 57.679; RMSEA = 0.041; CFI = 0.987; TLI = 0.949; SRMR = 0.024) revealed that the paths from both maternal and paternal care and maternal overprotection to binge eating were mediated through low self-esteem, emotion dysregulation and each eating style, explaining 35% of the variance.
Findings provide support for a comprehensive theoretical-based model of risk factors for binge eating and suggest the possible mechanisms through which the quality of early parental relationships contribute to developing dysfunctional eating patterns. Treatment and prevention efforts should improve self-esteem and emphasize emotion regulation capabilities.
父母教养方式、低自尊、情绪调节障碍和饮食方式相互关联，且与青少年暴饮暴食有关。然而，尚无研究同时考察所有这些变量。在本研究中，采用结构方程模型检验了这些构念对暴饮暴食的独立和综合影响。
通过自我报告测量对973名年龄在12至16岁（M = 14.17，SD = 1.25）的学生进行筛查，评估父母教养方式、自尊、情绪调节障碍、饮食方式和暴饮暴食严重程度。
自尊（β = -0.205）和饮食方式（情绪性饮食β = 0.313，外部性饮食β = 0.133，克制性饮食β = 0.178）对暴饮暴食严重程度有直接影响。该模型（χ = 57.679；RMSEA = 0.041；CFI = 0.987；TLI = 0.949；SRMR = 0.024）表明，从父母双方的关爱以及母亲的过度保护到暴饮暴食的路径是通过低自尊、情绪调节障碍和每种饮食方式介导的，解释了35%的变异。
研究结果为基于理论的暴饮暴食风险因素综合模型提供了支持，并揭示了早期亲子关系质量导致功能失调饮食模式形成的可能机制。治疗和预防措施应提高自尊并强调情绪调节能力。
