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How changing life roles predict eating disorder pathology over 30-year follow-up.
Journal of Psychopathology and Clinical Science ( IF 3.1 ) Pub Date : 2021-05-01 , DOI: 10.1037/abn0000669
Madeline R Wick 1 , Tiffany A Brown 2 , Elizabeth H Fitzgerald 1 , Pamela K Keel 1
Affiliation  

Epidemiological data support higher prevalence of eating disorders in midlife than previously believed. Yet, few studies have examined risk factors unique to adult development. The present study examined how changes in life roles (educational, marital, and parental status) predicted disordered eating as participants transitioned from their 20s to their 50s. Participants (N = 624 women and N = 276 men) completed baseline assessments in college and at 10-, 20-, and 30-year follow-up, with 72% of women and 67% of men completing 30-year follow-up. Multilevel models examined how changes in life roles predicted changes in disordered eating. For women, obtaining a graduate degree predicted decreased eating pathology initially but over time predicted subsequent increases in Drive for Thinness. Men's eating pathology was not affected by obtaining a graduate degree. Changes in marital status demonstrated no significant association with disordered eating for either gender. Becoming a parent predicted a significant decrease in Drive for Thinness at the subsequent assessment but no further declines with age, whereas those who never had children showed significant decreases in both Drive for Thinness and Bulimia with age. For both women and men, becoming a parent may decrease the importance of shape and weight as sources of self-evaluation. However, women obtaining advanced degrees and parents may experience shifts in eating pathology related to the "Career-and-Care-Crunch" according to Mehta and colleagues' (2020) recent conceptualization of adult developmental stages. Pending independent replication, future research might design interventions for those whose role transitions put them at greater risk for disordered eating during midlife. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译:

在 30 年的随访中,不断变化的生活角色如何预测饮食失调病理学。

流行病学数据支持中年饮食失调的患病率比以前认为的要高。然而,很少有研究检查成人发育特有的风险因素。本研究调查了参与者从 20 多岁到 50 多岁时生活角色(教育、婚姻和父母身份)的变化如何预测饮食失调。参与者(N = 624 名女性和 N = 276 名男性)在大学期间以及 10 年、20 年和 30 年的随访中完成了基线评估,其中 72% 的女性和 67% 的男性完成了 30 年的随访. 多层次模型研究了生活角色的变化如何预测饮食失调的变化。对于女性来说,获得研究生学位最初预示着饮食病理学会减少,但随着时间的推移,预测会随着时间的推移而增加对瘦身的驱动力。男装 s 饮食病理学不受获得研究生学位的影响。婚姻状况的变化与任何性别的饮食失调都没有显着相关性。成为父母后,在随后的评估中预测瘦身驱动显着下降,但不会随着年龄的增长而进一步下降,而那些从未生育过孩子的人则随着年龄的增长,瘦身驱动和贪食症都显着下降。对于女性和男性来说,成为父母可能会降低体型和体重作为自我评估来源的重要性。然而,根据 Mehta 及其同事 (2020) 最近对成人发育阶段的概念化,获得高级学位的女性和父母可能会经历与“职业和护理紧缩”相关的饮食病理学变化。等待独立复制,未来的研究可能会为那些角色转变使他们在中年饮食失调的风险更大的人设计干预措施。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。
更新日期:2021-05-01
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