Loneliness,eating, and body mass index in parent–adolescent dyads from the Family Life,Activity, Sun,Health, and Eating study

Loneliness is a salient risk factor for obesity, emotional eating, and poor diet. Because adolescents and parents are embedded within a family unit, their experiences of loneliness may be associated with both their own and one another's behaviors. To examine the extent to which parent and child loneliness predict body mass index (BMI) and eating in parents and adolescents, an actor–partner interdependence model of loneliness, eating, and BMI in adolescent–parent dyads was analyzed. There were actor effects among adolescents such that greater loneliness was positively associated with emotional eating and BMI‐z, and there was an actor effect among parents such that higher loneliness was positively related to emotional eating. There was a partner effect among adolescents such that greater parental loneliness was positively associated with adolescent emotional eating, and there was a partner effect among parents such that higher adolescent loneliness was positively associated with parental emotional eating. There were several actor–partner effects for loneliness and junk food in dyads with boys. Findings highlight the importance of dyadic models of loneliness in adolescent–parent dyads.     

夜间进食综合征的研究进展

夜间进食综合征是一种表现为早晨没有食欲、晚饭后过量进食或夜间醒来进食的饮食障碍,并且与睡眠问题相关。在国内外文献进行分析研究的基础上,本文先后介绍了夜食症的概念内涵、发病的生理神经机制及主要的干预措施和治疗手段,并对现有研究的不足进行总结,提出了未来研究的方向,旨在为研究者在此领域的进一步探索提供参考。     

友谊质量与青少年直觉进食：链式中介模型及性别差异

基于积极心理学, 采用友谊质量量表、自我怜悯量表、身体欣赏量表和直觉进食量表, 对2438名初中生进行调查, 并运用结构方程模型探讨友谊质量与青少年直觉进食的关系、作用机制及其性别差异。结果表明：(1)友谊质量与直觉进食呈显著正相关; (2)自我怜悯和积极身体意象在友谊质量与直觉进食间起中介作用, 且该中介作用包含三条路径：自我怜悯的单独中介作用、积极身体意象的单独中介作用以及自我怜悯-积极身体意象的链式中介作用; (3)中介效应性别差异仅出现在友谊质量与直觉进食(分维度)的关系中, 即“无条件地允许进食”和“进食不受情绪影响”两个维度。研究结果为促进青少年形成积极身体意象、健康饮食行为提供了参考建议和干预指导。     

Pre-K attendance and social development: The moderating role of kindergarten classroom experiences

Many studies have established that there are important life-long benefits of attending pre-K. At the same time, recent research suggests that pre-K attenders may enter and exit kindergarten exhibiting less optimal social and learning behaviours than their non-attending peers, and little attention has been paid to what factors may contribute to these patterns of development after children enter kindergarten. The current study will address these gaps in knowledge using nationally representative data from the Early Childhood Longitudinal Study Kindergarten Class of 2011 to examine the social and learning behaviours of pre-K attenders and nonattenders at kindergarten entry and exit. Moreover, we will determine the extent to which children's social and behavioural skills change at differential rates across the kindergarten year as a function of pre-K attendance and their kindergarten classroom experiences, with a focus on the academic rigour, activity settings and teacher-student relationships.     

A closer look at the role of social influence in the development of attitudes to eating

The relationship between social influence and the development of attitudes to eating was explored in an experimental study. Schoolgirls (n=59, median age=15 years) listened to an interview in which the interviewee (identified as a radical feminist, a sportswoman or a women's magazine journalist) gave either a pro-diet or an anti-diet message. Following the interview, participants completed a questionnaire which examine their attitudes to eating and their judgements of the interviewee. The results supported predictions that influence would vary as an interactive function of the message and the normative ingroup–outgroup status of the message source. However, different patterns of influence were observed on two factors that emerged from an analysis of the eating disorder items, suggesting that there were important differences in the shaping of subjects' beliefs about appropriate eating behaviour, (a) for themselves personally and (b) for the community in general. The findings suggest that social influence has a significant but complex impact upon the development of potentially harmful attitudes to eating. It also appears that, for a variety of reasons, certain anti-diet messages may actually be a counter-productive means of improving female body satisfaction. © 1998 John Wiley & Sons, Ltd.     

Eating patterns and breakfast consumption in obese patients with binge eating disorder

This study examined eating patterns and breakfast consumption, and their relationships to weight and binge eating, in obese individuals with binge eating disorder (BED). One-hundred seventy-three consecutively evaluated men (n=46) and women (n=127) with BED were administered semi-structured interviews and self-report measures to assess the frequency of meals and snacks eaten, as well as binge eating and eating disorder features. Overall, those who consumed more frequent meals, particularly breakfast, and snacks, weighed less. Breakfast, which was eaten on a daily basis by less than half of participants (n=74; 43%), was the least frequently eaten meal of the day. Participants (n=56; 32%) who ate three meals per day weighed significantly less, and had significantly fewer binges, than participants (n=117; 68%) who did not regularly eat three meals per day. Thus, eating more frequently, having breakfast and consuming three meals every day, have potentially important clinical applications for the treatment of BED given that the effectiveness of specific interventions within treatments for BED are unknown, and that weight loss outcome for BED has been poor.     

Decomposing filial piety into filial attitudes and filial enactments

In an attempt to explore the attitude-behaviour relationship, the present study examined the mixed findings from research on filial piety by differentiating filial attitudes from filial behaviours. The Filial Behaviour Scale was developed to tap the behavioural manifestations of filial piety, and its nomological network was established in two Chinese contexts, Hong Kong and Beijing. In addition to filial attitudes, we used values, social beliefs, and self-construals to explain filial behaviours. The results of hierarchical regression analysis showed that the value factor of conservation and the social axiom of reward for application predicted filial behaviour above and beyond filial attitudes; an interdependent self-construal moderated the effect of cultural group on filial behaviour. Gender and regional differences in filial piety were also examined. Males were found to score higher on filial attitudes, but not significantly higher on filial behaviours. Regional differences existed in filial behaviours, but not in filial attitudes, with Mainland Chinese displaying a higher level of filial behaviours than their Hong Kong counterparts. These identified differences suggest the importance of differentiating filial attitudes from filial behaviours in future attempts to understand Chinese filiality.     

Loss of control over eating in obese youngsters

OBJECTIVE: To investigate loss of control over eating in a sample of obese youngsters seeking treatment. METHOD: Obese youngsters (aged 10-16) were categorized into those having experienced loss of control (LC) and those who had not (NoLC) using the child version of the Eating Disorder Examination. Furthermore, the LC group was subdivided into an objective binge eating (OBE) and a subjective binge eating (SBE) group. The groups were compared on psychological measures. RESULTS: LC subjects (17.9%) showed more concern about eating, weight and shape. They also reported more emotional and external eating behaviors and more depression. Youngsters who report SBE show resemblances to both NoLC and OBE subjects. DISCUSSION: LC subjects are characterized by more eating-related psychopathology and higher levels of depression. Especially obese youngsters with OBE turned out to be a pathological group.     

临床医生要理解与实践医学的目的

针对医疗进入市场后,一些临床医生对医学的特征与属性认识不足,医学的行为与目的产生矛盾,提出了医生的人文精神就体现在医疗过程的言行之中。在中国目前的卫生状况下,实现医学的目的,医生们可以有所作为,有所贡献。     

Dysfunctional Eating in an Australian Community Sample: The Role of Emotion Regulation,Impulsivity, and Reward and Punishment Sensitivity

This study aimed to examine the role of emotion regulation and reinforcement sensitivity in dysfunctional eating behaviours. Two hundred twenty‐eight adults from the Australian community completed self‐report inventories assessing the variables. Dysfunctional restrained eaters differed from those who did not engage in restrained eating in terms of their emotion regulation, impulsivity, and sensitivity to reward. Difficulties in emotion regulation, low impulsivity, and sensitivity to reward predicted engagement in restrained eating. Emotional eaters significantly differed from those who did not engage in dysfunctional levels of emotional eating in terms of their emotion regulation, impulsivity, and sensitivity towards reward, and difficulties in emotion regulation predicted emotional eating. Finally, dysfunctional external eaters differed from non‐dysfunctional external eaters in terms of their emotion regulation, impulsivity, sensitivity towards reward, as well as sensitivity towards punishment, and difficulties with emotion regulation and sensitivity towards reward predicted external eating. These findings highlight the importance of the inclusion of emotional functioning in models of development and maintenance of eating disorders, and support the potential implementation of treatment interventions that address emotion regulation and include strategies to cope with impulsivity and reinforcement sensitivities.