Risk factors for binge eating onset in adolescent girls: A 2-year prospective investigation

Risk factors for binge eating onset in adolescent girls: A 2-year prospective investigation
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DOI:
10.1037//0278-6133.21.2.131
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发表时间:
2002-03-01
期刊:
影响因子:
4.2
通讯作者:
Spangler, D
Spangler, D
中科院分区:
心理学2区
文献类型:
--
作者:
Stice, E;Presnell, K;Spangler, D

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由于对暴饮暴食(肥胖的一个危险因素)的预测因素知之甚少,因此在一项对青春期女孩的纵向研究中,对一组可能的暴饮暴食危险因素进行了调查。结果证实,暴饮暴食预示着肥胖的发生。节食增加、减肥压力、进食障碍模型、外表高估、身体不满、抑郁症状、情绪性进食、体重、自尊低下和社会支持预测暴饮暴食的发生,准确率为92%。分类树分析揭示了外表高估、体重、节食和抑郁症状之间的交互作用,提出了不同的暴饮暴食途径,并确定了这种结果的极端风险亚群。结果支持这样的断言,即这些心理社会和生物因素会增加暴食的风险。
Because little is known about the predictors of binge eating (a risk factor for obesity), a set of putative risk factors for binge eating was investigated in a longitudinal study of adolescent girls. Results verified that binge eating predicted obesity onset. Elevated dieting, pressure to be thin, modeling of eating disturbances, appearance overvaluation, body dissatisfaction, depressive symptoms, emotional eating, body mass, and low self-esteem and social support predicted binge eating onset with 92% accuracy. Classification tree analysis revealed an interaction between appearance overvaluation, body mass, dieting, and depressive symptoms, suggesting qualitatively different pathways to binge eating and identifying subgroups at extreme risk for this outcome. Results support the assertion that these psychosocial and biological factors increase risk for binge eating.