Absent mindfulness: mediation analyses of the relationship between adverse childhood experiences and disordered eating among young adults

Michael F. Royer, K. Cosgrove, Christopher M. Wharton
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Abstract

Recent evidence has indicated that adverse childhood experiences (ACEs) involving abuse, neglect, and other potentially traumatic occurrences are predictive of disordered eating among young adults. Previous findings have suggested that ACEs and disordered eating were both inversely related to mindfulness. No known studies have examined the extent to which mindfulness mediates the link between ACEs and disordered eating. This study was conducted among a sample of 144 young adults in the U.S. between the ages of 18 and 26 years. Primary study variables included ACEs, mindfulness, and disordered eating. Univariate and multivariable regression analyses assessed the link between ACEs and disordered eating. Mediation analyses examined whether mindfulness mediated the link between ACEs and disordered eating. Multivariable analyses statistically adjusted for the covariates of age, sex, race/ethnicity, and income. Findings suggested ACEs were inversely related to mindfulness (B = −0.04, SE = 0.01; 95% CI = −0.07, −0.01; p < 0.05), mindfulness was inversely related to disordered eating (B = −1.27, SE = 0.23; 95% CI = −1.74, −0.80; p < 0.0001), and ACEs were positively related to disordered eating before (B = 0.17, SE = 0.04; 95% CI = 0.09, 0.26; p = 0.0001) and after (B = 0.13, SE = 0.04; 95% CI = 0.05, 0.21; p = 0.002) adjusting for mindfulness. Mediation analysis results indicated that the link between ACEs and disordered eating was significantly mediated by mindfulness (B = 0.05, SE = 0.02; 95% CI = 0.01, 0.09; p < 0.05). Evidence produced in this study confirmed existing findings concerning the positive association between ACEs and disordered eating among young adults, and these outcomes helped fill a knowledge gap regarding whether mindfulness mediates the link between ACEs and disordered eating. Future intervention studies should identify health-enhancing mindfulness approaches and then test whether the adoption of mindfulness practices can alleviate and prevent disordered eating among young adults with high ACEs.
缺失正念:不良童年经历与年轻人饮食失调之间关系的中介分析
最近的证据表明,包括虐待、忽视和其他潜在创伤事件在内的不良童年经历(ace)是年轻人饮食失调的前兆。先前的研究结果表明,ace和饮食失调都与正念呈负相关。没有已知的研究调查了正念在多大程度上调解了ace和饮食失调之间的联系。这项研究是在144名年龄在18到26岁之间的美国年轻人中进行的。主要研究变量包括ace、正念和饮食失调。单变量和多变量回归分析评估了ace和饮食失调之间的联系。中介分析检验了正念是否介导了ace和饮食失调之间的联系。多变量分析对年龄、性别、种族/民族和收入等协变量进行统计调整。结果表明,ace与正念呈负相关(B = - 0.04, SE = 0.01;95% ci =−0.07,−0.01;p < 0.05),正念与饮食失调呈负相关(B = - 1.27, SE = 0.23;95% ci =−1.74,−0.80;p < 0.0001),既往饮食失调与ace呈正相关(B = 0.17, SE = 0.04;95% ci = 0.09, 0.26;p = 0.0001)后(B = 0.13, SE = 0.04;95% ci = 0.05, 0.21;P = 0.002)。中介分析结果表明,正念显著中介了ace与饮食失调之间的关系(B = 0.05, SE = 0.02;95% ci = 0.01, 0.09;p < 0.05)。本研究中产生的证据证实了现有的发现,即在年轻人中,ace与饮食失调之间存在正相关,这些结果有助于填补关于正念是否介导ace与饮食失调之间的联系的知识空白。未来的干预研究应该确定增强健康的正念方法,然后测试采用正念练习是否可以缓解和预防高ace年轻人的饮食失调。
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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