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.
【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。