نقش افسردگی و فراشناخت بدشکلی بدن در اختلال خوردن
محورهای موضوعی : روان شناسی تحولی
1 - استادیار روان شناسی
دانشگاه لرستان
کلید واژه: افسردگی, اختلال خوردن, فراشناخت بدشکلی بدن,
چکیده مقاله :
هدف این پژوهش بررسی نقش مؤلفههای افسردگی و فراشناخت بدشکلی بدن در اختلال خوردن بود. طرح این پژوهش توصیفی از نوع همبستگی بود.324 دانشآموز دختر از دبیرستانهای دخترانه استان لرستان به روش نمونهبرداری خوشهای چندمرحلهای انتخاب شدند. ابزارهای استفاده شده در این پژوهش شامل آزمون بازخوردهای خوردن (گارنر، اولستد، بوهر و گارفینکل، 1982)،پرسشنامة فراشناخت بدشکلی بدن (ربیعی، صلاحیان، بهرامی و پالاهنگ، 2011) و سیاهة افسردگی کودکان (کواکس و بک، 1977) بود. نتایج نشان داد مؤلفههای افسردگی (خلق منفی، مسائل بین فردی، ناکارآمدی، بی لذتی و حرمت خود منفی) و فراشناخت بدشکلی بدن (کنترل فراشناختی، درآمیختگی افکار _عمل، باورهای مثبت و منفی فراشناختی و فتارهای ایمنی بخش) با اختلال خوردن رابطه مثبت معنادار دارد. همچنین نتایج تحلیل رگرسیون نشان داد خلق منفی، حرمت خود منفی و مهار فراشناختی توانایی پیشبینی اختلال خوردن را دارد. در نظر گرفتن مؤلفههای افسردگی و فراشناخت بدشکلی بدن نقش بالینی مهمی در فرایندهای پیشگیری و درمان اختلال خوردن دارد
This study aimed to investigate the role of depression and body dysmorphic metacognition components in eating disorders. This research method was descriptive- correlational. 324 girls students in Lorestan high school province were selected by multi-stage cluster sampling method. The participants completed the Eating Attitudes Test (Garner, Olmsted, Bohr & Garfinkel, 1982), the Body Dysmorphic Metacognition Questionnaire (Rabiei, Salahian, Bahrami & Palahang, 2011), and the Child Depression Inventory (Kovacs & Beck, 1977). The Pearson Correlation and Concurrent Regression were used for analysis. The results showed that the components of depression (negative mood, interpersonal problems, ineffectiveness, anhedonia, and negative self-esteem) and the components of body dysmorphic metacognition (metacognitive control, thought-action fusion, metacognitive negative and positive beliefs, and safety behaviors) had a significant and positive relationship with an eating disorder. In addition, the results of regression analysis showed that negative mood, negative self-esteem, and metacognitive control could predict eating disorders. Based on findings considering the components of depression and body dysmorphic metacognition may have an important clinical role in the processes of prevention and treatment of the eating disorder.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Arlington, US: American Psychiatric Association.
Babae, S., Khodapanahi, M. K., & Sedgh Pour, S. (2007). Validating and investigating reliability of the Eating Attitude Test. International Journal of Behavioral Sciences, 1(1), 61-68. [In Persian].
Benjet, C., Albor, Y. C., Bocanegra, E. S., Borges, G., Méndez, E., Casanova, L., & Medina-Mora, M. E. (2020). Incidence and recurrence of depression from adolescence to early adulthood: A longitudinal follow-up of the Mexican Adolescent Mental Health Survey. Journal of Affective Disorders, 263, 540–546.
Bernaras, E., Jaureguizar, J., & Garaigordobil, M. (2019). Child and adolescent depression: A review of theories, evaluation instruments, prevention programs, and treatments. Frontiers in Psychology, 20(10), 1-24.
Chithambo, T. P., Stanley, J., & Huey, J. (2017). Internet delivered eating disorder prevention: A randomized controlled trial of dissonance-based and cognitive-behavioral interventions. International Journal of Eating Disorders, 50(9), 995-1118.
Chua, Y. W., Lewis, G., Easter, A., Lewis, G., & Solmi, F. (2019). Eighteen-year trajectories of depressive symptoms in mothers with a lifetime eating disorder: Findings from the ALSPAC cohort. The British Journal of Psychiatry, 5, 1-7.
Combs, J. L., Pearson, C. M., Zapolski, T. C., & Smith, G. T. (2013). Preadolescent disordered eating predicts subsequent eating dysfunction. Journal of Pediatric Psychology, 38(1), 41-49.
Costarelli, V., Antonopoulou, K., & Mavrovounioti, C. H. (2011). Psychosocial characteristics in relation to disordered eating attitudes in Greek adolescents. European Eating Disorders Review, 19(4), 322-330.
Coughlin J. W & Guarda A. S. (2006). Behavioral disorders affecting food intake: Eating disorders and other psychiatric conditions. Lippincott, US: Williams & Wilkins.
Damercheli, N., Kakavand, A., & Jalali, M. (2017). The mediating role of fear of positive and negative evaluation on the relationship between social anxiety and eating disorder. Journal of Developmental Psychology: Iranian Psychologists, 13(51), 271-284. [In Persian].
Delavar, A. (2019). Theoretical and practical foundations of research in humanities and social sciences. Tehran: Roshd Publication. [In Persian].
Dingemans, A. E., Van Rood, Y. R., De Groot, I., & Van Furth, E. F. (2012). Body dysmorphic disorder in patients with an eating disorder: Prevalence and characteristics. International Journal of Eating Disorders, 45(4), 562-569.
Drieberg, H., McEvoy, P. M., Hoiles, K. J., Shu, C. Y., & Egan, S. J. (2019). An examination of direct, indirect and reciprocal relationships between perfectionism, eating disorder symptoms, anxiety, and depression in children and adolescents with eating disorders. Eating behaviors, 32, 53–59.
Duncombe Lowe, K., Barnes, T. L., Martell, C., Keery, H., Eckhardt, S., Peterson, C. B., Lesser, J., & Le Grange, D. (2019). Youth with Avoidant/Restrictive Food Intake Disorder: Examining Differences by Age, Weight Status, and Symptom Duration. Nutrients, 11(8), 1955.
Eftekhari, M. H., Ahmadi, A., Khezri, H., & Hassanzadeh, J. (2015). The prevalence of weight – controlling attitude and eating disorders and their association with anthropometric indices in female adolescent students. Yafte, 16(3), 78-84. [In Persian].
Eisenberg, D., Nicklett, E. J., Roeder, K., & Kirz, N. E. (2011). Eating disorder symptoms among college students: Prevalence, persistence, correlates, and treatment-seeking. Journal of American College Health, 59(8), 700-707.
Enander, J., Ivanov, V. Z., Mataix-Cols, D., Kuja-Halkola, R., Ljótsson, B., Lundström, S., Pérez-Vigil, A., Monzani, B., Lichtenstein, P., & Rück, C.(2018). Prevalence and heritability of body dysmorphic symptoms in adolescents and young adults: A population-based nationwide twin study. Psychological Medicine, 48(16), 1-8.
Escandon-Nagel, N., Pero, M., Grau, A., Soriano, J., & Feixas, G. (2018). Emotional eating and cognitive conflict as predictors of binge eating disorder in patients with obesity. International Journal of Clinical and Health Psychology, 18(1), 52-59.
Esnaashari, N., Bakhshayesh, A., & Afshani, A. (2014). The prevalence of body dysmorphic disorder in female adolescents of Yazd. Journal of Shahid Sadoughi University of Medical Sciences, 22 (3), 1237-1245. [In Persian].
Feng, T., & Abebe, D. S. (2017). Eating behavior disorders among adolescents in a middle school in Dongfanghong, China. Journal of Eating Disorders, 5(47), 1-10.
Fusco, J. R. (2012). Encyclopedia of depression research. New York, US: Nova Science.
Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: Psychometric features and clinical correlates. Psychological Medicine, 12(4), 871-878.
Grogan, S. (2016). Body image: Understanding body dissatisfaction in men, women and children. London, UK: Routledge
Henn, A. T., Taube, C. O., Vocks, S., & Hartmann, A. S. (2019). Body image as well as eating disorder and body dysmorphic disorder symptoms in heterosexual, homosexual, and bisexual women. Front Psychiatry, 10, 531-540.
Hosseinzadeh, A., Hooman, H., Salehi, M., & Kooshki, S. (2012). Maternal bonding and vulnerability related to eating: The mediational role of eating disorder beliefs and alexithymia. Journal of Developmental Psychology: Iranian Psychologists, 9(34), 129-142. [In Persian].
Hughes, E. K., Kerr, J. A., Patton, G. C., Sawyer, S. M., Wake, M., Le Grange, D., & Azzopardi, P. (2019). Eating disorder symptoms across the weight spectrum in Australian adolescents. The International Journal of Eating Disorders, 52(8), 885–894.
Kordi, M., Mohamadirizi, S., Shakeri, M., ModarresGharavi, M., & Salehi Fadardi, J. (2015). Prevalence of depression, anxiety, stress and health behaviors in female high school students in Mashhad and its relationship with some health-related behaviors. The Journal of Toloo-e-Behdasht, 13 (5), 56-67. [In Persian].
Izadi, A., & Asjodi, F. (2018). Eating disorders risk and its relation to depression and body dissatisfaction among Iranian females participating sports clubs. Journal of Nutritional Science and Dietetics, 4(3), 20-29.
Kollei, I., Brunhoeber, S., Rauh, E., De Zwaan, M., & Martin, A. (2012). Body image, emotions and thought control strategies in body dysmorphic disorder compared to eating disorders and healthy controls. Journal of Psychosomatic Research, 72(4), 321-327.
Koplewicz, H. S., & Klass, E. (2016). Depression in children and adolescents. London, UK: Routledge.
Kovacs, M., & Beck, A. T. (1977). An empirical-clinical approach toward a definition of childhood depression. Depression in childhood: Diagnosis, treatment and conceptual models. New York, US: Raven Press.
Lee, J. (2014). Temperament, parenting and South Korean early adolescent's physical aggression: A five-wave longitudinal analysis. Health Education Journal, 73(33), 313-323.
Nieuwoudt, J. E., Zhou, S., Coutts, R. A., & Booker, R. (2015). Symptoms of muscle dysmorphia, body dysmorphic disorder, and eating disorders in a nonclinical population of adult male weightlifters in Australia. Journal of Strength and Conditioning Research, 29(5), 1406-1414.
Phillipou, A., Castle, D. J., & Rossell, S. L. (2019). Direct comparisons of anorexia nervosa and body dysmorphic disorder: A systematic review. Psychiatry Research, 274, 129–137.
Rajabi, Gh. (2007). An investigation of reliability of validity the Child Depression Inventory in adolescents between 13 and 15 years old. Journal of Psychology and Educational Sciences, 2(7), 23-46. [In Persian].
Rabiei, M., Salahian, A., Bahrami, F., & Palahang, H. (2011). Construction and standardization of the Body Dysmorphic Metacognition Questionnaire. Journal of Mazandaran University of Medical Sciences, 21(83), 43-52. [In Persian].
Safarzade, S., & Mahmoody Khorandi Z. (2015). Survey on eating disorders (nervosa anorexia, bulimia) among 13-18-Year- old adolescents of Gonabad City in 2014. The Journal of Rafsanjan University of Medical Sciences, 14(5), 393-404. [In Persian].
Safarzade,, S., Tohidinik,, H., & Mahmoody-Khorandi,, Z. (2016). Prevalence of body dysmorphic disorder in adolescents of Gonabad City in 2014. Journal of Clinical Psychology, 8(1), 93-100. [In Persian].
Samuelson, R. (2017). The impact of diet and nutrition on adolescent depression: A systematic review. Master’s thesis, Catherine University.
Sansfacon, J., Steiger, H., Gauvin, L., Fletcher, E., & Israel, M. (2017). Does level of motivation for change impact post-treatment outcomes in the eating disorders? Protocol for a systematic review with quantitative analysis. Journal of Eating Disorder, 5(17), 1-9.
Schneider, S. C., Turner, C. M., Storch, E. A., & Hudson, J. L. (2019). Body dysmorphic disorder symptoms and quality of life: The role of clinical and demographic variables. Journal of Obsessive Compulsive and Related Disorders, 21, 1-5.
Shaw, A. M., Hall, K. A., Rosenfield, E., & Timpano, K. R. (2016). Body dysmorphic disorder symptoms and risk for suicide: The role of depression. Body Image,19, 169-174.
Singleton, C., Kenny, T. E., Hallett, D., & Carter, J. C. (2019). Depression partially mediates the association between binge eating disorder and health-related quality of life. Frontiers in Psychology, 10, 209-216.
Skinner, H. H., Haines, J., Austin, S. B., & Field, A. E. (2012). A prospective study of overeating, binge eating, and depressive symptoms among adolescent and young adult women. Journal of Adolescent Health, 50(5), 478-483.
Smink, F. R., van Hoeken, D., Oldehinkel, A. J., & Hoek, H. W. (2014). Prevalence and severity of DSM‐5 eating disorders in a community cohort of adolescents. International Journal of Eating Disorders, 47, 610– 619.
Sund, A. M., Larsson, B., & Wichstrom, L. (2011). Prevalence and characteristics of depressive disorders in early adolescents in Central Norway. Child and Adolescent Psychiatry and Mental Health, 5, 28-35.
Trompeter, N., Bussey, K., Hay, P., Griffiths, S., Murray, S. B., Mond, J., Lonergan, A., Pike, K. M., & Mitchison, D. (2019). Fear of negative evaluation among eating disorders: Examining the association with weight/shape concerns in adolescence. The International Journal of Eating Disorders, 52(3), 261–269.
Veale, D., Gledhill, L. J., Christodoulou, P., & Hodsoll, J. (2016). Body dysmorphic disorder in different settings: A systematic review and estimated weighted prevalence. Body Image, 18, 168–186.
Walker, D. C., White, E. K., & Srinivasan, V. J. (2018). A meta‐analysis of the relationships between body checking, body image avoidance, body image dissatisfaction, mood, and disordered eating. International Journal of Eating Disorders, 51, 745– 770.
World Health Organization. (2018). Depression fact sheet. Retrieved September13, 2018 from https://word health organization.
Young, R., Len Rios, M., & Young, H. (2017). Romantic motivations for social media use, social comparison, and online aggression among adolescents. Computers in Human Behavior, 75, 385-395.
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