Associations among weight suppression, self-acceptance, negative body image, and eating disorder behaviors among women with eating disorder symptoms.

Associations among weight suppression, self-acceptance, negative body image, and eating disorder behaviors among women with eating disorder symptoms.
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DOI:
10.1080/03630242.2021.1970082
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发表时间:
2021-09
期刊:
影响因子:
1.6
通讯作者:
Ebener D
Ebener D
中科院分区:
医学4区
文献类型:
--
作者:
Romano KA;Heron KE;Ebener D

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本研究旨在澄清现有的研究,不一致地表明,体重抑制(个人的最高和当前体重之间的差异)与更糟糕的饮食失调(艾德)行为和负面的身体形象与终身ED的妇女,通过检查是否研究不足的客户支持的保护因素艾德病理学自我接纳调节这些协会。目前有症状的终身ED女性(N=108)通过在线调查完成了评估自我接受和艾德症状的措施。适度回归检验了自我接纳是否调节了体重抑制与身体形象(体重/形状关注,高估,不满)和艾德行为(饮食限制,补偿行为,暴饮暴食)结果之间的关联。结果表明,体重抑制与更严重的负面身体形象和饮食限制有关,但与补偿行为或暴饮暴食无关。与此相反,自我接纳始终出现作为一个保护因素,相对于所有的负面身体形象和艾德行为指数。这种保护作用并不能抵消体重抑制、负面身体形象和艾德行为结果之间明显的风险因素关联。这些结果支持进一步评估自我接纳作为妇女艾德症状的一个未充分研究的保护因素,并作为一种机制,在ED干预研究的变化。在艾德预防措施中应评估妇女的体重抑制情况。
The present study aimed to clarify existing research that has inconsistently shown that weight suppression (differences between individuals’ highest and current body weights) is associated with worse eating disorder (ED) behaviors and negative body image among women with lifetime EDs, by examining whether an understudied client-supported protective factor for ED pathology—self-acceptance—moderates these associations. Currently symptomatic women with lifetime EDs (N=108) completed measures assessing self-acceptance and ED symptoms via an online survey. Moderated regressions examined whether self-acceptance moderated associations between weight suppression and both body image (weight/shape preoccupation, overvaluation, dissatisfaction) and ED behavior (dietary restraint, compensatory behaviors, binge eating) outcomes. Results indicated that weight suppression was associated with more severe negative body image and dietary restraint, but not compensatory behaviors or binge eating. In contrast, self-acceptance consistently emerged as a protective factor relative to all negative body image and ED behavior indices. This protective effect did not offset apparent risk factor associations between weight suppression, and negative body image and ED behavior outcomes. These results support further assessment of self-acceptance as an understudied protective factor for women’s ED symptoms and as a mechanism of change in EDs intervention research. Women’s weight suppression should be assessed during ED prevention initiatives.
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