'Feeling fat,' eating pathology, and eating pathology-related impairment in young men and women
'Feeling fat,' eating pathology, and eating pathology-related impairment in young men and women
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DOI：
10.1080/10640266.2019.1695451
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发表时间：
2019-11-27
期刊：
影响因子：
3.3
通讯作者：
Racine, Sarah E.
中科院分区：
文献类型：
--
作者：
Mehak, Adrienne;Racine, Sarah E.
尽管临床上认为“感觉肥胖”是进食障碍的维持因素，但很少有人从实验上注意到这一点。这种经历也发生在非临床人群中，可能与亚临床饮食病理因素有关。这项研究调查了“感觉肥胖”是否独立地导致了进食病理和进食病理相关的损害，以及对体重和体型的过度评估以及烦躁不安。大学生(N=990；女性54.3%)完成了测量这些结构的问卷。多元逐步回归分析评价了S对进食病理和进食障碍的独特贡献，以及性别和进食障碍症状严重程度的调节作用。在进食病理中，“感觉肥胖”解释了显著的独有差异，但与进食病理相关的损害没有，过度估计体重和形状以及烦躁不安。女性的“感觉肥胖”与饮食病理损害之间的关系比男性更强。症状的严重程度并没有调节“感觉肥胖”和这两个因变量之间的关系。在一组年轻人的样本中，“感觉肥胖”明显与饮食病理有关，这表明，在没有饮食失调的个体中，“感觉肥胖”值得关注。未来的研究应该纵向研究“感觉肥胖”与饮食病理之间的关系，并研究“感觉肥胖”中性别差异的机制。
'Feeling fat' has received little empirical attention despite clinical recognition as an eating disorder maintenance factor. This experience also occurs in non-clinical populations and may relate to elements of subclinical eating pathology. The present study examined whether 'feeling fat' independently contributes to eating pathology and eating pathology-related impairment, over and above over-evaluation of weight and shape and dysphoria. University students (N = 990; 54.3% female) completed questionnaires measuring these constructs. Moderated multiple hierarchical regression analyses evaluated 'feeling fat''s unique contribution to eating pathology and impairment, and the moderating effects of gender and eating disorder symptom severity. 'Feeling fat' accounted for significant unique variance in eating pathology, but not eating pathology-related impairment, over and above over-evaluation of weight and shape and dysphoria. The relationship between 'feeling fat' and eating pathology-related impairment was stronger in women than in men. Symptom severity did not moderate the relationship between 'feeling fat' and either dependent variable. 'Feeling fat' distinctly relates to eating pathology in a sample of young adults, suggesting that 'feeling fat' deserves attention in individuals without eating disorders. Future research should longitudinally investigate the direction of the relationship between 'feeling fat' and eating pathology and examine mechanisms of gender differences in 'feeling fat.'