西安市初中生进食行为问题和家庭因素的关系研究

中国儿童保健杂志 ›› 2012, Vol. 20 ›› Issue (8): 693-695.

西安市初中生进食行为问题和家庭因素的关系研究

李辉,田苑,王亚萍

西安交通大学医学院第二附属医院心理精神科,陕西西安 710004

收稿日期:2012-03-20 发布日期:2012-08-06 出版日期:2012-08-06
通讯作者: 王亚萍,E-mail:wyp63@hotmail.com
作者简介:李辉(1981-),女,陕西人,博士研究生,主要研究方向为儿童及青少年精神疾病
基金资助:
陕西省科技攻关项目(2010k01-142)

Study of relationship between eating behavior problems and familial factor among middle school students in Xi'an

LI Hui,TIAN Yuan,WANG Ya-ping

Department of Psychiatry and Psychology,Second Affiliated Hospital of Medical School,Xi'an Jiaotong University,Xi'an,Shaanxi 710004,China

Received:2012-03-20 Online:2012-08-06 Published:2012-08-06

摘要/Abstract

摘要： 【目的】调查西安市区初中生进食行为的现状,研究进食行为问题与家庭因素的关系,减少与进食障碍相关的进食行为问题对初中学生的危害。【方法】采用分层整群抽样方法,抽取西安市区631名初中学生作为调查对象,应用进食态度测试26项(EAT-26)、家庭亲密度和适应性量表Ⅲ(FACESⅢ)进行现场调查。【结果】西安市区13.47%的初中学生存在进食行为问题,其中女生占9.19%,多于男生;女生EAT-26总分明显高于男生,主要表现在节食维度;初三年级进食行为问题较严重,EAT-26总分显著高于初二年级,主要表现在口腔控制维度;初中男生家庭适应性与口腔控制维度呈正相关,而初中女生家庭亲密度与暴食维度呈正相关。【结论】家庭因素影响初中生的进食行为,对于存在进食行为问题的个体,应适当改变其家庭模式。

关键词: 进食行为, 家庭因素, 初中生

Abstract: 【Objective】 To investigate the present situation of abnormal eating behaviors related to eating disorders among junior high school students in Xi'an,China and familial factor having influence on these behaviors in order to reduce the disadvantages of eating behavior problems to middle school students. 【Method】 Questionnaires including the 26-item Eating Attitude Test (EAT-26) and the Family Adaptability and Cohesion Scale III (FACES III) were used to measure 631 junior high school students. 【Results】 13.47% of junior high school students (9.19% for girls,4.28% for boys) showed abnormal eating behaviors related to eating disorders.The girls' score of EAT-26 was higher than boys',particularly in subscale dieting.The grade three had more serious eating behavior problems,and its' score of EAT-26 was higher than the grade two's,particularly in subscale oral control.The positive correlation had been found between family cohesion and subscale oral control among boys,and family adaptability had distinguished positive correlation with subscale bulimia to girls. 【Conclusion】 Family function might have influences on eating behaviors to junior high school students,and individuals having eating behavior problems had better transform their family model moderately.

Key words: eating behaviors, familial factor, junior high school students

中图分类号:

R749.94

李辉,田苑,王亚萍. 西安市初中生进食行为问题和家庭因素的关系研究[J]. 中国儿童保健杂志, 2012, 20(8): 693-695.

LI Hui,TIAN Yuan,WANG Ya-ping. Study of relationship between eating behavior problems and familial factor among middle school students in Xi'an[J]. journal1, 2012, 20(8): 693-695.

参考文献

[1] 张亚林.高级精神病学[M].长沙:中南大学出版社,2007.
[2] 沈渔邨.精神病学[M].4版.北京人民卫生出版社,2003. [3] 谭庆荣,王家华.精神病学[M].西安:第四军医大学出版社,2006.
[4] Durand VM,Barlow DH.异常心理学基础[M].3版.张宁译.陕西:陕西师范大学,2005.
[5] American Psychiatric Association.DSM-IV分类与诊断标准[M].庞天鉴.杨森科学研究委员会中国分会,2001.
[6] 张大荣,徐玉玉,张卫华.ICD-10进食障碍分类和诊断标准在中国应用的几点修改建议[J].中国心理卫生杂志,2009,23(12):879-882.
[7] 陆晓花,张宁.进食障碍的亚临床状态[J].中国心理卫生杂志,2006,20(6):381-383.
[8] Garner DM,Garfinkel PE.The eating attitude test:an index of the symptoms of anorexia nervosa[J].Psychol Med,1979,9:273-279.
[9] Garner DM,Olmsted MP,Bohr Y,et al.The eating attitude test:psychometric features and clinical correlates[J].Psychol Med,1982,12(4):871-878.
[10] 张赛,路孝琴,杜蕾,等.家庭功能评价工具家庭亲密度和适应性量表的发展及其应用研究[J].中国全科医学,2010,13(7):725-728.
[11] 李婧,徐艺珊,李新宇.大学生非典型性进食障碍与身体自尊的关系研究[J].中国临床心理学杂志,2009,17(3):345-347.
[12] 梁雪梅,郭兰婷,刘可智,等.成都市区1486名女性大中学生进食障碍的现况调查[J].中华流行病学杂志,2008,29(4):321-324.
[13] Eddy KT,Doyle AC,Hoste RR,et al.Eating disorder not otherwise specified in adolescent[J].J Am Acad Child Adolesc Psychiatry,2008,47(2):156-164.
[14] Harrop EN,Marlatt GA.The comorbidity of substance use disorders and eating disorders in women:prevalence,etiology,and treatment[J].Addict Behav,2010,35(5):392-398.
[15] Karina M,O'Brien.Psychiatric comorbidity in anorexia and bulimia nervosa:nature,prevalence,and causal relationships[J].Clin Psychol Rev,2003,23:57-74.