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

LIU Xuechun; YANG Kun; LIU Yong; BAO Rongjuan

doi:10.16835/j.cnki.1000-9817.2023.01.017

Volume 44 Issue 1

Jan. 2023

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LIU Xuechun, YANG Kun, LIU Yong, BAO Rongjuan. Cross-lagged analysis of body shame, abnormal eating behavior and eating disorder tendency among adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(1): 76-80. doi: 10.16835/j.cnki.1000-9817.2023.01.017

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LIU Xuechun, YANG Kun, LIU Yong, BAO Rongjuan. Cross-lagged analysis of body shame, abnormal eating behavior and eating disorder tendency among adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(1): 76-80. doi: 10.16835/j.cnki.1000-9817.2023.01.017

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

doi: 10.16835/j.cnki.1000-9817.2023.01.017

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

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

Received Date: 2022-07-14
Rev Recd Date: 2022-09-28

Available Online: 2023-02-06

Publish Date: 2023-01-25

Abstract

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

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References(26)

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