학술논문
The relationship between anxiety, coping, and disordered-eating attitudes in adolescent military-dependents at high-risk for excess weight gain.
Document Type
Article
Author
Solomon, Senait; Shank, Lisa M.; Lavender, Jason M.; Higgins Neyland, M. K.; Gallager-Teske, Julia; Markos, Bethelhem; Haynes, Hannah; Repke, Hannah; Rice, Alexander J.; Sbrocco, Tracy; Wilfley, Denise E.; Schvey, Natasha A.; Jorgensen, Sarah; Ford, Brian; Ford, Caitlin B.; Haigney, Mark; Klein, David A.; Quinlan, Jeffrey; Tanofsky‐Kraff, Marian
Source
Subject
*ANXIETY in adolescence
*BINGE-eating disorder
*EATING disorders in adolescence
*INTERVIEWING
*FAMILIES of military personnel
*RISK assessment
*DESCRIPTIVE statistics
*QUESTIONNAIRES
*RESEARCH funding
*BODY mass index
*PSYCHOLOGICAL adaptation in adolescence
WEIGHT gain risk factors
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Language
ISSN
0899-5605
Abstract
Adolescent military-dependents are an understudied population who face unique stressors due to their parents' careers. Research suggests tat adolescent military-dependents report more anxiety and disordered-eating than their civilian counterparts. While anxiety symptoms predict the onset and worsening of disordered-eating attitudes, the mechanisms underlying this relationship remain unclear. One factor that may underlie this relationship, and be particularly relevant for military-dependent youth, is coping. Therefore, we examined adolescent military-dependents (N = 136; 14.5 ± 1.5 years; 59.6% female; BMI-z: 1.9 ± 0.4) who were at-risk for adult obesity and binge-eating disorder due to an age- and sex-adjusted BMI ≥ 85th percentile and loss-of-control eating and/or elevated anxiety. Participants completed an interview assessing disordered-eating attitudes and questionnaires on anxiety symptoms and coping strategies at a single time point. Bootstrapping models were conducted to examine the indirect paths between anxiety symptoms and disordered-eating attitudes through five coping subscales (aggression, distraction, endurance, self-distraction, and stress-recognition). Adjusting for relevant covariates, no significant indirect paths through the coping subscales (ps >.05) were found in any models. General coping, nonspecific to eating, may not be a pathway between anxiety symptoms and disordered-eating attitudes among adolescents. Future research should examine other potential mediators of this relationship.Abbreviations: BMI-z, BMI standard deviation score, adjusted for age and sex; LECI-C, Life Events and Coping Inventory – Coping [ABSTRACT FROM AUTHOR]