Deakin University, Institute for Health Transformation, School of Health and Social Development, Geelong, Victoria, Australia.
Deakin University, School of Psychology, Geelong, Victoria, Australia; Deakin University, Strategic Research Centre for Social and Early Emotional Development, Geelong, Victoria, Australia.
Body Image. 2022 Sep;42:246-256. doi: 10.1016/j.bodyim.2022.06.012. Epub 2022 Jul 13.
Despite frequently co-occurring, the temporal relationship between depression and eating disorder symptoms remains poorly understood. This exploratory study sought to investigate the reciprocal relationship between depressive symptoms and (1) shape and weight dissatisfaction, (2) shape and weight overvaluation, (3) preoccupation with shape or weight, (4) preoccupation with food, (5) dietary restraint and (6) binge eating in early adolescence. Adolescents (N = 1393) aged between 11.4 and 13.9 years (M = 12.50, SD = 0.38) completed the Centre for Epidemiological Depression Scale-Revised and Eating Disorder Examination Questionnaire-Adolescent version at the beginning of secondary school (T1) and 12-months later (T2). Cross-lagged models were created to assess the reciprocal relationship between depressive symptoms and ED symptoms. Depressive symptoms at T1 predicted shape and weight dissatisfaction, shape and weight overvaluation, preoccupation with shape or weight, preoccupation with food, dietary restraint and binge eating at T2. Shape and weight dissatisfaction and binge eating were the only ED symptoms at T1 to predict depressive symptoms at T2. Findings suggest young adolescents who experience depressive symptoms in their first year of secondary school are at-risk of developing ED symptoms over the subsequent 12-month period.
尽管抑郁和饮食障碍症状经常同时出现，但两者之间的时间关系仍不清楚。本探索性研究旨在调查青少年早期抑郁症状与（1）体型和体重不满、（2）体型和体重高估、（3）对体型或体重的过分关注、（4）对食物的过分关注、（5）饮食克制和（6）暴食之间的双向关系。参与者为年龄在 11.4 岁至 13.9 岁之间的青少年（N=1393），平均年龄为 12.50 岁（标准差=0.38），他们在中学开始时（T1）和 12 个月后（T2）完成了修订后的流行病学抑郁量表和青少年版饮食障碍检查问卷。建立交叉滞后模型来评估抑郁症状和饮食障碍症状之间的双向关系。T1 时的抑郁症状预测了 T2 时的体型和体重不满、体型和体重高估、对体型或体重的过分关注、对食物的过分关注、饮食克制和暴食。T1 时的体型和体重不满和暴食是唯一预测 T2 时抑郁症状的饮食障碍症状。研究结果表明，在中学第一年经历抑郁症状的青少年在随后的 12 个月内发展为饮食障碍症状的风险较高。
