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青少年进食障碍性别差异形成的影响因素及其预防与治疗途径
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Abstract:
近年来,青少年进食障碍的患病率呈逐年增长的趋势,且女性患病率远超男性。文章通过查阅近十五年国内外的相关文献,梳理了青少年进食障碍的概念、分类及特点,探讨造成女性青少年进食障碍患病率高的生理、心理、环境因素,从心理学的视角提出预防青少年患进食障碍的途径,同时结合最新的治疗技术提出青少年进食障碍的心理治疗方法,并对未来的研究和应用进行展望,具有一定的现实意义和指导价值。
In recent years, the prevalence rate of adolescent eating disorders has been increasing year by year, and the prevalence rate of females is far higher than that of males. By referring to the relevant literature at home and abroad in the past 15 years, this paper sorts out the concept and classification of adolescent eating disorders, explores the physiological, psychological, and environmental factors that cause the high prevalence rate of adolescent eating disorders, proposes ways to prevent adolescent eating disorders from the perspective of psychology, and suggests psychological treatment methods for adolescent eating disorders in combination with the latest treatment technology. And the prospect of future research and application has certain practical significance and guiding value.
[1] | 曹怡(2021). 浅析接纳承诺疗法在心理咨询中的应用. 心理与健康, (9), 26-27. |
[2] | 陈红(2006). 青少年的身体自我: 理论与实证. 新华出版社. |
[3] | 陈红, 刘馨元(2021). 中国人限制性饮食和食物渴求的认知神经机制. 心理科学进展, 29(6), 951-958. |
[4] | 费定舟, 马言民(2017). 完美主义真的“完美”吗?——完美主义综述. 中国临床心理学杂志, 25(3), 566-571. |
[5] | 高一鸣, 陈珏(2019). 进食障碍发病危险因素的研究进展. 上海交通大学学报, 39(4), 432-435. |
[6] | 郭莉萍, 黄明明, 蔡国英(2021). 时尚媒体暴露对中学女生进食障碍的影响: 自我客体化与外表焦虑的链式中介作用. 中国临床心理学杂志, 29(2), 343-346. |
[7] | 何沁鸿(2020). 社会体育运动促进人类身心健康的发展思考. 体育风尚, (7), 26. |
[8] | 姜春平, 冷嵩, 郭旭婷(2016). 进食障碍预防理论模型下开展体育运动预防治疗的研究. 哈尔滨体育学院学报, 34(1), 83-87. |
[9] | 廖雪梅, 陈超, 张大荣, 李雪霓, 苏允爱, 司天梅, 孔庆梅(2019). 神经性厌食不同亚型女性患者的临床特征及影响因素. 中国心理卫生杂志, 33(7), 514-518. |
[10] | 刘文超, 赵立军(2022). 媒体形象内化与年轻女性求瘦倾向: 多重中介效应. 校园心理, 20(5), 363-367. |
[11] | 刘兴华, 徐钧, 张琴, 吴燕霞(2016). “此刻觉察”正念训练的定义、操作及可行性. 中国健康心理学杂志, 24(8), 1224-1229. |
[12] | 刘勇, 陈健芷, 姜梦(2013). 神经性贪食症的心理干预. 中国临床心理学杂志, 21(3), 467-470, 489. |
[13] | 沈静(2018). 进食障碍与完美主义的相关研究. 智库时代, (32), 237-238, 247. |
[14] | 王超(2019). 全球女性和中国青少年女性及青年女性进食障碍检出率及其相关因素的研究. 硕士学位论文, 石家庄: 河北医科大学. |
[15] | 许翼翔, 陈珏, 肖泽萍(2019). 进食障碍患者的体象障碍: 概念及研究进展. 上海交通大学学报(医学版), 39(2), 207-212. |
[16] | 于超然, 于昕洋, 梁瑞, 范志涛, 王梅, 王葵, 杨新华(2020). 媒体对青少年身体意象的影响. 中华健康管理学杂志, 14(2), 177-180. |
[17] | 袁加锦, 龙泉杉, 张丹丹(2018). 男性vs女性: 情绪易感性的女性优势与负性情绪调节的男性优势. 见 中国心理学会, 第二十一届全国心理学学术会议摘要集(pp. 864-865). 中国心理学会出版. |
[18] | 张春(2015). 流行文化对青少年审美的影响及对策. 中学政治教学参考, (3), 28-30. |
[19] | 赵成毅, 姜兆萍(2021). 自我客体化对女大学生异常进食行为的影响: 有调节的中介效应. 中国健康心理学杂志, 29(6), 956-960. |
[20] | 赵天凤, 胡雅梅(2023). 情绪性进食行为的研究综述. 心理月刊, 18(2), 219-222. |
[21] | 赵喆, 黄喜珊, 王薇, 李乡宁, 黄晓仪, 张颖慧(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. |
[22] | Arduini, T., Iorio, D., & Patacchini, E. (2019). Weight, Reference Points, and the Onset of Eating Disorders. Journal of Health Economics, 65, 170-188. https://doi.org/10.1016/j.jhealeco.2019.03.004 |
[23] | Bankoff, S. M., Karpel, M. G., Forbes, H. E., & Pantalone, D. W. (2012). A Systematic Review of Dialectical Behavior Therapy for the Treatment of Eating Disorders. Eating Disorders, 20, 196-215. https://doi.org/10.1080/10640266.2012.668478 |
[24] | Beck, A. T. (2019). A 60-Year Evolution of Cognitive Theory and Therapy. Perspectives on Psychological Science, 14, 16-20. https://doi.org/10.1177/1745691618804187 |
[25] | Fisher, C. A., Skocic, S., Rutherford, K. A., & Hetrick, S. E. (2020). Family Therapy Approaches for Anorexia Nervosa: A Cochrane Review. BJPsych Advances, 26, 130-130. https://doi.org/10.1192/bja.2020.15 |
[26] | Fredrickson, B. L., & Roberts, T. (1997). Objectification Theory: Toward Understanding Women’s Lived Experiences and Mental Health Risks. Psychology of Women Quarterly, 21, 173-206. https://doi.org/10.1111/j.1471-6402.1997.tb00108.x |
[27] | Garfinkel, P. E., Garner, D. M., Rose, J., Darby, P. L., Brandes, J. S., O’Hanlon, J. et al. (1983). A Comparison of Characteristics in the Families of Patients with Anorexia Nervosa and Normal Controls. Psychological Medicine, 13, 821-828. https://doi.org/10.1017/s0033291700051539 |
[28] | Karwautz, A., Nobis, G., Haidvogl, M., Wagner, G., Hafferl-Gattermayer, A., Wöber-Bingöl, C. et al. (2003). Perceptions of Family Relationships in Adolescents with Anorexia Nervosa and Their Unaffected Sisters. European Child & Adolescent Psychiatry, 12, 128-135. https://doi.org/10.1007/s00787-003-0319-1 |
[29] | Klatzkin, R. R., Gaffney, S., Cyrus, K., Bigus, E., & Brownley, K. A. (2018). Stress-Induced Eating in Women with Binge-Eating Disorder and Obesity. Biological Psychology, 131, 96-106. https://doi.org/10.1016/j.biopsycho.2016.11.002 |
[30] | Kristeller, J. L., & Wolever, R. Q. (2011). Mindfulness-Based Eating Awareness Training for Treating Binge Eating Disorder: The Conceptual Foundation. Eating Disorders, 19, 49-61. https://doi.org/10.1080/10640266.2011.533605 |
[31] | Lock, J., & Le Grange, D. (2019). Family‐Based Treatment: Where Are We and Where Should We Be Going to Improve Recovery in Child and Adolescent Eating Disorders. International Journal of Eating Disorders, 52, 481-487. https://doi.org/10.1002/eat.22980 |
[32] | Mingoia, J., Hutchinson, A. D., Wilson, C., & Gleaves, D. H. (2017). The Relationship between Social Networking Site Use and the Internalization of a Thin Ideal in Females: A Meta-Analytic Review. Frontiers in Psychology, 8, Article 1351. https://doi.org/10.3389/fpsyg.2017.01351 |
[33] | Nicholls, W., Devonport, T. J., & Blake, M. (2016). The Association between Emotions and Eating Behaviour in an Obese Population with Binge Eating Disorder. Obesity Reviews, 17, 30-42. https://doi.org/10.1111/obr.12329 |
[34] | Rüther, N. M., & Richman, C. L. (1993). The Relationship between Mothers’ Eating Restraint and Their Children’s Attitudes and Behaviors. Bulletin of the Psychonomic Society, 31, 217-220. https://doi.org/10.3758/bf03337328 |
[35] | Sights, J. R., & Richards, H. C. (1984). Parents of Bulimic Women. International Journal of Eating Disorders, 3, 3-13. https://doi.org/10.1002/1098-108x(198422)3:4<3::aid-eat2260030402>3.0.co;2-3 |
[36] | Thelen, M. H., & Cormier, J. F. (1995). Desire to Be Thinner and Weight Control among Children and Their Parents. Behavior Therapy, 26, 85-99. https://doi.org/10.1016/s0005-7894(05)80084-x |
[37] | Versini, A., Ramoz, N., Le Strat, Y., Scherag, S., Ehrlich, S., Boni, C. et al. (2010). Estrogen Receptor 1 Gene (ESR1) Is Associated with Restrictive Anorexia Nervosa. Neuropsychopharmacology, 35, 1818-1825. https://doi.org/10.1038/npp.2010.49 |