{"title":"幼儿食欲自我调节的生物-心理-社会路径模型:气质是调节各系统间相互作用的关键","authors":"","doi":"10.1016/j.socscimed.2024.117338","DOIUrl":null,"url":null,"abstract":"<div><p>The widespread discrimination against individuals with obesity often stems from a simplistic perception of obesity as a mere consequence of personal choices of overeating and insufficient physical activity. This reductionist perception fails to acknowledge the complexity of the epidemic of obesity, which extends beyond diet and exercise decisions. The concept of appetite self-regulation (ASR) has been explored as a crucial element in identifying obesogenic behavioral approaches to food. Although an extensive understanding of ASR in children is essential as an early precursor and modifiable factor influencing obesity, the prevailing view of self-regulation of eating solely as a matter of cognitive and behavioral processing tends to overlook interacting systems of influences. This narrow approach attributes obesity to the lack of voluntary self-control in food consumption while neglecting to account for the biological, psychological, and social influences implicated in the developmental processes of ASR, which may further contribute to the stigmatization of obesity. The current critical analysis provides a comprehensive developmental framework that could guide future studies with testable hypotheses, outlining pathways of interactions among biopsychosocial systems, all of which contribute to the development of ASR in early childhood. 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This reductionist perception fails to acknowledge the complexity of the epidemic of obesity, which extends beyond diet and exercise decisions. The concept of appetite self-regulation (ASR) has been explored as a crucial element in identifying obesogenic behavioral approaches to food. Although an extensive understanding of ASR in children is essential as an early precursor and modifiable factor influencing obesity, the prevailing view of self-regulation of eating solely as a matter of cognitive and behavioral processing tends to overlook interacting systems of influences. This narrow approach attributes obesity to the lack of voluntary self-control in food consumption while neglecting to account for the biological, psychological, and social influences implicated in the developmental processes of ASR, which may further contribute to the stigmatization of obesity. 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引用次数: 0
摘要
对肥胖症患者的普遍歧视往往源于一种简单化的观念,即肥胖症仅仅是个人选择暴饮暴食和体育锻炼不足的结果。这种简单化的观念没有认识到肥胖流行病的复杂性,它超出了饮食和运动决定的范畴。食欲自我调节(ASR)的概念被认为是识别导致肥胖的饮食行为方式的关键因素。虽然广泛了解儿童食欲自我调节作为影响肥胖的早期前兆和可调节因素至关重要,但将进食自我调节仅仅视为认知和行为处理问题的普遍观点往往会忽视相互影响的系统。这种狭隘的观点将肥胖归因于缺乏对食物消费的自愿自我控制,却忽视了在 ASR 的发展过程中所涉及的生物、心理和社会影响,这可能会进一步导致肥胖的污名化。目前的批判性分析提供了一个全面的发展框架,可以指导未来的研究,提出可检验的假设,勾勒出生物-心理-社会系统之间的相互作用路径,所有这些系统都有助于幼儿期 ASR 的发展。采用发展的视角可以对 ASR 进行全面的研究,从而解释影响 ASR 早期表现的生物(B)、心理(P)和社会(S)因素之间错综复杂的相互作用。
Biopsychosocial pathways model of early childhood appetite self-regulation: Temperament as a key to modulation of interactions among systems
The widespread discrimination against individuals with obesity often stems from a simplistic perception of obesity as a mere consequence of personal choices of overeating and insufficient physical activity. This reductionist perception fails to acknowledge the complexity of the epidemic of obesity, which extends beyond diet and exercise decisions. The concept of appetite self-regulation (ASR) has been explored as a crucial element in identifying obesogenic behavioral approaches to food. Although an extensive understanding of ASR in children is essential as an early precursor and modifiable factor influencing obesity, the prevailing view of self-regulation of eating solely as a matter of cognitive and behavioral processing tends to overlook interacting systems of influences. This narrow approach attributes obesity to the lack of voluntary self-control in food consumption while neglecting to account for the biological, psychological, and social influences implicated in the developmental processes of ASR, which may further contribute to the stigmatization of obesity. The current critical analysis provides a comprehensive developmental framework that could guide future studies with testable hypotheses, outlining pathways of interactions among biopsychosocial systems, all of which contribute to the development of ASR in early childhood. Adopting developmental perspectives allows a holistic approach to investigating ASR, which accounts for intricate interactions between biological (B), psychological (P), and social (S) factors influential in the early manifestation of ASR.
期刊介绍:
Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.