Prospective associations between childhood social communication processes and adolescent eating disorder symptoms in an epidemiological sample.
Prospective associations between childhood social communication processes and adolescent eating disorder symptoms in an epidemiological sample.
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DOI：
10.1007/s00787-020-01655-9
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发表时间：
2021-12
影响因子：
6.4
通讯作者：
Micali N
中科院分区：
文献类型：
--
作者：
Schaumberg K;Zerwas SC;Bulik CM;Fiorentini C;Micali N
社会认知和沟通的缺陷，即与人类社会行为和互动相关的过程，已经在患有进食障碍精神病的个体中得到描述。目前的研究在一个基于人群的大样本中检查了童年中期(8-14岁)的社交特征是否与青春期(14-18岁)的饮食失调行为、认知和诊断有关。参与者(N=4864)是参加雅芳亲子纵向研究(ALSPAC)的儿童，这是一项基于人群的前瞻性研究，涉及妇女及其子女。回归方法测试了使用面部情绪识别任务的社交功能与父母报告的社交症状(或困难)之间的预期关联，这些症状(或困难)由社交沟通障碍检查表(SCDC)测量，与进食障碍症状和诊断之间的关系。在女孩中，在8.5岁时将面孔错误归因为悲伤或愤怒与14岁时被诊断为神经性厌食症和通便有关。此外，在女孩和男孩中，童年中期的自闭症样的社交困难与青春期的神经性贪食症症状有关。在这一样本中，结果并不支持测量的社交沟通缺陷与进食障碍风险之间的全球联系，但面部情绪识别和社交方面的特定困难可能会增加饮食障碍行为的风险。
Deficits in social cognition and communication, the processes associated with human social behavior and interaction, have been described in individuals with eating disorder psychopathology. The current study examined whether social communication characteristics present in middle childhood (ages 8-14) were associated with eating disorder behaviors, cognitions, and diagnoses across adolescence (ages 14-18) in a large, population-based sample. Participants (N = 4864) were children enrolled in the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based, prospective study of women and their children. Regression methods tested prospective associations between social functioning using a facial emotion recognition task and parentally reported social communication symptoms (or difficulties), measured by the Social Communication Disorder Checklist (SCDC), with eating disorder symptoms and diagnoses. Misattribution of faces as sad or angry at age 8.5 was associated with purging and anorexia nervosa diagnosis at age 14, respectively, among girls. Further, autistic-like social communication difficulties during middle childhood were associated with bulimia nervosa symptoms during adolescence among both girls and boys. Results did not support global associations between measured social communication deficits and eating disorder risk in this sample, but specific difficulties with facial emotion recognition and social communication may enhance risk for disordered eating behaviors.
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