新冠肺炎大流行期间的体重羞辱和饮食紊乱行为:体重增加担忧和心理困扰的中介作用。

IF 2.9 3区 医学 Q2 PSYCHIATRY
Patricia Fortes Cavalcanti de Macêdo, Edleide Brito, Carla de Magalhães Cunha, Maria da Purificação Nazaré Araújo, Poliana Cardoso Martins, Mônica Leila Portela de Santana
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引用次数: 1

摘要

目的:本研究旨在调查新冠肺炎大流行期间,超重大学生和非超重大学生的体重羞辱经历与饮食行为紊乱之间的关系是否由体重增加担忧和心理困扰介导。方法:对来自巴西五个地区的大学生进行了一项横断面研究,他们参与了饮食行为和健康在线队列的基线评估(2020年7月/8月)。在一份在线问卷中记录了关于暴饮、食物限制和净化的频率,以及经历过的体重污名、体重增加担忧和心理困扰的信息。为了解决感兴趣的研究问题,进行了分层结构方程建模(SEM)分析。结果:在总样本中(n = 2511),33.5%的参与者报告称经历了体重耻辱。暴饮、限制饮食和净化的患病率分别为43.7%、24.1%和5.4%。这些行为在超重的人中比没有超重的人更普遍。此外,研究发现,无论体重状况如何,对体重增加的担忧和心理困扰都会介导体重污名与饮食行为紊乱之间的关系。结论:巴西大学生普遍存在体重耻辱和饮食行为紊乱的经历,尤其是超重大学生。在疫情期间,对体重增加的担忧和心理困扰似乎是这些结构之间关系的重要因素,它们有助于制定有针对性的饮食紊乱预防和管理策略。证据级别:五级,横断面研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Weight stigma and disordered eating behaviors during the COVID-19 pandemic: the mediating role of weight gain concern and psychological distress.

Weight stigma and disordered eating behaviors during the COVID-19 pandemic: the mediating role of weight gain concern and psychological distress.

Weight stigma and disordered eating behaviors during the COVID-19 pandemic: the mediating role of weight gain concern and psychological distress.

Weight stigma and disordered eating behaviors during the COVID-19 pandemic: the mediating role of weight gain concern and psychological distress.

Objectives: The purpose of this study is to investigate whether the relationship between weight stigma experiences and disordered eating behaviors during the COVID-19 pandemic is mediated by weight gain concern and psychological distress among university students with and without overweight.

Methods: A cross-sectional study was conducted with university students from five regions of Brazil who participated in the baseline assessment of the Online Cohort on Eating Behavior and Health (July/August 2020). Information on the frequency of binge eating episodes, food restriction, and purging, as well as experienced weight stigma, weight gain concern, and psychological distress, were recorded in an online questionnaire. Stratified structural equation modeling (SEM) analyses were performed to address the research questions of interest.

Results: Out of the total sample (n = 2511), 33.5% of participants reported experiencing weight stigma. The prevalence of binge eating episodes, food restriction, and purging was 43.7%, 24.1%, and 5.4%, respectively. These behaviors were more prevalent in individuals with overweight than in those without this condition. Furthermore, it was observed that weight gain concern and psychological distress mediated the relationship between weight stigma and disordered eating behaviors regardless of body weight status.

Conclusions: Experiences of weight stigma and disordered eating behaviors were prevalent among Brazilian university students, especially among those with overweight. Weight gain concern and psychological distress appear to be important factors underlying the relationship between these constructs during the pandemic, and they can contribute to the development of targeted strategies for the prevention and management of disordered eating.

Level of evidence: Level V, cross-sectional study.

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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
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