Associations among alexithymia, disordered eating, and depressive symptoms in treatment-seeking adolescent military dependents at risk for adult binge-eating disorder and obesity

述情障碍 暴食 剧食症 心理学 肥胖 临床心理学 精神科 饮食失调 抑郁症状 饮食失调 医学 神经性贪食症 焦虑 内科学
作者
Alexander Rice,Jason M. Lavender,Lisa M. Shank,M. K. Higgins Neyland,Bethelhem Markos,Hannah Repke,Hannah E. Haynes,Julia Gallagher-Teske,Natasha A. Schvey,Tracy Sbrocco,Denise E. Wilfley,Brian Ford,Caitlin B. Ford,Sarah Jorgensen,Jack A. Yanovski,Mark C. Haigney,David A. Klein,Jeffrey D. Quinlan,Marian Tanofsky‐Kraff
出处
期刊:Eating and Weight Disorders-studies on Anorexia Bulimia and Obesity [Springer Science+Business Media]
卷期号:27 (8): 3083-3093 被引量:3
标识
DOI:10.1007/s40519-022-01429-z
摘要

Evidence suggests that difficulties identifying and describing one's feelings, core components of alexithymia, are associated with attitudinal and behavioral symptoms of disordered eating; depressive symptoms also may underlie these associations. Specifically, research indicates that alexithymia is positively related to depressive symptoms, which in turn may promote both disordered-eating attitudes and certain disinhibited-eating behaviors (e.g., emotional eating). Findings also suggest that military-dependent youth with high weight may exhibit elevated depressive symptoms and disordered eating. As such, understanding associations among alexithymia, depressive symptoms, and disordered eating is particularly relevant for this vulnerable population. We examined 149 adolescent military dependents (14.4 ± 1.6y; 55.0% female; 20.0% non-Hispanic Black; BMIz: 1.9 ± 0.4) at high risk for binge-eating disorder and obesity in adulthood. Participants completed questionnaires assessing two components of alexithymia (difficulty identifying feelings [DIF] and difficulty describing feelings [DDF]), depressive symptoms, emotional eating, and trait anxiety; disordered-eating attitudes were assessed via semi-structured interview. A series of regression-based models examined indirect relationships of DIF and DDF with disordered-eating attitudes and emotional eating through depressive symptoms. Bootstrapped 95% confidence intervals revealed a significant indirect path from each of the alexithymia components to disordered-eating attitudes via depressive symptoms; indirect paths to emotional eating were non-significant. Results support the salience of depressive symptoms in the relationship between alexithymia and disordered-eating attitudes. Future research should utilize prospective designs and explore direct and indirect associations of alexithymia with other disordered-eating behaviors. Level III, evidence obtained from a well-designed cohort study.
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