青少年早期限制性饮食的发展轨迹：基于潜变量混合增长模型的分析

doi:10.12139/j.1672-0628.2023.05.007

摘要/Abstract

摘要：

为考察青少年早期限制性饮食的发展轨迹及其影响因素，采用荷兰饮食行为问卷、身体羞耻量表、身体监控量表对357名初中生在1年内进行3次测试，使用潜变量混合增长模型进行数据分析。结果发现：(1)青少年早期限制性饮食的发展轨迹可分为5个不同的潜在类别，分别为低风险−恶化组、高风险−稳定组、低风险−缓升组、高风险−缓解组、低风险−稳定组；(2)性别、身体监控对青少年早期限制性饮食的发展轨迹不存在显著预测作用，身体羞耻显著预测青少年早期限制性饮食的发展轨迹。本研究揭示了青少年早期限制性饮食的发展轨迹及其相关影响因素。

关键词: 青少年, 限制性饮食, 发展轨迹, 潜变量混合增长模型

Abstract:

To explore the developmental trajectory and its influence factors of restrained eating in early adolescence, 357 adolescents were recruited from one junior high school. They completed the Dutch Eating Behavior Questionnaire, the Body Image Shame Scale, and the Body Surveillance Settle three times in one year. Latent growth mixture model was used to analyze the data. The results were as follows: 1) The developmental trajectory of restrained eating during early adolescence could be divided into 5 different potential classes, that is, low risk - worsening group, high risk - stable group, low risk - slow rise group, high risk - remission group, and low risk - stable group. 2) Gender and body surveillance did not significantly predict the developmental trajectory of restrained eating during early adolescence, body shame significantly predicted the developmental trajectory of restrained eating during early adolescence. In general, the developmental trajectories and influence factors of adolescents’ restrained eating were revealed in early adolescence in this study.

Key words: adolescents, restrained eating, developmental trajectory, latent growth mixture model

中图分类号:

B844

张斌, 张安琪, 邱致燕, 曾奕欣, 曾成伟, 熊思成, 张淑君, 王亚楠. 青少年早期限制性饮食的发展轨迹：基于潜变量混合增长模型的分析[J]. 心理与行为研究, 2023, 21(5): 621-628.

Bin ZHANG, Anqi ZHANG, Zhiyan QIU, Yixin ZENG, Chengwei ZENG, Sicheng XIONG, Shujun ZHANG, Yanan WANG. The Trajectories of Restrained Eating During Early Adolescence: A Latent Growth Mixture Model[J]. Studies of Psychology and Behavior, 2023, 21(5): 621-628.

图/表 6

参考文献

	陈欣, 蒋艳菊. 大学生身体意识量表的修订. 中国心理卫生杂志, 2007, 21 (9): 610- 613. DOI
	孙婉, 杨坤, 许勇, 刘勇, 王宏, 朱丽娟, 赵建芳. (2020). 中文身体羞耻量表测评大学生人群的效度和信度. 中国临床心理学杂志, 28(4), 724–729.
	肖广兰, Huon G, 钱铭怡. 节食及相关态度的社会影响因素研究. 中国心理卫生杂志, 2001, 15 (5): 365- 367. DOI
	姚良爽, 连帅磊, 柴唤友, 牛更枫, 孙晓军. 自我客体化对女大学生限制性饮食行为的影响: 一个有调节的中介模型. 心理科学, 2018, 41 (3): 639- 645. DOI
	张雪萌. (2020). 成功与失败限制性饮食者食物决策的认知神经机制 (博士学位论文). 西南大学, 重庆.
	Atkinson, M. J., & Wade, T. D. (2019). Mindfulness training to facilitate positive body image and embodiment. In T. L. Tylka & N. Piran (Eds.), Handbook of positive body image and embodiment: Constructs, protective factors, and interventions (pp. 312–324). Oxford: Oxford University Press.
	Brosof, L. C., & Levinson, C. A.. Social appearance anxiety and dietary restraint as mediators between perfectionism and binge eating: A six month three wave longitudinal study. Appetite, 2017, 108, 335- 342. DOI
	Cleland, C. M., Rothschild, L., & Haslam, N.. Detecting latent taxa: Monte Carlo comparison of taxometric, mixture model, and clustering procedures. Psychological Reports, 2000, 87 (1): 37- 47. DOI
	Dakanalis, A., Carrà, G., Calogero, R., Fida, R., Clerici, M., Zanetti, M. A., & Riva, G.. The developmental effects of media-ideal internalization and self-objectification processes on adolescents’ negative body-feelings, dietary restraint, and binge eating. European Child & Adolescent Psychiatry, 2015, 24 (8): 997- 1010. DOI
	Daly, A., O’Sullivan, E., McNulty, B., Walton, J., & Kearney, J.. Age, sex & BMI are associated with different eating behaviour styles in Irish teens. Proceedings of the Nutrition Society, 2020, 79, E351. DOI
	Davies, A. E., Burnette, C. B., & Mazzeo, S. E. (2021). Testing a moderated mediation model of objectification theory among black women in the United States: The role of protective factors. Sex Roles, 84(1–2), 91–101.
	de Castro, J. M., & Lilenfeld, L. R. R.. Influence of heredity on dietary restraint, disinhibition, and perceived hunger in humans. Nutrition, 2005, 21 (4): 446- 455. DOI
	Dias, B. S., Ferreira, C., & Trindade, I. A. (2020). Influence of fears of compassion on body image shame and disordered eating. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 25(1), 99–106.
	Domoff, S. E., Sutherland, E. Q., Yokum, S., & Gearhardt, A. N.. Adolescents’ addictive phone use: Associations with eating behaviors and adiposity. International Journal of Environmental Research and Public Health, 2020, 17 (8): 2861. DOI
	Dong, D. B., Wang, Y. L., Jackson, T., Chen, S. Y., Wang, Y., Zhou, F., & Chen, H.. Impulse control and restrained eating among young women: Evidence for compensatory cortical activation during a chocolate-specific delayed discounting task. Appetite, 2016, 105, 477- 486. DOI
	Drewnowski, A., Kurth, C. L., & Krahn, D. D.. Effects of body image on dieting, exercise, and anabolic steroid use in adolescent males. International Journal of Eating Disorders, 1995, 17 (4): 381- 386. DOI
	Duarte, C., Pinto-Gouveia, J., Ferreira, C., & Batista, D.. Body image as a source of shame: A new measure for the assessment of the multifaceted nature of body image shame. Clinical Psychology & Psychotherapy, 2015, 22 (6): 656- 666. DOI
	Espinoza, P., Penelo, E., Mora, M., Francisco, R., González, M. L., & Raich, R. M.. Bidirectional relations between disordered eating, internalization of beauty ideals, and self-esteem: A longitudinal study with adolescents. The Journal of Early Adolescence, 2019, 39 (9): 1244- 1260. DOI
	Fardouly, J., Pinkus, R. T., & Vartanian, L. R.. The impact of appearance comparisons made through social media, traditional media, and in person in women’s everyday lives. Body Image, 2017, 20, 31- 39. DOI
	Fitzsimmons-Craft, E. E., Harney, M. B., Koehler, L. G., Danzi, L. E., Riddell, M. K., & Bardone-Cone, A. M.. Explaining the relation between thin ideal internalization and body dissatisfaction among college women: The roles of social comparison and body surveillance. Body Image, 2012, 9 (1): 43- 49. DOI
	Herhaus, B., & Petrowski, K.. The effect of restrained eating on acute stress-induced food intake in people with obesity. Appetite, 2021, 159, 105045. DOI
	Jackson, T., & Chen, H.. Features of objectified body consciousness and sociocultural perspectives as risk factors for disordered eating among late-adolescent women and men. Journal of Counseling Psychology, 2015, 62 (4): 741- 752. DOI
	Jebeile, H., Lister, N. B., Baur, L. A., Garnett, S. P., & Paxton, S. J.. Eating disorder risk in adolescents with obesity. Obesity Reviews, 2021, 22 (5): e13173. DOI
	London-Johnson, A. M., Allen, J. W., Pocchio, K. E., & Grzywacz, J. G.. Associations between parent restrained eating, conflict, and adolescent eating (in Latinx sample). Journal of Child and Family Studies, 2021, 30 (1): 98- 106. DOI
	Luo, Y. J., Jackson, T., Stice, E., & Chen, H.. Effectiveness of an internet dissonance-based eating disorder prevention intervention among body-dissatisfied young Chinese women. Behavior Therapy, 2021, 52 (1): 221- 233. DOI
	Mason, T. B., Smith, K. E., Engwall, A., Lass, A., Mead, M., Sorby, M., ... Wonderlich, S.. Self-discrepancy theory as a transdiagnostic framework: A meta-analysis of self-discrepancy and psychopathology. Psychological Bulletin, 2019, 145 (4): 372- 389. DOI
	McClelland, J., Robinson, L., Potterton, R., Mountford, V., & Schmidt, U.. Symptom trajectories into eating disorders: A systematic review of longitudinal, nonclinical studies in children/adolescents. European Psychiatry, 2020, 63 (1): E60. DOI
	McKinley, N. M., & Hyde, J. S.. The Objectified Body Consciousness Scale: Development and validation. Psychology of Women Quarterly, 1996, 20 (2): 181- 215. DOI
	Murray, S. B., Griffiths, S., & Mond, J. M.. Evolving eating disorder psychopathology: Conceptualising muscularity-oriented disordered eating. The British Journal of Psychiatry, 2016, 208 (5): 414- 415. DOI
	Murray, S. B., & Touyz, S. W.. Masculinity, femininity and male body image: A recipe for future research. International Journal of Men’s Health, 2012, 11 (3): 227- 239. DOI
	Mustapic, J., Marcinko, D., & Vargek, P.. Body shame and disordered eating in adolescents. Current Psychology, 2017, 36 (3): 447- 452. DOI
	Niu, G. F., Sun, L. J., Liu, Q. Q., Chai, H. Y., Sun, X. J., & Zhou, Z. K.. Selfie-posting and young adult women’s restrained eating: The role of commentary on appearance and self-objectification. Sex Roles, 2020, 82 (3): 232- 240. DOI
	Oliveira, S., Marta-Simões, J., & Ferreira, C.. Early parental eating messages and disordered eating: The role of body shame and inflexible eating. The Journal of Psychology, 2019, 153 (6): 615- 627. DOI
	Polivy, J., Herman, C. P., & Mills, J. S. (2020). What is restrained eating and how do we identify it? Appetite, 155, 104820.
	Sahlan, R. N., Taravatrooy, F., Quick, V., & Mond, J. M.. Eating-disordered behavior among male and female college students in Iran. Eating Behaviors, 2020, 37, 101378. DOI
	Shriver, L. H., Dollar, J. M., Lawless, M., Calkins, S. D., Keane, S. P., Shanahan, L., & Wideman, L.. Longitudinal associations between emotion regulation and adiposity in late adolescence: Indirect effects through eating behaviors. Nutrients, 2019, 11 (3): 517. DOI
	Tong, J., Miao, S. J., Wang, J., Yang, F., Lai, H. X., Zhang, C. Y. , ... Hsu, L. K. G.. A two-stage epidemiologic study on prevalence of eating disorders in female university students in Wuhan, China. Social Psychiatry and Psychiatric Epidemiology, 2014, 49 (3): 499- 505. DOI
	van Strien, T., Frijters, J. E. R., Bergers, G. P. A., & Defares, P. B.. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 1986, 5 (2): 295- 315. DOI
	Wade, T. D., O’Shea, A., & Shafran, R. (2016). Perfectionism and eating disorders. In F. M. Sirois & D. S. Molnar (Eds.), Perfectionism, health, and well-being (pp. 205–222). Cham, Switzerland: Springer.
	Wang, Y. H., Qiao, X. Q., Wang, J., Wang, H. X., & Lei, L. (2022). Peer appearance teasing and restrained eating among Chinese adolescent girls: A mediation model of fear of negative appearance evaluation and body surveillance. Child Psychiatry & Human Development, 1–8.
	Webb, J. B., Rogers, C. B., Etzel, L., & Padro, M. P.. “Mom, quit fat talking—I’m trying to eat (mindfully) here!”: Evaluating a sociocultural model of family fat talk, positive body image, and mindful eating in college women. Appetite, 2018, 126, 169- 175. DOI
	Whitelock, V., Nouwen, A., van den Akker, O., & Higgs, S.. The role of working memory sub-components in food choice and dieting success. Appetite, 2018, 124, 24- 32. DOI
	Wu, S. Y., Cai, T. S., & Luo, X. W. (2017). Validation of the Dutch Eating Behavior Questionnaire (DEBQ) in a sample of Chinese adolescents. Psychology, Health & Medicine, 22(3), 282–288.
	Xiong, S. C., Xu, Y., Zhang, B., Zhu, L. H., & Xie, J. H. (2022). Patterns of restrained eating in Chinese adolescents’ interpersonal contexts: A latent profile analysis. Current Psychology. Advance online publication. https://doi.org/10.1007/s12144-022-02748-1
	Yao, L. S., Niu, G. F., & Sun, X. J.. Body image comparisons on social networking sites and Chinese female college students’ restrained eating: The roles of body shame, body appreciation, and body mass index. Sex Roles, 2021, 84 (7): 465- 476. DOI

变量	M	SD	1	2	3	4	5	6	7	8	9	10
1.性别
2.年龄	14.22	0.53	−0.10
3.限制性饮食T1	1.99	0.86	0.08	0.02
4.限制性饮食T2	2.10	0.88	0.09	0.01	0.49***
5.限制性饮食T3	2.23	0.10	0.09	−0.02	0.49***	0.58***
6.身体羞耻T1	1.98	0.82	0.21***	0.07	0.43***	0.32***	0.32***
7.身体羞耻T2	2.09	0.87	0.21***	0.07	0.21***	0.27***	0.21***	0.60***
8.身体羞耻T3	2.14	0.86	0.24***	−0.01	0.22***	0.19***	0.36***	0.50***	0.50***
9.身体监控T1	2.74	0.82	0.24***	0.03	0.20***	0.20***	0.08	0.30***	0.28***	0.22***
10.身体监控T2	2.69	0.87	0.18**	0.07	0.14**	0.17**	0.20***	0.35***	0.39***	0.37***	0.59***
11.身体监控T3	2.68	0.80	0.29***	0.02	0.08	0.12*	0.24***	0.22***	0.25***	0.40***	0.47***	0.53***

变量	M	SD	1	2	3	4	5	6	7	8	9	10
1.性别
2.年龄	14.22	0.53	−0.10
3.限制性饮食T1	1.99	0.86	0.08	0.02
4.限制性饮食T2	2.10	0.88	0.09	0.01	0.49***
5.限制性饮食T3	2.23	0.10	0.09	−0.02	0.49***	0.58***
6.身体羞耻T1	1.98	0.82	0.21***	0.07	0.43***	0.32***	0.32***
7.身体羞耻T2	2.09	0.87	0.21***	0.07	0.21***	0.27***	0.21***	0.60***
8.身体羞耻T3	2.14	0.86	0.24***	−0.01	0.22***	0.19***	0.36***	0.50***	0.50***
9.身体监控T1	2.74	0.82	0.24***	0.03	0.20***	0.20***	0.08	0.30***	0.28***	0.22***
10.身体监控T2	2.69	0.87	0.18**	0.07	0.14**	0.17**	0.20***	0.35***	0.39***	0.37***	0.59***
11.身体监控T3	2.68	0.80	0.29***	0.02	0.08	0.12*	0.24***	0.22***	0.25***	0.40***	0.47***	0.53***

Model	K	Log(L)	AIC	BIC	aBIC	Entropy	LMR(p)	BLRT(p)	类别概率
C1	8	−3746.43	7508.85	7539.87	7514.50
C2	11	−3717.77	7457.54	7500.19	7465.29	0.84	<0.001	<0.001	0.8683/ 0.1317
C3	14	−3693.85	7415.70	7469.99	7425.58	0.82	0.160	<0.001	0.7787/ 0.0952/ 0.1261
C4	17	−3685.13	7404.25	7470.17	7416.24	0.80	0.305	<0.001	0.0672/ 0.5939/ 0.0644/ 0.2745
C5	20	−3670.03	7380.07	7457.62	7394.17	0.84	0.024	<0.001	0.0504/ 0.0336/ 0.2241/ 0.0981/ 0.5938
C6	23	−3664.11	7374.23	7463.42	7390.45	0.86	0.052	<0.001	0.5826/ 0.1121/ 0.0476/ 0.0308/ 0.2241/ 0.0028

Model	K	Log(L)	AIC	BIC	aBIC	Entropy	LMR(p)	BLRT(p)	类别概率
C1	8	−3746.43	7508.85	7539.87	7514.50
C2	11	−3717.77	7457.54	7500.19	7465.29	0.84	<0.001	<0.001	0.8683/ 0.1317
C3	14	−3693.85	7415.70	7469.99	7425.58	0.82	0.160	<0.001	0.7787/ 0.0952/ 0.1261
C4	17	−3685.13	7404.25	7470.17	7416.24	0.80	0.305	<0.001	0.0672/ 0.5939/ 0.0644/ 0.2745
C5	20	−3670.03	7380.07	7457.62	7394.17	0.84	0.024	<0.001	0.0504/ 0.0336/ 0.2241/ 0.0981/ 0.5938
C6	23	−3664.11	7374.23	7463.42	7390.45	0.86	0.052	<0.001	0.5826/ 0.1121/ 0.0476/ 0.0308/ 0.2241/ 0.0028

	C1	C2	C3	C4	C5
C1	0.91	0.00	0.09	0.00	0.00
C2	0.00	0.87	0.05	0.08	0.00
C3	0.02	0.01	0.86	0.04	0.07
C4	0.00	0.01	0.08	0.84	0.07
C5	0.00	0.00	0.05	0.03	0.92