青少年身体羞耻及异常进食行为与进食障碍倾向的交叉滞后分析

刘雪纯; 杨坤; 刘勇; 鲍荣娟

doi:10.16835/j.cnki.1000-9817.2023.01.017

青少年身体羞耻及异常进食行为与进食障碍倾向的交叉滞后分析

doi: 10.16835/j.cnki.1000-9817.2023.01.017

刘雪纯^{1, 2},
杨坤²,
刘勇^{1, 2, ,},
鲍荣娟²

1.
佳木斯大学教育科学学院，黑龙江 154047
2.
佳木斯大学学生处心理健康教育与咨询中心

基金项目:

2021年度中国高等教育学会项目 21DWYB14

2021年度中国高等教育学会项目 21FDYB 17

黑龙江省教育科学"十四五"规划2022年度重点课题 GJB1422683

详细信息

作者简介:
刘雪纯(1988-), 女, 黑龙江佳木斯人, 硕士, 讲师, 主要研究方向为青少年心理健康

通讯作者:
刘勇, E-mail: liuyongliuyong72@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G478 G444 B844.2
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- 被引次数: 0
出版历程
- 收稿日期: 2022-07-14
- 修回日期: 2022-09-28
- 网络出版日期: 2023-02-06
- 刊出日期: 2023-01-25

Cross-lagged analysis of body shame, abnormal eating behavior and eating disorder tendency among adolescents

LIU Xuechun^{1, 2},
YANG Kun²,
LIU Yong^{1, 2
, ,},
BAO Rongjuan²

1.
School of Education Science, Jiamusi University, Jiamusi(154047), Heilongjiang Province, China

摘要

摘要: 目的了解青少年身体羞耻、异常进食行为与进食障碍倾向的纵向关系，为青少年进食问题干预提供参考。方法于2020年9月开始对黑龙江省2所高中和2所高校共1 097名学生进行3次(T1、T2、T3)纵向追踪研究，每次间隔9个月。采用中文身体羞耻量表、中文版荷兰进食行为问卷和进食障碍筛查问卷进行测量，采用交叉滞后分析探讨青少年身体羞耻、异常进食行为与进食障碍倾向的关系。结果青少年的身体羞耻、异常进食行为及进食障碍倾向均表现出上升趋势，但仅有异常进食行为的时间主效应有统计学意义(F=3.78，P＜0.05，η²=0.18)，性别主效应均有统计学意义(F值分别为18.06，30.48，25.09，P值均＜0.01)；身体羞耻、异常进食行为与进食障碍倾向之间均呈正相关(T1：r=0.34~0.58，T2：r=0.35~0.56，T3：r=0.33~0.53，P值均＜0.01)；身体羞耻能够跨时间预测异常进食行为(β_T1-T2=0.13，β_T2-T3=0.08)，且在女生中预测作用更强(β_T1-T2=0.16，β_T2-T3=0.12)，男生中仅在T1~T2之间有统计学意义(β_T1-T2=0.09)(P值均＜0.05)；异常进食行为(β_T1-T2=0.14，β_T2-T3=0.15)与进食障碍倾向(β_T1-T2=0.26，β_T2-T3=0.24)存在跨时间互相预测作用(P值均＜0.05)；异常进食行为在身体羞耻预测进食障碍倾向之间存在着中介效应(β_ab=0.019，95%CI=0.006~0.047，P＜0.05)，在女生中中介效应更强(β_ab=0.029，95%CI=0.008~0.053，P＜0.05)。结论青少年身体羞耻正向预测异常进食行为，异常进食行为和进食障碍倾向能够互相影响，且身体羞耻能够通过作用于异常进食行为间接影响进食障碍倾向。
- 羞耻 /
- 进食障碍 /
- 精神卫生 /
- 行为 /
- 青少年
Abstract: Objective To understand the longitudinal relationship between body shame, abnormal eating behavior and eating disorder tendency of adolescents, so as to provide reference for the intervention of eating problems among adolescents. Methods From September 2020, a total of 1 097 students from two high schools and two universities in Heilongjiang Province were investigated for three times (T1, T2 and T3) with an interval of 9 months. Adolescents completed the Chinese Body Shame Scale, the Chinese Version of Dutch Eating Behavior Questionnaire and the Sick, Control, One, Fat, Food(SCOFF) questionnaire. A cross-lag analysis was used to explore the relationship between body shame, abnormal eating behavior and eating disorder tendency. Results The body shame, abnormal eating behavior and eating disorder tendency of adolescents showed an upward trend, but only the main effect of time on abnormal eating behavior was statistically significant (F=3.78, P < 0.05, η²=0.18), and the main effect of gender on three variables were statistically significant (F=18.06, 30.48, 25.09, P < 0.01). There were significant and positive correlations between body shame, abnormal eating behavior and eating disorder tendency at three wave survey (T1:r=0.34-0.58, T2:r=0.35-0.56, T3:r=0.33-0.53, P < 0.01). Body shame could predict abnormal eating behavior across time (β_T1-T2=0.13, β_T2-T3=0.08, P < 0.05), and the predictive effect was stronger in female (β_T1-T2=0.16, β_T2-T3=0.12, P < 0.05), only the effect between T1 and T2 was significant in male (β_T1-T2=0.09, P < 0.05). Abnormal eating behavior (β_T1-T2=0.14, β_T2-T3=0.15, P < 0.01) and eating disorder tendency (β_T1-T2=0.26, β_T2-T3=0.24, P < 0.01) had cross-time predictive effect. Abnormal eating behavior showed a mediating effect on the association between body shame and eating disorder tendency (β_ab=0.019, 95%CI=0.006-0.047, P < 0.05), and the mediating effect was stronger in female (β_ab=0.029, 95%CI=0.008-0.053, P < 0.05). Conclusion Adolescents' body shame positively predicts abnormal eating behavior. Abnormal eating behavior and eating disorder tendency interact with each other, and body shame can indirectly affect eating disorder tendency through acting on abnormal eating behavior.
- Shame /
- Eating disorders /
- Mental health /
- Behavior /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

图 1 青少年身体羞耻、异常进食行为与进食障碍倾向的交叉滞后模型

Figure 1. A cross-lag model of body shame, abnormal eating behavior and eating disorder tendency for adolescents

下载: 全尺寸图片幻灯片

图 2 女生身体羞耻、异常进食行为与进食障碍倾向的交叉滞后模型

Figure 2. A cross-lag model of body shame, abnormal eating behavior and eating disorder tendency for females

下载: 全尺寸图片幻灯片

图 3 男生身体羞耻、异常进食行为与进食障碍倾向的交叉滞后模型

Figure 3. A cross-lag model of body shame, abnormal eating behavior and eating disorder tendency for males

下载: 全尺寸图片幻灯片

表 1 青少年身体羞耻、异常进食行为和进食障碍倾向的相关性分析(r值，n=1 097)

Table 1. Descriptive analysis of body shame, abnormal eating behavior and eating disorder tendency(r, n=1 097)

变量	T1身体羞耻	T2身体羞耻	T3身体羞耻	T1异常进食行为	T2异常进食行为	T3异常进食行为	T1进食障碍倾向	T2进食障碍倾向
T2身体羞耻	0.68
T3身体羞耻	0.59	0.65
T1异常进食行为	0.43	0.21	0.27
T2异常进食行为	0.35	0.40	0.22	0.63
T3异常进食行为	0.30	0.33	0.38	0.52	0.61
T1进食障碍倾向	0.34	0.28	0.22	0.58	0.50	0.32
T2进食障碍倾向	0.26	0.35	0.23	0.36	0.56	0.47	0.76
T3进食障碍倾向	0.23	0.21	0.33	0.22	0.38	0.53	0.68	0.73
注： P值均 < 0.01。

下载: 导出CSV

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