Eating behaviors最新文献_第4页

Body dissatisfaction, ruminative thinking, food and alcohol disturbance, and alcohol use outcomes among college students 大学生身体不满、反刍思维、食物和酒精障碍与酒精使用结果

IF 2.6 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-09-13 DOI: 10.1016/j.eatbeh.2025.102035

Javiera A. Hernandez Puelma , Katherine A. Berry , Luke Herchenroeder , Alison Looby , Adrian J. Bravo , Stimulant Norms and Prevalence 2 (SNAP2) Study Team

Research shows that body dissatisfaction can contribute to risky alcohol use and negative alcohol-related consequences among college students. The present study examined if rumination and engagement in food and alcohol disturbance (FAD; i.e., disordered eating behaviors used to compensate for alcohol-related calories [FAD-calories] or enhance alcohol's effects [FAD-intoxication]) are potential mechanisms indirectly linking body dissatisfaction to alcohol use and related consequences in college students. Specifically, we tested whether higher body dissatisfaction relates to greater alcohol use/consequences via greater ruminative thinking (i.e., problem-focused thoughts, anticipatory thoughts, counterfactual thinking, and repetitive thoughts) and FAD frequency by motive (FAD-intoxication and FAD-calories). College students (N = 3362; M_age = 19.47, SD = 2.24; 70.2 % female; 61.5 % White non-Hispanic) from six U.S. universities who reported past-month alcohol use completed measures of body dissatisfaction, rumination, FAD, alcohol outcomes, BMI, and negative affect. Our estimated path model (i.e., body dissatisfaction → rumination facets → FAD frequency by motive → alcohol use quantity/consequences; covarying for BMI and negative affect) showed two significant double-mediated associations. Specifically, greater body dissatisfaction was associated with more alcohol use quantity/consequences via greater endorsement of problem-focused thoughts and both FAD motives. These findings suggest that those who experience body dissatisfaction may ruminate more (particularly engaging in problem-focused thoughts); which in turn may relate to more frequent engagement in FAD-intoxication and/or FAD-calories, which subsequently may contribute to more alcohol use and related consequences. Interventions looking to reduce FAD and alcohol-related harms should target both body image dissatisfaction and ruminative thinking.

研究表明，对身体不满意会导致大学生冒险饮酒，并产生与酒精相关的负面后果。本研究考察了反思和参与食物和酒精干扰（FAD，即用于补偿酒精相关卡路里或增强酒精影响的饮食行为紊乱[FAD- caloric]）是否是间接将大学生身体不满与酒精使用及其相关后果联系起来的潜在机制。具体来说，我们通过更多的反刍思维（即，以问题为中心的思维，预期思维，反事实思维和重复思维）和FAD频率的动机（FAD中毒和FAD卡路里）测试了更高的身体不满是否与更多的酒精使用/后果有关。来自美国六所大学的大学生（N = 3362; Mage = 19.47, SD = 2.24； 70.2%为女性；61.5%为非西班牙裔白人）报告了过去一个月的酒精使用情况，完成了身体不满、反思、FAD、酒精结果、BMI和负面影响的测量。我们估计的路径模型（即，身体不满→反刍方面→动机诱发的FAD频率→酒精使用数量/后果；BMI和负面影响共变）显示了两个显著的双介导关联。具体来说，更大的身体不满与更多的酒精使用量/后果有关，因为更多的人支持以问题为中心的想法和FAD动机。这些发现表明，那些对身体不满意的人可能会更多地沉思（尤其是专注于问题的想法）；这反过来可能与更频繁地参与fad中毒和/或fad卡路里有关，这随后可能导致更多的酒精使用和相关后果。旨在减少FAD和酒精相关危害的干预措施应同时针对身体形象不满和反刍思维。

{"title":"Body dissatisfaction, ruminative thinking, food and alcohol disturbance, and alcohol use outcomes among college students","authors":"Javiera A. Hernandez Puelma , Katherine A. Berry , Luke Herchenroeder , Alison Looby , Adrian J. Bravo , Stimulant Norms and Prevalence 2 (SNAP2) Study Team","doi":"10.1016/j.eatbeh.2025.102035","DOIUrl":"10.1016/j.eatbeh.2025.102035","url":null,"abstract":"<div><div>Research shows that body dissatisfaction can contribute to risky alcohol use and negative alcohol-related consequences among college students. The present study examined if rumination and engagement in food and alcohol disturbance (FAD; i.e., disordered eating behaviors used to compensate for alcohol-related calories [FAD-calories] or enhance alcohol's effects [FAD-intoxication]) are potential mechanisms indirectly linking body dissatisfaction to alcohol use and related consequences in college students. Specifically, we tested whether higher body dissatisfaction relates to greater alcohol use/consequences via greater ruminative thinking (i.e., problem-focused thoughts, anticipatory thoughts, counterfactual thinking, and repetitive thoughts) and FAD frequency by motive (FAD-intoxication and FAD-calories). College students (<em>N</em> = 3362; M<sub>age</sub> = 19.47, <em>SD</em> = 2.24; 70.2 % female; 61.5 % White non-Hispanic) from six U.S. universities who reported past-month alcohol use completed measures of body dissatisfaction, rumination, FAD, alcohol outcomes, BMI, and negative affect. Our estimated path model (i.e., body dissatisfaction → rumination facets → FAD frequency by motive → alcohol use quantity/consequences; covarying for BMI and negative affect) showed two significant double-mediated associations. Specifically, greater body dissatisfaction was associated with more alcohol use quantity/consequences via greater endorsement of problem-focused thoughts and both FAD motives. These findings suggest that those who experience body dissatisfaction may ruminate more (particularly engaging in problem-focused thoughts); which in turn may relate to more frequent engagement in FAD-intoxication and/or FAD-calories, which subsequently may contribute to more alcohol use and related consequences. Interventions looking to reduce FAD and alcohol-related harms should target both body image dissatisfaction and ruminative thinking.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"59 ","pages":"Article 102035"},"PeriodicalIF":2.6,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minority stress and eating pathology among sexual minority undergraduate women 性少数大学生女性的少数民族压力与饮食病理

IF 2.6 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-09-11 DOI: 10.1016/j.eatbeh.2025.102031

An Pham , Taryn Henning , Junpei Tarashi , Chelsea Derlan Williams , Suzanne Mazzeo

This study aimed to compare eating pathology between heterosexual and sexual minority (SM) undergraduate women and explore the relation between eating pathology and minority stress in SM undergraduate women. Undergraduate women at a Southeastern university (N = 547; 38 % SM, 62 % heterosexual) completed a one-time online survey (2023–2024) measuring eating pathology, internalized stigma, and stigma concealment. We analyzed descriptive statistics and Analyses of Covariance (ANCOVAS). SM undergraduate women reported more body dissatisfaction and shape/weight overvaluation (p < .001) and no difference in dietary restraint (p = .78) compared with their heterosexual counterparts. For SM undergraduate women, dietary restraint was linked to stigma concealment (p < .05). These findings suggest that although SM undergraduate women experience unique stressors related to eating pathology, they are at similar risk of restrictive eating pathology to heterosexual undergraduate women. In addition to typical university life stressors, providers should be aware of the potential impact of stigma on SM female students' eating behaviors/cognitions.

本研究旨在比较异性恋和性取向少数群体（SM）女大学生的饮食病理，探讨SM女大学生饮食病理与少数群体应激的关系。东南一所大学的女本科生（N = 547; 38% SM， 62%异性恋）完成了一项一次性在线调查（2023-2024），测量饮食病理、内化耻辱和耻辱隐藏。我们分析了描述性统计和协方差分析（ANCOVAS）。与异性恋大学生相比，SM大学生女性对身体的不满意程度和身材/体重的高估程度更高（p < .001），在饮食限制方面没有差异（p = .78）。对于SM本科女性，饮食限制与耻感隐藏有关（p < 0.05）。这些发现表明，尽管SM女大学生经历了与饮食病理相关的独特压力源，但她们与异性恋女大学生有相似的限制性饮食病理风险。除了典型的大学生活压力源外，提供者还应该意识到耻辱对SM女学生饮食行为/认知的潜在影响。

{"title":"Minority stress and eating pathology among sexual minority undergraduate women","authors":"An Pham , Taryn Henning , Junpei Tarashi , Chelsea Derlan Williams , Suzanne Mazzeo","doi":"10.1016/j.eatbeh.2025.102031","DOIUrl":"10.1016/j.eatbeh.2025.102031","url":null,"abstract":"<div><div>This study aimed to compare eating pathology between heterosexual and sexual minority (SM) undergraduate women and explore the relation between eating pathology and minority stress in SM undergraduate women. Undergraduate women at a Southeastern university (<em>N</em> = 547; 38 % SM, 62 % heterosexual) completed a one-time online survey (2023–2024) measuring eating pathology, internalized stigma, and stigma concealment. We analyzed descriptive statistics and Analyses of Covariance (ANCOVAS). SM undergraduate women reported more body dissatisfaction and shape/weight overvaluation (<em>p</em> < .001) and no difference in dietary restraint (<em>p</em> = .78) compared with their heterosexual counterparts. For SM undergraduate women, dietary restraint was linked to stigma concealment (<em>p</em> < .05). These findings suggest that although SM undergraduate women experience unique stressors related to eating pathology, they are at similar risk of restrictive eating pathology to heterosexual undergraduate women. In addition to typical university life stressors, providers should be aware of the potential impact of stigma on SM female students' eating behaviors/cognitions.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"59 ","pages":"Article 102031"},"PeriodicalIF":2.6,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145105795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Food literacy in preschool-aged children - influencing factors, programmes, and outcomes: A scoping review 学龄前儿童的食物素养——影响因素、计划和结果：范围综述

IF 2.6 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-09-11 DOI: 10.1016/j.eatbeh.2025.102033

Aileen Mc Donnell Gillic, Aileen Kennedy, John M. Kearney

Background

Food literacy, encompassing knowledge, skills and behaviours related to food, is crucial for establishing healthy eating habits in children. However, the understanding of food literacy as it relates to preschool-aged children and their caregivers remains limited.

Methods

Following Joanna Briggs Institute methodology, a search of PubMed, Embase, Web of Science and grey literature sources was conducted. 21 studies met the inclusion criteria.

Results

Key findings revealed an association between low socio-economic status and lower food literacy among parents. Higher food literacy was positively associated with an authoritative parenting style, but not with less restrictive feeding practices. Parental education was positively correlated with higher food literacy, but the role of parental occupation was less clear. However, the research mainly uses data from mothers only. Food literacy programmes demonstrated positive impacts on knowledge, attitudes and behaviours related to healthy eating, but lacked a theoretical foundation in some instances and longitudinal follow-up in all cases. Programmes mainly focused on nutrition knowledge and skills, neglecting broader food literacy components, like interpersonal competencies. Several different measurement tools were used across studies, hindering cross-study comparisons.

Conclusions

This review identifies critical gaps in the literature, including the need for longitudinal studies, exploration of paternal influence, standardised measurement tools and a more comprehensive approach to food literacy interventions that incorporates interpersonal competency development and addresses the broader food system. Foundational knowledge exists; however, additional research is necessary to define and understand food literacy, including its development, implications, and impact on preschool-aged children and their caregivers.

食品素养，包括与食品有关的知识、技能和行为，对于在儿童中建立健康的饮食习惯至关重要。然而，对学龄前儿童及其照顾者的食物素养的理解仍然有限。方法采用Joanna Briggs研究所的方法，对PubMed、Embase、Web of Science和灰色文献资源进行检索。21项研究符合纳入标准。结果主要发现揭示了低社会经济地位与父母较低的食品素养之间的联系。较高的食物素养与权威的养育方式呈正相关，但与限制性较少的喂养方式无关。父母教育程度与较高的食物素养呈正相关，但父母职业的作用不太清楚。然而，这项研究主要使用的数据来自母亲。食品扫盲方案显示出对与健康饮食有关的知识、态度和行为的积极影响，但在某些情况下缺乏理论基础，在所有情况下都缺乏纵向跟踪。计划主要侧重于营养知识和技能，而忽视了更广泛的食品素养组成部分，如人际交往能力。研究中使用了几种不同的测量工具，阻碍了交叉研究的比较。本综述确定了文献中的关键空白，包括纵向研究的必要性、父亲影响的探索、标准化的测量工具和更全面的食品素养干预方法，包括人际能力发展和更广泛的食品系统。基础知识存在；然而，需要进一步的研究来定义和理解食物素养，包括其发展、影响和对学龄前儿童及其照顾者的影响。

{"title":"Food literacy in preschool-aged children - influencing factors, programmes, and outcomes: A scoping review","authors":"Aileen Mc Donnell Gillic, Aileen Kennedy, John M. Kearney","doi":"10.1016/j.eatbeh.2025.102033","DOIUrl":"10.1016/j.eatbeh.2025.102033","url":null,"abstract":"<div><h3>Background</h3><div>Food literacy, encompassing knowledge, skills and behaviours related to food, is crucial for establishing healthy eating habits in children. However, the understanding of food literacy as it relates to preschool-aged children and their caregivers remains limited.</div></div><div><h3>Methods</h3><div>Following Joanna Briggs Institute methodology, a search of PubMed, Embase, Web of Science and grey literature sources was conducted. 21 studies met the inclusion criteria.</div></div><div><h3>Results</h3><div>Key findings revealed an association between low socio-economic status and lower food literacy among parents. Higher food literacy was positively associated with an authoritative parenting style, but not with less restrictive feeding practices. Parental education was positively correlated with higher food literacy, but the role of parental occupation was less clear. However, the research mainly uses data from mothers only. Food literacy programmes demonstrated positive impacts on knowledge, attitudes and behaviours related to healthy eating, but lacked a theoretical foundation in some instances and longitudinal follow-up in all cases. Programmes mainly focused on nutrition knowledge and skills, neglecting broader food literacy components, like interpersonal competencies. Several different measurement tools were used across studies, hindering cross-study comparisons.</div></div><div><h3>Conclusions</h3><div>This review identifies critical gaps in the literature, including the need for longitudinal studies, exploration of paternal influence, standardised measurement tools and a more comprehensive approach to food literacy interventions that incorporates interpersonal competency development and addresses the broader food system. Foundational knowledge exists; however, additional research is necessary to define and understand food literacy, including its development, implications, and impact on preschool-aged children and their caregivers.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"59 ","pages":"Article 102033"},"PeriodicalIF":2.6,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heterogeneous patterns of restrained eating in young women: A latent profile and network analysis 年轻女性克制饮食的异质模式：潜在剖面和网络分析

IF 2.6 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-09-08 DOI: 10.1016/j.eatbeh.2025.102032

Ying Wu , Congrong Shi

Restrained eating, characterized by persistent and relatively stable subjective intention and behavioral tendency to restrict calories, is prevalent among young women and has commonly been linked to adverse health outcomes. Its heterogeneity and psychological correlates remain underexplored. This cross-sectional study aimed to explore the categories and characteristics of restrained eating in a community student-based sample of young women. A total of 506 participants completed six scales assessing restrained eating, appearance perfectionism, body shame, body surveillance, media exposure, and media internalization. Latent profile analysis identified three distinct subgroups: low restrained eating (25 %), moderate restrained eating (46 %), and high restrained eating (29 %). Network analysis further revealed distinct patterns in the relationships between appearance perfectionism and body-related factors. In the low restrained eating subgroup, the correlation between appearance perfectionism and body shame was notably weaker compared to the moderate subgroup. Furthermore, the moderate restrained eating subgroup exhibited a stronger association between appearance perfectionism and body surveillance than the high restrained eating subgroup. Finally, the correlation between appearance perfectionism and media internalization was more pronounced in the high restrained eating subgroup than in the low and moderate subgroups. These findings highlight the need for tailored prevention and intervention strategies to address restrained eating behaviors, which can have a profound impact on improving both the mental and physical health of young women.

节制饮食的特点是持续和相对稳定的主观意图和限制卡路里的行为倾向，这在年轻妇女中很普遍，通常与不利的健康后果有关。其异质性和心理相关性仍未得到充分探讨。本横断面研究旨在探讨以社区学生为基础的年轻女性节制饮食的类别和特征。共有506名参与者完成了6个量表，分别是克制饮食、外表完美主义、身体羞耻、身体监控、媒体曝光和媒体内化。潜在剖面分析确定了三个不同的亚组：低节制饮食（25%），中等节制饮食（46%）和高节制饮食（29%）。网络分析进一步揭示了外表完美主义与身体相关因素之间关系的独特模式。在低节制饮食亚组中，外表完美主义和身体羞耻感之间的相关性明显弱于中等节制饮食亚组。此外，适度克制饮食组比高度克制饮食组在外表完美主义和身体监视之间表现出更强的关联。最后，外表完美主义和媒体内化之间的相关性在高度克制饮食的亚组中比在低和中等克制饮食的亚组中更为明显。这些研究结果强调需要量身定制的预防和干预策略来解决克制饮食行为，这对改善年轻女性的身心健康都有深远的影响。

{"title":"Heterogeneous patterns of restrained eating in young women: A latent profile and network analysis","authors":"Ying Wu , Congrong Shi","doi":"10.1016/j.eatbeh.2025.102032","DOIUrl":"10.1016/j.eatbeh.2025.102032","url":null,"abstract":"<div><div>Restrained eating, characterized by persistent and relatively stable subjective intention and behavioral tendency to restrict calories, is prevalent among young women and has commonly been linked to adverse health outcomes. Its heterogeneity and psychological correlates remain underexplored. This cross-sectional study aimed to explore the categories and characteristics of restrained eating in a community student-based sample of young women. A total of 506 participants completed six scales assessing restrained eating, appearance perfectionism, body shame, body surveillance, media exposure, and media internalization. Latent profile analysis identified three distinct subgroups: low restrained eating (25 %), moderate restrained eating (46 %), and high restrained eating (29 %). Network analysis further revealed distinct patterns in the relationships between appearance perfectionism and body-related factors. In the low restrained eating subgroup, the correlation between appearance perfectionism and body shame was notably weaker compared to the moderate subgroup. Furthermore, the moderate restrained eating subgroup exhibited a stronger association between appearance perfectionism and body surveillance than the high restrained eating subgroup. Finally, the correlation between appearance perfectionism and media internalization was more pronounced in the high restrained eating subgroup than in the low and moderate subgroups. These findings highlight the need for tailored prevention and intervention strategies to address restrained eating behaviors, which can have a profound impact on improving both the mental and physical health of young women.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"59 ","pages":"Article 102032"},"PeriodicalIF":2.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the muscularity-oriented eating test: Factor structure and psychometric properties among university athletes and across sexes 评估以肌肉为导向的饮食测试：大学运动员和跨性别的因素结构和心理测量特性

IF 2.6 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-08-15 DOI: 10.1016/j.eatbeh.2025.102022

Kaitlin Hanss , Dominic M. Denning , Rachael E. Flatt , Christina M. Sanzari , Stuart B. Murray , Jason M. Lavender , Emilio J. Compte , Aaron J. Blashill , Jason M. Nagata , Pamela K. Keel , Jennifer Harriger , Riley Nickols , Jonathan Mond , Tiffany A. Brown , Sasha Gorrell

Objective

The Muscularity-Oriented Eating Test (MOET) was developed to measure muscularity-oriented eating pathology among young men; however, this construct is relevant across sexes and may be particularly applicable to athletes. Thus, this study sought to validate the MOET among male and female athletes and non-athletes.

Methods

Students (N = 2189) from three U.S. universities completed an online survey. Confirmatory factor analyses (CFA) testing two MOET versions (12-items, 15-items) were conducted in male and female athletes and non-athletes. Chi-squared tests and invariance analyses were used to evaluate the fit of each model across groups. Convergent validity of the MOET was assessed with Spearman correlation tests.

Results

A one-factor CFA displayed adequate fit for 12-item and 15-item versions across all groups, except the 15-item version in the full sample. Chi-squared tests indicated superior fit of 12-item MOET CFAs among male and female athletes, female non-athletes, and all participants compared to 15-item models (adjusted p < .050); no difference in fit was evidenced between 12-item and 15-item CFAs for male non-athletes (adjusted p = .062). Both versions showed similar convergent validity.

Conclusions

A 12-item MOET may provide improved screening for muscularity-oriented eating pathology in male and female athletes and female non-athletes.

目的采用肌肉导向进食测试（MOET）来测量年轻男性的肌肉导向进食病理；然而，这种结构是跨性别相关的，可能特别适用于运动员。因此，本研究试图验证男女运动员和非运动员之间的MOET。方法来自美国三所大学的2189名学生完成在线调查。验证性因子分析（CFA）对男女运动员和非运动员进行了两个MOET版本（12题、15题）的检验。采用卡方检验和不变性分析评价各组间各模型的拟合性。采用Spearman相关检验评估MOET的收敛效度。结果单因素CFA对所有组的12项和15项版本都显示出足够的拟合性，除了全样本的15项版本。卡方检验表明，与15项模型相比，12项MOET模型在男女运动员、女性非运动员和所有参与者中的拟合性优于15项模型（调整后p <； .050）；男性非运动员的12项CFAs和15项CFAs的契合度没有差异（调整p = 0.062）。两个版本显示出相似的收敛效度。结论12项MOET对男性、女性运动员和女性非运动员的肌肉导向饮食病理筛查有较好的效果。

{"title":"Evaluating the muscularity-oriented eating test: Factor structure and psychometric properties among university athletes and across sexes","authors":"Kaitlin Hanss , Dominic M. Denning , Rachael E. Flatt , Christina M. Sanzari , Stuart B. Murray , Jason M. Lavender , Emilio J. Compte , Aaron J. Blashill , Jason M. Nagata , Pamela K. Keel , Jennifer Harriger , Riley Nickols , Jonathan Mond , Tiffany A. Brown , Sasha Gorrell","doi":"10.1016/j.eatbeh.2025.102022","DOIUrl":"10.1016/j.eatbeh.2025.102022","url":null,"abstract":"<div><h3>Objective</h3><div>The Muscularity-Oriented Eating Test (MOET) was developed to measure muscularity-oriented eating pathology among young men; however, this construct is relevant across sexes and may be particularly applicable to athletes. Thus, this study sought to validate the MOET among male and female athletes and non-athletes.</div></div><div><h3>Methods</h3><div>Students (<em>N</em> = 2189) from three U.S. universities completed an online survey. Confirmatory factor analyses (CFA) testing two MOET versions (12-items, 15-items) were conducted in male and female athletes and non-athletes. Chi-squared tests and invariance analyses were used to evaluate the fit of each model across groups. Convergent validity of the MOET was assessed with Spearman correlation tests.</div></div><div><h3>Results</h3><div>A one-factor CFA displayed adequate fit for 12-item and 15-item versions across all groups, except the 15-item version in the full sample. Chi-squared tests indicated superior fit of 12-item MOET CFAs among male and female athletes, female non-athletes, and all participants compared to 15-item models (<em>adjusted p</em> < .050); no difference in fit was evidenced between 12-item and 15-item CFAs for male non-athletes (<em>adjusted p</em> = .062). Both versions showed similar convergent validity.</div></div><div><h3>Conclusions</h3><div>A 12-item MOET may provide improved screening for muscularity-oriented eating pathology in male and female athletes and female non-athletes.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"59 ","pages":"Article 102022"},"PeriodicalIF":2.6,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From high scores to high calories: Investigating the relationship between gaming disorder and unhealthy eating behaviors in the context of wellness 从高分到高卡路里：在健康的背景下调查游戏障碍和不健康饮食行为之间的关系

IF 2.6 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-08-01 DOI: 10.1016/j.eatbeh.2025.102023

Halley M. Pontes

Objective

While the relationship between gaming and eating has been previously investigated, the mechanisms underlying the association between gaming disorder and unhealthy eating behaviors remain unclear.

Method

A nationally representative sample of 1074 adults from the United Kingdom was recruited via an online survey to examine whether wellness factors such as mental and physical wellness mediate the relationship between gaming disorder and unhealthy eating behaviors. Correlational and latent mediation analyses were conducted to characterize the pattern of associations among these variables.

Results

At the correlational level gaming disorder and unhealthy eating behaviors were significantly associated with all key study variables. Moreover, the strongest associations for gaming disorder observed were with unhealthy eating behaviors and physical wellness. Additionally, unhealthy eating behaviors were negatively associated with physical wellness and mental wellness. The findings of the mediation analysis suggested a partial mediation effect with gaming disorder being associated with unhealthy eating behaviors both directly and indirectly via physical wellness but not mental wellness. More specifically, physical wellness significantly mediated the relationship between gaming disorder and unhealthy eating behaviors, indicating that higher levels of gaming disorder were associated with lower physical wellness, which in turn associated with unhealthy eating behaviors while mental wellness did not emerge as a significant mediator. This suggests that psychological well-being alone may not be a primary explanatory pathway for the gaming disorder-unhealthy eating behaviors link.

Discussion

These findings support the gaming disorder-unhealthy eating behaviors relationship, highlighting the important role of physical wellness in explaining this association. Future research should explore specific psychological and behavioral mechanisms that further contribute to this relationship.

虽然之前已经研究过游戏与饮食之间的关系，但游戏障碍与不健康饮食行为之间联系的潜在机制尚不清楚。方法通过一项在线调查，从英国招募了1074名具有全国代表性的成年人样本，以研究心理和身体健康等健康因素是否介导了游戏障碍和不健康饮食行为之间的关系。进行了相关和潜在中介分析，以表征这些变量之间的关联模式。结果游戏障碍与不健康饮食行为的相关水平与所有关键变量均显著相关。此外，观察到的游戏障碍与不健康的饮食行为和身体健康的关系最为密切。此外，不健康的饮食行为与身心健康呈负相关。中介分析的结果表明，游戏障碍与不健康饮食行为之间存在直接或间接的中介效应，但与心理健康无关。更具体地说，身体健康显著地介导了游戏障碍和不健康饮食行为之间的关系，表明较高水平的游戏障碍与较低的身体健康相关，而身体健康又与不健康饮食行为相关，而心理健康没有成为显著的中介。这表明，心理健康本身可能不是游戏障碍与不健康饮食行为之间联系的主要解释途径。这些发现支持了游戏障碍与不健康饮食行为之间的关系，强调了身体健康在解释这种联系中的重要作用。未来的研究应该探索具体的心理和行为机制，进一步促进这种关系。

{"title":"From high scores to high calories: Investigating the relationship between gaming disorder and unhealthy eating behaviors in the context of wellness","authors":"Halley M. Pontes","doi":"10.1016/j.eatbeh.2025.102023","DOIUrl":"10.1016/j.eatbeh.2025.102023","url":null,"abstract":"<div><h3>Objective</h3><div>While the relationship between gaming and eating has been previously investigated, the mechanisms underlying the association between gaming disorder and unhealthy eating behaviors remain unclear.</div></div><div><h3>Method</h3><div>A nationally representative sample of 1074 adults from the United Kingdom was recruited via an online survey to examine whether wellness factors such as mental and physical wellness mediate the relationship between gaming disorder and unhealthy eating behaviors. Correlational and latent mediation analyses were conducted to characterize the pattern of associations among these variables.</div></div><div><h3>Results</h3><div>At the correlational level gaming disorder and unhealthy eating behaviors were significantly associated with all key study variables. Moreover, the strongest associations for gaming disorder observed were with unhealthy eating behaviors and physical wellness. Additionally, unhealthy eating behaviors were negatively associated with physical wellness and mental wellness. The findings of the mediation analysis suggested a partial mediation effect with gaming disorder being associated with unhealthy eating behaviors both directly and indirectly via physical wellness but not mental wellness. More specifically, physical wellness significantly mediated the relationship between gaming disorder and unhealthy eating behaviors, indicating that higher levels of gaming disorder were associated with lower physical wellness, which in turn associated with unhealthy eating behaviors while mental wellness did not emerge as a significant mediator. This suggests that psychological well-being alone may not be a primary explanatory pathway for the gaming disorder-unhealthy eating behaviors link.</div></div><div><h3>Discussion</h3><div>These findings support the gaming disorder-unhealthy eating behaviors relationship, highlighting the important role of physical wellness in explaining this association. Future research should explore specific psychological and behavioral mechanisms that further contribute to this relationship.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"58 ","pages":"Article 102023"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychometric performance of the Intuitive Eating Scale-2 in females with anorexia nervosa: An examination of factor structure and Item Response Theory 神经性厌食症女性直觉进食量表-2的心理测量表现：因素结构和项目反应理论的检验。

IF 2.6 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-08-01 DOI: 10.1016/j.eatbeh.2025.102018

Francesca M. Knudsen , Mercedes G. Woolley , Spencer D. Bradshaw , Tera Lensegrav-Benson , Benita Quakenbush , Michael P. Twohig

The Intuitive Eating Scale-2 (IES-2) is widely used to assess intuitive eating (IE) behaviors, attitudes, and beliefs, yet its application in anorexia nervosa (AN) remains unclear. Given the disrupted interoceptive awareness and heightened cognitive control over eating in AN, it is less certain how IE constructs apply during acute stages of this disorder. This study evaluated the factor structure and item-level performance of the IES-2 in a clinical sample of 150 adolescent and adult females diagnosed with AN, upon admission to a residential treatment facility. Confirmatory Factor Analysis supported a first-order factor structure, suggesting that the four subscales should be treated independently rather than combined into a total IE score, contradicting the original scoring approach. Item 12 (“I am able to cope with negative emotions (e.g., anxiety, sadness) without turning to food for comfort”) demonstrated poor factor loadings on the Eating for Physical Rather than Emotional Reasons subscale. Item Response Theory further indicated that item 12 had poor discrimination across levels of the latent trait, supporting its removal. These findings indicate that certain subscales, particularly those assessing emotional eating, may not capture relevant eating behaviors in adolescents and adults with AN. We recommend scoring IES-2 subscales separately and reconsidering the inclusion of item 12 to enhance measurement accuracy in AN. Refining the IES-2 for clinical ED populations may improve its utility in tracking recovery and treatment outcomes.

直觉进食量表-2 （IES-2）被广泛用于评估直觉进食（IE）行为、态度和信念，但其在神经性厌食症（AN）中的应用尚不清楚。考虑到AN中被破坏的内感受性意识和对饮食的认知控制的增强，IE结构在这种疾病的急性阶段如何应用尚不确定。本研究评估了150名被诊断为AN的青少年和成年女性的临床样本中IES-2的因素结构和项目水平表现。验证性因子分析支持一阶因子结构，这表明四个子量表应该单独处理，而不是合并成一个总的IE评分，这与最初的评分方法相矛盾。第12项（“我能够应对负面情绪（例如，焦虑，悲伤），而不求助于食物来寻求安慰”）在“因生理原因而非因情绪原因而进食”分量表中显示出较差的因素负荷。项目反应理论进一步表明，项目12在潜在特质的水平上具有较差的区别，支持将其删除。这些发现表明，某些亚量表，特别是那些评估情绪化饮食的亚量表，可能无法捕捉到患有AN的青少年和成人的相关饮食行为。我们建议单独对IES-2子量表进行评分，并重新考虑将项目12纳入AN中以提高测量精度。为临床ED人群改进IES-2可以提高其在跟踪康复和治疗结果方面的效用。

{"title":"Psychometric performance of the Intuitive Eating Scale-2 in females with anorexia nervosa: An examination of factor structure and Item Response Theory","authors":"Francesca M. Knudsen , Mercedes G. Woolley , Spencer D. Bradshaw , Tera Lensegrav-Benson , Benita Quakenbush , Michael P. Twohig","doi":"10.1016/j.eatbeh.2025.102018","DOIUrl":"10.1016/j.eatbeh.2025.102018","url":null,"abstract":"<div><div>The Intuitive Eating Scale-2 (IES-2) is widely used to assess intuitive eating (IE) behaviors, attitudes, and beliefs, yet its application in anorexia nervosa (AN) remains unclear. Given the disrupted interoceptive awareness and heightened cognitive control over eating in AN, it is less certain how IE constructs apply during acute stages of this disorder. This study evaluated the factor structure and item-level performance of the IES-2 in a clinical sample of 150 adolescent and adult females diagnosed with AN, upon admission to a residential treatment facility. Confirmatory Factor Analysis supported a first-order factor structure, suggesting that the four subscales should be treated independently rather than combined into a total IE score, contradicting the original scoring approach. Item 12 (“I am able to cope with negative emotions (e.g., anxiety, sadness) without turning to food for comfort”) demonstrated poor factor loadings on the Eating for Physical Rather than Emotional Reasons subscale. Item Response Theory further indicated that item 12 had poor discrimination across levels of the latent trait, supporting its removal. These findings indicate that certain subscales, particularly those assessing emotional eating, may not capture relevant eating behaviors in adolescents and adults with AN. We recommend scoring IES-2 subscales separately and reconsidering the inclusion of item 12 to enhance measurement accuracy in AN. Refining the IES-2 for clinical ED populations may improve its utility in tracking recovery and treatment outcomes.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"58 ","pages":"Article 102018"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144768499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sensitivity and specificity of self-diagnosis of eating disorders in university students with and without food insecurity. 有无食物不安全的大学生饮食失调自我诊断的敏感性和特异性

IF 2.6 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-08-01 Epub Date: 2025-08-06 DOI: 10.1016/j.eatbeh.2025.102020

Hoor Ul Ain, Jaelin Isquith, Kelsie T Forbush, Kara A Christensen Pacella

Objective: University students with food insecurity are at high risk for eating disorders (EDs). However, many students with food insecurity do not conform to stereotypes of people with EDs, which may impact self-diagnosing their eating behaviors as consistent with a disorder. This perception of one's eating behaviors may impact treatment seeking attitudes.

Method: Students (N = 933; Mage = 21.58, SD = 5.76) from two US public universities completed ED symptom measures, food insecurity screening, and a question assessing if they thought they had an ED. Probable ED status was determined using the Eating Disorders Diagnostic Scale and the Clinical Impairment Assessment. We computed sensitivity and specificity of the ED self-diagnosis question according to food insecurity status. Chi-square tests using food insecurity status assessed differences in self-diagnoses of having an ED vs no ED and the sensitivity and specificity of the ED self-diagnosis question.

Results: Students with food insecurity endorsed their ability to answer the question about their ED status similarly (67.83 %) to students without food insecurity (70.43 %). Sensitivity and specificity of ED self-diagnosis were not significantly different between groups with food insecurity (73.47 %, 83.17 %) and without food insecurity (70.08 %, 86.41 %) (ps > .16).

Discussion: Food insecurity status was not linked to the ability to identify one's ED status nor misidentification of one's own ED symptoms; other factors may be better targets for intervention to increase treatment-seeking among people with food insecurity.

目的：食物不安全的大学生是饮食失调的高危人群。然而，许多食物不安全的学生并不符合对ed患者的刻板印象，这可能会影响他们将饮食行为自我诊断为与疾病一致。这种对自己饮食行为的认知可能会影响寻求治疗的态度。方法：学生(N = 933；Mage = 21.58, SD = 5.76)完成了ED症状测量、食品不安全筛查和一个评估他们是否认为自己患有ED的问题。使用饮食失调诊断量表和临床损害评估来确定可能的ED状态。我们根据食品不安全状况计算ED自我诊断问题的敏感性和特异性。使用食品不安全状况的卡方检验评估有ED与无ED自我诊断的差异，以及ED自我诊断问题的敏感性和特异性。结果：有食物不安全的学生（67.83%）与没有食物不安全的学生（70.43%）对自己ED状态的回答能力相似。食物不安全组（73.47%,83.17%）和无食物不安全组（70.08%,86.41%）ED自我诊断的敏感性和特异性差异无统计学意义（p < 0.05）。讨论：食品不安全状况与识别ED状态的能力无关，也与错误识别自己的ED症状无关；其他因素可能是更好的干预目标，以增加粮食不安全人群寻求治疗的人数。

{"title":"Sensitivity and specificity of self-diagnosis of eating disorders in university students with and without food insecurity.","authors":"Hoor Ul Ain, Jaelin Isquith, Kelsie T Forbush, Kara A Christensen Pacella","doi":"10.1016/j.eatbeh.2025.102020","DOIUrl":"10.1016/j.eatbeh.2025.102020","url":null,"abstract":"<p><strong>Objective: </strong>University students with food insecurity are at high risk for eating disorders (EDs). However, many students with food insecurity do not conform to stereotypes of people with EDs, which may impact self-diagnosing their eating behaviors as consistent with a disorder. This perception of one's eating behaviors may impact treatment seeking attitudes.</p><p><strong>Method: </strong>Students (N = 933; Mage = 21.58, SD = 5.76) from two US public universities completed ED symptom measures, food insecurity screening, and a question assessing if they thought they had an ED. Probable ED status was determined using the Eating Disorders Diagnostic Scale and the Clinical Impairment Assessment. We computed sensitivity and specificity of the ED self-diagnosis question according to food insecurity status. Chi-square tests using food insecurity status assessed differences in self-diagnoses of having an ED vs no ED and the sensitivity and specificity of the ED self-diagnosis question.</p><p><strong>Results: </strong>Students with food insecurity endorsed their ability to answer the question about their ED status similarly (67.83 %) to students without food insecurity (70.43 %). Sensitivity and specificity of ED self-diagnosis were not significantly different between groups with food insecurity (73.47 %, 83.17 %) and without food insecurity (70.08 %, 86.41 %) (ps > .16).</p><p><strong>Discussion: </strong>Food insecurity status was not linked to the ability to identify one's ED status nor misidentification of one's own ED symptoms; other factors may be better targets for intervention to increase treatment-seeking among people with food insecurity.</p>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"58 ","pages":"102020"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring reward, weight, and processed foods as mechanisms of binge eating and food addiction 探索奖励、体重和加工食品作为暴饮暴食和食物成瘾的机制

IF 2.6 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-08-01 DOI: 10.1016/j.eatbeh.2025.102019

Kathryn E. Smith , Zoya Khalil , Shirley Li , Tyler B. Mason

Binge eating is related to excess weight gain and food addiction (FA) – i.e., a syndrome characterized by compulsive overeating of highly processed foods (HPF). However, little is known regarding shared and distinct mechanisms of binge eating and FA. This study examined how body mass index (BMI), reward responsiveness (RR), and changes in highly processed food (HPF) consumption interact to predict binge frequency and FA symptoms among 153 young adults who varied in FA and eating disorder symptoms.

Participants were assessed for six months and completed questionnaires at baseline, 3-month, and 6-month follow-ups. Multilevel models examined the independent and interactive effects of RR, baseline BMI, and within-person change in HPF consumption as predictors of change in FA symptoms and binge frequency.

A 3-way interaction showed RR was negatively associated with FA symptoms for participants with mean and high BMI levels (i.e., those with overweight/obesity), particularly at high levels of HPF consumption (B = −0.01, p = .025). In contrast, RR was positively associated with FA for participants with lower BMI, particularly at high HPF consumption. A 2-way interaction showed RR was positively associated with binge frequency (regardless of BMI), and this association was stronger at higher HPF consumption (B = 0.06, p = .044).

Findings suggest the association between RR and addictive eating tendencies could change with weight gain, consistent with prior theory. Further, increased HPF intake may exacerbate the effects of hypo- or hypersensitivity to reward on dysregulated eating such as binge eating and FA.

暴饮暴食与体重增加和食物成瘾（FA）有关，即一种以强迫性过度食用高度加工食品（HPF）为特征的综合症。然而，关于暴饮暴食和FA的共同和独特机制知之甚少。这项研究调查了153名年轻成年人的身体质量指数（BMI）、奖励反应（RR）和高度加工食品（HPF）消费的变化如何相互作用，以预测暴饮暴食频率和FA症状，这些年轻人的FA和饮食失调症状各不相同。对参与者进行为期6个月的评估，并在基线、3个月和6个月的随访中完成问卷调查。多水平模型检验了RR、基线BMI和HPF消耗的个人变化作为FA症状和暴食频率变化的预测因子的独立和相互作用。3-way交互作用显示，对于平均和高BMI水平（即超重/肥胖）的参与者，特别是高水平HPF消耗的参与者，RR与FA症状呈负相关（B = - 0.01, p = 0.025）。相比之下，对于BMI较低的参与者，尤其是高HPF消耗的参与者，RR与FA呈正相关。双向交互作用显示RR与暴饮暴食频率呈正相关（无论BMI如何），并且在高HPF消耗时这种关联更强（B = 0.06, p = 0.044）。研究结果表明，RR与成瘾性饮食倾向之间的关系可能会随着体重的增加而改变，这与先前的理论一致。此外，HPF摄入量的增加可能会加剧对奖励的低敏感或超敏感对饮食失调的影响，如暴饮暴食和FA。

{"title":"Exploring reward, weight, and processed foods as mechanisms of binge eating and food addiction","authors":"Kathryn E. Smith , Zoya Khalil , Shirley Li , Tyler B. Mason","doi":"10.1016/j.eatbeh.2025.102019","DOIUrl":"10.1016/j.eatbeh.2025.102019","url":null,"abstract":"<div><div>Binge eating is related to excess weight gain and food addiction (FA) – i.e., a syndrome characterized by compulsive overeating of highly processed foods (HPF). However, little is known regarding shared and distinct mechanisms of binge eating and FA. This study examined how body mass index (BMI), reward responsiveness (RR), and changes in highly processed food (HPF) consumption interact to predict binge frequency and FA symptoms among 153 young adults who varied in FA and eating disorder symptoms.</div><div>Participants were assessed for six months and completed questionnaires at baseline, 3-month, and 6-month follow-ups. Multilevel models examined the independent and interactive effects of RR, baseline BMI, and within-person change in HPF consumption as predictors of change in FA symptoms and binge frequency.</div><div>A 3-way interaction showed RR was negatively associated with FA symptoms for participants with mean and high BMI levels (i.e., those with overweight/obesity), particularly at high levels of HPF consumption (B = −0.01, <em>p</em> = .025). In contrast, RR was positively associated with FA for participants with lower BMI, particularly at high HPF consumption. A 2-way interaction showed RR was positively associated with binge frequency (regardless of BMI), and this association was stronger at higher HPF consumption (B = 0.06, <em>p</em> = .044).</div><div>Findings suggest the association between RR and addictive eating tendencies could change with weight gain, consistent with prior theory. Further, increased HPF intake may exacerbate the effects of hypo- or hypersensitivity to reward on dysregulated eating such as binge eating and FA.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"58 ","pages":"Article 102019"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early menarche and body dissatisfaction in individuals with eating disorders: A modest but significant association 饮食失调患者的早期月经初潮与身体不满：适度但显著的关联

IF 2.6 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-08-01 DOI: 10.1016/j.eatbeh.2025.102021

Bernou Melisse , Eva Trujillo-ChiVacuan , Daniel Le Grange

Early pubertal timing, marked by earlier maturation than peers, is posited by the developmental readiness theory as a risk-factor for eating disorder pathology and body dissatisfaction in community samples. However, less is known about its association with symptom severity in individuals with an eating disorder. The present cross-sectional study including a clinical sample of 961 females, pre-registered on the Open Science Network, examined whether those reporting early menarche (≤11 years) had elevated levels of eating disorder pathology or body dissatisfaction. In regression analyses, the Eating Disorder Examination-Questionnaire and Body Shape Questionnaire scores were the dependent variables, and early menarche was the independent variable. Early menarche was modestly but positively associated with eating disorder pathology and body dissatisfaction, also when excluding individuals diagnosed with anorexia nervosa. The results from the present study extend previous research from non-clinical samples and support a developmental model in which early pubertal timing may be associated with the severity of eating disorder presentations. However, early menarche is likely one of multiple interacting factors, alongside sociocultural influences.

在社区样本中，发育准备理论认为，早熟的青春期时间是饮食失调病理和身体不满意的风险因素。然而，人们对它与饮食失调患者症状严重程度的关系知之甚少。目前的横断面研究包括961名女性的临床样本，预先在开放科学网络上注册，检查那些报告初月经早期（≤11岁）的人是否有饮食失调病理水平升高或对身体不满意。回归分析中，饮食失调检查问卷和体形问卷得分为因变量，月经初潮为自变量。在排除神经性厌食症患者的情况下，早期月经初潮与饮食失调病理和身体不满意程度虽不明显，但正相关。本研究的结果扩展了之前的非临床样本研究，并支持了一个发育模型，即青春期早期可能与饮食失调的严重程度有关。然而，月经初潮提前可能是多种相互作用的因素之一，还有社会文化的影响。

{"title":"Early menarche and body dissatisfaction in individuals with eating disorders: A modest but significant association","authors":"Bernou Melisse , Eva Trujillo-ChiVacuan , Daniel Le Grange","doi":"10.1016/j.eatbeh.2025.102021","DOIUrl":"10.1016/j.eatbeh.2025.102021","url":null,"abstract":"<div><div>Early pubertal timing, marked by earlier maturation than peers, is posited by the developmental readiness theory as a risk-factor for eating disorder pathology and body dissatisfaction in community samples. However, less is known about its association with symptom severity in individuals with an eating disorder. The present cross-sectional study including a clinical sample of 961 females, pre-registered on the Open Science Network, examined whether those reporting early menarche (≤11 years) had elevated levels of eating disorder pathology or body dissatisfaction. In regression analyses, the Eating Disorder Examination-Questionnaire and Body Shape Questionnaire scores were the dependent variables, and early menarche was the independent variable. Early menarche was modestly but positively associated with eating disorder pathology and body dissatisfaction, also when excluding individuals diagnosed with anorexia nervosa. The results from the present study extend previous research from non-clinical samples and support a developmental model in which early pubertal timing may be associated with the severity of eating disorder presentations. However, early menarche is likely one of multiple interacting factors, alongside sociocultural influences.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"58 ","pages":"Article 102021"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0