Journal of Eating Disorders | |
Restrained eating and self-esteem in premenopausal and postmenopausal women | |
Ulrike Ehlert3  Brunna Tuschen-Caffier2  Beate Ditzen1  Semra Atsiz3  Suzana Drobnjak3  | |
[1] Institute of Medical Psychology in the Center for Psychosocial Medicine, University Hospital Heidelberg, Bergheimer Str. 20, Heidelberg 69115, Germany;Department of Psychology, Division of Clinical Psychology & Psychotherapy, Albert-Ludwigs University, Engelbergerstrasse 41, Freiburg 79106, Germany;Department of Psychology, Division of Clinical Psychology & Psychotherapy, University of Zurich, Binzmuehlestrasse 14/26, Zurich 8050, Switzerland | |
关键词: Eating behavior; Self-esteem; Restrained eating; Middle age; Menopause; | |
Others : 1133357 DOI : 10.1186/s40337-014-0023-1 |
|
received in 2013-10-28, accepted in 2014-08-14, 发布年份 2014 | |
【 摘 要 】
Background
There has been limited research about disordered eating in middle-aged women, and to date, few data exist about restrained eating behavior in postmenopausal women. Therefore, the aim of this study was to examine eating behavior with a specific focus on menopause as an associated factor in restrained eating. Beyond this, we were interested in how postmenopausal status and self-esteem would interact to determine eating patterns in women in middle age.
Methods
We conducted an online survey in women aged between 40 and 66. Eating behavior was assessed with the Eating Disorder Examination-Questionnaire (EDE-Q) in premenopausal (N = 318) and postmenopausal women (N = 250). All participants rated their self-esteem using the Rosenberg Self-Esteem Scale (RSE) and reported their weight, height, waist circumference, and hip circumference.
Results
15.7% of all participants showed clinically meaningful scores on restrained eating. Postmenopausal women showed significantly higher scores on the EDE-Q subscale of restrained eating as compared to premenopausal women, but when controlling for body mass index, however, this finding was no longer significant. Further exploratory analyses suggest that particularly low or high self-esteem levels are associated with restrained eating. Self-esteem might serve as a mediator between menopausal status and restrained eating, however results of these additional analyses were inconsistent.
Conclusions
Restrained eating may appear in middle-aged women. Particularly in postmenopausal women, restrained eating might be associated with lower and higher self-esteem.
【 授权许可】
2014 Drobnjak et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150304142738228.pdf | 584KB | download | |
Figure 3. | 42KB | Image | download |
Figure 2. | 45KB | Image | download |
Figure 1. | 35KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
【 参考文献 】
- [1]Slevec JH, Tiggemann M: Predictors of body dissatisfaction and disordered eating in middle-aged women. Clin Psychol Rev 2011, 31:515-524. doi: 10.1016/j.cpr.2010.12.002
- [2]Wilson GT, Becker CB, Heffernan K: Eating disorders. In Child Psychopathology. 2nd edition. Edited by Mash EJ, Barkley RA. Guilford Press, New York; 2003:687-715.
- [3]Association AP: Diagnostic and Statistical Manual of Mental Disorders (4th ed. TR). Author, Washington DC; 2000.
- [4]Pereira RF, Alvarenga M: Disordered eating: identifying, treating, preventing, and differentiating it from eating disorders. Diabetes Spectrum 2007, 20:141-148.
- [5]Machado PPP, Machado BC, Gonçales S, Hoek HW: The prevalence of eating disorders not otherwise specified. Int J Eat Disord 2007, 40:212-217.
- [6]Zerbe K, Domnitei D: Eating disorders at middle age, part 1. Eat Disord Rev 2004, 15:1-3.
- [7]Procopio CA, Holm-Denoma JM, Gordon KH, Joiner TE: Two-three-year stability and interrelations of bulimotypic indicators and depressive and anxious symptoms in middle-aged women. Int J Eat Disord 2006, 39:312-319.
- [8]Cumella EJ, Kally Z: Comparison of middle-age and young women inpatients with eating disorders. Eat Weight Disord 2008, 13:183-190.
- [9]Cumella EJ, Kally Z: Profile of 50 women with midlife-onset eating disorders. Eat Disord 2008, 16:193-203. doi: 10.1080/10640260802016670
- [10]Stice E, Ng J, Shaw H: Risk factors and prodromal eating pathology. J Child Psychol Psychiatry 2010, 51:518-525. doi: 10.1111/j.1469-7610.2010.02212.x
- [11]Burger KS, Stice E: Relation of dietary restraint scores to activation of reward-related brain regions in response to food intake, anticipated intake, and food pictures. Neuroimage 2011, 55:233-239. doi: 10.1016/j.neuroimage.2010.12.009
- [12]Field AE, Austin SB, Taylor CB, Malspeis S, Rosner B, Rockett HR, Gillman MW: Relation between dieting and weight change among preadolescents and adolescents. Pediatrics 2003, 112:900-906.
- [13]Stice E, Presnell K, Shaw H, Rohde P: Psychological and behavioral risk factors for onset of obesity in adolescent girls: a prospective study. J Consult Clin Psychol 2005, 73:195-202.
- [14]Nelson HD: Menopause. Lancet 2010, 371:760-770. doi: 10.1016/S0140-6736(08)60346-3
- [15]Wing RR, Matthews KA, Kuller LH, Meilahn EN, Plantinga PL: Weight gain at the time of menopause. Arch Intern Med 1991, 151:97-102.
- [16]Polotsky HN, Polotsky AJ: Metabolic implications of menopause. Semin Reprod Med 2010, 5:426-434. doi: 10.1055/s-0030-1262902
- [17]Swami V, Frederick DA, Aavik T, Alcalay L, Allik J, Anderson D: The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: results of the international body project I. Pers Soc Psychol Bull 2010, 36:309-325. doi: 10.1177/0146167209359702
- [18]Tunaley JR, Walsh S, Nicolson P: ‘I’m not bad for my age’: the meaning of body size and eating in the lives of older women. Ageing Society 1999, 19:741-759.
- [19]Koch PB, Mansfield PK, Thurau D, Carey M: “Feeling Frumpy”: the relationship between body image and sexual response changes in midlife women. J Sex Res 2005, 42:215-223.
- [20]McCabe MP, Ricciardelli LA, James T: A longitudinal study of body change strategies of fitness center attendees. Eat Behav 2007, 8:492-496.
- [21]Thornton B, Moore S: Physical attractiveness contrast effect: implications for self-esteem and evaluations of the social self. Pers Soc Psychol Bull 1993, 19:474-480.
- [22]Stice E: Risk and maintenance factors for eating pathology: a meta-analytic review. Psychol Bull 2002, 28:825-848.
- [23]Leary MR, Baumeister RF: The nature and function of self-esteem: sociometer theory. Soc Psychol 2000, 32:1-62.
- [24]LePage ML, Crowther JH, Harrington EF, Engler P: Psychological correlates of fasting and vigorous exercise as compensatory strategies in undergraduate women. Eat Behav 2008, 9:423-429. doi: 10.1016/j.eatbeh.2008.06.002
- [25]Tylka TL, Sabik NJ: Integrating social comparison theory and self-esteem within objectification theory to predict women’s disordered eating. Sex Roles 2010, 63:18-31.
- [26]Green SP, Pitchard ME: Predictors of body image dissatisfaction in adult men and women. Soc Behav Pers 2003, 31:215-222.
- [27]Webster J, Tiggemann M: The relationship between women’s body satisfaction and self-image across the life span: The role of cognitive control. J Genet Psychol 2003, 162:241-252.
- [28]Waist Circumference and Waist-Hip Ratio, Report of a WHO Expert Consultation. World Health Organization (WHO), Geneva; 2012.
- [29]Fairburn CG, Beglin SJ: Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 1994, 16:363-370.
- [30]Hilbert A, Tuschen-Caffier B, Karwautz A, Niederhofer H, Munsch S: Eating disorder examination-questionnaire. Evaluation der deutschsprachigen Übersetzung Diagnostica 2007, 53:144-154.
- [31]Mond JM, Hay PJ, Rodgers B, Owen C: Eating Disorder Examination Questionnaire (EDE-Q): norms for young adult women. Behav Res Ther 2006, 44:53-62.
- [32]Cooper Z, Fairburn CG: Refining the definition of binge eating disorder and nonpurging bulimia nervosa. Int J Eat Disord 2003, 34:S89-S95.
- [33]Carter JC, Stewart DA, Fairburn CG: Eating disorder examination questionnaire: norms for young adolescent girls. Behav Res Ther 2001, 39:625-632.
- [34]Janich H, Boll T: Übersetzung des Self-Esteem Fragebogens von Rosenberg (1965). Universität Trier, Fachbereich I – Psychologie, Trier; 1982.
- [35]Rosenberg M: Society and the Adolescent Self-Image. Princeton University Press, Princeton, N.J.; 1965.
- [36]Baron RM, Kenny DA: The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986, 51:1173-1182.
- [37]Sobel ME: Asymptotic confidence intervals for indirect effects in structural equation models. In Sociological Methodology. Edited by Leinhardt S. American Sociological Association, Washington, DC; 1982:290-312.
- [38]Preacher KJ, Hayes AF: SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Method Ins Comp 2004, 36:727-731.
- [39]Gadalla TM: Eating disorders and associated psychiatric comorbidity in elderly Canadian women. Arch Womens Ment Health 2008, 11:357-362. doi: 10.1007/s00737-008-0031-8
- [40]Mangweth-Matzek B, Rupp CI, Hausmann A, Assmayr K, Mariacher E, Kemmler G, Whitworth AB, Biebl W: Never too old for eating disorders or body dissatisfaction: A community study of elderly women. Int J Eat Disord 2006, 39:583-586.
- [41]Copeland AL, Martin PD, Geiselman PJ, Rash CJ, Kendzor DE: Predictors of pretreatment attrition from smoking cessation among pre- and postmenopausal, weight-concerned women. Eat Behav 2006, 7:243-251.
- [42]McKinley NM: The developmental and cultural contexts of objectified body consciousness: a longitudinal analysis of two cohorts of women. Dev Psychol 2006, 42:679-687.
- [43]Mcquaide S: Women at midlife. Soc Work 1998, 43:21-31.
- [44]McLean SA, Paxton SJ, Wertheim EH: Factors associated with body dissatisfaction and disordered eating in women in midlife. Int J Eat Disord 2010, 43:527-536. doi: 10.1002/eat.20737
- [45]Cash TF, Melnyk SE, Hrabosky JI: The assessment of body image investment: an extensive revision of the appearance schemas inventory. Int J Eat Disord 2004, 35:305-316.
- [46]McKinley NM, Lyon LA: Menopausal attitudes, objectified body consciousness, aging anxiety, and body esteem: European American women’s body experiences in midlife. Body Image 2008, 5:375-380. doi: 10.1016/j.bodyim.2008.07.001
- [47]Filozof C, Gonzalez C: Predictors of weight gain: the biological Behavioral debate. Obes Rev 2000, 1:21-26.
- [48]de Lauzon-Guillain B, Basdevant A, Romon M, Karlsson J, Borys JM, Charles MA: Is restrained eating a risk factor for weight gain in a general population? Am J Clin Nutr 2006, 83:132-138.
- [49]Boschi V, Iorio D, Margiotta N, D’Orsi P, Falconi C: The three- factor eating questionnaire in the evaluation of eating behaviour in subjects seeking participation in a dietotherapy programme. Ann Nutr Metab 2001, 45:72-77.
- [50]Williamson DA, Lawson OJ, Brooks ER, Wozniak PJ, Ryan DH, Bray GA, Duchmann EG: Association of body mass with dietary restraint and disinhibition. Appetite 1995, 25:31-41.
- [51]Bellisle F, Clement K, Le Barzic M, Le Gall A, Guy-Grand B, Basdevant A: The eating inventory and body adiposity from leanness to massive obesity: a study of 2509 adults. Obes Res 2004, 12:2023-2030.
- [52]Johnson F, Pratt M, Wardle J: Dietary restraint and self-regulation in eating behavior. Int J Obes 2012, 36:665-674. doi: 10.1038/ijo.2011.156
- [53]Vasiljevic N, Ralevic S, Kolotkin RL, Marinkovic J, Jorga J: The relationship between weight loss and health-related quality of life in a Serbian population. Eur Eat Disord Rev 2012, 20:162-168. doi: 10.1002/erv.1114
- [54]Crocker J, Park LE: Seeking self esteem: Construction, maintenance and protection of self-worth. In Handbook of Self and Identity. Edited by Leary MR, Tangney JP. The Guilford Press, New York; 2003:291-313.
- [55]Reips UD: Standards for Internet-based experimenting. Exp Psychol 2002, 49:243-256.
- [56]Mangweth-Matzek B, Hoek HW, Rupp CI, Kemmler G, Pope HG Jr, Kinzl J: The menopausal transition-a possible window of vulnerability for eating pathology. Int J Eat Disord 2013, 46:609-616. doi: 10.1002/eat.22157
- [57]Hunter M, Rendall M: Bio-psycho-socio-cultural perspectives on menopause. Best Pract Res Clin Obstet Gynaecol 2007, 21:261-274.
- [58]Gagne DA, Von Holle A, Brownley KA, Runfola CD, Hofmeier S, Branch KE, Bulik CM: Eating disorder symptoms and weight and shape concerns in a large web-based convenience sample of women ages 50 and above: results of the gender and body image (GABI) study. Int J Eat Disord 2012, 45:832-844. doi: 10.1002/eat.22030. Unipark [http://www.unipark.info/1-0-online-befragungssoftware-fuer-studenten-und-universitaeten-unipark-home.htm] SPSS Syntax [http://www.afhayes.com/spss-sas-and-mplus-macros-and-code.html]