{"title":"COVID-19 大流行后年轻人的心理困扰和饮食行为","authors":"T.M. Kannan , S.T. Tan","doi":"10.1016/j.jemep.2024.100990","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Literature has consistently reported that stringent COVID-19 lockdown measures have had profound adverse effects on mental health and have also led to changes in the dietary behavior of young adults. Therefore, this study investigates the relationship between psychological distress and the eating behavior of Malaysian young adults in the aftermath of the COVID-19 pandemic.</p></div><div><h3>Methodology</h3><p>Young adults aged 18–30 were recruited into this study using a combination of convenience and snowball sampling approaches. Socio-demographics, including gender, age, marital status, ethnicity, educational attainment, and employment status were self-reported by the young adults. The Depression, Anxiety, and Stress Scale-21 (DASS-21) was used to assess the psychological distress in young adults, whereas the eating behavior of young adults was evaluated using the Three-Factor Eating Questionnaire-R18 (TFEQ-R18).</p></div><div><h3>Results</h3><p>The findings revealed that young adults who experienced moderate to extremely severe psychological distress were 45.6% (anxiety), 38.3% (depression), and 16.2% (stress). The standardized mean scores of eating behavior were in the ascending order of emotional eating (36.41<!--> <!-->±<!--> <!-->28.89)<!--> <!--><<!--> <!-->uncontrolled eating (39.75<!--> <!-->±<!--> <!-->22.60)<!--> <!--><<!--> <!-->cognitive restraint (43.24<!--> <!-->±<!--> <!-->20.04). Interestingly, young adults who experienced moderate to extremely severe depression attained significantly higher mean scores in emotional eating (F<!--> <!-->=<!--> <!-->9.595, <em>P</em> <!-->=<!--> <!-->0.002) and cognitive restraint (F<!--> <!-->=<!--> <!-->5.380, <em>P</em> <!-->=<!--> <!-->0.021) than their respective counterparts. Likewise, young adults who experienced moderate to extremely severe anxiety had a significantly higher mean score in emotional eating (F<!--> <!-->=<!--> <!-->4.967, <em>P</em> <!-->=<!--> <!-->0.027) compared to those in the normal to mild anxiety category.</p></div><div><h3>Conclusion</h3><p>Providing timely mental health support to individuals experiencing moderate to extremely severe psychological distress is crucial to prevent disordered eating behavior. Longitudinal studies may be carried out in the future to provide better insights into the relationship between psychological distress and eating behavior among young adults.</p></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100990"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352552524000252/pdfft?md5=044bbd4d20d4813f68e6f500117b9e47&pid=1-s2.0-S2352552524000252-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Psychological distress and eating behavior among young adults in the aftermath of the COVID-19 pandemic\",\"authors\":\"T.M. Kannan , S.T. Tan\",\"doi\":\"10.1016/j.jemep.2024.100990\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Literature has consistently reported that stringent COVID-19 lockdown measures have had profound adverse effects on mental health and have also led to changes in the dietary behavior of young adults. Therefore, this study investigates the relationship between psychological distress and the eating behavior of Malaysian young adults in the aftermath of the COVID-19 pandemic.</p></div><div><h3>Methodology</h3><p>Young adults aged 18–30 were recruited into this study using a combination of convenience and snowball sampling approaches. Socio-demographics, including gender, age, marital status, ethnicity, educational attainment, and employment status were self-reported by the young adults. The Depression, Anxiety, and Stress Scale-21 (DASS-21) was used to assess the psychological distress in young adults, whereas the eating behavior of young adults was evaluated using the Three-Factor Eating Questionnaire-R18 (TFEQ-R18).</p></div><div><h3>Results</h3><p>The findings revealed that young adults who experienced moderate to extremely severe psychological distress were 45.6% (anxiety), 38.3% (depression), and 16.2% (stress). The standardized mean scores of eating behavior were in the ascending order of emotional eating (36.41<!--> <!-->±<!--> <!-->28.89)<!--> <!--><<!--> <!-->uncontrolled eating (39.75<!--> <!-->±<!--> <!-->22.60)<!--> <!--><<!--> <!-->cognitive restraint (43.24<!--> <!-->±<!--> <!-->20.04). Interestingly, young adults who experienced moderate to extremely severe depression attained significantly higher mean scores in emotional eating (F<!--> <!-->=<!--> <!-->9.595, <em>P</em> <!-->=<!--> <!-->0.002) and cognitive restraint (F<!--> <!-->=<!--> <!-->5.380, <em>P</em> <!-->=<!--> <!-->0.021) than their respective counterparts. Likewise, young adults who experienced moderate to extremely severe anxiety had a significantly higher mean score in emotional eating (F<!--> <!-->=<!--> <!-->4.967, <em>P</em> <!-->=<!--> <!-->0.027) compared to those in the normal to mild anxiety category.</p></div><div><h3>Conclusion</h3><p>Providing timely mental health support to individuals experiencing moderate to extremely severe psychological distress is crucial to prevent disordered eating behavior. Longitudinal studies may be carried out in the future to provide better insights into the relationship between psychological distress and eating behavior among young adults.</p></div>\",\"PeriodicalId\":37707,\"journal\":{\"name\":\"Ethics, Medicine and Public Health\",\"volume\":\"32 \",\"pages\":\"Article 100990\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2352552524000252/pdfft?md5=044bbd4d20d4813f68e6f500117b9e47&pid=1-s2.0-S2352552524000252-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ethics, Medicine and Public Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352552524000252\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ethics, Medicine and Public Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352552524000252","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Psychological distress and eating behavior among young adults in the aftermath of the COVID-19 pandemic
Background
Literature has consistently reported that stringent COVID-19 lockdown measures have had profound adverse effects on mental health and have also led to changes in the dietary behavior of young adults. Therefore, this study investigates the relationship between psychological distress and the eating behavior of Malaysian young adults in the aftermath of the COVID-19 pandemic.
Methodology
Young adults aged 18–30 were recruited into this study using a combination of convenience and snowball sampling approaches. Socio-demographics, including gender, age, marital status, ethnicity, educational attainment, and employment status were self-reported by the young adults. The Depression, Anxiety, and Stress Scale-21 (DASS-21) was used to assess the psychological distress in young adults, whereas the eating behavior of young adults was evaluated using the Three-Factor Eating Questionnaire-R18 (TFEQ-R18).
Results
The findings revealed that young adults who experienced moderate to extremely severe psychological distress were 45.6% (anxiety), 38.3% (depression), and 16.2% (stress). The standardized mean scores of eating behavior were in the ascending order of emotional eating (36.41 ± 28.89) < uncontrolled eating (39.75 ± 22.60) < cognitive restraint (43.24 ± 20.04). Interestingly, young adults who experienced moderate to extremely severe depression attained significantly higher mean scores in emotional eating (F = 9.595, P = 0.002) and cognitive restraint (F = 5.380, P = 0.021) than their respective counterparts. Likewise, young adults who experienced moderate to extremely severe anxiety had a significantly higher mean score in emotional eating (F = 4.967, P = 0.027) compared to those in the normal to mild anxiety category.
Conclusion
Providing timely mental health support to individuals experiencing moderate to extremely severe psychological distress is crucial to prevent disordered eating behavior. Longitudinal studies may be carried out in the future to provide better insights into the relationship between psychological distress and eating behavior among young adults.
期刊介绍:
This review aims to compare approaches to medical ethics and bioethics in two forms, Anglo-Saxon (Ethics, Medicine and Public Health) and French (Ethique, Médecine et Politiques Publiques). Thus, in their native languages, the authors will present research on the legitimacy of the practice and appreciation of the consequences of acts towards patients as compared to the limits acceptable by the community, as illustrated by the democratic debate.