青少年的暴食症状与愤怒和攻击性。
Bulimia symptoms and anger and aggression among adolescents.
机构信息
Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Sechenov First Moscow State Medical University, Moscow, Russia.
出版信息
BMC Public Health. 2023 May 5;23(1):833. doi: 10.1186/s12889-023-15664-1.
BACKGROUND
Previous research has indicated that anger and aggression may be elevated in adolescents with a bulimia nervosa (BN) diagnosis. However, as yet, little is known about whether bulimia symptoms are linked to anger and aggression in adolescents in the general population. To address this deficit this study aimed to explore the associations between a clinical level of bulimia symptoms (CLBS) and anger, anger rumination and aggression in community-based adolescents, and determine whether gender is important in this context.
METHODS
This study was conducted on a representative sample of youth from northwestern Russia (n = 2613, age 13-17 years old, 59.5% female) using self-report scales. A proxy variable for a CLBS was created using the Eating Disorder Diagnostic Scale. Aggression, anger and anger rumination were assessed by the Trait Anger Scale of the State Trait Anger Expression Inventory, the Anger Rumination Scale, and scales created to assess physically and verbally aggressive behavior. Multivariate analysis of covariance was used to examine the associations between the study variables.
RESULTS
A CLBS was more prevalent in girls than in boys (13.4% vs. 3.5%). The association with anger and aggression was stronger in both genders with a CLBS, compared to those adolescents without a CLBS. In the CLBS group, boys as compared to girls scored higher on verbal and physical aggression, anger rumination and social aggression. In both the CLBS and Non-CLBS groups higher anger and aggression scores were associated with increasing age.
CONCLUSIONS
Findings suggest that aggression and anger rumination are elevated in adolescents with BN symptoms, and that the associations between anger, aggression and BN symptoms may be stronger in boys. As previous research has indicated that the presence of aggressive behaviors may affect the prognosis of BN and complicate management of the disorder, clinician screening for these behaviors in adolescents with BN symptoms may facilitate the provision of more effective treatment, especially among boys.
背景
先前的研究表明，厌食症患者可能会表现出愤怒和攻击性增强。然而，目前尚不清楚在普通人群中，是否存在暴食症状与愤怒和攻击性之间的联系。为了解决这一不足，本研究旨在探索社区青少年中临床水平的暴食症状（CLBS）与愤怒、愤怒反刍和攻击性之间的关联，并确定在这种情况下性别是否重要。
方法
本研究使用自我报告量表对来自俄罗斯西北部的代表性青少年样本（n=2613，年龄 13-17 岁，59.5%为女性）进行了研究。采用饮食障碍诊断量表创建了 CLBS 的替代变量。使用状态特质愤怒表达量表的特质愤怒量表、愤怒反刍量表以及用于评估身体和言语攻击行为的量表评估了攻击性、愤怒和愤怒反刍。采用协方差多变量分析检验了研究变量之间的关联。
结果
CLBS 在女孩中的发生率高于男孩（13.4%比 3.5%）。与没有 CLBS 的青少年相比，CLBS 组的青少年愤怒和攻击性的关联更强。在 CLBS 组中，与女孩相比，男孩在言语和身体攻击、愤怒反刍和社会攻击方面的得分更高。在 CLBS 和非 CLBS 组中，更高的愤怒和攻击性评分与年龄的增长有关。
结论
研究结果表明，在患有 BN 症状的青少年中，攻击性和愤怒反刍增加，愤怒、攻击性与 BN 症状之间的关联在男孩中可能更强。由于先前的研究表明，攻击性行为的存在可能会影响 BN 的预后并使该障碍的管理复杂化，因此临床医生对 BN 症状青少年进行这些行为的筛查可能有助于提供更有效的治疗，特别是对男孩而言。
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