Sheffield Centre for Health & Related Research (SCHARR), School of Medicine & Population Health, University of Sheffield, Sheffield S1 4DA, UK.
Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 145111, Saudi Arabia.
Nutrients. 2024 Jul 2;16(13):2119. doi: 10.3390/nu16132119.
The risk of DEB is more prevalent in girls, particularly during adolescence. The onset of DEB can be triggered by many inter-related factors, including biological, social, parental, and psychosocial. To date, very little is known about the determinants of DEBs in Saudi adolescent girls. Using a qualitative analysis, this study explored potential determinants of DEB among adolescent girls in Riyadh. Eighteen semi-structured interviews were carried out with adolescent girls (mean age = 14.06, SD = 0.87) who reported a high risk of DEB (EAT-26 ≥ 20) in intermediate and secondary schools in Riyadh. The mean weight was 51 kg (SD = 11.8) with BMI ranging from 14.18 kg/m to 27.51 kg/m. EAT-26 scores ranged from 21 to 42 (M = 26.8, SD = 5.6). Data were transcribed and revised, then themes and sub-themes were assigned using MAXQDA 24. The most common DEBs reported were dieting and binging, followed by induced vomiting. Major themes were related to negative cognitions, conscious imitation/copying behaviours, bullying, comparisons, and negative comments. Some participants identified the possibility of biological and familial factors in increasing the likelihood of DEB. Our findings provide a framework that could be used to increase understanding of DEB and inform the development of interventions to address underlying causes of DEB in Saudi adolescent girls.
饮食失调行为的风险在女孩中更为普遍，尤其是在青春期。饮食失调行为的发生可能由许多相互关联的因素引发，包括生物、社会、父母和心理社会因素。迄今为止，人们对沙特少女饮食失调行为的决定因素知之甚少。本研究采用定性分析方法，探讨了利雅得少女饮食失调行为的潜在决定因素。对利雅得中学和中等学校报告有饮食失调行为高风险（EAT-26≥20）的 18 名少女进行了 18 次半结构化访谈。参与者的平均年龄为 14.06 岁（标准差=0.87），平均体重为 51 公斤（标准差=11.8），体重指数范围为 14.18 公斤/米至 27.51 公斤/米。EAT-26 评分范围为 21 至 42（M=26.8，SD=5.6）。对数据进行了转录和修订，然后使用 MAXQDA 24 分配主题和子主题。报告的最常见饮食失调行为是节食和暴食，其次是诱导性呕吐。主要主题与负面认知、有意识的模仿/复制行为、欺凌、比较和负面评价有关。一些参与者认为生物和家庭因素有可能增加饮食失调行为的可能性。我们的研究结果提供了一个框架，可以用来加深对饮食失调行为的理解，并为解决沙特少女饮食失调行为的根本原因提供干预措施。
