青少年认知灵活性抑郁与进食态度的相关性  

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

作　　者：乞盟 王璇[2] 张立刚[2] 周双桨[2] 徐海婷[2] 李洁[3] 张启录 陈景旭[2] QI Meng;WANG Xuan;ZHANG Ligang;ZHOU Shuangjiang;XU Haiting;LI Jie;ZHANG Qilu;CHEN Jingxu(Department of Psychology,Chengde Medical College,Chengde 061000,Hebei Province,China;不详)

机构地区：[1]承德医学院心理学系,河北067000 [2]北京回龙观医院/北京大学回龙观临床医学院 [3]日照市人民医院 [4]莒县碁山镇中心初级中学

出　　处：《中国学校卫生》2020年第8期1177-1179,1184,共4页Chinese Journal of School Health

基　　金：首都卫生发展科研专项项目(2018-3-2132)。

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1231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。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 1231 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.

关 键 词：认知 抑郁 进食障碍 精神卫生 回归分析 青少年 

分 类 号：B844.2[哲学宗教—发展与教育心理学] R179[哲学宗教—心理学]