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Racial differences in overeating, loss of control eating, and binge eating: Extending core tenets of the Cognitive Behavioral Theory of Eating Disorders
Appetite ( IF 5.4 ) Pub Date : 2020-10-01 , DOI: 10.1016/j.appet.2020.104747
Kelly A Romano 1 , Kristin E Heron 2
Affiliation  

PURPOSE The present study examined racial differences in associations among body dissatisfaction, body checking, and dietary restraint relative to overeating, loss of control eating, and binge eating outcomes among college women. METHOD Young adult women (N = 903) at three Mid-Atlantic US institutions completed measures assessing negative body image and eating pathology via an online survey. Structural equation modeling was used to test a model examining associations among body dissatisfaction, body checking, dietary restraint, and disinhibited eating behaviors. Multigroup analyses examined whether these associations differed for women who identified as White (n = 432) versus Black (n = 359). RESULTS More frequent body checking explained associations between elevated body dissatisfaction and more frequent use of all three disinhibited eating outcomes for White and Black women, whereas restraint solely mediated an association between body dissatisfaction and overeating. The assessed constructs generally operated in a similar manner across racial groups. However, stronger associations among body dissatisfaction, restraint, and overeating, and between body checking and loss of control eating were identified for women who identified as White versus Black. CONCLUSIONS Eating disorder programming efforts targeting body checking behavior may prove useful in decreasing White and Black women's disinhibited eating.

中文翻译:

暴饮暴食、饮食失控和暴饮暴食的种族差异:扩展饮食障碍认知行为理论的核心原则

目的本研究调查了大学女性在身体不满、身体检查和饮食限制与暴饮暴食、饮食失控和暴饮暴食结果之间的关联方面的种族差异。方法 美国大西洋中部三个机构的年轻成年女性 (N = 903) 通过在线调查完成了评估负面身体形象和饮食病理的措施。结构方程模型用于测试一个模型,该模型检查身体不满意、身体检查、饮食限制和抑制饮食行为之间的关联。多组分析检查了这些关联对于确定为白人 (n = 432) 与黑人 (n = 359) 的女性是否存在差异。结果 更频繁的身体检查解释了白人和黑人女性对身体不满意程度升高与更频繁地使用所有三种不受抑制的饮食结果之间的关联,而克制仅介导了身体不满意和暴饮暴食之间的关联。评估的结构在种族群体中通常以类似的方式运作。然而,对于被认定为白人与黑人的女性,身体不满、克制和暴饮暴食之间,以及身体检查和饮食失控之间的关联性更强。结论 针对身体检查行为的饮食失调编程工作可能被证明有助于减少白人和黑人女性的无节制饮食。评估的结构在种族群体中通常以类似的方式运作。然而,对于被认定为白人与黑人的女性,身体不满、克制和暴饮暴食之间,以及身体检查和饮食失控之间的关联性更强。结论 针对身体检查行为的饮食失调编程工作可能被证明有助于减少白人和黑人女性的无节制饮食。评估的结构在种族群体中通常以类似的方式运作。然而,对于被认定为白人与黑人的女性,身体不满、克制和暴饮暴食之间,以及身体检查和饮食失控之间的关联性更强。结论 针对身体检查行为的饮食失调编程工作可能被证明有助于减少白人和黑人女性的无节制饮食。
更新日期:2020-10-01
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