|
我国大学生进食障碍症状检出率的Meta分析
|
Abstract:
目的:系统评价我国大学生进食障碍症状的发生情况,为大学生进食障碍症状防治工作提供科学依据。方法:检索万方、CNKI、PubMed、Web of science等中英文数据库,收集并筛选相关文献,使用随机效应模型合并进食障碍症状检出率,按时间跨度、地区、性别、所在年级、量表、居住地进行亚组分析。结果:本研究纳入24篇文献,共调查20,197人,进食障碍症状1803人,meta分析合并效应值为9.9%。亚组分析发现,2011~2021年大学生进食障碍症状检出率高于2002~2010年(5.6% VS. 13.4%);经济较发达地区(17.7%)高于其他地区。女性进食障碍症状检出率(11.6%)高于男性;大学二年级学生(12.8%)高于其他年级;城市(15.9%)高于农村。结论:我国大学生进食障碍症状检出率较高,应增强对大学生饮食健康方面的关注。
Objective: To systematically evaluate the occurrence of eating disorder symptoms among college students in China and provide a scientific basis for the prevention and treatment of eating disorder symptoms among college students. Method: Chinese and English databases such as Wanfang, CNKI, PubMed, and Web of science were searched, relevant literature was collected and screened, the detection rates of eating disorder symptoms were combined using a random-effects model, and subgroup analyses were conducted according to the period, region, gender, year of study, scale and place of residence. Results: Twenty-four literature articles were included in this study, with a total of 20,197 people surveyed and 1803 people with eating disorder symptoms, and a combined effect value of 9.9% for meta-analysis. Subgroup analysis revealed that the detection rate of eating disorder symptoms was higher among university students in 2011~2021 than in 2002~2010 (5.6% vs. 13.4%), and higher in more economically developed regions (17.7%) than in other regions. The detection rate of eating disorder symptoms was higher among females (11.6%) than males; higher among second-year university students (12.8%) than in other years; and higher in urban areas (15.9%) than in rural areas. Conclusion: The detection rate of eating disorder symptoms among university students in China is high, and attention to the dietary health of university students should be enhanced.
[1] | 陈贵, 郭桂平, 张斌, 等(2018). 青少年受虐待经历与进食障碍症状的关系. 中国心理卫生杂志, 32(11), 926-932. |
[2] | 陈珏(2013). 进食障碍. 人民卫生出版社. |
[3] | 陈贻珊, 张一民, 孔振兴, 等(2017). 我国儿童青少年超重、肥胖流行现状调查. 中华疾病控制杂志, 21(9), 866-869. |
[4] | 黄明明, 赵守盈, 陈丽萍, 等(2020). 性客体化经历对青少年女生进食障碍的影响: 身体监视与性自尊的序列中介作用. 中国特殊教育, (2), 57-62. |
[5] | 孔庆梅(2018). 中国进食障碍防治指南解读. 中华精神科杂志, 51(6), 355-358. |
[6] | 李红娟, 李洁, 徐海婷, 等(2020). 中学生进食障碍状况及与自我控制的相关性. 中国心理卫生杂志, 34(9), 767-771. |
[7] | 梁茜(2022). 媒体理想身材形象内化对中学生进食障碍倾向的影响: 有调节的链式中介模型. 硕士学位论文, 广州: 广州大学. |
[8] | 梁雪梅, 郭兰婷, 刘可智(2008). 成都市区1486名女性大、中学生进食障碍的现况调查. 中华流行病学杂志, 29(4), 321-324. |
[9] | 孟琴琴, 张亚黎, 任爱国(2013). 中国育龄夫妇不孕率系统综述. 中华流行病学杂志, 34(8), 826-831. |
[10] | 钱铭怡, 刘鑫(2002). 北京女大学生节食状况及进食障碍状况的初步调查. 中国心理卫生杂志, 16(11), 753-757. |
[11] | 苏小路(2008). 进食障碍的流行现状、影响因素和预防措施. 国外医学: 卫生学分册, 35(4), 240-244. |
[12] | 王瑜, 杨武代, 曾艳, 等(2020). 重庆女大学生体型认知偏差对节食行为的预测作用. 中国学校卫生, 41(8), 1151-1154. |
[13] | 谢爱, 蔡太生, 何金波, 等(2016). 负性情绪对大学生情绪性进食的影响: 消极应对方式的中介作用. 中国临床心理学杂志, 24(2), 298-301. |
[14] | 赵喆, 黄喜珊, 王薇, 等(2017). 进食障碍的性别差异及其影响因素研究述评. 中国健康心理学杂志, 25(5), 792-797. |
[15] | Badenes-Ribera, L., Rubio-Aparicio, M., Sánchez-Meca, J. et al. (2019). The Association between Muscle Dysmorphia and Eating Disorder Symptomatology: A Systematic Review and Meta-Analysis. Journal of Behavioral Addiction, 8, 351-371. |
[16] | https://doi.org/10.1556/2006.8.2019.44 |
[17] | Blashill, A. J. (2011). Gender Roles, Eating Pathology, and Body Dissatisfaction in Men: A Meta-Analysis. Body Image, 8, 1-11. https://doi.org/10.1016/j.bodyim.2010.09.002 |
[18] | Casey, B. J., Galvan, A., & Hare, T. A. (2005). Changes in Cerebral Functional Organization during Cognitive Development. Current Opinion in Neurobiology, 15, 239-244. https://doi.org/10.1016/j.conb.2005.03.012 |
[19] | Decaluwé, V., Braet, C., & Fairburn, C. G. (2010). Binge Eating in Obese Children and Adolescents. International Journal of Eating Disorders, 33, 78-84. https://doi.org/10.1002/eat.10110 |
[20] | Ganson, K. T., Cuccolo, K., & Nagata, J. M. (2022). Associations between Psychosis Symptoms and Eating Disorders among a National Sample of US College Students. Eating Behaviors, 45, Article ID: 101622. |
[21] | https://doi.org/10.1016/j.eatbeh.2022.101622 |
[22] | Goldhammer, H. B., Maston, E. D., & Keuroghlian, A. S. (2019). Addressing Eating Disorders and Body Dissatisfaction in Sexual and Gender Minority Youth. American Journal of Preventive Medicine, 56, 318-322. |
[23] | https://doi.org/10.1016/j.amepre.2018.09.011 |
[24] | Griffiths, S., Murray, S. B., & Touyz, S. (2013). Disordered Eating and the Muscular Ideal. International Journal of Eating Disorders, 1, Article No. 15. https://doi.org/10.1186/2050-2974-1-15 |
[25] | Gross, J. J., & Thomson, R. A. (2007). Emotion Regulation: Conceptual Foundations. J.j.Gross Handbook, 21, 431-441. |
[26] | Hay, P., & Weissman, R. S. (2022). People’s Lived Experience with an Eating Disorder during the COVID-19 Pandemic: A Joint Virtual Issue of Research Published in Leading Eating Disorder Journals. International Journal of Eating Disorders, 55, 155-160. https://doi.org/10.1002/eat.23653 |
[27] | Hoek, H. W. (1993). Review of the Epidemiological Studies of Eating Disorders. International Review of Psychiatry (Abingdon, England), 5, 61-74. https://doi.org/10.3109/09540269309028295 |
[28] | Hoy, D., Brooks, P., Woolf, A. et al. (2012). Assessing Risk of Bias in Prevalence Studies: Modification of an Existing Tool and Evidence of Interrater Agreement. Journal of Clinical Epidemiology, 65, 934-939. |
[29] | https://doi.org/10.1016/j.jclinepi.2011.11.014 |
[30] | Jongenelis, M. I., Byrne, S. M., & Pettigrew, S. (2014). Self-Objectification, Body Image Disturbance, and Eating Disorder Symptoms in Young Australian Children. Body Image, 11, 290-302. https://doi.org/10.1016/j.bodyim.2014.04.002 |
[31] | Koushiou, M., Nikolaou, P., & Karekla, M. (2020). Prevalence and Correlates of Eating Disorders in Greek-Cypriot Adolescents and Young Adults. The European Journal of Counselling Psychology, 8, 3-18. |
[32] | https://doi.org/10.5964/ejcop.v8i1.170 |
[33] | Lee, G., Ha, Y., Vann, J. J. et al. (2009). Weight Perception and Dieting Behavior among Korean Adolescents. Journal of School Nursing, 25, 427-435. https://doi.org/10.1177/1059840509333788 |
[34] | Lee, S., Lee, A. M., Leung, T. et al. (1997). Psychometric Properties of the Eating Disorders Inventory (EDI-1) in a Nonclinical Chinese Population in Hong Kong. International Journal of Eating Disorders, 21, 187-194. |
[35] | Mitchison, D. et al. (2020). DSM-5 Full Syndrome, Other Specified, and Unspecified Eating Disorders in Australian Adolescents: Prevalence and Clinical Significance. Psychology Medicine, 50, 981-990. |
[36] | https://doi.org/10.1017/S0033291719000898 |
[37] | Pike, K. M., & Dunne, P. E. (2015). The Rise of Eating Disorders in Asia: A Review. Journal of Eating Disorders, 3, Article No. 33. https://doi.org/10.1186/s40337-015-0070-2 |
[38] | Podar, I., & Allik, J. (2009). A Cross-Cultural Comparison of the Eating Disorder Inventory. International Journal of Eating Disorders, 42, 346-355. https://doi.org/10.1002/eat.20616 |
[39] | Rodríguez-Cano, T., Beato-Fernández, L., & Belmonte-Llario, A. (2005). New Contributions to the Prevalence of Eating Disorders in Spanish Adolescents: Detection of False Negatives. European Psychiatry, 20, 173-178. |
[40] | https://doi.org/10.1016/j.eurpsy.2004.04.002 |
[41] | Thorsteinsdottir, G., & Ulfarsdottir, L. (2008). Eating Disorders in College Students in Iceland. Asociación Universitaria de Zaragoza para el Progreso de la Psiquiatría y la Salud Mental. |
[42] | Tong, J., Miao, S., Wang, J. et al. (2014). A Two-Stage Epidemiologic Study on Prevalence of Eating Disorders in Female University Students in Wuhan, China. Social Psychiatry and Psychiatric Epidemiology, 49, 499-505. |
[43] | https://doi.org/10.1007/s00127-013-0694-y |
[44] | Warne, N., Heron, J., Mars, B. et al. (2021). Comorbidity of Self-Harm and Disordered Eating in Young People: Evidence from a UK Population-Based Cohort. Journal of Affective Disorders, 282, 386-390. |
[45] | https://doi.org/10.1016/j.jad.2020.12.053 |
[46] | Wilfley, D. E., Bishop, M. E., Wilson, G. T. et al. (2010). Classification of Eating Disorders: Toward DSM-V. International Journal of Eating Disorders, 40, S123-S129. https://doi.org/10.1002/eat.20436 |
[47] | Yang, H., & Stoeber, J. (2012). The Physical Appearance Perfectionism Scale: Development and Preliminary Validation. Journal of Psychopathology and Behavioral Assessment, 34, 69-83. https://doi.org/10.1007/s10862-011-9260-7 |