Emotion Regulation and Loss of Control Eating in Community-Based Adolescents.

Emotion Regulation and Loss of Control Eating in Community-Based Adolescents.
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DOI:
10.1007/s10802-016-0152-x
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发表时间:
2017-01
影响因子:
3.6
通讯作者:
Keenan, Kate
Keenan, Kate
中科院分区:
心理学2区
文献类型:
--
作者:
Goldschmidt, Andrea B.;Lavender, Jason M.;Hipwell, Alison E.;Stepp, Stephanie D.;Keenan, Kate

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本研究调查了青少年情绪相关结构与饮食失控之间的并发和前瞻性关联。以社区为基础的女性(N=588)完成了年度自我报告评估的饮食,情绪意识,情绪调节策略,从16-18岁的神经质。线性回归和回归为基础的多重中介模型使用自举计算,以检查情绪相关的结构和进食频率之间的关系。在并行模型中,18岁的情绪意识和情绪调节策略与18岁的暴饮暴食相关,F(6,416)=12.11,p<.001,在控制人口统计学、体重指数和神经质后,占方差的4.5%,F变化=10.81,p<.001。在前瞻性模型中,17岁的情绪意识预测18岁的暴食,F(7,425)=11.67,p<0.001,占1.7%的独特方差,超出了16岁暴食和17岁人口统计学,体重指数和神经质的影响,F变化=4.26,p= 0.015。在多重中介模型中,18岁的情绪调节策略介导了17岁的神经质和18岁的暴食之间的关联,间接效应估计值= 0.003,95%置信区间= 0.001 - 0.005,在控制了16岁的暴食和17岁的人口统计学,身体质量指数和情绪调节变量后。结果表明,缺乏情绪调节可能有助于发病和维持青少年的暴食(虽然影响很小),并可能部分解释了良好的前瞻性关系之间的负面情绪和后来的暴食。预防和早期干预计划应设法改善高危人群的适应性应对。
The current study investigated concurrent and prospective associations between emotion-related constructs and loss of control (LOC) eating in adolescents. Community-based females (N=588) completed annual self-report assessments of LOC eating, emotional awareness, emotion regulation strategies, and neuroticism from ages 16–18 years. Linear regressions and a regression-based multiple mediation model using bootstrapping were computed to examine the relationships among emotion-related constructs and LOC eating frequency. In the concurrent model, age 18 emotional awareness and emotion regulation strategies were associated with age 18 LOC eating, F(6, 416)=12.11, p<.001, accounting for 4.5% of the variance after controlling for demographics, body mass index, and neuroticism, F change=10.81, p<.001. In the prospective model, age 17 emotional awareness predicted age 18 LOC eating, F(7, 425)=11.67, p<.001, accounting for 1.7% of unique variance beyond the effects of age 16 LOC eating and age 17 demographics, body mass index, and neuroticism, F change=4.26, p=.015. In the multiple mediation model, age 18 emotion regulation strategies mediated the association between age 17 neuroticism and age 18 LOC eating, indirect effect estimate=.003, 95% confidence interval=.001–.005, after controlling for age 16 LOC eating and age 17 demographics, body mass index, and emotion regulation variables. Results suggest that deficient emotion regulation may contribute to the onset and maintenance of LOC eating in adolescence (although effects were small), and may partially explain the well-established prospective relationship between negative emotionality and later LOC eating. Prevention and early intervention programs should seek to improve adaptive coping in at-risk populations.
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