Exploring the relationship between peer attachment, and disordered eating behaviours and body dissatisfaction in adolescence: a systematic review.

IF 4.5 3区医学 Q2 NUTRITION & DIETETICS

Journal of Eating Disorders Pub Date : 2025-07-08 DOI:10.1186/s40337-025-01273-3

Clarice Chan, Cecily Donnelly, Aphrodite Eshetu, Dasha Nicholls

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Abstract

Objective: Adolescence is a critical period in the development of eating disorders (ED) and the influence of peers becomes increasingly evident in shaping behaviour. Insecure attachment to parents is associated with higher ED risk, but the impact of attachment to peers is unknown. This systematic review aims to ascertain the role of peer attachment in ED symptoms and body dissatisfaction in adolescents.

Methods: Electronic databases Medline, Embase, PsychINFO, and Scopus were searched using the search terms related to adolescents, eating disorders, peers, and attachment.

Results: Out of the 19 included studies (n = 15 cross-sectional, n = 4 Longitudinal), most (n = 17) used the Peer subscale of the 'Inventory of Parent and Peer Attachment (IPPA)' to measure peer attachment. The prevalence of insecure attachment was higher in populations with ED symptoms compared to those without. Lower attachment scores were associated with higher ED symptomology and body dissatisfaction. Out of the 3 subscales of the IPPA, alienation emerged as the most significant predictor of symptomology.

Discussion: Insecure attachment to peers may be a risk factor in the development of ED symptoms and body dissatisfaction, but the protective role of secure attachment remains unclear. More longitudinal research is required to disentangle this relationship and ascertain the clinical significance of peer attachment in prognosis or intervention.

Abstract Image

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探讨同伴依恋、青少年饮食失调行为和身体不满意之间的关系：一项系统综述。

目的：青少年是进食障碍（ED）发展的关键时期，同伴对行为形成的影响越来越明显。与父母的不安全依恋关系与更高的ED风险相关，但与同伴的依恋关系的影响尚不清楚。本研究旨在探讨同伴依恋在青少年ED症状和身体不满中的作用。方法：采用与青少年、饮食失调、同伴、依恋相关的检索词对Medline、Embase、PsychINFO、Scopus等电子数据库进行检索。结果：在纳入的19项研究中（n = 15横断面，n = 4纵向），大多数（n = 17）使用“父母与同伴依恋量表”（IPPA）的同伴子量表来测量同伴依恋。与没有ED症状的人群相比，有ED症状的人群中不安全依恋的患病率更高。依恋得分越低，ED症状和身体满意度越高。在IPPA的3个亚量表中，疏离感是最重要的症状预测因子。讨论：对同伴的不安全依恋可能是ED症状和身体不满发展的一个危险因素，但安全依恋的保护作用尚不清楚。需要更多的纵向研究来解开这种关系，并确定同伴依恋在预后或干预方面的临床意义。

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

Journal of Eating Disorders Neuroscience-Behavioral Neuroscience

CiteScore

5.30

自引率

17.10%

发文量

161

审稿时长

16 weeks

期刊介绍： Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.