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探究情绪性进食在焦虑与身体意象之间的中介效应中的性别差异。

Exploring gender differences in the mediating effect of emotional eating on anxiety and body image.

作者信息

Pitcho Shani, Kagan Maya

机构信息

Department of Social Work, Ben-Gurion University of the Negev, Israel.

School of Social Work, Ariel University, Israel.

出版信息

Appetite. 2025 Oct 1;214:108143. doi: 10.1016/j.appet.2025.108143. Epub 2025 May 22.

Abstract

Armed conflicts, profoundly traumatic for affected civilians, have a significant impact on both the body and mind, with these effects intensifying over prolonged exposure. This study aimed to explore the interaction between psychological and behavioral factors during extended armed conflicts by examining the relationship between anxiety symptoms, emotional eating, and body image among Israeli civilians, while also considering the mediating role of gender. A total of 445 Israeli adults completed an online survey that comprised a self-report questionnaire during the Israel-Hamas war. A moderated mediation analysis revealed that anxiety symptoms were positively associated with emotional eating, which, in turn, negatively affected body image. Moreover, emotional eating fully mediated the relationship between anxiety symptoms and body image, with gender moderating the effect of emotional eating on body image more strongly among women than among men. Grounded in the Folkman and Lazarus Model of Stress and Coping, these findings, consistent with research on conflict-affected populations, suggest that emotional eating serves as an avoidance coping strategy, contributing to poor body image. This effect is particularly pronounced among women, who are more vulnerable to internalizing socio-cultural beauty standards. The study underscores the need for gender-sensitive interventions that promote healthy coping strategies during crises and highlights the importance of addressing the psychological and physical challenges associated with prolonged stress exposure in conflict zones.

摘要

武装冲突对受影响的平民造成极大创伤,对身心都有重大影响,且随着暴露时间延长,这些影响会加剧。本研究旨在通过考察以色列平民焦虑症状、情绪化进食与身体意象之间的关系,探索长期武装冲突期间心理和行为因素之间的相互作用,同时考虑性别的中介作用。在以色列与哈马斯的战争期间,共有445名以色列成年人完成了一项在线调查,该调查包括一份自陈问卷。一项有调节的中介分析显示,焦虑症状与情绪化进食呈正相关,而情绪化进食又对身体意象产生负面影响。此外,情绪化进食完全中介了焦虑症状与身体意象之间的关系,并且性别对情绪化进食对身体意象的影响的调节作用在女性中比在男性中更强。基于福克曼和拉扎勒斯的压力与应对模型,这些发现与对受冲突影响人群的研究一致,表明情绪化进食是一种回避应对策略,会导致不良的身体意象。这种影响在女性中尤为明显,她们更容易内化社会文化中的美丽标准。该研究强调了在危机期间开展对性别敏感的干预措施以促进健康应对策略的必要性,并突出了应对冲突地区长期压力暴露所带来的心理和身体挑战的重要性。

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