Erdoğdu Yildirim Ayşe Burcu, Gündoğdu Ümmügülsüm, Eroğlu Mehtap
Turk Psikiyatri Derg. 2024 Sep 19;36:27-35. doi: 10.5080/u27259.
Factors predicting eating disorder (ED) may vary among genders. This study investigated the gender specific influence of adolescents' social media use, body perception, depression and anxiety symptoms on eating disorder risk.
The sample consisted of 183 adolescents aged 14 to 18 years (mean: 15.65±0.89). Sociodemographic information and data from the, Children's Depression Inventory (CDI), Social Media Attitude Scale (SMAS), Eating Disorder Examination Scale (EDES), Eating Attitudes Test (EAT), Screen for Child Anxiety Related Emotional Disorders Child Version (SCARED), and Body Cathexis Scale (BCS) were collected.
In this study, women have higher scores in SCARED (p<0.001), and lower scores in social competence subscale of SMAS (p=0.008) in comparison to men. Adolescents at risk for eating attitudes had higher scores in the CDI, the BCS, and the SMAS-Social Competence subscale, while adolescents at risk for eating disorder had higher scores in all scales except the SMAS-Relationship with Teachers subscale. Although depression and body perception influence women's' eating attitudes directly, social media revealed its effect on ED by the mediation of depressive symptoms. In men, social isolation, anxiety, and depression directly predicts ED, while social media enhanced the risk of ED by aggravating anxiety.
It is important to know the factors that influence the risk of ED in terms of gender, and effectively address adolescence's psychological and medical burden.
预测饮食失调(ED)的因素可能因性别而异。本研究调查了青少年社交媒体使用、身体认知、抑郁和焦虑症状对饮食失调风险的性别特异性影响。
样本包括183名14至18岁的青少年(平均年龄:15.65±0.89)。收集了社会人口统计学信息以及来自儿童抑郁量表(CDI)、社交媒体态度量表(SMAS)、饮食失调检查量表(EDES)、饮食态度测试(EAT)、儿童焦虑相关情绪障碍筛查量表儿童版(SCARED)和身体投入量表(BCS)的数据。
在本研究中,与男性相比,女性在SCARED量表上得分更高(p<0.001),在SMAS量表的社交能力子量表上得分更低(p=0.008)。有饮食态度风险的青少年在CDI、BCS和SMAS社交能力子量表上得分更高,而有饮食失调风险的青少年在除SMAS师生关系子量表外的所有量表上得分更高。虽然抑郁和身体认知直接影响女性的饮食态度,但社交媒体通过抑郁症状的中介作用显示出对饮食失调的影响。在男性中,社交隔离、焦虑和抑郁直接预测饮食失调,而社交媒体通过加重焦虑增加了饮食失调的风险。
了解影响饮食失调风险的性别因素,并有效减轻青少年的心理和医疗负担非常重要。