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作为阿根廷年轻人负面情绪状态与食物成瘾之间中介因素的以进食应对动机和无节制进食

Eating-to-Cope Motives and Uncontrolled Eating as Mediators Between Negative Emotional States and Food Addiction Among Argentinean Young Adults.

作者信息

Fernández Macarena Soledad, Pilatti Angelina, Pautassi Ricardo Marcos

机构信息

Instituto de Investigaciones Psicológicas, IIPsi-CONICET-UNC, Bv. de la Reforma, 1936 Córdoba (5000), Argentina.

Facultad de Psicología, Universidad Nacional de Córdoba, Bv. de la Reforma 1936, Ciudad Universitaria, C.P. 5000 Córdoba, Argentina.

出版信息

Int J Ment Health Addict. 2022 Oct 18:1-19. doi: 10.1007/s11469-022-00934-7.

Abstract

Negative emotional states (NES; i.e., depression, anxiety and stress) are likely contributors to the development of food addiction (FA). The association between NES and FA symptoms may be mediated by altered eating behaviors or by eating-to-cope motives. This study examined, in a sample of Argentinean young adults, the association between NES and FA symptoms via eating-to-cope motives and three patterns of eating behaviors. We also examined whether the model was invariant across college status. The transition from high school to college is usually associated with increased exposure to stress, which promotes the probability of engaging in altered eating behaviors. A sample of 499 Argentinean young adults (mean age = 24.9 ± 3.51 years) completed a survey that assessed FA symptoms, eating behaviors (i.e., uncontrolled, emotional, and restrained eating), eating-to-cope motives and NES. A path analysis tested the indirect association between NES and FA symptoms via uncontrolled, emotional or restrained eating, or by eating-to-cope. Stress and depression symptoms were indirectly associated with FA symptoms via uncontrolled eating and eating-to-cope motives. The model was invariant across college status. The findings suggest that NES are associated with FA symptoms by increasing uncontrolled eating and eating-to-cope motives. Young adults exhibiting greater depressive or stress symptoms, higher eating-to-cope, or higher uncontrolled eating may be at risk for FA. Future research should examine the significance of this pattern by tailoring interventions to these characteristics.

摘要

消极情绪状态(NES;即抑郁、焦虑和压力)可能是导致食物成瘾(FA)的因素。NES与FA症状之间的关联可能是由饮食行为改变或为应对而进食的动机介导的。本研究在阿根廷年轻成年人样本中,通过为应对而进食的动机和三种饮食行为模式,检验了NES与FA症状之间的关联。我们还检验了该模型在大学状态上是否具有不变性。从高中到大学的转变通常与压力暴露增加有关,这会增加出现饮食行为改变的可能性。499名阿根廷年轻成年人(平均年龄=24.9±3.51岁)的样本完成了一项调查,该调查评估了FA症状、饮食行为(即无节制饮食、情绪化饮食和克制性饮食)、为应对而进食的动机和NES。路径分析检验了NES与FA症状之间通过无节制饮食、情绪化饮食或克制性饮食,或通过为应对而进食的间接关联。压力和抑郁症状通过无节制饮食和为应对而进食的动机与FA症状间接相关。该模型在大学状态上具有不变性。研究结果表明,NES通过增加无节制饮食和为应对而进食的动机与FA症状相关。表现出更严重抑郁或压力症状、更高的为应对而进食或更高的无节制饮食的年轻成年人可能有患FA的风险。未来的研究应通过针对这些特征制定干预措施来检验这种模式的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2a/9579650/2a11f83f47cf/11469_2022_934_Fig1_HTML.jpg

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