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      Relationship between cognitive flexible, depression and eating attitude in middle school students

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          Abstract

          Objective To explore the relationship among cognitive flexibility, depression and eating attitude of adolescents and the influencing factors of eating attitude.

          Methods A total of 1 231 subjects were assessed using general information questionnaire, Kutcher Adolescent Depression Scale 11-item (KADS-11), Cognitive Flexibility Inventory (CFI), Eating Attitude Test-26 (EAT-26). Data were analyzed by independent sample t-test, univariate linear regression, spearman correlation analysis and Logistic regression.

          Results There were significant differences in EAT-26 among adolescents between genders and between those with or without depression ( P<0.01) . Statistically significant differences were observed in CFI, flexible control and KADS-11 among adolescents with or without eating disorders ( P<0.01). The scores of EAT-26 was negatively correlated with CFI ( r = −0.19, P<0.01) and flexible control ( r = −0.23, P<0.01). And there was a significant positive correlation between EAT-26 and KADS-11 ( r = 0.23, P< 0.01). Female ( OR = 2.40, 95% CI =1.87−3.23), depression ( OR = 1.76, 95% CI = 1.35−2.29) and poor flexible control ( OR = 1.94, 95%CI =1.48−2.54) were risk factors for eating disorders.

          Conclusion Female, individuals with depressive symptoms or with poor flexible control ability are more likely to have eating disorders which need more attention.

          Abstract

          【摘要】 目的 探讨青少年认知灵活性、抑郁对进食态度的影响, 为完善进食障碍的早期识别与干预提供参考依据。 方法 采用一般资料问卷、Kutcher 青少年抑郁量表 11 项版 (Kutcher Adolescent Depression Scale 11-item, KADS-11)、认知 灵活性量表 (Cognitive Flexibility Inventory, CFI)和进食态度问卷 (Eating Attitude Test-26, EAT-26)对日照市 1 231 名学生 进行测评, 采用独立样本 t检验、非参数检验、Spearman相关分析和Logistic回归分析进行分析。 结果 不同性别和有无抑 郁青少年之间的EAT-26总分差异均有统计学意义( P值均<0.01)。有无进食障碍症状青少年之间的CFI总分、灵活控制 性因子评分与KADS-11总分差异均有统计学意义( P值均<0.01)。青少年EAT-26总分与CFI总分 ( r =-0.19)及灵活控 制性评分 ( r = -0.23)呈负相关, 与KADS-11总分呈正相关( r = 0.23) ( P值均<0.01)。女生( OR =2.40, 95%CI = 1. 87〜 3.23)、抑郁症状 ( OR =1.76, 95%CI =1.35〜2.29)和灵活控制性差 ( OR =1.94, 95%CI =1.48〜2.54)与进食障碍症状正向相 关。 结论 女性、抑郁症状、灵活控制能力较差更易发生进食障碍, 需要加以关注。

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          Author and article information

          Journal
          CJSH
          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          1000-9817
          01 August 2020
          01 August 2020
          : 41
          : 8
          : 1177-1179
          Affiliations
          [1] 1Department of Psychology, Chengde Medical College, Chengde (067000), Hebei Province, China
          Author notes
          *Corresponding author: Chen Jingxu, E-mail: chenjx1110@ 123456163.com
          Article
          j.cnki.1000-9817.2020.08.015
          10.16835/j.cnki.1000-9817.2020.08.015
          8e28952c-a54d-48e5-a8d1-82ce442ed2b6
          © 2020 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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          Self URI (journal-page): http://www.cjsh.org.cn
          Categories
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Adolescent,Eating disorders,Cognition,Regression analysis,Depression,Mental health

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