A mediational model of obesity related disordered eating: The roles of childhood emotional abuse and self-perception.
A mediational model of obesity related disordered eating: The roles of childhood emotional abuse and self-perception.
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DOI：
10.1016/j.eatbeh.2016.12.010
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发表时间：
2017-08
期刊：
影响因子：
2.8
通讯作者：
Salis KL
中科院分区：
文献类型：
--
作者：
Hymowitz G;Salwen J;Salis KL
现有文献表明，消极的自我认知是饮食失调（DE）的危险因素，DE是超重和肥胖的危险因素。虽然儿童情绪虐待（EA）通常与DE和肥胖有关，但它通常不包括在这些健康问题的综合模型中。需要进一步研究EA，自我感知和DE之间的相互作用，以完善超重，肥胖和DE的治疗。本研究评估了DE和体重困难的模型，其中消极的自我感觉介导EA和DE之间的关系，DE预测新兴成年人人群的体重指数（BMI）。此外，本研究调查了EA的历史预测DE和个人分类与DE和没有DE的效用。对598名本科生进行了儿童期创伤、精神病理学和饮食行为的自我报告问卷调查。潜变量分析证实了假设模型。递归划分确定报告高水平EA的个体可能符合夜间进食综合征（内斯）或暴食症（BED）的标准，并且EA史作为BED和内斯的预测因子具有中等至高水平的特异性。这些研究结果证实了评估EA和DE在新兴的成年人体重困难的必要性，以及评估自我认知和DE在个人的历史EA的重要性。未来的研究应探讨在DE和肥胖的干预中解决EA和自我感知的效用，并确定这些发现是否可以推广到临床人群。
The extant literature indicates negative self-perceptions are a risk factor for disordered eating (DE) and DE is a risk factor for overweight and obesity. While childhood emotional abuse (EA) is often linked to DE and obesity, it is typically not included in comprehensive models of these health problems. Further investigation of interactions among EA, self-perception, and DE is needed to refine treatments for overweight, obesity, and DE. This study evaluated a model of DE and weight difficulties in which negative self-perception mediate the relationship between EA and DE, and DE predicts body mass index (BMI) in a population of emerging adults. Further, this study investigated the utility of history of EA for prediction of DE and classification of individuals with and without DE. Self-report questionnaires on childhood trauma, psychopathology, and eating behaviors were administered to 598 undergraduate students. Latent variable analysis confirmed the hypothesized model. Recursive partitioning determined that individuals reporting a high level of EA likely meet criteria for night eating syndrome (NES) or binge eating disorder (BED), and history of EA has a moderate to high level of specificity as a predictor of BED and NES. These findings confirm the necessity of evaluating EA and DE in emerging adults with weight difficulties, and the importance of assessing self-perception and DE in individuals with a history of EA. Future studies should investigate the utility of addressing EA and self-perception in interventions for DE and obesity and to determine whether these findings can be generalized to a clinical population.
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DOI：
10.1038/oby.2005.16
发表时间：
2005-01-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Grilo, CM;Masheb, RM;Rothschild, BS
通讯作者：
Rothschild, BS
影响因子：
2.2
作者：
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通讯作者：
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影响因子：
2.4
作者：
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通讯作者：
Connell, Lenda Jo
影响因子：
4.8
作者：
Bernstein, DP;Stein, JA;Zule, W
通讯作者：
Zule, W
影响因子：
3.6
作者：
Boutelle, K;Neumark-Sztainer, D;Resnick, M
通讯作者：
Resnick, M