大学生进食障碍症状的潜在剖面分析及其与抑郁的关系

doi:10.12139/j.1672-0628.2022.01.011

摘要/Abstract

摘要： 为了解大学生进食障碍症状的类别特征及其与抑郁和性别的关系，使用进食障碍检查自评问卷6.0和9项患者健康问卷对575名大学生施测，采用带预测变量（抑郁）和分类结果变量（性别）的潜在剖面法进行数据分析。结果表明：大学生进食障碍症状可划分为体形关注组（62.4%）、体像顾虑组（28.0%）和进食障碍风险组（9.6%）；抑郁得分越高，个体被归为体像顾虑组或进食障碍风险组的可能性越大；女性属于体像顾虑组和进食障碍风险组的可能性比男性高。

关键词: 进食障碍, 抑郁, 潜在剖面分析

Abstract: To investigate eating disorder symptoms’ classification characteristics and their relationships with depression and gender, 575 college students were tested using the Eating Disorder Examination Questionnaire 6.0 and PHQ-9. Data analysis was carried out by the latent profile analysis with a predictor variable (depression) and a classification outcome variable (gender). The results revealed that college students with eating disorder symptoms could be classified into three groups, that is body shape concern group (62.4%), body image concern group (28.0%), and eating disorder risk group (9.6%). The higher the depression score, the more likely an individual would be classified as either the body image concern group or the eating disorder risk group. Compared with men, women were more likely to belong to the body image concern group and the eating disorder risk group.

Key words: eating disorders, depression, latent profile analysis

中图分类号:

B844

张馨予, 孙琦, 周广东, 李冰. 大学生进食障碍症状的潜在剖面分析及其与抑郁的关系[J]. 心理与行为研究, 2022, 20(1): 73-79.

ZHANG Xinyu, SUN Qi, ZHOU Guangdong, Li Bing. A Latent Profile Analysis to Symptoms of Eating Disorder in College Students and Its Relation to Depression[J]. Studies of Psychology and Behavior, 2022, 20(1): 73-79.

参考文献

耿燕. (2020). 自我客体化与大学生进食行为问题: 内化和外化身体羞耻的多重中介作用. 中国临床心理学杂志, 28(2), 364–368, 417.
赫才茜, 王警可, 郭桂平, 陈贵, 肖水源. (2016). 青少年抑郁情绪在体形不满与进食障碍倾向关系中的中介作用. 中国心理卫生杂志, 30(11), 835–839, doi: 10.3969/j.issn.1000-6729.2016.11.007
黄烨, 陈珏. (2020). 基于家庭的治疗在进食障碍中的应用. 临床精神医学杂志, 30(6), 460–462, doi: 10.3969/j.issn.1005-3220.2020.06.026
李毅, 吴桐. (2016). 大学生体像烦恼与恋爱压力——自尊的中介作用. 心理与行为研究, 14(6), 779–787, doi: 10.3969/j.issn.1672-0628.2016.06.010
王孟成, 毕向阳. (2018). 回归混合模型: 方法进展与软件实现. 心理科学进展, 26(12), 2272–2280
张明园. (1998). 精神科评定量表手册. 长沙: 湖南科学技术出版社.
赵喆, 黄喜珊, 王薇, 李乡宁, 黄晓仪, 张颖慧. (2017). 进食障碍的性别差异及其影响因素研究述评. 中国健康心理学杂志, 25(5), 792–797
邹蕴灵, 陈珏. (2019). 认知行为疗法在进食障碍治疗中的应用. 临床精神医学杂志, 29(3), 214–215, doi: 10.3969/j.issn.1005-3220.2019.03.025
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). Washington, DC: American Psychiatric Publishing.
Anderson, L. K., Claudat, K., Cusack, A., Brown, T. A., Trim, J., Rockwell, R., … Kaye, W. H. (2018). Differences in emotion regulation difficulties among adults and adolescents across eating disorder diagnoses. Journal of Clinical Psychology, 74(10), 1867–1873, doi: 10.1002/jclp.22638.
Bourdier, L., Lalanne, C., Morvan, Y., Kern, L., Romo, L., & Berthoz, S. (2017). Validation and factor structure of the French-language version of the Emotional Appetite Questionnaire (EMAQ). Frontiers in Psychology, 8, 442, doi: 10.3389/fphys.2017.00442.
Brewerton, T. D., & Duncan, A. E. (2016). Associations between attention deficit hyperactivity disorder and eating disorders by gender: Results from the national comorbidity survey replication. European Eating Disorders Review, 24(6), 536–540, doi: 10.1002/erv.2468.
Chang, W. W., Nie, M., Kang, Y. W., He, L. P., Jin, Y. L., & Yao, Y. S. (2015). Subclinical eating disorders in female medical students in Anhui, China: A cross-sectional study. Nutricion Hospitalaria, 31(4), 1771–1777.
Claydon, E., & Zullig, K. J. (2020). Eating disorders and academic performance among college students. Journal of American College Health, 68(3), 320–325, doi: 10.1080/07448481.2018.1549556.
Crow, S. J., Swanson, S. A., Peterson, C. B., Crosby, R. D., Wonderlich, S. A., & Mitchell, J. E. (2012). Latent class analysis of eating disorders: Relationship to mortality. Journal of Abnormal Psychology, 121(1), 225–231, doi: 10.1037/a0024455.
Dechartres, A., Huas, C., Godart, N., Pousset, M., Pham, A., Divac, S. M., … Falissard, B. (2011). Outcomes of empirical eating disorder phenotypes in a clinical female sample: Results from a latent class analysis. Psychopathology, 44(1), 12–20, doi: 10.1159/000315362.
Duncan, A. E., Bucholz, K. K., Neuman, R. J., Agrawal, A., Madden, P. A. F., & Heath, A. C. (2007). Clustering of eating disorder symptoms in a general population female twin sample: A latent class analysis. Psychological Medicine, 37(8), 1097–1107, doi: 10.1017/S0033291707000505.
Dunkley, D. M., Lewkowski, M., Lee, I. A., Preacher, K. J., Zuroff, D. C., Berg, J. L., … Westreich, R. (2017). Daily stress, coping, and negative and positive affect in depression: Complex trigger and maintenance patterns. Behavior Therapy, 48(3), 349–365, doi: 10.1016/j.beth.2016.06.001.
Eisenberg, D., Nicklett, E. J., Roeder, K., & Kirz, N. E. (2011). Eating disorder symptoms among college students: Prevalence, persistence, correlates, and treatment-seeking. Journal of American College Health, 59(8), 700–707, doi: 10.1080/07448481.2010.546461.
Elran-Barak, R., & Goldschmidt, A. B. (2021). Differences in severity of eating disorder symptoms between adults with depression and adults with anxiety. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26(5), 1409–1416.
Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire. International Journal of Eating Disorders, 16(4), 363–370, doi: 10.1002/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#.
Fox, J., & Vendemia, M. A. (2016). Selective self-presentation and social comparison through photographs on social networking sites. Cyberpsychology, Behavior, and Social Networking, 19(10), 593–600.
Hartmann, A. S., Rieger, E., & Vocks, S. (2019). Editorial: Sex and gender differences in body image. Frontiers in Psychology, 10, 1696, doi: 10.3389/fpsyg.2019.01696.
Hoek, H. W. (2016). Review of the worldwide epidemiology of eating disorders. Current Opinion in Psychiatry, 29(6), 336–339, doi: 10.1097/YCO.0000000000000282.
Keski-Rahkonen, A., & Mustelin, L. (2016). Epidemiology of eating disorders in Europe: Prevalence, incidence, comorbidity, course, consequences, and risk factors. Current Opinion in Psychiatry, 29(6), 340–345, doi: 10.1097/YCO.0000000000000278.
Kim, J. W., & Chock, T. M. (2015). Body image 2.0: Associations between social grooming on Facebook and body image concerns. Computers in Human Behavior, 48, 331–339, doi: 10.1016/j.chb.2015.01.009.
Konttinen, H., van Strien, T., Männistö, S., Jousilahti, P., & Haukkala, A. (2019). Depression, emotional eating and long-term weight changes: A population-based prospective study. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 28, doi: 10.1186/s12966-019-0791-8.
Krug, I., Root, T., Bulik, C., Granero, R., Penelo, E., Jiménez-Murcia, S., & Fernández-Aranda, F. (2011). Redefining phenotypes in eating disorders based on personality: A latent profile analysis. Psychiatry Research, 188(3), 439–445, doi: 10.1016/j.psychres.2011.05.026.
Macht, M., Haupt, C., & Ellgring, H. (2005). The perceived function of eating is changed during examination stress: A field study. Eating Behaviors, 6(2), 109–112, doi: 10.1016/j.eatbeh.2004.09.001.
Mikhail, M. E., & Kring, A. M. (2019). Emotion regulation strategy use and eating disorder symptoms in daily life. Eating Behaviors, 34, 101315, doi: 10.1016/j.eatbeh.2019.101315.
Naeimi, A. F., Haghighian, H. K., Gargari, B. P., Alizadeh, M., & Rouzitalab, T. (2016). Eating disorders risk and its relation to self-esteem and body image in Iranian university students of medical sciences. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 21(4), 597–605.
Pérez, S., Ros, M. C., Folgado, J. E. L., & Marco, J. H. (2018). Non-suicidal self-injury differentiates suicide ideators and attempters and predicts future suicide attempts in patients with eating disorders. Suicide and Life-Threatening Behavior, 49(5), 1220–1231.
Pike, K. M., & Dunne, P. E. (2015). The rise of eating disorders in Asia: A review. Journal of Eating Disorders, 3, 33, doi: 10.1186/s40337-015-0070-2.
Swanson, S. A., Horton, N. J., Crosby, R. D., Micali, N., Sonneville, K. R., Eddy, K., & Field, A. E. (2014). A latent class analysis to empirically describe eating disorders through developmental stages. International Journal of Eating Disorders, 47(7), 762–772, doi: 10.1002/eat.22308.
Zayas, L. V, Wang, S. B., Coniglio, K., Becker, K., Murray, H. B., Klosterman, E., … Thomas, J. J. (2018). Gender differences in eating disorder psychopathology across DSM-5 severity categories of anorexia nervosa and bulimia nervosa. International Journal of Eating Disorders, 51(9), 1098–1102, doi: 10.1002/eat.22941.
Zheng, Y. C., Kang, Q., Huang, J. B., Jiang, W. H., Liu, Q., Chen, H., … Xiao, Z. P. (2017). The latent class structure of Chinese patients with eating disorders in Shanghai. Shanghai Archives of Psychiatry, 29(4), 200–207.
Zheng, Z., Han, W. Y., Li, Y. W., Wang, D. Y., Gu, S. M., & Wang, F. S. (2020). The mediating effect of coping style in the relationship between depression and disordered eating among Chinese female undergraduates. Frontiers in Psychology, 10, 3011, doi: 10.3389/fpsyg.2019.03011.

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