{"title":"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。","authors":"Clarice Chan, Cecily Donnelly, Aphrodite Eshetu, Dasha Nicholls","doi":"10.1186/s40337-025-01273-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>Electronic databases Medline, Embase, PsychINFO, and Scopus were searched using the search terms related to adolescents, eating disorders, peers, and attachment.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>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.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"130"},"PeriodicalIF":4.5000,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235894/pdf/","citationCount":"0","resultStr":"{\"title\":\"Exploring the relationship between peer attachment, and disordered eating behaviours and body dissatisfaction in adolescence: a systematic review.\",\"authors\":\"Clarice Chan, Cecily Donnelly, Aphrodite Eshetu, Dasha Nicholls\",\"doi\":\"10.1186/s40337-025-01273-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>Electronic databases Medline, Embase, PsychINFO, and Scopus were searched using the search terms related to adolescents, eating disorders, peers, and attachment.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>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.</p>\",\"PeriodicalId\":48605,\"journal\":{\"name\":\"Journal of Eating Disorders\",\"volume\":\"13 1\",\"pages\":\"130\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-07-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235894/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Eating Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s40337-025-01273-3\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40337-025-01273-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Exploring the relationship between peer attachment, and disordered eating behaviours and body dissatisfaction in adolescence: a systematic review.
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.
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.
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