The unique and additive associations of family functioning and parenting practices with disordered eating behaviors in diverse adolescents
The unique and additive associations of family functioning and parenting practices with disordered eating behaviors in diverse adolescents
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DOI：
10.1007/s10865-012-9478-1
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发表时间：
2014-04-01
影响因子：
3.1
通讯作者：
Neumark-Sztainer, Dianne
中科院分区：
文献类型：
--
作者：
Berge, Jerica M.;Wall, Melanie;Neumark-Sztainer, Dianne
研究家庭功能和养育方式与青少年饮食失调行为的独特和附加关联（即，节食，不健康的体重控制行为，暴饮暴食）。使用来自EAT（青少年饮食和活动）2010的数据，这是一项基于人群的研究，评估了种族/民族和社会经济多样化青少年（n = 2，793;平均年龄= 14.4，SD = 2.0;年龄范围= 11-19）的饮食和活动。Logistic回归模型用于研究青少年节食和饮食失调行为与家庭功能和养育变量之间的关联，包括相互作用。所有分析均控制人口统计学和体重指数。更高的家庭功能，父母的联系，以及父母对孩子下落的了解（例如孩子和谁在一起，他们在做什么，他们在哪里）与青少年参与节食和饮食失调行为的几率较低显着相关，而父母的心理控制与参与节食和饮食失调行为的几率较高相关。虽然大多数的相互作用是不显着的，父母的心理控制调节家庭功能和饮食行为紊乱的青春期女孩之间的保护关系。临床医生和卫生保健提供者可能希望讨论平衡特定的养育行为的重要性，例如增加父母对儿童下落的了解，同时减少心理控制，以增强家庭功能和青少年饮食失调行为之间的保护关系。
To examine the unique and additive associations of family functioning and parenting practices with adolescent disordered eating behaviors (i.e., dieting, unhealthy weight control behaviors, binge eating). Data from EAT (Eating and Activity in Teens) 2010, a population-based study assessing eating and activity among racially/ethnically and socio-economically diverse adolescents (n = 2,793; mean age = 14.4, SD = 2.0; age range = 11-19) was used. Logistic regression models were used to examine associations between adolescent dieting and disordered eating behaviors and family functioning and parenting variables, including interactions. All analyses controlled for demographics and body mass index. Higher family functioning, parent connection, and parental knowledge about child's whereabouts (e.g. who child is with, what they are doing, where they are at) were significantly associated with lower odds of engaging in dieting and disordered eating behaviors in adolescents, while parent psychological control was associated with greater odds of engaging in dieting and disordered eating behaviors. Although the majority of interactions were non-significant, parental psychological control moderated the protective relationship between family functioning and disordered eating behaviors in adolescent girls. Clinicians and health care providers may want to discuss the importance of balancing specific parenting behaviors, such as increasing parent knowledge about child whereabouts while decreasing psychological control in order to enhance the protective relationship between family functioning and disordered eating behaviors in adolescents.