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身体意象、饮食失调风险、心理特征及情绪焦虑症状对智利青少年超重和肥胖的影响。

Influence of Body Image, Risk of Eating Disorder, Psychological Characteristics, and Mood-Anxious Symptoms on Overweight and Obesity in Chilean Youth.

作者信息

Lizana-Calderón Paula, Alvarado Jesús M, Cruzat-Mandich Claudia, Díaz-Castrillón Fernanda, Soto-Núñez Mauricio

机构信息

Department of Psychobiology and Behavioral Sciences Methods, Faculty of Psychology, Complutense University of Madrid, Campus Somosaguas, Carretera De Húmera, s/n, 28006 Madrid, Spain.

Centro de Estudios de la Conducta Alimentaria (CECA), Faculty of Psychology, Universidad Adolfo Ibáñez, Av. Diagonal Las Torres, 2640, Santiago 7941169, Chile.

出版信息

Behav Sci (Basel). 2024 Feb 21;14(3):154. doi: 10.3390/bs14030154.

DOI:10.3390/bs14030154
PMID:38540456
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10967720/
Abstract

This study investigates the relationship between body image, eating disorders, psychological characteristics, and mood and anxiety symptoms in Chilean youth, with nutritional status, particularly overweight and obesity. With a sample of 1001 participants from five regions of Chile, aged 15 to 23 years. The Eating Disorder Inventory 3 (EDI-3), the Multidimensional Body-Self Relations Questionnaire Appearance Scales (MBSRQ_AS), and the Symptom Inventory Derogatis Revised (SCL90-R) and a sociodemographic questionnaire were used to analyze these variables. A model including nine exogenous (independent) variables and ten endogenous variables, based on a literature review, was evaluated by path analysis. The results show a significant association between factors such as sex, family history of overweight, self-classification by weight, and body dissatisfaction with body mass index (BMI). Eating behaviors such as overeating, and lack of appetite were also found to be influenced by interpersonal sensitivity, overweight preoccupation, and drive for thinness. The study underscores the importance of promoting a positive body image and addressing overweight/obesity from a combined health psychology and public health perspective, highlighting the need for interventions that consider nutritional status, and in particular overweight and obesity, as a phenomenon with multifactorial causes and maintainers.

摘要

本研究调查了智利青少年的身体意象、饮食失调、心理特征以及情绪和焦虑症状之间的关系,同时研究了这些因素与营养状况,尤其是超重和肥胖之间的关系。研究样本来自智利五个地区的1001名参与者,年龄在15至23岁之间。使用饮食失调问卷第3版(EDI - 3)、多维身体自我关系问卷外貌量表(MBSRQ_AS)、症状自评量表修订版(SCL90 - R)以及一份社会人口学问卷来分析这些变量。基于文献综述构建了一个包含九个外生(独立)变量和十个内生变量的模型,并通过路径分析进行评估。结果显示,性别、超重家族史、体重自我分类以及对体重指数(BMI)的身体不满等因素之间存在显著关联。暴饮暴食和食欲不振等饮食行为也被发现受到人际敏感性、对超重的过度关注以及追求瘦身的驱动力的影响。该研究强调了从健康心理学和公共卫生相结合的角度促进积极身体意象以及解决超重/肥胖问题的重要性,突出了需要采取干预措施,将营养状况,尤其是超重和肥胖,视为具有多因素成因和维持因素的现象来加以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c1/10967720/b3eb285b43da/behavsci-14-00154-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c1/10967720/b3eb285b43da/behavsci-14-00154-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9c1/10967720/b3eb285b43da/behavsci-14-00154-g001.jpg

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Obesity stigma and its impact on health: A narrative review.肥胖污名及其对健康的影响:叙事性综述。
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Factorial Model of Obese Adolescents: The Role of Body Image Concerns and Selective Depersonalization-A Pilot Study.
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