Body Image Dissatisfaction and Anxiety Trajectories During Adolescence.
Body Image Dissatisfaction and Anxiety Trajectories During Adolescence.
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青春期的身体形象不满意和焦虑轨迹。
DOI：
10.1080/15374416.2017.1390755
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Ohannessian,ChristineMcCauley
中科院分区：
文献类型：
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作者：
Vannucci,Anna;Ohannessian,ChristineMcCauley
本研究的主要目的是研究基线身体形象不满（BID）和随后的焦虑轨迹之间的关联，在一个多样化的，社区样本的青春期女孩和男孩。参与者是来自美国公立高中的581名青少年（基线年龄：M= 16.1，SD = 0.7; 58%为女性; 65%为非西班牙裔白色）。自我报告问卷在学校期间进行3个年度评估波。潜伏生长曲线模型检查基线BID和焦虑症症状轨迹的生长因子之间的关联。协变量包括基线性别、年龄、人种/种族、父母教育程度、体重指数标准评分和抑郁症状。基线时BID越高，广泛性焦虑障碍（GAD）、惊恐障碍（PD）、社交焦虑障碍（SAD）和显著的学校回避（SSA;ps = 0.001 - 0.04）的初始症状越高，但与初始分离焦虑障碍（SEP）症状无关（p= 0.27）。较高的基线BID也与SAD症状随时间的减弱有关（p= 0.001）。在基线焦虑症状较低的青少年中，BID越高，SAD症状的减少越少（p= .01），PD症状的增加越多（p= .02）。BID与GAD、SEP和SSA症状的变化无关（ps = 0.11 - 0.94）。研究结果表明，BID与多种焦虑症的并发症状相关，并可能与青春期SAD和PD症状有前瞻性联系。因此，评估身体形象问题可能是重要的评估时，确定青少年的风险加剧SAD和PD症状。
The primary goal of this study was to examine the associations between baseline body image dissatisfaction (BID) and subsequent anxiety trajectories in a diverse, community sample of adolescent girls and boys. Participants were 581 adolescents (baseline age:M= 16.1,SD= 0.7; 58% female; 65% non-Hispanic White) from U.S. public high schools. Self-report questionnaires were administered during school at 3 annual assessment waves. Latent growth curve modeling examined the association between baseline BID and growth factors of anxiety disorder symptom trajectories. Covariates included baseline gender, age, race/ethnicity, parental education attainment, body mass index standard scores, and depressive symptoms. Higher BID at baseline was significantly associated with higher initial symptoms of generalized anxiety disorder (GAD), panic disorder (PD), social anxiety disorder (SAD), and significant school avoidance (SSA;ps = .001–.04) but was unrelated to initial separation anxiety disorder (SEP) symptoms (p= .27). Higher baseline BID also was associated with attenuated decreases in SAD symptoms across time (p= .001). Among adolescents with low baseline anxiety symptoms only, higher BID was associated with more attenuated decreases in SAD symptoms (p= .01) and greater increases in PD symptoms (p= .02). BID was unrelated to changes in GAD, SEP, and SSA symptoms (ps = .11–.94). Findings suggest that BID is associated with concurrent symptoms of multiple anxiety disorders and may have a prospective link to SAD and PD symptoms during adolescence. As such, assessing body image issues may be important to assess when identifying adolescents at risk for exacerbated SAD and PD symptoms.