Eating behaviors最新文献_第6页

Impact of a digitally enabled, time-restricted eating weight management program, the Roczen program, on eating behaviors, depression symptoms and health related quality of life 数字化、限时饮食体重管理计划（Roczen计划）对饮食行为、抑郁症状和健康相关生活质量的影响

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-07-05 DOI: 10.1016/j.eatbeh.2025.102007

Siri Steinmo , Laura Falvey , Claudia Ashton , Ling Chow , Dipesh Patel , Jonathan Kwan , Barbara McGowan , Adrian Brown

Introduction

There is limited evidence around how weight management programs impact eating behavior and mental health in real-life settings. This retrospective service evaluation assessed the impact of a clinically-led, digitally delivered time-restricted eating intervention (TRE) (Roczen Program, Reset Health Ltd) on eating behavior, depression and health-related quality of life (HrQOL).

Methods

Patients were supported on a TRE plan with behavioral and social support from clinicians. Eating behaviors were assessed using Binge Eating Scale (BES) and Three Factor Eating Questionnaire-R18 (TFEQ). Depression symptoms were assessed using the Patient Health Questionniare-9 (PHQ-9) and HrQOL with the Euroquol-5 Dimension-5 Level (EQ-5D-5L-5L). Data were analysed at 12 and 24 weeks. Linear regressions explored predictors of eating behavior and weight loss, p-value <0.05, mean (SD) and median (IQR).

Results

102 patients were included (mean age 51.1 ± 10.0 years; mean BMI 34.5 ± 5.0 kg/m²; 57.8 % White Ethnicity; 72.5 % female). At 24 weeks, mean percentage weight loss was 11.0 % ±6.1 (p < 0.001). There was a significant reduction in BES (−5.0 [2.0, 10.0]; p < 0.001). Uncontrolled eating and emotional eating improved by 0.76 ± 0.78 and 0.53 ± 0.95 points (both p < 0.001) respectively. Depression improved by 2.0 points and HrQOL by 0.04 (both p < 0.001). Higher baseline depression scores predicted higher emotional eating and BES scores. Higher restraint predicted lower percentage weight loss and was not associated with any other eating behaviors.

Conclusion

Our results show that the Roczen program engenders clinically significant weight loss and improves emotional eating, uncontrolled eating, BES, depression and HrQOL in those who are not already at high risk for eating disorder and can potentially be effective and safe.

在现实生活中，关于体重管理计划如何影响饮食行为和心理健康的证据有限。这项回顾性服务评估评估了临床主导的、数字化交付的限时饮食干预（TRE）（Roczen Program, Reset Health Ltd）对饮食行为、抑郁和健康相关生活质量（HrQOL）的影响。方法在临床医生的行为和社会支持下，对患者进行TRE计划支持。采用暴饮暴食量表（BES）和三因素进食问卷- r18 （TFEQ）对饮食行为进行评估。采用患者健康问卷-9 （PHQ-9）和HrQOL与Euroquol-5维度-5水平（EQ-5D-5L-5L）评估抑郁症状。在12周和24周时对数据进行分析。线性回归探讨了饮食行为和体重减轻的预测因素，p值<；0.05，平均值（SD）和中位数（IQR）。结果纳入102例患者(平均年龄51.1±10.0岁；平均BMI 34.5±5.0 kg/m2；白人占57.8%；72.5%为女性)。24周时，平均体重减轻百分比为11.0%±6.1 (p <；0.001)。BES显著降低(- 5.0 [2.0,10.0]；p & lt;0.001)。无节制饮食和情绪化饮食分别提高0.76±0.78和0.53±0.95分(p <；分别为0.001)。抑郁改善2.0分，HrQOL改善0.04分(p <；0.001)。较高的基线抑郁得分预示着较高的情绪性饮食和BES得分。较高的克制预示着较低的体重减轻百分比，并且与任何其他饮食行为无关。结论我们的研究结果表明，Roczen项目可以在临床上显著地减轻体重，改善那些尚未处于饮食失调高风险的人的情绪饮食、不受控制的饮食、BES、抑郁和HrQOL，并且可能是有效和安全的。

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引用次数: 0

Weight bias internalization, weight controllability beliefs, and probable eating disorder associations among medical students at a private university in the US 美国一所私立大学医学生体重偏见内化、体重可控性信念和可能的饮食失调关联

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-07-01 DOI: 10.1016/j.eatbeh.2025.102010

Nour M. Hammad , Kendrin R. Sonneville , Bassel M. Shanab , Pavan Khosla , S. Bryn Austin , Cindy W. Leung

Objective

To explore the association between weight bias measures and probable eating disorders screening among medical students, as they endure the stress of medical school as well as prepare to become future healthcare physicians.

Methods

Medical students (n = 378) completed a web-based survey assessing weight bias internalization (Modified Weight Bias Internalization Scale [WBIS-M]), beliefs about weight controllability (Beliefs About Obese Persons [BAOP]) scale, and probable eating disorder symptoms (SCOFF questionnaire). Multivariable logistic and linear models were used to examine the cross-sectional associations between weight bias measures and a positive probable eating disorder screening (SCOFF ≥ 2), adjusting for gender identity.

Results

Compared to men (n = 135), women (n = 234) had higher weight bias internalization (mean WBIS-M: 3.13 vs. 2.81) and stronger beliefs that weight is within the control of higher-weight people (mean BAOP: 25.76 vs. 27.21). Higher weight bias internalization was associated with positive probable eating disorder screening after adjusting for gender identity (OR = 3.00, 95 % CI: 2.29, 4.02 with SCOFF as a binary measure; β = 0.535, 95 % CI: 0.44, 0.63 with SCOFF as a continuous measure). A significant association was observed between beliefs about the controllability of weight and probable eating disorder screening, only after adjusting for gender identity (β = 0.019, 95 % CI: 0.00, 0.04 with SCOFF as a continuous measure).

Conclusions

Weight bias and its internalization is associated with probable eating disorders among medical students. Effective interventions targeting weight bias and its internalization during medical education are warranted.

目的探讨医学生在承受医学院压力和准备成为未来的医疗保健医生时，体重偏差测量与可能的饮食失调筛查之间的关系。方法对378名医学生进行基于网络的体重偏见内化量表（修正体重偏见内化量表[WBIS-M]）、体重可控性信念量表（肥胖者信念量表[BAOP]）和可能的饮食失调症状量表（SCOFF问卷）调查。采用多变量logistic和线性模型检验体重偏倚测量与可能饮食失调筛查阳性（SCOFF≥2）之间的横断面相关性，并对性别认同进行调整。结果与男性（n = 135）相比，女性（n = 234）有更高的体重偏见内在化（平均WBIS-M: 3.13比2.81），并且更坚信体重在高体重者的控制范围内（平均BAOP: 25.76比27.21）。在调整性别认同后，较高的体重偏倚内化与可能的进食障碍筛查阳性相关(OR = 3.00, 95% CI: 2.29, 4.02， SCOFF为二元测量；β = 0.535, 95% CI: 0.44, 0.63 （SCOFF为连续测量）。仅在调整性别认同后，体重可控性信念与可能的饮食失调筛查之间存在显著关联（β = 0.019, 95% CI: 0.00, 0.04， SCOFF作为连续测量）。结论体重偏倚及其内化与医学生饮食失调有关。在医学教育中，针对体重偏见及其内化的有效干预是必要的。

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引用次数: 0

Don't judge a food by its package: Greenwashing alters health perceptions 不要以貌取人：洗绿会改变人们对健康的看法

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-06-28 DOI: 10.1016/j.eatbeh.2025.102009

Halle McLean , Andrew Ward

Past research has shown that “greenwashed” package designs promote the belief that a product is environmentally friendly. The present investigation tested whether greenwashing influences the perceived health benefits of food items. In Study 1 (N = 84), participants generally perceived greenwashed foods to be healthier than did participants evaluating comparable foods in conventional packages. Study 2 (N = 76) additionally compared the impact of a label indicating “organic.” Results showed that for food items generally perceived as healthier, both greenwashed and organic products were rated as significantly healthier than conventionally labeled food products; for foods perceived as less healthy, only the greenwashed items were considered to be healthier, whereas for items generally considered to be unhealthy, package labeling did not exert a significant effect on health perceptions. Implications for the impact of food labeling on perceptions of environmental sustainability and health are discussed.

过去的研究表明，“绿色洗涤”的包装设计促进了产品对环境友好的信念。目前的调查测试了“漂绿”是否会影响人们对食品健康益处的认知。在研究1 （N = 84）中，参与者普遍认为绿色食品比评估传统包装的同类食品更健康。研究2 （N = 76）还比较了“有机”标签的影响。结果表明，对于通常被认为更健康的食品，绿色洗涤和有机产品都被认为比传统标签的食品更健康；对于被认为不太健康的食品，只有绿色食品被认为更健康，而对于通常被认为不健康的食品，包装标签对健康观念没有显著影响。影响食品标签对环境可持续性和健康的看法进行了讨论。

引用次数: 0

Examining the impact of ethnoracial status on drive for thinness and bulimic symptoms in women 研究种族状况对女性消瘦和贪食症状的影响

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-06-26 DOI: 10.1016/j.eatbeh.2025.102008

Harmony F. Vides-Varini , Sarrah I. Ali , April R. Smith , Thomas E. Joiner , Pamela K. Keel

Objective

We sought to examine (1) the effects of ethnoracial status on Drive for Thinness (DT) and bulimic symptoms in a large sample of women, and (2) whether the strength of the association between DT and bulimic symptoms differed among ethnoracial groups.

Method

Participants (M age = 19.59 years) from five ethnoracial groups (n = 14 American-Indian/Alaska Native, n = 233 Asian, n = 186 Black, n = 125 Hispanic White, and n = 990 non-Hispanic White), completed Eating Disorder Inventory (EDI; Garner et al., 1983) scales.

Results

EDI DT scores were significantly lower in Black women compared to both Hispanic and non-Hispanic White women. EDI Bulimia scores were significantly lower in Black women compared to Asian, Hispanic, and non-Hispanic White women. No significant differences were observed among Asian, Hispanic, or non-Hispanic White women. Ethnoracial status moderated the association between DT and Bulimia scores, with a significantly weaker association in Black women compared to Asian, Hispanic, and non-Hispanic White women.

Discussion

Findings refute misconceptions that disordered eating uniquely impacts White women and support a nuanced understanding of how ethnoracial status may influence eating disorder risk. Future work should examine sociocultural factors unique to ethnoracial subgroups to inform more targeted and effective intervention strategies.

目的我们试图检验(1)在大量女性样本中，种族地位对驱瘦（DT）和贪食症状的影响，以及(2)DT和贪食症状之间的关联强度在种族群体中是否存在差异。方法来自5个种族组（n = 14名美洲印第安人/阿拉斯加原住民，n = 233名亚洲人，n = 186名黑人，n = 125名西班牙裔白人和n = 990名非西班牙裔白人）的参与者（M年龄= 19.59岁）完成了饮食失调量表(EDI；Garner et al., 1983)量表。结果与西班牙裔和非西班牙裔白人妇女相比，黑人妇女的di DT得分明显较低。与亚裔、西班牙裔和非西班牙裔白人女性相比，黑人女性的EDI暴食得分明显较低。在亚裔、西班牙裔和非西班牙裔白人女性中未观察到显著差异。种族状况缓和了DT和贪食评分之间的关联，与亚洲、西班牙和非西班牙裔白人女性相比，黑人女性的关联明显较弱。研究结果驳斥了饮食失调只影响白人女性的误解，并支持了对种族地位如何影响饮食失调风险的细致理解。未来的工作应该研究种族亚群特有的社会文化因素，以提供更有针对性和更有效的干预策略。

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引用次数: 0

Prenatal and perinatal risk factors for feeding and eating disorders in children: A population-based linked cohort study 儿童喂养和饮食失调的产前和围产期危险因素：一项基于人群的相关队列研究

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-06-14 DOI: 10.1016/j.eatbeh.2025.102006

Berihun Dachew , Biruk Shalmeno Tusa , Yitayish Damtie , Emily Calton , Getinet Ayano , Rebecca Anderson , Rosa Alati

Objective

This study aimed to investigate the longitudinal effects of prenatal and perinatal risk factors on the development of feeding and eating disorders (FEDs) in children.

Methods

A population-based retrospective cohort study was conducted using data from 223,068 mother–child pairs born between 2003 and 2005 in New South Wales, Australia. Offspring were followed for up to 15 years, until 2018. FEDs in children were identified using the Australian version of the International Classification of Diseases, 10th Revision (ICD-10-AM) codes. Logistic regression models were employed to identify predictors of FEDs in children.

Results

A total of 435 children (0.2 %) were diagnosed with FEDs. The multivariable analysis identified both maternal and child-related factors significantly associated with FEDs in children. Maternal factors included advanced age (over 35 years) (adjusted odds ratio [AOR] = 1.36, 95 % CI = 1.03–1.79), high socio-economic status (AOR = 1.44, 95 % CI = 1.09–1.91), and perinatal anxiety disorder (AOR = 1.95, 95 % CI = 1.15–3.31). For children, being female (AOR = 3.35, 95 % CI = 2.69–4.17), having low birth weight (AOR = 1.60, 95 % CI = 1.10–2.52), and low Apgar scores were associated with a higher risk of FEDs (AOR = 2.55, 95 % CI = 1.46–4.53).

Conclusion

Our findings highlight the association between several prenatal and perinatal factors and an increased risk of FEDs in children. These results underscore the critical need for monitoring and addressing modifiable risk factors during the prenatal and perinatal periods to mitigate their potential adverse effects on children's health.

目的探讨产前和围产期危险因素对儿童喂养与饮食失调（fed）发展的纵向影响。方法对2003年至2005年在澳大利亚新南威尔士州出生的223,068对母子进行了一项以人群为基础的回顾性队列研究。他们的后代被跟踪了15年，直到2018年。使用澳大利亚版国际疾病分类第十次修订版（ICD-10-AM）代码确定儿童联邦调查局。采用Logistic回归模型确定儿童联邦调查局的预测因素。结果共有435名儿童（0.2%）被诊断为联邦调查局。多变量分析发现，母亲和儿童相关因素与儿童的联邦调查局有显著关系。产妇因素包括高龄（35岁以上）（调整优势比[AOR] = 1.36, 95% CI = 1.03-1.79）、高社会经济地位（AOR = 1.44, 95% CI = 1.09-1.91）、围产期焦虑障碍（AOR = 1.95, 95% CI = 1.15-3.31）。对于儿童，女性（AOR = 3.35, 95% CI = 2.69-4.17）、低出生体重（AOR = 1.60, 95% CI = 1.10-2.52）和低Apgar评分与较高的联邦调查局风险相关（AOR = 2.55, 95% CI = 1.46-4.53）。结论我们的研究结果强调了几个产前和围产期因素与儿童联邦调查局风险增加之间的关联。这些结果强调，迫切需要在产前和围产期监测和处理可改变的风险因素，以减轻它们对儿童健康的潜在不利影响。

{"title":"Prenatal and perinatal risk factors for feeding and eating disorders in children: A population-based linked cohort study","authors":"Berihun Dachew , Biruk Shalmeno Tusa , Yitayish Damtie , Emily Calton , Getinet Ayano , Rebecca Anderson , Rosa Alati","doi":"10.1016/j.eatbeh.2025.102006","DOIUrl":"10.1016/j.eatbeh.2025.102006","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the longitudinal effects of prenatal and perinatal risk factors on the development of feeding and eating disorders (FEDs) in children.</div></div><div><h3>Methods</h3><div>A population-based retrospective cohort study was conducted using data from 223,068 mother–child pairs born between 2003 and 2005 in New South Wales, Australia. Offspring were followed for up to 15 years, until 2018. FEDs in children were identified using the Australian version of the International Classification of Diseases, 10th Revision (ICD-10-AM) codes. Logistic regression models were employed to identify predictors of FEDs in children.</div></div><div><h3>Results</h3><div>A total of 435 children (0.2 %) were diagnosed with FEDs. The multivariable analysis identified both maternal and child-related factors significantly associated with FEDs in children. Maternal factors included advanced age (over 35 years) (adjusted odds ratio [AOR] = 1.36, 95 % CI = 1.03–1.79), high socio-economic status (AOR = 1.44, 95 % CI = 1.09–1.91), and perinatal anxiety disorder (AOR = 1.95, 95 % CI = 1.15–3.31). For children, being female (AOR = 3.35, 95 % CI = 2.69–4.17), having low birth weight (AOR = 1.60, 95 % CI = 1.10–2.52), and low Apgar scores were associated with a higher risk of FEDs (AOR = 2.55, 95 % CI = 1.46–4.53).</div></div><div><h3>Conclusion</h3><div>Our findings highlight the association between several prenatal and perinatal factors and an increased risk of FEDs in children. These results underscore the critical need for monitoring and addressing modifiable risk factors during the prenatal and perinatal periods to mitigate their potential adverse effects on children's health.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"58 ","pages":"Article 102006"},"PeriodicalIF":2.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144307018","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

Effects of a shared activities parenting intervention on weight outcomes in middle childhood: An exploratory study 共同活动父母干预对儿童中期体重结局的影响：一项探索性研究

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-05-27 DOI: 10.1016/j.eatbeh.2025.102002

Elizabeth Kubiniec , Hope I. White , Rina D. Eiden , Leonard H. Epstein , Gregory A. Fabiano , Kai Ling Kong , Stephanie Anzman-Frasca

General parenting interventions without an explicit focus on weight-related constructs have demonstrated lasting effects on child weight outcomes. However, well-established parenting interventions are time and resource intensive, which has limited their ability to transition to real-world delivery. This exploratory study examined whether Play With Me, a pilot at-home play-based general parenting intervention, affected weight outcomes in middle childhood. The intervention provided evidence-based parenting guidance that parents implemented in shared activities with their four-to-five-year-old children. Two years following the intervention, a follow-up survey was sent to families who had participated (N = 31), and parents (n = 27) reported child height and weight when children were 6.9 ± 0.6 years old. Children in the intervention group had a lower body mass index (BMI) in middle childhood, adjusting for baseline BMI, age, and sex (d = 0.52). Results were similar when examining BMI z-scores, percentiles, and overweight status, with children in the intervention group being less likely to meet clinical criteria for overweight at middle childhood follow-up than children in the control group (9.10 % intervention, 37.50 % control, V = 0.32). These exploratory findings add to the evidence supporting causal links between general parenting and child weight, extend this evidence to an interactive at-home intervention delivery model, and indicate that future rigorous, well-powered trials are needed to test whether results replicate and elucidate mechanisms through which general parenting may promote healthy child growth trajectories.

没有明确关注体重相关结构的一般育儿干预已证明对儿童体重结果有持久影响。然而，成熟的育儿干预措施需要大量的时间和资源，这限制了它们过渡到实际分娩的能力。本探索性研究考察了“和我一起玩”（Play With Me）这一以家庭游戏为基础的一般育儿干预试点是否会影响儿童中期的体重结果。该干预措施提供了基于证据的育儿指导，父母在与4至5岁的孩子共同参与的活动中实施这些指导。干预2年后，对参与调查的家庭（N = 31）进行随访调查，27名家长在儿童6.9±0.6岁时报告儿童身高和体重。经基线BMI、年龄和性别调整后，干预组儿童在儿童期中期的体重指数（BMI）较低（d = 0.52）。在检查BMI z分数、百分位数和超重状况时，结果相似，干预组儿童在儿童中期随访时符合临床超重标准的可能性低于对照组儿童（干预组9.10%，对照组37.50%,V = 0.32）。这些探索性发现增加了支持普通父母教养与儿童体重之间因果关系的证据，将这一证据扩展到交互式家庭干预模式，并表明未来需要严格、有力的试验来检验结果是否重复并阐明普通父母教养可能促进儿童健康成长轨迹的机制。

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引用次数: 0

Community norms of the Eating Pathology Symptoms Inventory (EPSI) in transgender and gender-diverse adults 跨性别和性别多样化成人饮食病理症状量表（EPSI）的社区规范

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-05-18 DOI: 10.1016/j.eatbeh.2025.101993

Jason M. Nagata , Christopher D. Otmar , Christopher M. Lee , Emilio J. Compte , Jason M. Lavender , Tiffany A. Brown , Kelsie T. Forbush , Annesa Flentje , Micah E. Lubensky , Mitchell R. Lunn , Juno Obedin-Maliver

Transgender and gender-diverse (TGD) individuals are at a higher risk for eating disorders, yet existing community norms for many eating disorder measures predominantly derive from cisgender populations. This study aimed to establish community norms for the Eating Pathology Symptoms Inventory (EPSI) among TGD adults (Forbush et al., 2013). The sample included 1206 gender-diverse people, 599 transgender men, and 293 transgender women from The PRIDE Study, a national longitudinal cohort of sexual and gender minority adults in the United States. We report mean scores, standard deviations, medians, interquartile ranges, and percentile ranks for the eight EPSI scales within TGD populations. Transgender women exhibited significantly higher scores on the Cognitive Restraint, Excessive Exercise, and Negative Attitudes Toward Obesity scales compared to transgender men and gender-diverse people. Conversely, transgender men showed significantly higher scores on the Muscle Building scale relative to transgender women and gender-diverse people. These findings suggest distinct patterns of eating pathology symptoms among TGD individuals and emphasize the need for clinicians to consider gender identity when assessing eating disorder symptoms.

跨性别和性别多样化（TGD）个体患饮食失调的风险更高，但现有的许多饮食失调措施的社区规范主要来自顺性别人群。本研究旨在建立TGD成人饮食病理症状量表（EPSI）的社区规范（Forbush et al., 2013）。样本包括1206名性别多样化的人，599名变性男性和293名变性女性，这些人来自PRIDE研究，这是一项针对美国性和性别少数群体的全国性纵向队列研究。我们报告了TGD人群中8种EPSI量表的平均得分、标准差、中位数、四分位数范围和百分位数排名。跨性别女性在认知约束、过度运动和对肥胖的消极态度量表上的得分明显高于跨性别男性和性别多样化人群。相反，跨性别男性在肌肉锻炼量表上的得分明显高于跨性别女性和性别多样化的人。这些发现提示了TGD个体饮食病理症状的不同模式，并强调了临床医生在评估饮食失调症状时考虑性别认同的必要性。

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引用次数: 0

Perceived effects of body positive social media content and correlations with trait body image 身体积极社交媒体内容的感知效应及其与身体形象特质的相关性

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101987

Rachel F. Rodgers , Genevieve P. Nowicki , Eleanor H. Wertheim , Susan Paxton

Body positive social media content has been described as less detrimental for body image as compared to idealized body-focused social media content. However, little work has explored who finds these posts helpful. This is an important gap, as individuals who are positive towards such content are more likely to engage with it and thus find more of it in their recommended content. The aims of the study were to examine (1) reactions to body positive social media content and (2) their associations with dimensions of body image among young women. A sample of 135 undergraduate women completed an online survey. Participants viewed two different body positive social media posts and for each indicated their reactions on visual analog scales before completing measures of trait body image. One post included only text while the other featured a group of diverse women. Findings revealed that, across dimensions and posts, favorable and positive reactions were more common than negative ones. However, the group image elicited higher ratings of feeling happy, good about one's body, and ok with one's looks, and lower feelings of anxiety and embarrassment. Correlational analyses revealed trait indices of positive body image were associated with higher positive reactions to posts (happy, good about body, OK with looks) and lower negative reactions (embarrassed, anxious, bad about body, motivated to change looks), while indices of poor body image were associated with lower positive and higher negative reactions. Findings suggest body positive social media might be most useful for maintaining positive body image.

与理想化的以身体为中心的社交媒体内容相比，积极的社交媒体内容对身体形象的危害较小。然而，很少有人研究谁认为这些帖子有帮助。这是一个重要的差距，因为对此类内容持积极态度的个人更有可能参与其中，从而在他们推荐的内容中找到更多此类内容。该研究的目的是检验(1)年轻女性对身体正面社交媒体内容的反应(2)它们与身体形象维度的关联。135名女大学生完成了一项在线调查。参与者观看了两个不同的身体正面社交媒体帖子，在完成身体形象特征测量之前，每个帖子都在视觉模拟量表上表明了他们的反应。其中一篇帖子只包含文字，而另一篇则展示了一群不同的女性。调查结果显示，在各个维度和帖子中，正面和正面的反应比负面的反应更常见。然而，集体形象引发了更高的幸福感，对自己的身体满意，对自己的外表满意，以及更低的焦虑和尴尬感。相关分析表明，积极的身体形象特征指数与较高的积极反应（快乐、对自己的身体满意、对自己的外表满意）和较低的消极反应（尴尬、焦虑、对自己的身体不满意、改变外表的动机）相关，而不良的身体形象特征指数与较低的积极反应和较高的消极反应相关。研究结果表明，积极的社交媒体可能对保持积极的身体形象最有用。

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引用次数: 0

Perfectionism and disordered eating in exercise and nutrition professionals: The role of self-compassion 运动和营养专业人士的完美主义和饮食失调：自我同情的作用

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101990

Maryam Marashi , Danika A. Quesnel , Erin K. O'Loughlin , David M. Brown , Catherine M. Sabiston

Disordered eating (DE) is more prevalent among exercise and nutrition professionals (ENPs) which may be partially due to heightened levels of perfectionism. Self-actualizing strategies such as self-compassion may offer protection against DE but are not well-understood among health and wellness professionals. This cross-sectional study investigated the associations between multidimensional perfectionism (self-oriented, socially prescribed, and other-oriented perfectionism) and a two-factor model of DE: (i) weight and shape concerns and (ii) food preoccupation, among ENPs (N = 93; mean age = 33.5; 88.2 % women). Self-compassion was tested as a potential moderating factor. All three dimensions of perfectionism were positively associated with both DE factors. Self-compassion significantly moderated the relationship between self-oriented perfectionism and weight and shape concerns (b = −0.51, SE = 0.22, p = .023). Similarly, self-compassion moderated the relationship between socially prescribed perfectionism and food preoccupation (b = −0.39, SE = 0.19, p = .05). Findings suggest that self-compassion may help reduce the impact of perfectionism on DE risk in ENPs.

饮食失调（DE）在运动和营养专业人士（enp）中更为普遍，部分原因可能是完美主义水平的提高。自我实现的策略，如自我同情，可能提供对DE的保护，但在健康和保健专业人员中并没有得到很好的理解。本横断面研究调查了多维完美主义（自我导向、社会规定和他人导向的完美主义）和DE的双因素模型之间的关系：在enp中（N = 93）体重和形状关注和（ii）食物关注；平均年龄= 33.5岁；88.2%为女性)。自我同情被测试为潜在的调节因素。完美主义的所有三个维度都与两个DE因素呈正相关。自我同情显著调节自我导向型完美主义与体重和体形的关系（b = - 0.51, SE = 0.22, p = 0.023）。同样，自我同情调节了社会规定的完美主义和食物专注之间的关系（b = - 0.39, SE = 0.19, p = 0.05）。研究结果表明，自我同情可能有助于减少完美主义对enp患者猝死风险的影响。

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引用次数: 0

Beyond thinness: The contribution of muscularity-oriented disordered eating to clinical impairment across cultures 超越瘦：跨文化的以肌肉为导向的饮食失调对临床损害的贡献

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors

Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101973

Lisa Y. Zhu , Taylor N. Breddy , Reza N. Sahlan , Kerstin K. Blomquist , Lindsay P. Bodell

Muscularity-oriented disordered eating (MODE) has been linked to negative outcomes, even when controlling for thinness-oriented disordered eating; however, its contribution to clinical impairment across demographic groups remains understudied. This study examined whether MODE independently contributes to clinical impairment while accounting for cognitive restraint, restricting, and purging, and whether this relationship differs by gender and country. Female (n = 1575) and male (n = 906) students from Canada, the United States, and Iran completed self-report measures of MODE, thinness-oriented disordered eating, and clinical impairment. Hierarchical multiple regressions were conducted with gender and country as moderators. Analyses were pre-registered on Open Science Framework. The addition of MODE to the model significantly accounted for 11 % of unique variance in clinical impairment. No significant moderation effects of gender and country were found. Results suggest that across women and men from both Western and non-Western cultural contexts, the unique aspects of MODE are associated with disruptions in daily functioning in multiple domains. These findings challenge the belief that dieting for muscularity is inherently beneficial for well-being. More clinical attention on MODE is warranted, such as targeted prevention and treatment efforts that address MODE specifically, rather than conceptualizing it as an extension of thinness-oriented eating disorders.

以肌肉为导向的进食障碍（MODE）与不良后果有关，即使在控制以瘦为导向的进食障碍的情况下也是如此；然而，其对不同人口群体临床损害的影响仍未得到充分研究。本研究考察了 MODE 是否会在考虑认知抑制、限制和清除的情况下独立导致临床损害，以及这种关系是否因性别和国家而异。来自加拿大、美国和伊朗的女生（n = 1575）和男生（n = 906）完成了 MODE、以瘦为导向的饮食紊乱和临床损害的自我报告测量。以性别和国家为调节因素进行了层次多元回归。分析结果在开放科学框架上进行了预注册。在模型中加入 MODE 后，临床损伤的独特变异有了 11% 的显著改善。性别和国家没有明显的调节作用。结果表明，在西方和非西方文化背景下的女性和男性中，MODE 的独特方面与多个领域的日常功能障碍有关。这些研究结果对 "节食增肌固然有益于身心健康 "的观点提出了质疑。临床上有必要对 MODE 给予更多关注，例如有针对性地预防和治疗 MODE，而不是将其视为以瘦为导向的饮食失调症的延伸。

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