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大学生情绪化进食:与应对方式和健康饮食促进因素及障碍的关联。

Emotional Eating in College Students: Associations with Coping and Healthy Eating Motivators and Barriers.

机构信息

Department of Psychology, Elizabethtown College, 1 Alpha Drive, Elizabethtown, PA, 17022, USA.

出版信息

Int J Behav Med. 2024 Aug;31(4):563-572. doi: 10.1007/s12529-023-10193-y. Epub 2023 Jun 29.

Abstract

BACKGROUND

Emotional eating, or eating in response to stress and other negative affective states, bears negative consequences including excessive weight gain and heightened risk of binge eating disorder. Responding to stress with emotional eating is not universal, and it is important to elucidate under what circumstances and by what mechanisms stress is associated with emotional eating. This is particularly important to understand among college students, who are at risk of experiencing heightened stress and negative changes to dietary habits.

METHOD

The present study investigated the relationships among perceived stress, emotional eating, coping, and barriers to and motivators of healthy eating both concurrently and 1 year later in a sample of young adult college students (n = 232).

RESULTS

At baseline, emotional eating was significantly associated with perceived stress (r = 0.36, p < .001), barriers to (r = 0.31, p < .001) and motivators of (r =  - 0.14, p < .05) healthy eating, and avoidance coping (r = 0.37, p < .001), but not approach coping. Furthermore, avoidance coping mediated (indirect effect b = 0.36, 95% CI = 0.13, 0.61) and moderated (b =  - 0.07, p = 0.04) the relationship between perceived stress and emotional eating. Contrary to study hypotheses, baseline stress levels were not associated with emotional eating 1 year later.

CONCLUSION

College students who utilize avoidance coping strategies may be particularly susceptible to the effects of stress on emotional eating. Healthy eating interventions targeting college students might address stress coping strategies in addition to reduction of barriers to healthy eating.

摘要

背景

情绪化进食,即因压力和其他负面情绪状态而进食,会带来负面后果,包括体重过度增加和暴食障碍风险增加。以情绪化进食应对压力并非普遍现象,阐明在何种情况下以及通过何种机制压力与情绪化进食相关是很重要的。这在大学生中尤为重要,因为他们面临着压力增加和饮食习惯发生负面变化的风险。

方法

本研究在一组年轻成年大学生(n=232)中,同时在 1 年后调查了感知压力、情绪化进食、应对策略、健康饮食的障碍和动机之间的关系。

结果

在基线时,情绪化进食与感知压力显著相关(r=0.36,p<0.001),与健康饮食的障碍(r=0.31,p<0.001)和动机(r= -0.14,p<0.05)显著相关,与回避应对策略显著相关(r=0.37,p<0.001),但与趋近应对策略不相关。此外,回避应对策略(间接效应 b=0.36,95%置信区间=0.13,0.61)和调节(b= -0.07,p=0.04)了感知压力和情绪化进食之间的关系。与研究假设相反,基线压力水平与 1 年后的情绪化进食无关。

结论

使用回避应对策略的大学生可能特别容易受到压力对情绪化进食的影响。针对大学生的健康饮食干预措施除了减少健康饮食的障碍外,还可以针对压力应对策略。

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