Bianciardi Emanuela, Quinto Rossella Mattea, Longo Ester, Santelli Valentina, Contini Lorenzo, Siracusano Alberto, Niolu Cinzia, Di Lorenzo Giorgio
Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Department of Human Sciences, European University of Rome, 00163 Rome, Italy.
Nutrients. 2025 Aug 23;17(17):2737. doi: 10.3390/nu17172737.
: Binge eating disorder (BED) frequently arises during the transitional age (18-25 years), a critical developmental period characterized by challenges in autonomy, identity formation, and interpersonal functioning. This study investigated psychopathological predictors of BED risk in this age group, with particular focus on parental bonding, attachment style, body dissatisfaction, alexithymia, and depressive symptoms. : A total of 287 participants aged 18-25 years completed the Binge Eating Scale (BES), Beck Depression Inventory-II (BDI-II), Body Shape Questionnaire (BSQ), Toronto Alexithymia Scale (TAS-20), Attachment Style Questionnaire (ASQ), and Parental Bonding Instrument (PBI). Sociodemographic information and body mass index (BMI) were also collected. Compared with non-BED risk groups, individuals at risk of BED exhibited significantly higher BMI, greater alexithymia, higher body dissatisfaction, more insecure attachment patterns, and lower recalled paternal and maternal care. Hierarchical binary logistic regression revealed that the final model explained 56.1% of the variance (Nagelkerke R) and correctly classified 92.1% of cases. Significant predictors of BED included body dissatisfaction, elevated BMI, low maternal care, and low maternal protection. : This study is the first to examine BED risk factors specifically during the transitional age. Findings indicate that body image dissatisfaction, higher BMI, and inadequate maternal emotional care and protection are salient predictors at this life stage. Preventive interventions should integrate parental psychoeducation, nutritional guidance, and therapeutic strategies addressing both eating disorder symptoms and attachment-related difficulties to reduce BED onset and improve psychosocial outcomes in emerging adults.
暴饮暴食症(BED)常在过渡年龄阶段(18至25岁)出现,这是一个关键的发育时期,其特点是在自主性、身份形成和人际功能方面面临挑战。本研究调查了该年龄组中暴饮暴食症风险的心理病理学预测因素,特别关注父母关系、依恋风格、身体不满、述情障碍和抑郁症状。
共有287名18至25岁的参与者完成了暴饮暴食量表(BES)、贝克抑郁量表第二版(BDI-II)、身体形状问卷(BSQ)、多伦多述情障碍量表(TAS-20)、依恋风格问卷(ASQ)和父母关系量表(PBI)。还收集了社会人口统计学信息和体重指数(BMI)。与无暴饮暴食症风险组相比,有暴饮暴食症风险的个体表现出显著更高的BMI、更严重的述情障碍、更高的身体不满、更不安全的依恋模式,以及对父亲和母亲关怀的回忆更少。分层二元逻辑回归显示,最终模型解释了56.1%的方差(Nagelkerke R),并正确分类了92.1%的病例。暴饮暴食症的显著预测因素包括身体不满、BMI升高、母亲关怀不足和母亲保护不足。
本研究首次专门考察了过渡年龄阶段的暴饮暴食症风险因素。研究结果表明,身体形象不满、较高的BMI以及母亲情感关怀和保护不足是这一生命阶段的显著预测因素。预防性干预应整合父母心理教育、营养指导以及针对饮食失调症状和依恋相关困难的治疗策略,以减少暴饮暴食症的发病,并改善青少年的心理社会结局。