Childhood risk factors for thin body preoccupation and social pressure to be thin
Childhood risk factors for thin body preoccupation and social pressure to be thin
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DOI：
10.1097/chi.0b013e31802bd997
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发表时间：
2007-02-01
影响因子：
13.3
通讯作者：
Kraemer, Helena C.
中科院分区：
文献类型：
--
作者：
Agras, W. Stewart;Bryson, Susan;Kraemer, Helena C.
目的：青少年时期的瘦身体关注和瘦的社会压力（TBPSP）是完全和部分神经性贪食症和暴食症发展的危险因素。这项研究检查了这些潜在风险因素的前兆。方法：采用前瞻性研究方法，对134名从出生到11岁的儿童及其父母进行随访。招募工作于1990年1月开始，1991年3月结束。研究已于二零零二年十二月完成。结果：两名主持人确定了不同的人群在TBPSP的发展风险。对身体高度不满的父亲是最大的群体，其中TBPSP升高的女孩关注并试图改变自己的体重，而父亲对瘦有很高的追求。第二个小组的特征是有超重风险的儿童。父母的行为，如过度控制他们的孩子的饮食，以及后来的压力，从父母和同龄人要瘦，与较高水平的TBPSP。结论：不同的途径导致进食障碍精神病理学的发展。这些结果表明，饮食失调的预防计划应该开始在幼儿期，可能涉及父母的教育和行为改变，不同的预防计划可能需要不同的途径。J. Am. Acad.儿童青少年精神病学，2007;46（2）：171-178.
Objective: Thin body preoccupation and social pressure to be thin (TBPSP) in adolescence are risk factors for the development of full and partial bulimia nervosa and binge eating disorder. This study examined precursors of these potent risk factors. Method: A prospective study followed 134 children from birth to 11.0 years and their parents. Recruitment began in January 1990 and ended in March 1991. The study was completed in December 2002. Results: Two moderators identified different groups at risk for the development of TBPSP. A father with high body dissatisfaction characterized the largest group in which TBPSP was elevated for girls who were concerned about and attempted to modify their weight and for children with fathers who had a high drive for thinness. A child at risk for overweight characterized the second smaller group. Parental behaviors such as overcontrol of their child's eating, together with later pressure from parents and peers to be thin, were related to higher levels of TBPSP. Conclusions: Different pathways lead to the development of eating disorder psychopathology. These results suggest that prevention programs for eating disorders should begin in early childhood, possibly involving parental education and behavior change, and that different prevention programs may be required for different pathways. J. Am. Acad. Child Adolesc. Psychiatry, 2007;46(2):171-178.