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中国年轻成年人的饮食失调:养育方式、依恋焦虑和消极应对方式的作用。

Disordered eating in young Chinese adults: role of parenting styles, attachment anxiety, and negative coping styles.

作者信息

Yang Chenfan, Li Feifei, Khalid Nurul Fazzuan

机构信息

Guangdong Business and Technology University, Zhaoqing, China.

School of Educational Studies, Universiti Sains Malaysia, Penang, Malaysia.

出版信息

BMC Public Health. 2025 Jun 4;25(1):2077. doi: 10.1186/s12889-025-23071-x.

Abstract

BACKGROUND

Disordered eating (DE) is prevalent among young adults and poses significant risks to their physical and mental health. Parenting styles have been shown to strongly influence DE. This study investigates the roles of attachment anxiety and negative coping styles as psychological mediators in the relationship between parenting styles and DE among young Chinese adults.

METHOD

A total of 814 university students aged 17-23 (49.0% female, M = 20.05 years, SD = 1.24) from southeastern coastal universities in China participated in this study. Participants completed the short-form Egna Minnen Beträffande Uppfostran for Chinese (EMBU-C, assessing parenting styles), the Experiences in Close Relationships Scale-Short (ECR-12, measuring attachment anxiety), the Short Form Coping Style Questionnaire (SFCSQ, evaluating negative coping styles), and the Eating Attitude Test (EAT-26, assessing DE).

RESULT

Attachment anxiety significantly mediated the relationships between parental rejection and DE, with indirect effects of 0.20 (95% CI [0.10, 0.31]) for both paternal and maternal rejection. Similarly, attachment anxiety mediated the relationships between parental overprotection and DE, with indirect effects of 0.13 (95% CI [0.06, 0.21]) for paternal overprotection and 0.12 (95% CI [0.06, 0.20]) for maternal overprotection. Furthermore, attachment anxiety and negative coping styles formed a serial mediation pathway in these relationships, with indirect effects of 0.07 (95% CI [0.03, 0.12]) for both paternal and maternal rejection, 0.05 (95% CI [0.02, 0.08]) for paternal overprotection, and 0.04 (95% CI [0.02, 0.08]) for maternal overprotection.

CONCLUSION

This study demonstrates the complex interplay between parenting styles and DE in young adults, emphasizing the significant roles of attachment anxiety and negative coping styles as mediators. These findings provide valuable insights for developing interventions targeting psychological factors and coping strategies to effectively prevent and address DE in young Chinese adults.

摘要

背景

饮食失调(DE)在年轻人中很普遍,对他们的身心健康构成重大风险。研究表明,养育方式对饮食失调有很大影响。本研究调查了依恋焦虑和消极应对方式作为心理中介因素在中国年轻成年人养育方式与饮食失调关系中的作用。

方法

共有814名年龄在17 - 23岁的中国东南部沿海大学学生参与了本研究(女性占49.0%,平均年龄M = 20.05岁,标准差SD = 1.24)。参与者完成了中文版简式父母教养方式问卷(EMBU - C,评估养育方式);亲密关系经历量表简版(ECR - 12,测量依恋焦虑);简式应对方式问卷(SFCSQ,评估消极应对方式);以及饮食态度测试(EAT - 26量表,评估饮食失调)。

结果

依恋焦虑显著中介了父母拒绝与饮食失调之间的关系,父亲和母亲拒绝的间接效应均为0.20(95%置信区间[0.10, 0.31])。同样,依恋焦虑中介了父母过度保护与饮食失调之间的关系,父亲过度保护的间接效应为0.13(95%置信区间[0.06, 0.21]),母亲过度保护的间接效应为0.12(95%置信区间[0.06, 0.20])。此外,在这些关系中,依恋焦虑和消极应对方式形成了一个连续中介路径,父亲和母亲拒绝的间接效应均为0.07(95%置信区间[0.03, 0.12]),父亲过度保护的间接效应为0.05(95%置信区间[0.02, 0.08]),母亲过度保护的间接效应为0.04(95%置信区间[0.02, 0.08])。

结论

本研究揭示了年轻人养育方式与饮食失调之间复杂的相互作用,强调了依恋焦虑和消极应对方式作为中介因素的重要作用。这些发现为制定针对心理因素和应对策略的干预措施提供了有价值的见解,以有效预防和解决中国年轻成年人的饮食失调问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe4e/12135478/ebb59cfd32cb/12889_2025_23071_Fig1_HTML.jpg

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