Ćorić Martina Krešić, Graovac Mirjana, Pravdić Nikolina, Raguž Ana Boban, Kaštelan Ana
Psychiatry Clinic, School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina.
Department of Psychiatry and Psychological Medicine, School of Medicine, University of Rijeka, Rijeka, Croatia.
J Educ Health Promot. 2023 Jul 29;12:258. doi: 10.4103/jehp.jehp_1560_22. eCollection 2023.
Due to excessive concerns and focus on weight control and body shape, adolescents often resort to inappropriate behaviours and attitudes towards eating, resulting in physical and psychological issues. This study aimed to assess possible relationships and predictor variables between disordered eating and age, BMI, body appreciation, self-esteem, quality of family interactions, psychosocial health and childhood trauma experience in adolescents of both sexes in the city of Mostar (Bosnia and Herzegovina).
A cross-sectional study was carried out on a suitable sample of 724 high-school students aged 14-19 years. The following tools have been used: socio-demographic questionnaire, The Eating Attitudes Test (EAT-26), Body Mass Index (BMI), Body Appreciation Scale (BAS), Rosenberg's Self-Esteem Scale, Quality of Family Interaction Scale (KOBI), and Paediatric Quality of Life Inventory, version 4.0 (PedsQLTM) and Childhood trauma Questionnaire (CTQ). Collected data were analyzed in SPSS v. 20.0 software using Pearson's correlation coefficient and multiple regression analysis.
Body appreciation is the most significant predictor for developing disordered eating across the entire sample of adolescents (β = -0.325, < 0.05) and individually for male adolescents (β = -0.199, = 0.010) and female adolescents (β = -0.379, < 0.001). In addition to this variable, BMI has proved to be a statistically significant predictor in explaining the eating behaviours of female adolescents (β = 0.185, < 0.001), while this happens to be self-esteem for male adolescents (β = -0.211, < 0.022).
The most significant risk factors for developing disordered eating in adolescents are body appreciation, BMI and self-esteem. Results of this research can contribute to enhancement of intervention programmes which promote a positive body image and aim to prevent disordered eating in adolescents of both sexes.
由于对体重控制和体型过度关注，青少年常常采取不当的饮食行为和态度，从而引发身体和心理问题。本研究旨在评估波斯尼亚和黑塞哥维那莫斯塔尔市青少年中饮食失调与年龄、体重指数（BMI）、身体欣赏度、自尊、家庭互动质量、心理社会健康及童年创伤经历之间可能存在的关系和预测变量。
对724名年龄在14 - 19岁的高中生进行了一项横断面研究。使用了以下工具：社会人口学问卷、饮食态度测试（EAT - 26）、体重指数（BMI）、身体欣赏量表（BAS）、罗森伯格自尊量表、家庭互动质量量表（KOBI）、儿童生活质量量表第4.0版（PedsQLTM）以及儿童创伤问卷（CTQ）。使用SPSS v. 20.0软件对收集到的数据进行皮尔逊相关系数分析和多元回归分析。
在整个青少年样本中，身体欣赏度是饮食失调发展的最显著预测因素（β = -0.325，P < 0.05），对男性青少年（β = -0.199，P = 0.010）和女性青少年（β = -0.379，P < 0.001）个体而言也是如此。除该变量外，BMI被证明是解释女性青少年饮食行为的一个具有统计学意义的预测因素（β = 0.185，P < 0.001），而对男性青少年来说则是自尊（β = -0.211，P < 0.022）。
青少年饮食失调发展的最显著风险因素是身体欣赏度、BMI和自尊。本研究结果有助于加强干预项目，这些项目旨在促进积极的身体形象，并预防两性青少年的饮食失调。
