Department of Mathematics and Statistics, Texas Tech University, Lubbock, TX, 79409, USA.
Department of Psychology, Bowling Green State University, Bowling Green, OH, USA; Department of Psychiatry, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Appetite. 2025 Jan 1;204:107728. doi: 10.1016/j.appet.2024.107728. Epub 2024 Oct 23.
This study, which is a longitudinal extension of previous cross-sectional studies in Chinese and American college students and general adults (Dixit, He, Whited, Ellis, & Zickgraf, 2023; He, Chen, Wu, Niu, & Fan, 2020; Xu et al., 2024), used latent profile and latent transition analyses to investigate negative emotional eating patterns and the stability of these patterns in 1462 Chinese adolescents (41% boys, aged 11-17 years) at baseline and 18 months later. We also explored baseline demographic predictors of negative emotional eating patterns and the associations between these patterns and outcome variables measured 18 months later. Negative emotional eating was measured with the Adult Eating Behavior Questionnaire (emotional undereating and emotional overeating subscales). Latent profile analysis (LPA) replicated the four patterns of negative emotional eating in each wave of assessment: low emotional eating (Low-EE), emotional overeating (EOE), emotional undereating (EUE), and emotional over- and under-eating (EOE-EUE). Latent transition analysis (LTA) showed that the EE patterns had transition probabilities of <55% remaining in the same class across 18 months. Furthermore, relative to adolescents in the stable Low-EE group, adolescents in all other stable or unstable emotional eating groups in LTA were linked to higher eating disorder psychopathology and psychological distress measured 18 months later. Thus, emotional eating, regardless of type (i.e., EOE, EUE, and EOE-EUE) and stability (i.e., stable or unstable), may be a viable research and treatment target in improving adolescents' eating behaviors and mental health.
本研究是对之前在中国和美国大学生及一般成年人中进行的横断面研究的纵向扩展（Dixit、He、Whited、Ellis 和 Zickgraf，2023；He、Chen、Wu、Niu 和 Fan，2020；Xu 等人，2024），使用潜在剖面和潜在转变分析来调查 1462 名中国青少年（41%为男生，年龄在 11-17 岁）在基线和 18 个月后的负面情绪性进食模式及其模式的稳定性。我们还探讨了基线人口统计学预测因子与这些模式之间的关系，以及这些模式与 18 个月后测量的结果变量之间的关系。负面情绪性进食用成人进食行为问卷（情绪性进食不足和情绪性进食过量分量表）进行测量。潜在剖面分析（LPA）在每次评估中复制了四种负面情绪性进食模式：低情绪性进食（Low-EE）、情绪性进食过量（EOE）、情绪性进食不足（EUE）和情绪性进食过量和不足（EOE-EUE）。潜在转变分析（LTA）显示，EE 模式在 18 个月内保持相同类别的转移概率<55%。此外，与稳定的低 EE 组的青少年相比，LTA 中所有其他稳定或不稳定的情绪性进食组的青少年与 18 个月后测量的更高的饮食障碍心理病理学和心理困扰相关。因此，情绪性进食，无论其类型（即 EOE、EUE 和 EOE-EUE）和稳定性（即稳定或不稳定）如何，都可能是改善青少年进食行为和心理健康的可行的研究和治疗目标。
