关键词: Saudi Arabia adolescents body dissatisfaction body image confidence determinants disordered eating behaviours interview

Mesh : Humans Female Saudi Arabia / epidemiology Adolescent Feeding and Eating Disorders / epidemiology psychology Students / psychology statistics & numerical data Qualitative Research Feeding Behavior / psychology Adolescent Behavior / psychology Schools Risk Factors

来  源:   DOI:10.3390/nu16132119   PDF(Pubmed)

Abstract:
The risk of DEB is more prevalent in girls, particularly during adolescence. The onset of DEB can be triggered by many inter-related factors, including biological, social, parental, and psychosocial. To date, very little is known about the determinants of DEBs in Saudi adolescent girls. Using a qualitative analysis, this study explored potential determinants of DEB among adolescent girls in Riyadh. Eighteen semi-structured interviews were carried out with adolescent girls (mean age = 14.06, SD = 0.87) who reported a high risk of DEB (EAT-26 ≥ 20) in intermediate and secondary schools in Riyadh. The mean weight was 51 kg (SD = 11.8) with BMI ranging from 14.18 kg/m2 to 27.51 kg/m2. EAT-26 scores ranged from 21 to 42 (M = 26.8, SD = 5.6). Data were transcribed and revised, then themes and sub-themes were assigned using MAXQDA 24. The most common DEBs reported were dieting and binging, followed by induced vomiting. Major themes were related to negative cognitions, conscious imitation/copying behaviours, bullying, comparisons, and negative comments. Some participants identified the possibility of biological and familial factors in increasing the likelihood of DEB. Our findings provide a framework that could be used to increase understanding of DEB and inform the development of interventions to address underlying causes of DEB in Saudi adolescent girls.
摘要:
DEB的风险在女孩中更普遍,特别是在青春期。DEB的开始可以由许多相互关联的因素触发,包括生物,社会,父母,和社会心理。迄今为止,对沙特少女DEB的决定因素知之甚少。使用定性分析,这项研究探讨了利雅得青春期女孩中DEB的潜在决定因素。对利雅得中小学报告DEB高风险(EAT-26≥20)的青春期女孩(平均年龄=14.06,SD=0.87)进行了18次半结构化访谈。平均体重为51kg(SD=11.8),BMI范围为14.18kg/m2至27.51kg/m2。EAT-26评分范围从21到42(M=26.8,SD=5.6)。数据被转录和修订,然后使用MAXQDA24分配主题和子主题。报告的最常见的DEB是节食和暴饮暴食,其次是诱发呕吐。主要主题与消极认知有关,有意识的模仿/复制行为,欺凌,比较,和负面评论。一些参与者确定了生物和家族因素增加DEB可能性的可能性。我们的研究结果提供了一个框架,可用于增加对DEB的了解,并为干预措施的发展提供信息,以解决沙特少女DEB的根本原因。
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