A Longitudinal Network Analysis of Emotion Regulation, Interpersonal Problems, and Eating Disorder Psychopathology in Chinese Adolescents

IF 4.7 2区医学 Q1 NUTRITION & DIETETICS

International Journal of Eating Disorders Pub Date : 2024-10-04 DOI:10.1002/eat.24292

Jihong Zhang, Shuqi Cui, Hana F. Zickgraf, Wesley R. Barnhart, Yinuo Xu, Ziyue Wang, Feng Ji, Gui Chen, Jinbo He

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Abstract

Objective

The present longitudinal study examined sex-specific, symptom-level relationships among emotion regulation (ER), interpersonal problems (IP), and eating disorder (ED) psychopathology in a large sample of Chinese adolescents.

Method

Data were from a project with four waves of data collection (N = 1540; 710 boys and 830 girls) at 6-month intervals over 18 months. Questionnaires assessed ED psychopathology, ER, and IP at each wave of data collection. Longitudinal network analyses were conducted separately for boys and girls. Sex differences in the network structures were also examined.

Results

The results revealed pronounced heterogeneity in the presentation of ED psychopathology, ER, and IP across Chinese adolescent boys and girls longitudinally and intra-individually. For example, weight/shape preoccupation in ED psychopathology and awareness in ER emerged as important nodes in the temporal network for boys. However, weight/shape preoccupation and dissatisfaction in ED psychopathology were identified as the most important nodes in the temporal network for girls. Regarding bridge strength, awareness in ER emerged as the node with the highest connectivity in the temporal network for boys. At the same time, weight/shape dissatisfaction in ED psychopathology was the node with the highest connectivity for girls.

Discussion

The current study extended network theory to better understand the longitudinal interplay among ER, IP, and ED psychopathology in Chinese adolescents and their sex differences in the importance of symptoms. Such insights may pave the way for developing targeted prevention and treatment strategies for adolescent boys and girls in China.

Abstract Image

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中国青少年情绪调节、人际关系问题和进食障碍心理病理学的纵向网络分析。

目的：本纵向研究探讨了中国青少年情绪调节（ER）、人际关系问题（IP）和进食障碍（ED）心理病理学之间的性别特异性症状水平关系：本纵向研究调查了中国青少年大样本中情绪调节（ER）、人际关系问题（IP）和进食障碍（ED）心理病理学之间的性别特异性症状水平关系：数据来自一个项目，该项目在18个月内每隔6个月收集四次数据（样本数=1540；男生710人，女生830人）。在每一波数据收集过程中，调查问卷都会对ED心理病理学、ER和IP进行评估。对男生和女生分别进行了纵向网络分析。同时还研究了网络结构的性别差异：结果：研究结果表明，纵向和个体内部的中国男女青少年在 ED 心理病理学、ER 和 IP 方面存在明显的异质性。例如，ED心理病理学中的体重/体形先入为主和ER意识是男孩时间网络中的重要节点。然而，在女孩的时间网络中，ED 心理病理学中的体重/体形先入为主和不满意被认为是最重要的节点。就桥接强度而言，ER 意识是男生时间网络中连接性最高的节点。同时，ED心理病理学中的体重/体形不满意是女生连接性最高的节点：讨论：本研究扩展了网络理论，以更好地理解中国青少年ER、IP和ED心理病理学之间的纵向相互作用及其在症状重要性方面的性别差异。这些见解可为中国青少年制定有针对性的预防和治疗策略铺平道路。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Eating Disorders 医学-精神病学

CiteScore

10.00

自引率

12.70%

发文量

204

审稿时长

4-8 weeks

期刊介绍： Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.